Ahluwalia I B, Schmid T, Kouletio M, Kanenda O
Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Int J Gynaecol Obstet. 2003 Aug;82(2):231-40. doi: 10.1016/s0020-7292(03)00081-x.
We present an evaluation of the Community Capacity Building and Empowerment initiative, undertaken by the Community-Based Reproductive Health Project (CBRHP), designed to address high maternal morbidity and mortality.
Qualitative data from group interviews and program data from CBRHP were used to assess progress in development and use of community level transport systems and support for the village health workers (VHWs).
Project activities increased community participation in maternal health. An increase was seen in knowledge of danger signs, birth planning, timely referrals, and transport of pregnant women to hospitals, as well as in support and retention of VHWs. More women with obstetrical problems are using the community-based transport system to get to hospitals.
Community participation and support for VHW activities and the transport systems have led to better care for pregnant women and sustained links between the communities and health facilities, which may reduce maternal and infant morbidity and mortality.
我们对基于社区的生殖健康项目（CBRHP）开展的社区能力建设与赋权倡议进行了评估，该倡议旨在解决孕产妇高发病率和高死亡率问题。
来自小组访谈的定性数据和CBRHP的项目数据被用于评估社区层面交通系统的开发与使用进展以及对乡村卫生工作者（VHWs）的支持情况。
项目活动增加了社区对孕产妇健康的参与度。在危险信号知识、生育计划、及时转诊、将孕妇送往医院以及对VHWs的支持和留用方面均有增加。更多有产科问题的妇女正在使用基于社区的交通系统前往医院。
社区参与以及对VHW活动和交通系统的支持已带来对孕妇更好的护理，并在社区与卫生设施之间建立了持续联系，这可能降低母婴发病率和死亡率。
