Journal List > Perspect Nurs Sci > v.11(1) > 1060384

Bang, Lee, Park, Chae, Kang, Yu, Park, and Oh: Global Health Project for Maternal Child Health in a Developing Country: Case Study in Tigray, Ethiopia

Abstract

Purpose

The purposeof this studywastodemonstratea two-year global health projecttoimprovematernal and childhealth(MCH) inEthiopia.

Methods

This isadescriptivecasestudy. Thetarget areais Kilte AwlaeloWoreda inTigray Regional State, Ethiopia. A baseline survey was conductedto identify the needs of community residents and health careprof essionals. AMCH program was developed according to a project design matrix that included: infrastructure renovation of health centers; continuing education for midwives, nurses, andhealth extension work-ers(HEWs); andimprovement of residents'MCH awareness. Project evaluation willexaminethestructure, process, andoutcomesof the program.

Results

Thebaseline survey showedlow ratesof family planning(31%) and antenatal andpostnatalcare use (36.1%and69%, respectively). Theinstitutionalbirthratewas 13.5%. Midwives andnursesreceived 2∼4educational programsabout familyplanning andperinatal care. HEWswere alsogiven practical education. Water and electrical infrastructureof all five health centersintheKilteAwlaeloWoredawere renovated. Additionally, medical supplies and equipment were provided. Communityhealtheducation onperinatal care, family planning, and personal hygienewas presented.

Conclusion

This study highlightsthe role of nursing in global health and provides basic information on the development and outcomes of the global health project.

References

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Fig. 1.
Flow chart of the project.
pns-11-1f1.tif
Table 1.
On-the-Job Training Schedule for Health Care Professionals
Health care professional Topic Duration & training method
Midwife 1. Family planning 3 day lecture & 2 day practice
2. Delivery care 3 day lecture & 2 day practice
3. Postpartum & newborn care 3 day lecture & 2 day practice
Maternal & child health nurse 1. Family planning 2 day lecture & 1 day practice
2. Antenatal care 2 day lecture & 1 day practice
3. Delivery care 3 day lecture
4. Immunization 3 day lecture
5. Integrated management of neonatal and childhood illness 3 day lecture
Table 2.
Comparison of Knowledge and Competency in Each Training Courses
Topics Categories Variables Pretest Posttest t (p)
Midwife Family planning Knowledge 10.15±3.53 15.45±3.53 8.014 (<.001)
Competency 27.35±6.79 34.75±3.95 5.110 (<.001)
Delivery care Knowledge 12.15±2.78 14.90±3.24 3.264 (.004)
Competency 33.55±5.01 37.00±3.54 2.432 (.025)
Maternal & child health nurse Family planning Knowledge 10.85±2.81 13.41±3.79 3.931 (.001)
Competency 26.33±5.85 34.67±5.10 8.467 (<.001)
Antenatal care Knowledge 10.48±3.87 15.38±4.17 6.189 (<.001)
Competency 32.11±4.80 35.05±4.65 4.183 (<.001)
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