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

Hyejeong Shin; Euisook Kim; Byungwook Yoo; Hyeonkyeong Lee

doi:10.12799/jkachn.2010.21.1.31

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Original Article
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: Hyejeong Shin, Euisook Kim, Byungwook Yoo, Hyeonkyeong Lee; Journal of Korean Academy of Community Health Nursing 2014;21(1):31-42.
DOI: https://doi.org/10.12799/jkachn.2010.21.1.31
Published online: April 4, 2014

¹Doctoral Student, Graduate School of Public Health, Seoul National University, Korea.

²Professor Emeritus, College of Nursing, Yonsei University, Korea.

³Assistant Professor, School of Medicine, Soonchunhyang University, School of Medicine, Korea.

⁴Assistant Professor, College of Nursing, Nursing Policy Research Institute, Yonsei University, Korea.

• Received: September 2, 2009 • Revised: March 8, 2010 • Accepted: March 10, 2010

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
NOTES

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.
Key Words: Primary health care; Capacity building; Community-based participatory research; International cooperation; Ecuador

Figure 1

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

Figure 2

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

Table 1

Common Community Health Problems and related Factors

Table 2

Primary Health Care Provider Training Module

NOTES

This study was supported by a grant from the Korea International Cooperation Agency (KOICA).

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