174965 Crossing borders: Exploration of collaboration with Nicaraguan women

Tuesday, October 28, 2008: 3:00 PM

Geraldine Gorman, RN, PhD , College of Nursing at University of Illinois at Chicago, Department of Public Health, Mental Health and Administration, Chicago, IL
Marilou Carrera, BA, RN , College of Nursing at University of Illinois at Chicago, Department of Public Health, Mental Health and Administration, Chicago, IL
Crossing the Borders of Women's Health: An Exploration of Collaboration with Nicaraguan Women

Emergency is a NGO providing free health care to civilian war victims. Currently operating hospitals and first aid posts in 8 countries, Emergency is exploring partnering with Nicaragua's Ministry of Health to construct a maternal/child health care center in Leon. As part of a community assessment, the presenters (Geraldine Gorman, faculty in the College of Nursing at the University of Illinois at Chicago and Marilou Carrera, an advanced practice graduate student) traveled to Nicaragua in August, 2007. We met with healthcare officials and social service representatives in Leon and Managua. As one of the poorest countries in Central America, women and children of Nicaragua are particularly vulnerable, as evidenced by alarmingly high maternal and infant mortality rates. We toured the only public hospital in Leon, met with faculty in the medical and nursing schools and interviewed local community activists. We also traveled to the island of Ometepe, working with a student brigade sponsored by Naturopathic Doctors International (NDI.) Like Emergency, NDI ‘s mission professes that healthcare, including integrative therapies, is a right of all people, including the poorest in the most remote rural regions. Through slides and field notes we will present the time we spent with those at the forefront of women's healthcare issues in Nicaragua. We will discuss the challenges of an American university attempting to partner with an international NGO to construct a state of the art maternal/infant care center in Central America, an endeavor which requires the crossing of multiple borders: cultural, geographic and political.

Learning Objectives:
Discuss cultural obstacles to comprehensive health care for Nicaraguan women and children; Discuss religious obstacles to comprehensive health care for Nicaraguan women and children. Discuss three challenges facing NGO's attempting international collaboration; Discuss the potential of integrating standard medical treatment with indigenous folk remedies to improve health care options of rural women and children.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Doctorate in Nursing and experience with international NGO.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.