An Evaluation of Where Women Have No Doctor and A Book for Midwives

1. An Evaluation of Where Women Have No Doctor andA Book for Midwives Presented to the Hesperian Foundation By: Eleanor Hartzell, Joanna Hoffman, Dina Mikdadi, and Carrie Wood NYU Wagner Graduate School of Public Service April 23, 2009

2. Research Questions • Do end users believe the books provide life-saving, practical information? • Do the books result in health information sharing? • Are the books useful in different contexts?

3. Survey Background • Based on last year’s Capstone project • Added new variables • Covered two publications

4. Limitations to the Survey • Convenience sampling • Access issues (computer & language) • Missing answers • Two versions of ABFM

5. Sampling • Distributed to 823 users. • 246 responded- 30% of sampling frame.

6. Demographic Information 04/18/09

7. Who Uses the Books? • Health trainers/researchers (32.5%) • Volunteers (32.5%) • Non-profit workers (26.7%) • Midwives (27.5%), Nurses (23.3%), Community Health Workers (22.9%), Doctors (11.7%), 04/18/09

12. Case Study

13. Sites • ATOCHI- Comalapa • Observed workshop • Interviewed Executive Council and workshop participants • CODECOT-Xela • Interviewed midwives

14. Limitations to the Case Study • Convenience sampling • Focused on only one country

15. Reactions to the Books

16. Positive Findings • Both books considered effective resources • Lead to information-sharing in group settings • Used as teaching and training materials • Generally relevant in varied cultural settings

17. Areas for Improvement • Greater incorporation of traditional medicines • Decrease reliance on prescription drugs • Focus on planning for emergency care • More information on social factors related to teen mothers and pregnancy out of wedlock • Improving accessibility of content • Audiovisual resources for illiterate users • Translations

18. Thank You!