J Korean Acad Community Health Nurs.  2010 Mar;21(1):31-42. 10.12799/jkachn.2010.21.1.31.

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

• Shin H
• Kim E
• Yoo B
• Lee H

• KMID: 2292910
• DOI: http://doi.org/10.12799/jkachn.2010.21.1.31

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 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, and provider surveys.
RESULTS
Identified successful strategies for the international cooperation health project were reciprocal partnerships 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 primary health care capacity development 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.

Keyword

Primary health care; Capacity building; Community-based participatory research; International cooperation; Ecuador

MeSH Terms

Capacity Building
Community-Based Participatory Research
Consumer Participation
Ecuador*
Education
Focus Groups
International Cooperation
Korea
Primary Health Care*
Rural Population*

Figure

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  Figure 1 Five phases of the community-based primary health care capacity development project.

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  Figure 2 Community-based participatory global health project model for primary health care capacity development.

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