Global Case Studies in Maternal and Child Health / Edition 1

by Ruth C. White

Overview

Maternal and Child Health (MCH) continues to be one of the most important fields of study for improving the health of populations across the globe. Two the 10 Millennium Development Goals strive specifically to improve maternal and child health, and several others, such as gender equality and HIV/AIDS, are critical aspects of Maternal and Child Health. Written for students in public health, medical, and allied health professions, Global Case Studies in Maternal and Child Health brings to life theoretical and conceptual ideas discussed in primary texts, through the analysis of lived stories of maternal and child health programs around the world. Using structured case studies of community-based programs in maternal and child health from around the world, students will be presented with real-life ethical, practical and theoretical challenges that will develop critical and analytical thinking skills and also provide them with practice models that they can use in their future or present work.

Product Details

ISBN-13:	9780763781538
Publisher:	Jones & Bartlett Learning
Publication date:	12/18/2012
Edition description:	1
Pages:	342
Product dimensions:	5.90(w) x 8.90(h) x 0.90(d)

About the Author

Ruth C. White is Associate Professor of Social Work at Seattle University in Seattle, WA, USA. She received her PhD in Social Welfare and MPH with double specialities in Maternal and Child Health and International Health from the University of California, Berkeley, and her MSW from McGill University in Montreal. She has worked with pregnant and parenting teenage mothers and perinatal women with substance abuse problems. Along with partners in Uganda she developed and co-managed a very successful community-based safe motherhood program - Maama Omwaana - which she later transferred to the Ugandan Ministry of Health. A World Affairs Council Fellow, she is also a member of the board of Health Alliance International - a global health NGO. Her new area of expertise is economics and she is interested in the impact of maternity leave policies on women's work force participation and the impact of microfinance programs on women and children. She also writes in the area of mental health. She teaches global development, macro social work practice and data analysis to undergraduate social work students at Seattle University in Seattle, WA, USA. Her policy blog takes on challenging issues and can be found at: provokingpolicy.blogspot.com. For more information on Dr. White: ruthcwhite.com

Table of Contents

Foreword xiii

Acknowledgments xvii

Contributors xix

Introduction xxiii

Part I Traditional Birth Attendants/Traditional Midwives 1

Chapter 1 The Local, the Global, the NGO-ization of Birth in Southern Belize Amínata Maraesa 5

Background 6

The Region 7

Toledo Traditions 8

Childbirth in the Belizean Medical System 9

Generations of Traditional Birth Attendants 11

The NGO-ization of Birth 12

Persistent Patterns 18

An Enduring Misunderstanding 19

Conclusion 21

Discussion Questions 22

Notes 22

References 23

Chapter 2 Weaving Traditional and Professional Midwifery Jennifer Foster Jennifer Houston Ann C. Davenport Angela Anderson Virginia M. Lamprecht Gal Frenkel 25

Background 26

Beginnings 28

Ixmucané as Clinical Practice Model 30

Training Traditional Midwives 34

Monitoring and Evaluation of Training 38

Intertwine with the Ministry of Health 43

Unraveling and Closure 44

Lessons Learned 45

Fabric for the Future 46

Discussion Questions 48

Notes 48

References 49

Part II Safe Motherhood 51

Chapter 3 Sing Safe Motherhood: A Story of the Women of Chiwamba, Malawi Daima Thyangathyanga Mary Kambewa Rose M. Kershbaumer Joyce E. Thompson 55

Introduction 56

Background 57

The Story: Teaching and Learning Safe Motherhood 58

Adult Functional Literacy Training 65

Training in Business and Income-Generating Activities 66

Reflections on the CBSMA Story: Keeping Volunteers Volunteering 66

Lessons Learned 69

Summary 71

Discussion Questions 71

References 72

Chapter 4 Maama Omwaana: Community Building for Safe Motherhood in Njeru, Uganda Ruth C. White Katherine Camacho Carr 73

Introduction 74

Maama Omwaana Safe Motherhood Initiative 76

Community Assessment and Mobilization 77

Implementation Year Two: 2006 79

Outcomes 82

Discussion 82

Conclusion 85

Endnote 86

Discussion Questions 86

References 86

Chapter 5 Behavior Change Initiative in an Integrated Community Health Project Gerda Pohl 89

