Global Health Project for Maternal Child Health in a Developing Country: Case Study in Tigray, Ethiopia

Kyung-Sook Bang; Insook Lee; Young-Sook Park; Sun-Mi Chae; Hyunju Kang; Juyoun Yu; Ji-Sun Park; Sang-Jun Oh

doi:10.16952/pns.2014.11.1.1

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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

Original Article

Perspectives in Nursing Science 2014;11(1):1-9.

Published online: 20 April 2014

DOI: https://doi.org/10.16952/pns.2014.11.1.1

Global Health Project for Maternal Child Health in a Developing Country: Case Study in Tigray, Ethiopia

Kyung-Sook Bang¹, Insook Lee¹, Young-Sook Park², Sun-Mi Chae³, Hyunju Kang⁴, Juyoun Yu⁴, Ji-Sun Park⁴, Sang-Jun Oh⁴

¹Professor, Collegeof Nursing, The Research Institute of Nursing Science, Seoul National University, Seoul, Korea

²Professor Emerita, College of Nursing, The Research Instituteof Nursing Science, Seoul National University, Seoul, Korea

³Associate Professor, College of Nursing, The Research Institute of Nursing Science, Seoul National University, Seoul, Korea

⁴Graduate student, College of Nursing, Seoul National University, Seoul, Korea

Corresponding author: Bang, Kyung-Sook College of Nursing, Seoul National University, 103 Daehak-ro, Jongno-gu, Seoul 110-799, Korea. Tel: +82-2-740-8819, Fax: +82-2-765-4103, E-mail: ksbang@snu.ac.kr

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 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.

Keywords: Global health, Maternal and child health, Ethiopia, Case study

References

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Fig. 1.

Flow chart of the project.

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)
	Family planning	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)
	Delivery care	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)
	Family planning	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)
	Antenatal care	Competency	32.11±4.80	35.05±4.65	4.183 (＜.001)

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