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Sharing Knowledge Sharing Annual Report July, 2016–June, 2017 Knowledge1 Message from the Executive Director Dear friends, And those are just primary users. Research One of our goals in field-testing our materials conducted by New York University and Johns is to make sure they communicate effectively Hopkins University found that Hesperian books with a variety of different audiences. That was are shared with an average of 40 other people! brought home to me many years ago, when Thanks to this extensive sharing, our 14 titles, I opened my first copy of Where There Is No in 298 separate editions, in 85 languages, reach Doctor. The simple, lucid writing and clear millions of people every year. illustrations were a revelation. I could see how This even happens online, where you can’t carefully they’d been designed to be shared. hand someone a physical book. A recent study And share them I did, training hundreds of discovered that each visitor to the English Salvadorans at refugee camps in Honduras to section of our online HealthWiki shared what become health promoters. they learned with an average of 11 friends and This past year, I used today’s Hesperian neighbors—and in the Spanish section, the materials—including a much-updated Where number rose to 20. There Is No Doctor—to train case workers As a small organization on a lean budget, we working with refugees who’ve just arrived in couldn’t achieve that extensive reach without the Northern California. While much has changed efforts of countless partners all over the world. since my days in Honduras in the 1980s, one They deliver our books to remote communities, thing remains the same: the way our health teach people how to use them and share their guides speak to the concerns and needs of a experiences with us. very wide range of people. This annual report You’re one of those partners, because describes some of them—women garment everything we do depends on your support. workers in Los Angeles, teenaged reproductive With your help, Hesperian Health Guides can health promoters in Honduras, church pastors change—and save—even more people’s lives. in Tanzania, a women’s childcare group in We greatly appreciate your gift, and we’ll make Cambodia, and on and on. sure every dollar you donate really counts. Thanks, Sarah Shannon Executive Director Hesperian Health Guides 2 Mapping Hesperian’s Impact We know that Hesperian’s books make a huge difference • A Brazilian educator utilized Where There Is No in the world, but how can we prove it? We’ve often been Dentist to teach community health workers about oral asked that question by foundations who want hard evidence hygiene and when to refer people to a dentist. that giving poor people the health information they need • Helping Children Who Are Blind was used by India’s works better than treating them as passive consumers (by Society for the Visually Handicapped to help school handing out vitamins, say—not that that isn’t also useful). teachers identify children with vision problems. One foundation officer suggested sending books to one • A mobile women’s clinic in Indonesia produced a village and not to another, then measuring the differences. 30-page booklet drawn from Where Women Have No Besides the ethical problem that would entail, many other Doctor, then distributed it to rural villages. factors affect a village’s health; extracting useful data from Although we’ve only just begun using Outcome such a test would be impossible. Mapping, the process is teaching us—and hopefully our We needed to find a method for measuring Hesperian’s supporters in the foundation world—the effects Hesperian great strength, which is empowering communities. materials can have, as well as how we can strengthen new Fortunately, we discovered one called Outcome Mapping, materials we’re developing. and it’s beginning to generate surprising results. We begin by predicting the effects of bringing Hesperian books to a community—what we expect minimally (and would be disappointed not to see), what we hope for ideally, and what would be really fantastic. With those markers systematically described, we examine how the books’ users themselves rated the effects. To track that, our staff and volunteers analyzed more than 2,500 letters, news articles, surveys and other pieces of written information. In that process, we found literally thousands of examples of the sorts of impact we knew existed but hadn’t been able to prove. Here are a few examples: • In a Shipibo village in Peru, an evangelical missionary from Pennsylvania used Where There Is No Doctor in a week-long seminar that trained village health promoters. • In Ghana, a health worker created a sex education program in her village based on Where Women Have No Doctor. Community health workers in Colombia study Donde no hay doctor. 3 Women’s health information: More needed than ever Our innovative book, Health Actions for Women—which encourages women, girls and their allies to educate “Many thanks for facilitating the Urdu and mobilize their communities—is now translated and edition of Health Actions for Women. It’s a available in Urdu and Khmer, and we’re almost finished wonderful book because it not only points with Spanish, Lao and Nepali editions. out problems but provides strategies for Our partners in Pakistan distributed the two- dealing with them—along with examples thousand-copy Urdu print run to local health workers and and case studies narrated in a convincing master trainers with impressive efficiency. And we were style. It also explains how to adapt various able to quickly get the strategies and activities to local customs and Khmer translation—both traditions. It provides a clear plan of action as books and on our online not only to health workers but to all activists HeathWiki—to people in struggling for change in their communities.” Cambodia who’d reached —Shershah Syed, Pakistan out to us. They included a women’s nutrition and childcare group who were users from Texas, Florida and Georgia. interested in using the This obviously correlates with restrictive public chapter on gender violence policies in those states that limit access—especially by for trainings in their poor women—to reproductive health. As similar laws community. spread across the US, we anticipate more and more North As more and more people access us digitally, we’re Americans using our HealthWiki. working hard to get our materials online as quickly—and The countries that most frequently access women’s in as many languages—as possible. Women’s health has health info online are Mexico, the US, the Philippines, been one of the most widely read, downloaded and shared Colombia, India, Spain, Argentina, Peru, Brazil and topics online this year. And the most popular have been the Venezuela. We’re adding more content in Filipino, pages on safe abortion. Portuguese and Swahili, but even the initial amount we’ve Interestingly, the Spanish language pages on posted is driving enormous traffic to our site. reproductive health have drawn an average of 12% more The Filipino edition of Where Women Have No visitors than the English pages, and that ratio holds true Doctor has been in print since 2001 and was most across other content areas as well. Much of this interest is recently updated in 2010. In 2015, we put the Filipino coming from the US. While we’ve always had a strong base Complications from Abortion and Family Planning chapters in California and New York, we’ve seen a spike in online into the HealthWiki and were blown away by the response. 4 In a matter of months, they became our most popular online resources—in any language. So this past year we’ve Teenagers in Ghana perform a play focused on getting the rest of the book online in Filipino, based on Health Actions for Women and we’re just about finished with that. Sue Ron Gonzales believes that even in the most We’ve also focused on expanding our Swahili offerings. challenging circumstances, girls can be empowered We now have the following on our HealthWiki in Swahili: to strive for a happier, healthier and more productive • Family Planning from New Where There Is No Doctor, life. She puts that belief into practice by spending most • Complications from Abortion from Where Women Have of her summers as a volunteer teacher at high schools No Doctor. sponsored by Tomorrow’s Stars, a US-based network • Protecting Women’s Health with Family Planning from that supports school-based programs in Ghana. Health Actions for Women. Sue realized that what she taught her female A Lao translation of Women’s Menstrual Cycles from students in the classroom needed to be augmented New Where There Is No Doctor is also new online. with lessons on life skills, so she helped create a girls’ In developing countries (and even the US), people don’t club and began searching for information to share in always have a reliable online connection, so we’ve ramped it. She found what she was looking for in Hesperian’s up our app creation. Once downloaded to a mobile device, new Health Actions for Women. these apps can be accessed anytime and anywhere. “It really is an amazing book! Our Safe Pregnancy and Birth app—available in I got so excited when I started both Spanish and English—has been amassing downloads reading it. Nothing else like it was and praise from around the world. It is now used in 191 available.” Sue brought copies to countries! We’re working on one about Safe Abortion, as Ghana and both the students and well as another on Family Planning.
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