일차보건의료 역량 개발을 위한 지역사회 기반 참여형 국제보건사업 모델 개발 : 에콰도르 일개 지역을 중심으로 한 사례연구
Other Titles
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
Authors
신혜정 ; 김의숙 ; 유병욱 ; 이현경
Citation
Journal of Korean Academy of Community Health Nursing (지역사회간호학회지), Vol.21(1) : 31-42, 2010
Primary health care ; Capacity building ; Community-based participatory research ; International cooperation ; Ecuador
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