Practicum Topics Serving Size: 1 Practicum per Student Servings per e-Magazine: 10 Continents/Regions 5 Countries 9 Student International Practicum Experiences AFRICA Ghana: MOTECH Program Evaluation Sharon Attipoe-Dorcoo Uganda: Maternal & Child Health Caryn Turner Ethiopia: Integrated Family Health Program Tseday Woubishet EUROPE Switzerland: World Health Organization, HIV/AIDS Katelyn Kassarjian NORTH AMERICA Canada: Training Lay Inuit Health Workers Véronique Morin SOUTH AMERICA Colombia: Child Health in Bogotá Christopher Kaipust Peru: Tuberculosis Treatment Adherence Brian Lackey Guatemala: Hygiene and Sanitation in Xela Stephanie Ossowski Guatemala: Water Sanitation & Hygiene Gabriela Villanueva SOUTH EAST ASIA Philippines: Multi-Drug Resistant Tuberculosis Lilalyn Punsalan MOTECH PROGRAM EVALUATION Highlights Schematic of the Overall MOTECH had a positive impact MOTECH on access to healthcare for pregnant information flow women in the Kassena Nankana district of the Upper East region. The rates of access to NoANC decreased with MOTECH implementation, from 11.2% Grameen Foundation to 2.1% with women been six times Report. “Mobile Technology more likely to have antenatal care under for Community Health in MOTECH than without. Ghana.” Second Edition September 2012. From an efficiency standpoint, the long term impact on health costs with MOTECH implementation is positive with an incremental cost of $74,756 for MOTECH to be added to the existing CHPS strategy. Mobile Technology for Community Health in Ghana. By: Sharon Attipoe-Dorcoo Kassena Nankana in the Upper East region of The government of Ghana decided to implement a Ghana was done to assess the health outcome Advice community-driven healthcare effort in 2000 on women registered in the program with pre- known as CHPS (Community-based Health MOTECH (2009) and post-MOTECH (2011) • Program evaluation is a Planning and Services Initiative). Nurses and data from this district. dynamic process that does volunteers were mobilized in the communities not function well under time where they provided care at health posts. The objective question was: did MOTECH constraints. Although this was a great effort to combat the positively affect receipt of antenatal care access to healthcare, there was still inequity in the (ANC), which is an intermediate outcome that needs of pregnancy, delivery and infant health. would presumably influence maternal and mortality outcomes. The hypothesis tested was In an effort to address this inequity, the Mobile that access to ANC is increased with MOTECH Technology for Community Health (MOTECH) availability. Effectiveness and efficiency No Antenatal Care Pre/Post MOTECH program was developed to deliver pregnancy- analyses were done to determine not only the 12 related messages (text or voice) to mobile phones value of the program, but cost-effectiveness as for registered pregnant women and their families well. The method of effective analysis 10 in local languages. The pregnant women were involved a case-control study to determine the registered in the MOTECH database and enabled odds of not having access to antenatal care 8 community health workers to communicate with (NoANC) with and without MOTECH. 6 the pregnant women and health workers. TreeAge software was used to calculate an No ANC (%) incremental cost-effectiveness ratio to An evaluation of the MOTECH pilot program in determine how efficient the program was. 4 2 POST-MOTECH PRE-MOTECH Public Health Significance Graphical reperesentation of the NoANC The MOTECH program sought to inform, My practicum specifically enabled me to rates prior to and post MOTECH educ ate and empower pregnant women on evaluate the effectiveness and efficiency of the MOTECH program which in itself is a new pregnancy related issues. MOTECH worked STATA graph I created with data innovative way to solve the access to health well together with the CHPs program that information problem. This approach eventually from Ghana Health Services. mobilized community partnerships to enhance has long term impacts on maternal and infant access to equitable healthcare. mortality rates. Summer 2013● Sharon Attipoe -Dorcoo ● Ghana Health Services, Ghana, West Africa ● MOTECH Program Evaluation Maternal & Child Health in Uganda Special events/ duties during your Day of the practicum Eranger Launch. All the SAFE • I helped launch the Eranger interns dressed in traditional which is a motorcycle Ugandan Dresses ambulance to help women (Gomesi). June 8, in labor get to the clinic 2013 . • I worked with community Photo taken by groups to improve the Medie Mukalu. health of women and children Advice for Future Students Eranger Launch in Uganda Helps Break Down Barriers • During your practicum it is By: Caryn Turner My job while