1. An Evaluation of Where Women Have No Doctor and A 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

2. Research 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?

3. 04/18/09 Based on last year’s Capstone project Added new variables Covered two publications Survey Background

4. Limitations to the Survey Convenience sampling Access issues (computer & language) Missing answers Two versions of ABFM

5. Sampling Distributed to 823 users. 246 responded- 30% of sampling frame.

6. 04/18/09 Demographic Information

7. 04/18/09 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%),

12. Case Study

13. Sites ATOCHI- Comalapa Observed workshop Interviewed Executive Council and workshop participants CODECOT-Xela Interviewed midwives

14. Convenience sampling Focused on only one country

15. Reactions to the Books

16. Positive 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

17. Areas 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

18. Thank You!