2023-09-28 14:46:10 +00:00
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abstract: 'The utilization of existing social networks is increasingly being
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recognized as a powerful strategy for delivering healthcare services to
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underserved populations in low- and middle-income countries. In
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Guatemala, multiple barriers prevent access to healthcare services for
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rural and indigenous populations, and strategies for delivering
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healthcare in more efficient ways are needed. The case study we describe
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here is a unique collaboration between a microfinance institution
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(Friendship Bridge) and a primary care organization (Wuqu'' Kawoq
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vertical bar Maya Health Alliance) to scale up healthcare through an
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existing lending-borrowing social network. The program provides primary
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care services to female clients of Friendship Bridge in rural areas of
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Guatemala, with nurses working as frontline primary care providers,
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providing door-to-door healthcare services. Over the first 22 months of
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the project, we have reached over 3500 of Friendship Bridge''s clients,
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with overall high acceptance of services. All clinical documentation and
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program monitoring and evaluation are done through audit trails within
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an electronical medical record system, which improves efficiency and
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lowers the associated time and resources costs. We utilize quality
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improvement methodologies to aid in decision making and programmatic
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adjustments scale up. These strategies have allowed us to expand
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services rapidly under challenging geographic and logistical
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constraints, while concurrently iteratively improving staff training and
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supervision, clinical care, and client engagement processes.'
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affiliation: 'Rohloff, P (Corresponding Author), Wuqu Kawoq Maya Hlth Alliance, Santiago
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Sacatepequez, Guatemala.
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Colom, Marcela; Austad, Kirsten; Sacuj, Neftali; Rohloff, Peter, Wuqu Kawoq Maya
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Hlth Alliance, Santiago Sacatepequez, Guatemala.
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Austad, Kirsten, Brigham \& Womens Hosp, Div Womens Hlth, 75 Francis St, Boston,
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MA 02115 USA.
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Larson, Karen, Friendship Bridge, Lakewood, CO USA.
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Rohloff, Peter, Brigham \& Womens Hosp, Div Global Hlth Equ, 75 Francis St, Boston,
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MA 02115 USA.'
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author: Colom, Marcela and Austad, Kirsten and Sacuj, Neftali and Larson, Karen and
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Rohloff, Peter
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author-email: peter@wuqukawoq.org
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author_list:
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- family: Colom
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given: Marcela
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- family: Austad
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given: Kirsten
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- family: Sacuj
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given: Neftali
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- family: Larson
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given: Karen
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- family: Rohloff
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given: Peter
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da: '2023-09-28'
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doi: 10.1016/j.hjdsi.2017.12.003
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eissn: 2213-0772
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files: []
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issn: 2213-0764
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journal: HEALTHCARE-THE JOURNAL OF DELIVERY SCIENCE AND INNOVATION
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keywords: 'Primary healthcare; Guatemala; Women''s health; Quality improvement;
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Social networks; Microfinance'
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keywords-plus: 'PANEL-DATA; BANGLADESH; IMPROVEMENT; POVERTY; AFRICA; IMPACT;
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INTERVENTIONS; FRAMEWORK; HIV'
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language: English
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month: DEC
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number: '4'
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number-of-cited-references: '46'
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orcid-numbers: 'Rohloff, Peter/0000-0001-7274-8315
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Austad, Kirsten/0000-0001-5237-2955
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Sacuj, Neftali/0000-0001-9838-9293'
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pages: 223-230
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papis_id: afeed4493b102b429151210036d1b7ca
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ref: Colom2018expandingaccess
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researcherid-numbers: 'Rohloff, Peter/P-8722-2017
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Austad, Kirsten/ABC-7684-2021
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'
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times-cited: '2'
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title: 'Expanding access to primary healthcare for women through a microfinance institution:
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A case study from rural Guatemala'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000450806500001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '12'
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volume: '6'
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web-of-science-categories: Health Care Sciences \& Services; Health Policy \& Services
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year: '2018'
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