Voces de la frontera/Voices from the Border: Using Case Studies of Pregnancy, Birth and Parenting along the U.S.-Mexico Border to Identify Shared Measures of Success.
Purpose This research analyzes the cases of five women living along the U.S.-Mexico border who overcame challenges during pregnancy or parenting with the support of a federally funded Healthy Start program, designed to eliminate disparities in perinatal health in disadvantaged communities with the p...
| Publicado en: | Maternal & Child Health Journal Vol. 21; pp. 19 - 25 |
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| Autores principales: | , , , , , , , , |
| Formato: | case study pictorial research tables/charts Journal Article |
| Publicado: |
Springer Nature
Dec2017 Supplement
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126875575&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 126875575 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Dec2017 Supplement vid: 21 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 126875575 126875575 144032833 126875575 10.1007/s10995-017-2375-z 126875575 ppf: 19 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Voces de la frontera/Voices from the Border: Using Case Studies of Pregnancy, Birth and Parenting along the U.S.-Mexico Border to Identify Shared Measures of Success. aug: au: Selchau, Katherine Babuca, Maricela Bower, Kara Castro, Yara Flores, Araceli Garcia, Jonah Reyes, Maria Rojas, Yvonne Shattuck, Laura affil: PCI U.S. & Border Programs, California Border Healthy Start+ , Project Concern International (PCI) , 4305 University Ave, Ste., 345 San Diego 92105 USA sug: subj: Pregnancy Outcomes Childbirth Parenting Maternal-Child Health Health Services Accessibility Pregnancy Female Adult Southwestern United States Interviews Self-Advocacy Thematic Analysis Descriptive Statistics Data Analysis Software Intimate Partner Violence Vital Statistics Funding Source Adult: 19-44 years Female ab: Purpose This research analyzes the cases of five women living along the U.S.-Mexico border who overcame challenges during pregnancy or parenting with the support of a federally funded Healthy Start program, designed to eliminate disparities in perinatal health in disadvantaged communities with the poorest birth outcomes. Study objectives were to: (1) identify common factors that affect healthy maternal and child outcomes for Healthy Start participants; and (2) identify a shared definition of what success looks like for Healthy Start participants and opportunities for further study. Description Five border Healthy Start sites (CA, AZ, NM, and TX) contributed case stories from participants who had overcome access barriers to achieve positive pregnancy, birth or parenting outcomes. Case studies were collected using review of successful participant cases and non-structured interviews by Healthy Start staff, and analyzed using participatory methods and thematic analysis. Assessment Common barriers were: lack of insurance; isolation or unsupportive family relationships; timidness and lack of self-advocacy. Healthy Start programs have been successful in securing supportive relationships through the community health worker model; reducing isolation; obtaining insurance access and a medical home; building self-advocacy skills; and supporting participants to pursue their goals. Conclusion Identified barriers are in line with available literature on health care access and provide a U.S.-Mexico border-specific view. The Healthy Start model is effective at helping women to overcome barriers. Learning from this research may contribute to development of shared measures for more impactful evaluation of Healthy Start and similar programs. pubtype: Academic Journal doctype: case study pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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