Journal List > J Korean Acad Community Health Nurs > v.21(1) > 1058176

TOOLS
Shin, Kim, Yoo, and Lee: Development of a Community-based Participatory Global Health Project Model for Primary Health Care Capacity Development: A Case Study from a Rural Community in Ecuador
Original Article

Journal of Korean Academy of Community Health Nursing 2010; 21(1): 31-42.

Published online: 4 April 2014

DOI: https://doi.org/10.12799/jkachn.2010.21.1.31

Development of a Community-based Participatory Global Health Project Model for Primary Health Care Capacity Development: A Case Study from a Rural Community in Ecuador

Hyejeong Shin1, Euisook Kim2, Byungwook Yoo3, Hyeonkyeong Lee4

1Doctoral Student, Graduate School of Public Health, Seoul National University, Korea.

2Professor Emeritus, College of Nursing, Yonsei University, Korea.

3Assistant Professor, School of Medicine, Soonchunhyang University, School of Medicine, Korea.

4Assistant Professor, College of Nursing, Nursing Policy Research Institute, Yonsei University, Korea.

Address reprint requests to: Lee, Hyeonkyeong, College of Nursing, Yonsei University, 250 Seongsan-no, Seodaemun-gu, Seoul 120-752, Korea. Tel: 82-2-2228-3373, Fax: 82-2-2227-7884, hlee39@yuhs.ac

Received 2 September 2009       Revised 8 March 2010       Accepted 10 March 2010

© 2010 Korean Academy of Community Health Nursing

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The aims of this study were to identify successful strategies and propose a community-based participatory global health project model for primary health care capacity development.

Methods

The study used case study methodology. A unit of analysis was an international cooperation health project entitled "Community-based Primary Health Care Improvement in San Lorenzo, Ecuador" using community-based participatory research conducted in 2007~2008. Data were collected through windshield surveys, focus group discussion, and provider surveys.

Results

Identified successful strategies for the international cooperation health project were reciprocal partnerships between researchers and community, partners' capacity building, south-to-south cooperation, and continuous monitoring and feedback. Community participation was found to be an essential tenet to guarantee the improvement of primary health care in the underserved rural community. Evidence from the activities of community health practitioners in Korea was applicable to the development of training programs for primary health care providers in Ecuador.

Conclusion

Strategies for primary health care capacity development may be tailored depending on socio-cultural, political, and economical situations of each country. The model, however, would be applicable to the entire process of community-based global health projects in underserved rural communities of other countries.

Keywords: Primary health care, Capacity building, Community-based participatory research, International cooperation, Ecuador

Figures and Tables

Figure 1
Five phases of the community-based primary health care capacity development project.
jkachn-21-31-g001
Figure 2
Community-based participatory global health project model for primary health care capacity development.
jkachn-21-31-g002
Table 1
Common Community Health Problems and related Factors
jkachn-21-31-i001
Table 2
Primary Health Care Provider Training Module
jkachn-21-31-i002

Notes

This study was supported by a grant from the Korea International Cooperation Agency (KOICA).

