Project: Infant and Maternal Health in Rural Ecuado
Fellow: Alexandra Stanculescu
Mentor: Frank Hutchins, Nancy Forster

Fellow Bio:
Born in Romania, I moved to California in the tow of my parents when I was two. I was raised in the bay area suburbs and did my undergrad at UC Berkeley majoring in Molecular and Cell Biology with an emphasis in neuroscience. Upon graduation, I traveled to India where I volunteered at Aravind Hospital developing a rural health education project. I returned from India to complete an M.A. in Integrative Health Education at SFSU while working to develop CME for physicians. I am pleased to have just finished my first year at the University of Wisconsin School of Medicine and Public Health.

When I am not working, I can most often be found skiing in the Sierras, cooking, dancing, traveling, or most recently, learning Spanish.

Project Description:

1. Learn about the social, political and economic contexts that are important for understanding health issues in Ecuador.

2. Learn the key concepts used by cultural anthropologists to examine human and animal health and healing cross-culturally; and

3. Apply these concepts to specific cases in Ecuador by looking at how particular cultural groups (primarily highland and lowland Quichua) experience illness, health and their bodies within the broader contexts listed in objective one.

4. Explore infant and maternal healthcare delivery, examining the practice of prenatal care, delivery, and neonatal care.

5. Examine how traditional and western medicine come together in the maintenance of maternal and child health.

6. Develop my understanding of community information flows and creating sustainable change.

7. Enhance the quality of life of pregnant women and infants in the community.

8. Develop leadership skills in the area of community organization.

Short-term Outcomes:

1. Identify a community receptive to such an assessment.

2. Evaluate the needs of the community.

3. Collect data regarding the current maternal and infant health care practices in this community.

4. Develop and implement a program that would address the needs of infants and pregnant women in the community.

5. Evaluate the efficacy of the program.

Final Outcome:

The goal is to improve certain measurable health outcomes of mothers and infants in a sustainable manner in a rural community in Ecuador.

Challenges:

1. Language barrier - I am in the process of learning Spanish. Also, as some of the older inhabitants of the village only speak Quichua, I will enlist translators in disussions with this population.

2. Resource and transportation costs - I hope to find organizations that would be willing to donate to the project and the community.

3. Understanding community organization - I will identify village leaders and interview them in order to identify the most effect approach for the project development.

Accomplishments

I spent six weeks in Ecuador studying indigenous healthcare and the Spanish language. In this time, I have identified a rural indigenous community with which to work and developed contacts in the area to persue the development of this project.

Challenges - Past:

One challenge is that there is a language barrier with certain populations of the community. The older generations only speak Quichua. To address this, we will be bringing in an interpreter for future stages of the project.

Next Steps:
Locus Project Objectives and Key Tasks Target Date for Completion
Learn about the social, political and economic contexts that are important for understanding health issues in Ecuador. July 2006
Learn the key concepts used by cultural anthropologists to examine human and animal health and healing cross-culturally; and July 2006
Apply these concepts to specific cases in Ecuador by looking at how particular cultural groups (primarily highland and lowland Quichua) experience illness, health and their bodies within the broader contexts listed in objective one. July 2006
Explore infant and maternal healthcare delivery, examining the practice of prenatal care, delivery, and neonatal care. July 2006
Identify a community with which to work. July 2006
Examine how traditional and western medicine come together in the maintenance of maternal and child health. July 2007
Identify community leaders and organizations working in the area. July 2007
Develop a program that would address the needs of pregnant women and infants in the community. July 2007
Implement a program that would address the needs of pregnant women and infants in the community. February 2009
Evaluate the efficacy of the program. May 2009

Comments:

Last update: June 26, 2006

Graduation Requirements Progress Chart
If you complete the requirements outlined below, you will graduate as a LOCUS fellow.

A check indicates the item has been completed.

Completed When What On-line
check Year 1: Beginning of Semester 2 New Project Report Submit Report
check Year 2: Beginning of Semester 1 Project Update Submit Update
  Year 2: Beginning of Semester 2 Project Update Submit Update
  Year 3: Beginning of third year Project Update Submit Update
  Year 4: August of fourth year 2-3 page final summary of project that includes a reflective evaluation of the project process N/A
  Ongoing Participate in program evaluation (written and/or focus group) View Options
  By the end of fourth year Select poster, presentation, paper, creative option or your own idea View Options

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