Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지

Development of a Community-based Participatory Global Health Project Model for Primary Health Care Capacity Development: A Case Study from a Rural Community in Ecuador

일차보건의료 역량 개발을 위한 지역사회 기반 참여형 국제보건사업 모델 개발: 에콰도르 일개 지역을 중심으로 한 사례연구

  • Shin, Hye-Jeong (School of Public Health, Seoul National University) ;
  • Kim, Eui-Sook (College of Nursing, Yonsei University) ;
  • Yoo, Byung-Wook (School of Medicine, Soonchunhyang University, School of Medicine) ;
  • Lee, Hyeon-Kyeong (College of Nursing, Nursing Policy Research Institute, Yonsei University)
  • 신혜정 (서울대학교 보건대학원) ;
  • 김의숙 (연세대학교 간호대학) ;
  • 유병욱 (순천향대학교 의과대학 가정의학과) ;
  • 이현경 (연세대학교 간호대학.간호정책연구소)
  • Received : 2009.09.02
  • Accepted : 2010.03.10
  • Published : 2010.03.31
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Abstract

Purpose: The aims of this study were to identify successful strategies and propose a community-based participatory global health project model for primary health care capacity development. Methods: The study used case study methodology. A The unit of analysis was an international cooperation health project entitled "Community-based Primary Health Care Improvement in San Lorenzo, Ecuador" using community-based participatory research conducted in 2007~2008. Data were collected through windshield surveys, focus group discussion, key informant interviews, and provider surveys. Results: Identified successful strategies for the international cooperation health project were reciprocal partnership between researchers and community, partners' capacity building, south-to-south cooperation, and continuous monitoring and feedback. Community participation was found to be an essential tenet to guarantee the improvement of primary health care in the underserved rural community. Evidence from the activities of community health practitioners in Korea was applicable to the development of training programs for primary health care providers in Ecuador. Conclusion: Strategies for strengthening primary health capacity may be tailored depending on socio-cultural, political, and economical situations of each country. The model, however, would be applicable to the entire process of community-based global health projects in underserved rural communities of other countries.

Keywords

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