FPA-65

65 Final Project Guidelines and Rubric

Final Project Case Study Scenario

Haiti, the poorest country in the Western Hemisphere, also has the highest maternal mortality rate. In the Southwest region of the country, rates are unusually higher than in other parts. One region in particular has significantly high numbers. The Nippes department of Haiti (a department in Haiti is similar to a state in the United States), which has a substantial rural region, has a much higher maternal mortality rate than other departments within the country. You are being hired by the World Health Organization (WHO) to recommend a solution to reduce the maternal mortality rate in the Nippes department of Haiti. You have been given the following information about the Nippes department and the situation:

· There is one government hospital in the region, and it is known for providing poor-quality services and being understaffed. It is quite far for people who live in the rural regions, and reliable transportation is difficult to come by.

· While there is limited infrastructure in the region, cell phone service is decent, and most families have at least one cell phone.

· There are two known private clinics in the area, run by nongovernmental organizations (NGOs) from the United States, that employ an all-Haitian staff. These clinics offer only primary care services, but do have women in labor that come several times per month. These women often come to the clinic with complications. About half of these cases end up in either maternal or infant death (or both).

· There may be more clinics in the area, but this variable is unknown. Haiti has the second-highest number of NGOs per capita in the world, but many of the organizations are unregistered in the country because there is no formal way to track them.

· Most of the women in the Nippes Department, particularly in the rural areas, rely on traditional birth attendants (TBAs), also called matrons. These are people with no clinical training, but they may be village matrons because of a family history (i.e., their mothers were a matrons, grandmothers was a matrons, etc.).

· Because of their lack of clinical training, TBAs often cannot recognize birth complications until it is too late, and they are unskilled to handle those types of situations.

· Most women in the rural regions in Haiti culturally prefer the birthing services of a matron to those of a skilled birth attendant (e.g., a midwife).

· The matrons are resistant to an intervention that threatens to decrease their clientele.

Given this information and additional research, make a recommendation to WHO for the implementation of an evidence-based intervention that can help decrease or mitigate this health challenge in Haiti. The recommendation must incorporate the needs of all stakeholders in this population and help reduce the maternal mortality rate. Evidence must be used throughout to support your claims and recommendation.

Case Study Scenario Application to Final Project: For the final project in your course, you will analyze the global health challenge presented in the above scenario to inform the creation of a consultation report on what can be done differently to mitigate the health challenge. You will need to do additional research on the country, stakeholders, and health challenge in order to conduct your analysis. Finally, you will be required to make recommendations for an evidence-based intervention to help mitigate or address the global health challenge presented in your scenario. You will need to defend those recommendations and discuss how they will impact the population and stakeholders. Supportive evidence will be required throughout your analysis and recommendations.

Prompt

Specifically, the following critical elements must be addressed:

I. Introduction: Establish context for your report by briefly describing the global health challenge and country you are researching. Be sure to do the following:

A. Assess how the core determinants of health of the population affect the global health challenge.

B. Analyze the global health challenge to determine the potential root causes of the challenge and the negative outcomes that are a result of the challenge.

II. The Global Health Problem: Analyze the global health challenge to determine how the various components of the challenge make it difficult to address or mitigate. What are the different challenges or elements of the overall health challenge that makes it difficult to address or mitigate?

III. Stakeholders

A. Determine the global and local stakeholders involved, including the local and global governmental organizations, local NGOs, and the impacted populations, and explain their roles in addressing the global health challenge.

B. Explain the importance of the involvement of the affected populations in addressing the global health challenge.

C. Explain how the identified stakeholders can develop partnerships with local NGOs to help address or mitigate the global health challenge.

D. Explain the various obstacles the stakeholders face when attempting to address or mitigate this global health challenge.

IV. Evidence-Based Interventions

A. Analyze the evidence-based interventions in place for resolving this challenge and explain each component of the interventions.

B. Assess the interventions for strengths and weaknesses in addressing the global health challenge. Be sure to support your assessment with appropriate evidence-based research.

C. Explain outcomes of successful evidence-based interventions in addressing the global health challenge.

D. Explain the cultural considerations stakeholders must take into account when implementing these interventions. Support your explanation with appropriate evidence-based research.

E. Explain the ethical considerations stakeholders must take into account when working with the populations affected by the health challenge. Be sure to support your explanation with appropriate evidence-based research.

