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