Mano a Mano: Improving Health in Impoverished Bolivian Communities Through Community-Based Participatory Research
ABSTRACT Mano a Mano (Spanish translation: "Hand to Hand") is a nonprofit organization that is working in partnership with underserved Bolivian communities to cocreate medical infrastructures and to improve health. Using community-based participatory research (CBPR) methods, Mano a Mano engages local government and community leaders, health care providers, educators, and ordinary citizens in a manner that taps local strengths and resources to allow all participants to work together to realize this mission. After describing Bolivia's call for improved access to high quality care in its poor and underserved rural areas, we outline the Mano a Mano's CBPR approach and sequence to answer this call, the culmination of its efforts to date (including the establishment of 119 health care facilities), lessons learned, and next steps in the formal evaluation and extension of this collaborative work.
01/1990; The Carnegies Foundation for the Advancement of Teaching.
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ABSTRACT: How do NGOs affect political participation in weakly democratic settings? We know that NGOs can be an important part of moderate civil society by building trust, facilitating collective action, and encouraging voter turnout. This paper explores these relationships in weakly democratic settings. NGOs stimulate political participation by providing resources and opportunities for association. Where voting is seen as ineffective, new participation can take the form of political protests and demonstrations. This paper presents results from an original local level dataset from Bolivia on NGO activity, voter turnout, and political protest, showing a strong relationship between NGO activity and political protest in weakly democratic contexts.The Journal of Politics 03/2010; 72(02):456 - 468. DOI:10.1017/S0022381609990922 · 1.48 Impact Factor
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ABSTRACT: Three case examples of asthma studies that differ in terms of community and involvement are considered. The Boston Chinatown studies faced limited funding that restricted the level of community involvement, but resulted in some of the first published evidence about asthma in Asian American children. These studies led to an asthma education program grant to a local Asian clinic and elementary school. The public housing study was a well-funded multi-year study of asthma and pest management with city, university and community partners. Residents were trained to collect data and participated throughout the study. Follow up pest management and pesticide buy-back programs headed by the city and community partners have been funded. The Dorchester case had more limited funding, but had the greatest level of involvement of parents of asthmatic children in all phases of the research. This survey led to an interesting novel finding of lower asthma prevalence in foreign born black residents.Archives of Environmental and Occupational Health 01/2010; 65(1):38-44. DOI:10.1080/19338240903390214 · 0.47 Impact Factor