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Reducing inequities in maternal and child health in rural Guatemala through the CBIO+ Approach of Curamericas: 1. Introduction and project description.
Valdez, Mario; Stollak, Ira; Pfeiffer, Erin; Lesnar, Breanne; Leach, Kaitlin; Modanlo, Nina; Westgate, Carey C; Perry, Henry B.
Afiliação
  • Valdez M; Curamericas/Guatemala, Calhuitz, San Sebastián Coatán, Huehuetenango, Guatemala.
  • Stollak I; Curamericas Global, Raleigh, North Carolina, USA.
  • Pfeiffer E; Independent Consultant, Winston-Salem, North Carolina, USA.
  • Lesnar B; Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA.
  • Leach K; Optum, SeaTac, Washington, USA.
  • Modanlo N; David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
  • Westgate CC; Community Health Impact Coalition, New York, New York, USA.
  • Perry HB; Health Systems Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA. hperry2@jhu.edu.
Int J Equity Health ; 21(Suppl 2): 203, 2023 02 28.
Article em En | MEDLINE | ID: mdl-36855139
BACKGROUND: The Curamericas/Guatemala Maternal and Child Health Project, 2011-2015, was implemented in the Western Highlands of the Department of Huehuetenango, Guatemala. The Project utilized three participatory approaches in tandem: the Census-Based, Impact-Oriented (CBIO) Approach, the Care Group Approach, and the Community Birthing Center Approach. Together, these are referred to as the Expanded CBIO Approach (or CBIO+). OBJECTIVE: This is the first article of a supplement that assesses the effectiveness of the Project's community-based service delivery platform that was integrated into the Guatemalan government's rural health care system and its special program for mothers and children called PEC (Programa de Extensión de Cobertura, or Extension of Coverage Program). METHODS: We review and summarize the CBIO+ Approach and its development. We also describe the Project Area, the structure and implementation of the Project, and its context. RESULTS: The CBIO+ Approach is the product of four decades of field work. The Project reached a population of 98,000 people, covering the entire municipalities of San Sebastián Coatán, Santa Eulalia, and San Miguel Acatán. After mapping all households in each community and registering all household members, the Project established 184 Care Groups, which were composed of 5-12 Care Group Volunteers who were each responsible for 10-15 households. Paid Care Group Promoters provided training in behavior change communication every two weeks to the Care Groups. Care Group Volunteers in turn passed this communication to the mothers in their assigned households and also reported back to the Care Group Promoters information about any births or ï»¿deaths that they learned of during the previous two weeks as a result of their regular contact with their neighbors. At the outset of the Project, there was one Birthing Center in the Project Area, serving a small group of communities nearby. Two additional Birthing Centers began functioning as the Project was operating. The Birthing Centers encouraged the participation of traditional midwives (called comadronas) in the Project Area. CONCLUSION: This article serves as an introduction to an assessment of the CBIO+ community-based, participatory approach as it was implemented by Curamericas/Guatemala in the Western Highlands of the Department of Huehuetenango, Guatemala. This article is the first of a series of articles in a supplement entitled Reducing Inequities in Maternal and Child Health in Rural Guatemala through the CBIO+ Approach of Curamericas.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Saúde da Criança / Censos Aspecto: Equity_inequality Limite: Child / Female / Humans País/Região como assunto: America central / Guatemala Idioma: En Revista: Int J Equity Health Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Guatemala País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Saúde da Criança / Censos Aspecto: Equity_inequality Limite: Child / Female / Humans País/Região como assunto: America central / Guatemala Idioma: En Revista: Int J Equity Health Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Guatemala País de publicação: Reino Unido