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!