References

1. Altman DG. Sustaining interventions in community systems: On the relationship between researchers and communities. Health Psychol. 1995; 14(6):526–536.
crossref
2. Barrios E, Delve RJ, Bekunda M, Mowo J, Agunda J, Ramisch J, et al. Indicators of soil quality: A South-South development of a methodological guide for linking local and technical knowledge. Geoderma. 2006; 135:248–259.
crossref
3. Centers for Disease Control and Prevention. Policy statement for core research projects. 2006. Retrieved September 30, 2009. from http://www.cdc.gov/prc/research-projects/program-policy.htm.
4. deKoning K, Martin M, editors. Participatory research in health: Issues and experiences. London: Zed Books;1996.
5. Freire P. Education for critical consciousness. New York: Seabury Press;1973.
6. Fukuda-Parr S, Lopes C, Malik K, editors. Capacity for development: New solutions to old problems. New York: United Nations Development Programme;2002.
7. Gebbie K, Rosenstock L, Allan S, Bender K, Blazer D, Burris S, et al. Who will keep the public healthy? Educating public health professionals for the 21st century. Washington, DC: Institute of Medicine, National Academy of Sciences;2002.
8. Israel BA, Eng E, Schulz AJ, Parker EA. Methods in community-based participatory research for health. San Francisco: Jossey-Bass;2005.
9. Israel BA, Schulz AJ, Parker EA, Becker AB, Allen A, Guzman JR. Critical issues in developing and following community-based participatory research principles. In : Minkler M, Wallerstein N, editors. Community-based participatory research for health. San Francisco: Jossey-Bass;2003. p. 56–73.
10. Karmaliani R, McFarlane J, Asad N, Madhani F, Hirani S, Shehzad S, et al. Applying community-based participatory research methods to improve maternal and child health in Karachi, Pakistan. Nurs Outlook. 2009; 57(4):204–209.
crossref
11. Kellogg Foundation, W. K.Kellogg health scholars program. 2002. Retrieved October 7, 2009. from http://www.kellogghealthscholars.org/about/community.cfm.
12. Kim HJ, Yoon SN, Chun KJ, Kim SY, Kim CM, Kim HS, et al. Community health nursing. Seoul: Sumoonsa;2008.
13. Kim MI, Cho WJ, Kim ES, Chung YS, Kang HY, Lee JR. Client-centered community health nursing. Seoul: Hyunmoonsa;2002.
14. Lawn JE, Rhode J, Rifkin S, Were M, Paul VK, Chopra M. Alma-Ata 30 years on: Revolutionary, relevant, and time to revitalize. Lancet. 2008; 372(9642):917–927.
15. Minkler M. Community-based research partnerships: Challenges and opportunities. J Urban Health. 2005; 82:Suppl 2. (2):3–12.
crossref
16. Rifkin SB. Lessons from community participation in health programmes: A review of the post Alma-Ata experience. Int Health. 2009; 1:31–36.
crossref
17. Schensul JJ, Denelli-Hess D, Borreo MG, Bhavati MP. Urban comadronas: Maternal and child health research and policy formulation in a Puerto Rican community. In : Stull DD, Schensul JJ, editors. Collaborative research and social change: Applied anthropology in action. Boulder, Co: Westview Press;1987. p. 9–32.
18. Stringer ET. Action research: A handbook for practitioners. Thousand Oaks, CA: Sage;1996.
19. Suarez-Balcazar Y, Davis MI, Ferrari J, Nyden P, Olson B, Alvarez J, et al. University-community partnerships: A framework and an exemplar. In : Jason LA, Keys BC, Suarez-Balcazar Y, Taylor RR, Davis MI, editors. Participatory community research: Theories and methods in action. Washington, DC: American Psychological Association;2004.
20. Viswanathan M, Ammerman A, Eng E, Gartlehner G, Lohr KN, Griffith D, et al. Community-based participatory research: Assessing the evidence. Summary, evidence report/Technology assessment No. 99. AHRQ Publication 04-E022-1. Rockville, MD: Agency for Healthcare Research and Quality;2004.
21. World Health Organization. World health statistics 2008. 2008-a. Retrieved December 28, 2009. from http://www.who.int/whosis/whostat/EN_WHS08_Full.pdf.
22. World Health Organization. World health report 2008: Primary health care. 2008-b. Retrieved December 28, 2009. from http://www.who.int/whr/2008/whr08_en.pdf.
23. World Health Organization. Community health nursing report of a WHO expert committee (Technical Report Series No. 558). Geneva: World Health Organization;1974.
24. Yoo SH. Using community-based participatory research (CBPR) for health promotion. J Korean Soc Health Educ Promot. 2009; 26(1):141–158.
TOOLS
Similar articles