F. Assess how effectively the stakeholders addressed the considerations you identified, explaining your reasoning.

V. Recommendations

· Recommend an alternative, appropriate evidence-based intervention strategy that could be implemented to help mitigate or address the health challenge, providing reasoning for your recommendation.

· Defend how your recommended evidence-based intervention would improve the health status of the population. Include evidence from your assessment of previous or existing intervention strategies to support your claims.

VI. Implementation

1. Explain the roles, responsibilities, and needs of stakeholders in rolling out the recommended intervention strategy.

2. Propose specific measurement strategies and tools for evaluating the success of your recommended intervention, explaining your reasoning.

3. Explain possible limitations in implementing your recommended intervention, and provide strategies to avoid the limitations. Provide examples to support your explanation.

VII. Conclusion: Explain to stakeholders why this proposed intervention strategy deserves their attention. How would their role and history of dealing with the challenge help them overcome any obstacles? How would their role and history of dealing with the challenge help them appropriately implement the intervention?

Introduction: Core Determinants of Health - Meets “Proficient” criteria and assessment demonstrates a sophisticated understanding of the impact the determinants of health have on the population and the global health challenge they are facing

Introduction: Root Causes and Negative Outcomes - Meets “Proficient” criteria and identified root causes and negative outcomes demonstrate a nuanced understanding of why the problem exists at all and the negative impact of the problem

The Global Health Problem: Various Components - Meets “Proficient” criteria and analysis makes a cogent connection between the various components of the challenge and how the components make it difficult to address or mitigate the challenge

Stakeholders: Global and Local Stakeholders - Meets “Proficient” criteria and explanation demonstrates a complex grasp of the roles various stakeholders have in addressing the global health challenge

Stakeholders: Affected Populations - Meets “Proficient” criteria and explanation demonstrates a complex grasp of the importance of the affected population and the role they play in addressing the global health challenge

Stakeholders: Partnerships - Meets “Proficient” criteria and explanation demonstrates a complex grasp of how the identified stakeholders and local NGOs can work together to address or mitigate the global health challenge

Stakeholders: Various Obstacles - Meets “Proficient” criteria and demonstrates a sophisticated awareness of what obstacles the stakeholders face when trying to address or mitigate the health challenge

Evidence-Based Interventions: Evidence-Based Interventions - Meets “Proficient” criteria and explanation demonstrates a strong foundational knowledge of the components of the interventions in place for resolving the challenge

Evidence-Based Interventions: Strengths and Weaknesses - Meets “Proficient” criteria and assessment shows a sophisticated grasp of the strengths and weaknesses of the interventions used to address the global health challenge

Evidence-Based Interventions: Outcomes - Meets “Proficient” criteria and demonstrates sophisticated understanding of the outcomes of successful evidence-based interventions in addressing the global health challenge

Evidence-Based Interventions: Cultural Considerations - Meets “Proficient” criteria and demonstrates a sophisticated awareness of the specific cultural needs of the given population

Evidence-Based Interventions: Ethical Considerations - Meets “Proficient” criteria and demonstrates a thorough understanding of the specific ethical considerations’ stakeholders have to take into account when working with the given population

Evidence-Based Interventions: Addressed - Meets “Proficient” criteria and assessment provides advanced reasoning that demonstrates keen insight into how effectively the stakeholders addressed the identified considerations

Recommendations: Evidence-Based Intervention - Meets “Proficient” criteria and recommendation provides advanced reasoning that demonstrates keen insight into appropriate intervention strategies

Recommendations: Defend - Meets “Proficient” criteria and evidence provided demonstrates a complex grasp of how the recommended evidence-based intervention would improve the health status of the population

Implementation: Roles, Responsibilities, and Needs - Meets “Proficient” criteria and explanation demonstrates a complex grasp of the roles, responsibilities, and needs of stakeholders

Implementation: Measurement Strategies and Tools - Meets “Proficient” criteria and proposal provides advanced reasoning that demonstrates keen insight into appropriate strategies and tools for evaluating the success of the recommended intervention

Implementation: Limitations - Meets “Proficient” criteria and examples are especially well suited to support the strategies provided to avoid the possible limitations

Conclusion: Deserves their Attention - Meets “Proficient” criteria and explanation demonstrates a complex grasp into why stakeholders should give their attention to the proposed intervention

Articulation of Response - Submission is free of errors related to citations, grammar, spelling, syntax, and organization and is presented in a professional and easy-to-read format