Universidad Peruana Cayetano Heredia

The Amazon Hope: A qualitative and quantitative assessment of a mobile clinic ship in the Peruvian Amazon

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dc.contributor.author Limaye, Neha P.
dc.contributor.author Blas Blas, Magaly Marlitz
dc.contributor.author Alva, Isaac E.
dc.contributor.author Cárcamo Cavagnaro, César Paul Eugenio
dc.contributor.author Garcia Funegra, Patricia Jannet
dc.date.accessioned 2018-11-30T23:41:29Z
dc.date.available 2018-11-30T23:41:29Z
dc.date.issued 2018
dc.identifier.uri https://hdl.handle.net/20.500.12866/4186
dc.description.abstract The Loreto region of the Peruvian Amazon faces many obstacles to health care delivery. The majority of the population is river-bound and lives below the poverty line, with some of the worst health indicators in Peru. To overcome these barriers and fill a gap in health services, an NGO-based provider known as the Vine Trust has been providing care since 2001 via a mobile ship clinic called the Amazon Hope. This study presents an assessment of the Amazon Hope, first reporting health indicators of the program´s catchment area, services provided, and program utilization. It then describes perceptions of the program by community members and health workers, the program's strengths and weaknesses in contributing to health service delivery, and provides recommendations addressing limitations. The qualitative analysis included 20 key informant interviews with community members and health service providers. In the quantitative analysis, 4,949 residents of the catchment area were surveyed about medical histories, experiences with the program, and suggestions for improvement. The survey showed poor indicators for reproductive health. The AH clinic was the main provider of health care among those surveyed. Community members reported satisfaction with the program's quality of care, and health workers felt the program provided a unique and necessary service. However, community members requested prior notification and additional services, while health workers described misunderstandings in community-tailored care, and difficulties with continuity of care and coordination. Data show that the program has been successful in providing quality health care to a population but has room to improve in its health service delivery. Suggested improvements are provided based on participant suggestions and relevant literature. The study sheds light on the important role of mobile clinics in Peru, and the methodology can serve as a model for assessing the role of mobile clinics in other remote settings. en_US
dc.language.iso eng
dc.publisher Public Library of Science
dc.relation.ispartofseries PLoS ONE
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Health systems strengthening en_US
dc.subject Socioeconomic aspects of health en_US
dc.subject Pregnancy en_US
dc.subject Peru en_US
dc.subject Physicians en_US
dc.subject Global health en_US
dc.subject Health insurance en_US
dc.subject Nurses en_US
dc.title The Amazon Hope: A qualitative and quantitative assessment of a mobile clinic ship in the Peruvian Amazon en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1371/journal.pone.0196988
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.01
dc.relation.issn 1932-6203


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