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7. Linking Research and Practice - IV

Research task

Focus Groups with Service Providers

Mujer Sana/Comunidad Sana also targeted interventions at removing barriers to access in health and service organizations. To understand these barriers better from the point of view of the agencies themselves, two focus groups were conducted with service providers in the summer of 2001 at the outset of the project. Several members of LAZO (who later on became Lay Health Promoters/Participatory Researchers) helped to develop the focus group questions; and acted as recorders during the focus group discussions. The focus groups discussions were taped and transcribed. LAZO members, two co-investigators, and a doctoral student in the summer internship nursing program of the University of Ottawa, jointly worked on the analysis of the focus group findings. Selected focus group findings are reported in the key findings section.

CCHC Case study

The Centretown Community Health Centre was not only an administrative partner in the Mujer Sana/Project; it was also where the project offices were located, where many activities took place, and the site for a 'case study'. The focus of the case study was to understand whether and how a community health centre might be changing as a result of participating as a partner in the implementation of this kind of community-based, participatory, action-seeking demonstration project. We expected changes such as increased staff awareness about issues facing minority women when accessing health services; greater staff representation from ethnocultural communities; and more information and contacts between staff and the Hispanic community.

CCHC policy documents were reviewed. Project investigators and doctoral students from the summer internship nursing program of the University of Ottawa interviewed selected staff. A staff survey was conducted in February 2002 and repeated a year later. The views of the LHPs were captured through their practice logs and were incorporated. Some of the key findings are reported as part of the case study.

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Project evaluation

In addition to the ongoing evaluation, and the information collected throughout the project, we also undertook a final project evaluation. Please see key findings. We used a number of methods to collect evaluation data. Some of these are outlined below.

Post-intervention interviews with program participants:
Follow-up telephone interviews, in Spanish, were conducted with a random sample of women who had participated in program activities. The interviews focused on the women's experiences with the project, especially the services the LHP/PRs had provided.

Open-ended interviews with LHPs
The LHP/PRs function was key: linking community members with health services. To assess how, and if, this approach worked well, it was crucial to hear directly what LHP/PRs had experienced, what they thought about their participation, and whether they felt that it was a worthwhile effort that should be continued. Open-ended, in-person interviews were held, in Spanish, by a member of the community who had not been working directly or involved with the Mujer Sana/Comunidad Sana project. This interviewer was chosen to ensure that LHP/PRs could express themselves more freely than they might have if they were being interviewed by each other or by the co-investigators. The interviews focused on their health promotion and participatory research work with the community; their role working within a community health centre; future plans; and their own personal growth.

Survey with AC members
The Advisory Committee participated in the development of specific indicators for community capacity in relation to this project. These were used to develop additional items for a survey that was sent out to all individuals who had participated in the Advisory Committee over the period of the demonstration project.

•Partnership evaluation
There was an ongoing, periodic, dynamic review and assessment of roles, tasks, functions, goals, and purpose of the partnership, throughout the entire life of the project, during regular and special meetings of the Project Team. This is documented in minutes, interim reports, transcriptions of taped meeting discussions, and many other internal documents. As well, each of the four partners responded to a set of specific questions, developed by the partner leading the evaluation, focusing on how this unusual partnership between very different organizations had evolved, and whether it had worked well.


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