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Your search found 3 Results

  1. 1
    183476

    Hasta la vista, paradise.

    Deyal T

    Perspectives in Health. 2003; 8(2):26-29.

    More and more, nurses in the Caribbean have been packing their bags and heading for countries with less-than-perfect climates to get better pay and more respect. Now the region is looking for ways to keep them from leaving – and even to lure those abroad back home. (author's)
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  2. 2
    120361

    Pride of the Maya -- basic education project for Mayan girls in bilingual and bicultural manners.

    JICA NEWSLETTER. 1996 Nov; 6(4):7.

    Girls Education Project, a two-year program sponsored by the Japan International Cooperation Agency (JICA), seeks to address the educational needs of Mayan girls in rural Guatemala. The program is being implemented under the framework of the Japan-US Common Agenda for Cooperation in Global Perspectives. Preliminary fieldwork revealed the importance of ensuring that entire communities, including teachers and parents, appreciate the human right of rural girls to a basic education. The project team will conduct three-day workshops in each of the four pilot states in 1997 to discuss teaching methods, materials, and curricula to promote girls' participation and improve their achievement levels. Also planned is a three-day national seminar involving governmental officials and representatives from the public and private sectors, nongovernmental organizations, professional groups, universities, and ethnic and cultural groups. The bilingual/bicultural method selected for the intervention seeks to implement basic education for Mayan girls in both Spanish and the four main Mayan languages. Another focus is to encourage the students to maintain pride in their cultural heritage.
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  3. 3
    093272

    The promotion of the lactational amenorrhea method and child spacing through breastfeeding advocates, Contract No. OR-HO-001.

    Rivera A; Canahuati J; Lopez C; Phillips A; Lundgren R

    [Unpublished] [1993]. vii, 44 p. (HON-05)

    In Honduras, a decreasing prevalence of exclusive breast feeding, with over 50% of infants given supplemental liquids during the first 30 days, was causing health risks for the infants and pregnancy risks for the mothers (with 49% at risk within a year of giving birth). Therefore, La Leche League Honduras (LLLH) conducted an operations research study in the Las Palmas neighborhoods of San Pedro Sula to evaluate whether the combination of medical personnel and mother support groups trained in lactation and the lactational amenorrhea method (LAM) for child spacing would increase prevalence and duration of exclusive breast feeding, amenorrhea, and the reported use of LAM at 6 months postpartum over that found in a community served only by trained medical personnel. This project received financing in the amount of US $20,250 from Georgetown University and technical assistance from the Population Council. Specific objectives were to train at least 50 physicians, provide updated information to at least 50 nurses through a workshop, train and certify at least 36 community mothers to serve as breastfeeding advocates (BAs) with specific information on LAM and the ability to make referrals to complementary family planning (FP) services, and initiate at least 6 mother support groups which would meet monthly throughout the year-long study period of 1991. A nonequivalent pre/post-test design was used with the experimental group receiving BA training and support groups and both the control and experimental groups receiving identical training of medical staff. A July 1990 survey of the 6,794 households in the project area revealed 1083 mothers of babies less than a year old and 630 pregnant women. 848 women from this group were interviewed at baseline and 922 at endline to determine socioeconomic status, health system affiliation, reproductive history, breastfeeding and infant feeding practices, contraceptive use, and LAM knowledge and attitudes. Focus groups were held after 3 months of service delivery for qualitative evaluation, interviews were conducted, and 4 mother support groups were observed. BAs were given record-keeping forms, and referral stubs were collected. This report described the implementation of project activities and the impact of the intervention in great detail. The results suggest that training health professionals was partially successful in improving breastfeeding practices and that use of LAs was effective in promoting exclusive breast feeding and use of compatible FP methods and increasing LAM knowledge. However, analysis of women using LAM as a FP method revealed that only 6.5% correctly met all criteria. Lessons learned from this evaluation are cited and the following suggestions are made for further research: 1) develop materials to teach LAM to low-literacy women; 2) examine the role of provider bias and influence of exclusive breast feeding prevalence on LAM acceptance; 3) discover the relative effectiveness of LAM promotion by LLLH vs. FP agencies; 4) test the effectiveness of strategies which segment a target population for LAM education; and 5) determine whether LAM leads to subsequent use of other FP methods.
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