SciELO - Scientific Electronic Library Online

 
vol.3 issue1S hemoglobin haplotypes: their epidemiologic, anthropologic, and clinical significanceHealth conditions in a population living near a waste recycling plant in Mexico author indexsubject indexarticles search
Home Page  

Revista Panamericana de Salud Pública

Print version ISSN 1020-4989

Abstract

O'ROURKE, Kathleen; HOWARD-GRABMAN, Lisa  and  SEOANE, Guillermo. Impact of community organization of women on perinatal outcomes in rural Bolivia. Rev Panam Salud Publica [online]. 1998, vol.3, n.1, pp. 9-14. ISSN 1020-4989.  http://dx.doi.org/10.1590/S1020-49891998000100002.

An intervention to improve maternal and child health was conducted in a remote Bolivian province with limited access to modern medical facilities. The intervention focused on initiating and strengthening women's organizations, developing women's skills in problem identification and prioritization, and training community members in safe birthing techniques. Its impact was evaluated by comparing perinatal mortality rates and obstetric behavior among 409 women before and after the intervention. Perinatal mortality decreased from 117 deaths per 1 000 births before the intervention to 43.8 deaths per 1 000 births after. There was a significant increase in the number of women participating in women's organizations following the intervention, as well as in the number of organizations. The proportion of women receiving prenatal care and initiating breast-feeding on the first day after birth was also significantly larger. The number of infants attended to immediately after delivery likewise increased, but the change was not statistically significant. This study demonstrates that community organization can improve maternal and child health in remote areas.

        · abstract in Spanish     · text in English     · pdf in English