Reducing Inequities in Maternal and Child Health in Rural Guatemala through the CBI0+ Approach of Curamericas

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This book contains 11 journal articles originally published in the International Journal for Equity in Health in 2023, describing the implementation of the census-based, impact-oriented (CBIO) approach, which has been combined with Care Groups (an innovative approach to working with female community health volunteers) and local birthing centers (in an area where facility-based maternity care in not readily accessible). The project area is an isolated set of mountainous rural districts in the Department of Huehuetenango, Guatemala, inhabited by Indigenous Maya people. The  book describes the project and methods in detail, and then provides evaluations of the increase in coverage of maternal and child health interventions, the impacts on nutrition and mortality, the management of obstetrical complications at the birthing centers, assessments of the empowering effects of the project on women’s empowerment, stakeholder assessments of the CBIO+ approach, and a summary article  that includes an assessment of the cost-effectiveness of the approach and policy implications.

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This book contains 11 journal articles originally published in the International Journal for Equity in Health in 2023, describing the implementation of the census-based, impact-oriented (CBIO) approach, which has been combined with Care Groups (an innovative approach to working with female community health volunteers) and local birthing centers (in an area where facility-based maternity care in not readily accessible). The project area is an isolated set of mountainous rural districts in the Department of Huehuetenango, Guatemala, inhabited by Indigenous Maya people. The  book describes the project and methods in detail, and then provides evaluations of the increase in coverage of maternal and child health interventions, the impacts on nutrition and mortality, the management of obstetrical complications at the birthing centers, assessments of the empowering effects of the project on women’s empowerment, stakeholder assessments of the CBIO+ approach, and a summary article  that includes an assessment of the cost-effectiveness of the approach and policy implications.

This book contains 11 journal articles originally published in the International Journal for Equity in Health in 2023, describing the implementation of the census-based, impact-oriented (CBIO) approach, which has been combined with Care Groups (an innovative approach to working with female community health volunteers) and local birthing centers (in an area where facility-based maternity care in not readily accessible). The project area is an isolated set of mountainous rural districts in the Department of Huehuetenango, Guatemala, inhabited by Indigenous Maya people. The  book describes the project and methods in detail, and then provides evaluations of the increase in coverage of maternal and child health interventions, the impacts on nutrition and mortality, the management of obstetrical complications at the birthing centers, assessments of the empowering effects of the project on women’s empowerment, stakeholder assessments of the CBIO+ approach, and a summary article  that includes an assessment of the cost-effectiveness of the approach and policy implications.