Worksheet

Source

Purpose

Setting and Method

Key Findings

Limitations

Potential Application to Final Project

Article: (Author, Title, Year)

Example: Goodburn, E., & Campbell, O. (2001). Reducing maternal mortality in the developing world: Sector-wide approaches may be the key. British Medical Journal, 322(7291), 917–920.

Source analyzes the role that strengthening the overall health sector can play in reducing maternal mortality

Source analyzes successful components of healthcare systems in various countries that were successful in reducing maternal mortality

Sector-wide approaches to reducing maternal mortality that emphasize improving the overall healthcare system could have significant impact on reducing the maternal mortality rate

This was not an actual study, rather a set of recommendations or “lessons learned”

Strengthening the relationships between and the performance of the various providers in the region could help to reduce maternal mortality

Article 1

Jacobs, L. D., Judd, T. M., & Bhutta, Z. A. (2016). Addressing the Child and Maternal Mortality Crisis in Haiti through a Central Referral Hospital Providing Countrywide Care. The Permanente journal, 20(2), 59-70

To Provide access to care for high risk Infant & Maternal patients throughout Haiti.

Implement two primary strategies. 1. Build 225 beds in the hospital that will provide specialty care for communities throughout the country. 2. Develop countrywide community care grids, a network of defined geographic populations that will help facilitate the implemented intervention policy to help reduce Maternal Mortality rate and help educate the targeted population about this public health epidemic in their country.

Because of the frontline community implementations and improvements of child survival since 1990, high risk pregnancy based on age has been performed. Lab screenings for urine, STD and other disease risk. Also, been able to identify high risk for preeclampsia hypertension and anemia.

1. Limited accessibility

2. Inadequate health care facilities

3. Inadequate number of trained health care practitioners.

4. Low percentage of skilled attendants at deliveries.

5. Low percentage of prenatal &

Postnatal visits.

6. High-risk deliveries in non-qualified health facilities.

This article talks a lot about Maternal health in Haiti. It breaks down all the stats also identifies the issues behind this epidemic going on in this country. It also mentioned methods & Strategies along with implemented policies that will help reduce this public health issue with these implementations from different stakeholders the country has seen some improvements.

Article 2

Assessing the quality of primary care in Haiti. (2017, September 04). Retrieved from http://www.who.int/bulletin/volumes/95/3/16-179846/en/.

To develop a composite measure of primary care quality and apply it to Haiti’s primary care system.

Using a primary Health care performance initiative framework, to defined four domains of primary care.

1. Accessible care

2. Effective service delivery

3. Manage & Organize

4. Primary Care functions analyzing the access and effectiveness access to primary care. Making sure primary care can be available within SKM.

Only 332 (43%) primary care facilities out of 756 were found to be a good fit for the population & their needs. About 30 (4%). Considered effective, managed, and organized 91(12%) primary care functions 43(5%). 91% of the population lived with SKM of primary care facility, was estimated 23%%%%% of the entire population including 55 of the rural population had assess to good primary care.

Lack of comprehensive definition of primary care quality that is applicable across contexts and countries.

The article is based on accessing good primary health care in their communities. The country has a poor population health. With this implementation, the stakeholder’s goal is to try and develop ways to try and build a strong primary care system that will help this targeted population which will contribute in fatal maternal mortality in the country.

Article 3

Global Health - Haiti. (2018, October 24). Retrieved from https://www.cdc.gov/globalhealth/countries/haiti/default.htm.

The Global Health Security agenda is working hard to provide frameworks that will help prevent, detect, and respond to health risk. He CDC is supporting the Haitian government to help surveillance public health issues as maternal mortality. They are building a system to try and build a strong, local, epidemiologic workforce that will help with this public health intervention moving forward.

Infant Mortality rate is 42/1000 live births. The CDC has a health force which has about 72 medical staff that is primarily based at the Port-au-Prince (US Embassy) they also have satellite offices at the Haitian National Public Health Laboratory and four regional offices.

The CDC continues too push for good primary care for the country. The only limits they may have moving forward is the countries infrastructure and not being able to travel to set to these areas where medical attention is required.

The CDC stats will help me input vital data where is needed to analyze my overall findings throughout my research on this public health issue and the country (Haiti).

Article 4

The determinants of health. (2010, December 01). Retrieved from http://www.who.int/hia/evidence/doh/en/index1.html.

The core determinants of health are applied in this public health sector to try help improve this countries populations health and other issues that the country is facing.

The Haitian community has been affected in many ways. Economically, socially, physically, and Healthwise. The country has suffered different tragedies and continue to struggle. Haiti is one of the poorest countries.

In Haiti, there is a tremendous undersupply of physicians and other health professionals. The number of physicians, nurses, and midwives is 4 per 10,000 population, which is far below the WHO recommendation of 23 doctors, midwifes, and nurses per 10,000 population. When contrasted with the regional average, the numbers are even more striking. Per 10,000 population, Haiti has less than 1 physician (regional, 20.8) and less than 1 nurse and midwife (regional, 45.8).

Haiti has a large undersupply of physicians, nurses, and other health professionals. The primary care is way below than the standard required. The country also has a poor infrastructure which limits them from getting around to healthcare facilities. This is one of the most important areas of the determinants of health that Haiti really lacks and needs to support to help improve and reduce this public health issue.

The WHO website is very helpful. They have a lot of vital information that keeps the public up to date a can also help me with analyzing my final project.

Article 5

Perry, H. B., Rassekh, B. M., Gupta, S., Wilhelm, J., & Freeman, P. A. (2017). Comprehensive review of the evidence regarding the effectiveness of community-based primary health care in improving maternal, neonatal and child health: 1. rationale, methods and database description. Journal of global health, 7(1), 010901.

12 166 reports were identified through a search of articles in the National Library of Medicine database (PubMed). In addition, reports in the gray literature (available online but not published in a peer-reviewed journal) were also reviewed. Reports that describe the implementation of one or more community-based interventions or an integrated project in which an assessment of the effectiveness of the project was carried out qualified for inclusion in the review. Outcome measures that qualified for inclusion in the review were population-based indicators that defined some aspect of health status: changes in population coverage of evidence-based interventions or changes in serious morbidity, in nutritional status, or in mortality

The evidence regarding the effectiveness of community-based interventions to improve the health of mothers, neonates, and children younger than 5 years of age is growing rapidly.

The review is limited to documents that describe the impact of the project’s interventions. Failures and serious challenges contribute from the implemented program and its accessibility.

The information in this article was very helpful. Again, the database that was provided to these researchers made it easy for them to analyze their collected information to conduct this study to see how this epidemic can be reduced and or eliminated for the better. The evidence showed the effectiveness of the CBPHC in improving the MNCH was determined. Articles as such help with your final project and findings become a success.