Dube Annie, Bartlett Gillian, Morales Juana, Evans Andrea, Doucet Alison, Caudarella Alexander, Roy Melissa, Farid Doaa, Macaulay Ann C
Prog Community Health Partnersh. 2015 Autumn;9(3):327-34. doi: 10.1353/cpr.2015.0065.
Based on a participatory research (PR) partnership between Family Medicine at McGill University, Canada and the Andean community of Chilcapamba, Ecuador, a medical student study focused on maternal and newborn health.
To evaluate the access to maternal and newborn care and the occurrence of intrafamilial violence in women with children 5 years of age or less in three indigenous communities of Ecuador.
A semistructured survey explored the perinatal and intrapartum care as well as intrafamilial violence.
All women (N = 30) received prenatal care, 29 received postnatal care from a physician and 77% gave birth at the hospital. Eighty percent of women experienced intrafamilial violence; 73% reported psychological and 53% physical violence.
There is good access to maternal and newborn health care, although the reported level of violence is high. Results were shared with the community and will be used in a local community health worker (CHW) training program. Our project highlights the importance of PR to investigate sensitive health challenges.
基于加拿大麦吉尔大学家庭医学系与厄瓜多尔奇尔卡潘巴安第斯社区之间的参与式研究（PR）合作关系，一项医学生研究聚焦于孕产妇和新生儿健康。
评估厄瓜多尔三个土著社区中5岁及以下儿童母亲获得孕产妇和新生儿护理的情况以及家庭内暴力的发生率。
通过半结构化调查探讨围产期和分娩期护理以及家庭内暴力情况。
所有女性（N = 30）均接受了产前护理，29名女性接受了医生的产后护理，77%在医院分娩。80%的女性经历过家庭内暴力；73%报告遭受过心理暴力，53%报告遭受过身体暴力。
孕产妇和新生儿保健服务的可及性良好，尽管报告的暴力水平较高。研究结果已与社区分享，并将用于当地社区卫生工作者（CHW）培训项目。我们的项目凸显了参与式研究对于调查敏感健康问题的重要性。
