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Reducing inequities in maternal and child health in rural Guatemala through the CBIO+ Approach of Curamericas: 9. Key stakeholder perspectives on strengthening the CBIO+ Approach

Lambden, Jason ; Martin, Shayanne ; Valdez, Mario ; Stollak, Ira ; Westgate, Carey C ; Perry, Henry B

International journal for equity in health, 2023-02, Vol.21 (Suppl 2), p.201-201, Article 201 [Periódico revisado por pares]

England: BioMed Central

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Reducing inequities in maternal and child health in rural Guatemala through the CBIO+ Approach of Curamericas: 9. Key stakeholder perspectives on strengthening the CBIO+ Approach
Autor: Lambden, Jason ; Martin, Shayanne ; Valdez, Mario ; Stollak, Ira ; Westgate, Carey C ; Perry, Henry B
Assuntos: Birthing centers ; Censuses ; Child ; Child Health ; Children & youth ; Childrens health ; Cognition ; Community ; Community health ; Community health care ; Community involvement ; Community participation ; Community planning ; Community-based primary health care ; Empowerment ; Family ; Female ; Focus groups ; Guatemala ; Health care ; Health services ; Humans ; Immunization ; Implementation research ; Incentives ; Interviews ; Local government ; Male ; Maternal & child health ; Maternal health ; Medical personnel ; NGOs ; Nongovernmental organizations ; Nurses ; Primary health care ; Public health ; Questionnaires ; Rural areas ; Womens health
É parte de: International journal for equity in health, 2023-02, Vol.21 (Suppl 2), p.201-201, Article 201
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Community-based health interventions have been an integral part of recent health gains globally. An innovative approach to delivering community health care combines the Census-Based, Impact-Oriented (CBIO) Approach with Care Groups and Community Birthing Centers called Casas Maternas Rurales. CBIO+ was adopted by Curamericas/Guatemala in its Maternal and Child Health Project, 2011-2015. Here, we describe the opinions of Project staff and local government health care workers about the strengths and challenges of CBIO+. METHODS: Self-administered questionnaires, key informant interviews, and focus group discussions were used to obtain the views of 21 staff members from Curamericas/Guatemala as well as 15 local government health workers. The evaluation focused on four primary areas: (1) advisability of integrating the CBIO+ Approach into the government's rural health system, (2) staff knowledge of the CBIO+ Approach, (3) advantages, disadvantages and challenges of the CBIO+ Approach, and (4) proposed improvements to the CBIO+ Approach. The data were coded into categories and from these categories themes were derived. The most commonly mentioned advantage of CBIO+ was the inclusion of the community in program planning, which improved participation. Many respondents noted that the CBIO+ Approach was challenging to implement in communities with internal conflicts. Among other challenges mentioned were coordinating (both among the Project staff and with others in the communities), maintenance of a high level of community participation, and overcoming opposition of men to women's participation in Care Groups. The staff mentioned a number of possible changes, including increasing male involvement, raising salaries for community-level paid staff, providing volunteers with incentives, and improving coordination both internally and externally. There was a strong demand among the local Ministry of Public Health and Social Welfare staff for the Project to continue. The CBIO+ Approach and its implementation by Curamericas/Guatemala was overall embraced by local staff. By eliciting feedback while the project was ongoing, actionable areas for improvement were identified.
Editor: England: BioMed Central
Idioma: Inglês

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Reducing inequities in maternal and child health in rural Guatemala through the CBIO+﻿ Approach of Curamericas: 9.﻿ Key stakeholder perspectives on strengthening the CBIO+ Approach

Lambden, Jason ; Martin, Shayanne ; Valdez, Mario ; Stollak, Ira ; Westgate, Carey C ; Perry, Henry B

England: BioMed Central

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Reducing inequities in maternal and child health in rural Guatemala through the CBIO+ Approach of Curamericas: 9. Key stakeholder perspectives on strengthening the CBIO+ Approach