Background 90

Nepal and Humla 90

History 92

The Problem 92

The Plan 93

The Solution 95

Outcomes 97

Lessons Learned 97

Discussion Questions 98

References 98

Part III The Impact of War 99

Chapter 6 Integrating Child Spacing with Maternal Care in Postconflict Timor-Leste Susan Thompson Mary Anne Mercer 103

Background 104

Health in the Democratic Republic of Timor-Leste 105

Integrating Child Spacing into a Maternal and Newborn Program 109

Key Findings 112

Challenges 114

Lessons Learned 117

Conclusion 118

Discussion Questions 118

References 119

Chapter 7 Lifeline Community Healthcare Program: Reducing Maternal and Infant Mortality in Liberia Lucy November 121

Background 122

The Players 122

Becoming a Midwife 123

Childbirth in Liberia 124

Training Traditional Birth Attendants 124

War 125

Going Home 126

Building a Clinic 127

Joining LifeLine 129

Discussion Questions 130

References 131

Chapter 8 Rape as a Weapon of War: Stories from the Democratic Republic of Congo Elaine Dietsch Luc Mulimbalimba-Masururu 133

Background 136

The Story 139

Lessons Learned 144

About the Authors 145

Discussion Questions 146

Acknowledgments 147

References 147

Part IV Support Groups 149

Chapter 9 Enhancing Outcomes for At-Risk Moms: The Moms Mentoring Moms Program Blythe Shepard Meg Kapil Lara Shepard 153

Introduction 154

Fetal Alcohol Spectrum Disorder 155

The Moms Mentoring Moms Program 156

Overall Effect of Program on Participants 159

Meeting Program Objectives 160

Lessons Learned and Recommendations 165

Summary 167

Discussion Questions 167

References 168

Part V Birthing Centers 171

Chapter 10 Maison de Naissance: A Community Birthing Home in Haiti Whitney A. Smith Natasha Massoudi Stanley G. Shaffer 175

Case Study 175

Background 176

Purpose 177

Formative Research 177

Methods 179

Supporting Technology 181

Monitoring and Evaluation 182

Results 183

Discussion 184

Case Study Review 185

Discussion Questions 186

References 186

Chapter 11 Providing a Safe Space for Birth in Warkworth, New Zealand Liz Smythe Deborah Payne Sally Wilson Sue Wynyard 187

Introduction 187

The Case 189

Summary 206

Discussion Questions 206

References 207

Part VI The Culture of Maternity 209

Chapter 12 Maternal-Infant Care in the Brazilian Amazon Louis C. Forline Helena dos Santos 213

Introduction 213

The Brazilian Amazon: Regional Ecology, History, and Development 215

Study Results, Community Feedback, and Reflections 217

Reflections and Recommendations 225

Concluding Remarks 227

Discussion Questions 228

References 229

Chapter 13 Mbyá Grandmothers, Mothers, and Granddaughters Carolina Remorini 231

Introduction 232

Mbyá Children and Women: Health Conditions and Their Access to Sanitary Services and Programs 233

Background of Mothers and Wives: Mbyá Women in the Ethnographic Literature 235

Different Stories, the Same Culture: Intracultural Variability and Generational Changes 237

Lessons Learned 249

Acknowledgments 253

Discussion Questions 253

Notes 254

References 254

Chapter 14 Introducing Nursing Students to Childbearing Practices in Rural Guatemala Catherine A. Carr Amy Levi 257

Background 258

Cultural Competency Versus Cultural Humility 258

Service Learning to Reduce Health Disparities 259

Practical Strategies for Service Learning and Teaching 260

Learning about Global Maternal Health Care through Service Learning 268

Discussion Questions 269

References 269

Part VII Medical Interventions in Birth 271

Chapter 15 Saving Newborns at the Community Level Christina Lagos Triantaphyllis 275

Background 276

Public Health System 280

The MINI Story: Leading the Way in Community-Based Care for Neonates in Nepal 282

Lessons Learned 298

Notes 300

Discussion Questions 300

References 301

Chapter 16 The Nonpneumatic Anti-Shock Garment in Nigeria: The Tension Between Research and Implementation Oladosu A. Ojengbede Elizabeth Butrick Hadiza Galadanci Imran Oludare Morhason-Bello Carinne Brody Titi Duro-Aina Adetokunbo Fabamwo Suellen Miller 303

Background 304

The Project 306

Results and Reactions 308

Challenges 310

Lessons Learned 313

Discussion Questions 314

References 314

Index 317