An Evaluation of An Evaluation of

Where Women Have No Where Women Have No Doctor Doctor andand

A Book for MidwivesA Book for Midwives 

Presented to the Hesperian Foundation

By: Eleanor Hartzell, Joanna Hoffman, Dina Mikdadi, and Carrie Wood

NYU Wagner Graduate School of Public Service

April 23, 2009

Research QuestionsResearch Questions

1) Do end users believe the books provide life-saving, practical information?

2) Do the books result in health information sharing?

3) Are the books useful in different contexts?

04/18/09

• Based on last year’s Capstone project

• Added new variables

• Covered two publications

Survey BackgroundSurvey Background

Limitations to the SurveyLimitations to the Survey

Convenience sampling

Access issues (computer & language)

Missing answers

Two versions of ABFM

SamplingSamplingDistributed to 823 users.

246 responded- 30% of sampling frame.

04/18/09

Demographic InformationDemographic Information

04/18/09

Who Uses the Books? Who Uses the Books?

• Health trainers/researchers (32.5%)

• Volunteers (32.5%)

• Non-profit workers (26.7%)

• Midwives (27.5%), Nurses (23.3%), Community Health Workers (22.9%), Doctors (11.7%),

Case StudyCase Study

SitesSitesATOCHI- Comalapa

Observed workshop

Interviewed Executive Council

and workshop participants

CODECOT-Xela

Interviewed midwives

• Convenience sampling

• Focused on only one country

Positive FindingsPositive Findings

Both books considered effective resources

Lead to information-sharing in group settings

Used as teaching and training materials

Generally relevant in varied cultural settings

Areas for ImprovementAreas for Improvement

• Greater incorporation of traditional medicines• Decrease reliance on prescription drugs• Focus on planning for emergency care• More information on social factors related to teen

mothers and pregnancy out of wedlock• Improving accessibility of content• Audiovisual resources for illiterate users• Translations

Thank You!Thank You!