with SAFE was to help with important to understand all During my time in Busembe, Uganda the fine details of the eranger program the lessons you are learning working with Safe Mothers, Safe Babies such as driver compensation, and may not necessarily be (SAFE) I helped launch the eranger coordination between the midwife and about what you came to program which helps women get to the community members. study. Your teachers will be the health center while in labor and to a hospital if complications arise. My other job was to work with the your supervisor but also community groups to help the achieve many other people in the SAFE believes in working with the their goals through sustainable community. Learn from all community to come up with programs such as selling passion fruit to your teachers. sustainable answers to the health raise money for transport of group problems facing both pregnant members to events where they act out women and children. their dramas on safe delivery practice. Public Health Significance The eranger program was made to link plant a variety of fruits and vegetables the community members with their so their diet meets the needs of the health center so they could get care most at risk in the communities. not only during their pregnancy but One of the biggest health barriers for also in labor. This helps women get to pregnant women in Uganda is the cost the health centers once in labor and it of transport. Through the eranger guarantees them a safe ride from the program, women are encouraged to health center or hospital. save money so they can afford the fuel I worked to Inform, educate and cost of the eranger when they need to empower community members about use it. The women do not need to maternal and child health issues. We worry about paying more if they have A poster hanging in a health helped lower rates of malnutrition by a complication because the program center. It shows a list of all the encouraging community groups to provides rides to the women from things women need to have/ home to health centers to the hospitals arrange before they go into if referred and then back home again. labor. Photo by Caryn Turner Summer 2013 ● Caryn Turner ● Busembe, Uganda● MCH in Uganda Integrated Family Health Program in Ethiopia A modern ceiling Practicum made of cultural Highlights materials-just like PH interventions in a cultural • Conducted literature community like review for a research Ethiopia. paper on integrating FP and HIV services, Photo by: Tseday one of the IFHP Caption describing WoubishetProvide caption intervention areas picture describing • Wrote success stories image/photo. and news for the SPL Include source. unit newsletter • Organized and Systematic Program Learning (SPL) participated in an By: Tseday Woubishet exhibition to promote IFHP’s work on HIV and I worked on Integrated Family Health The SPL unit uses knowledge youth. Program (IFHP) at an NGO called management framework. to generate, Pathfinder-International in Addis share, store & use successes and Ababa, Ethiopia. IFHP works to improve challenges of the different IFHP the health of families and particularly programs to enhance focuses on Reproductive Health (RH), My duties included assisting the SPL unit particularly Family Planning (FP) and in identifying, documenting and Maternal, Newborn and Child Health sharing program lessons. I conducted (MNCH). I learned that there can be literature review for a report on an IFHP- no ‘universal’ public health I worked with the systematic program implemented project; I produced news intervention to solve health learning unit of IFHP which focuses on and different project success stories for problems. Public health knowledge management to enhance the unit’s newsletter; I also helped interventions must be tailored health program outcomes and for organize an exhibition to share the future policy and program implications. based on an understanding success of IFHP projects on HIV and the of the target community’s youth. culture, religion, beliefs, etc. Public Health Significance IFHP projects relate to several of the works with university students to Essential Services of Public Health. The prevent HIV and STIs. I was able to write ones that most resonated with my a success story on how an IFHP- practicum experience included intervention on FP has changed the life informing, educating and empowering of a mother of four on ART. I was people about public health issues; and partnered with a senior staff to evaluating effectiveness, accessibility organize and take part in an exhibition and quality of personal and to share the impacts of IFHP’s program population-based health services. on HIV on university students. IFHP also brings together a Technical Advisory IFHP gives technical support