Tomorrow morning we will begin our journey to San Francisco de Macoris, Dominican Republic as part of a Quality and Safety Improvement Project. In preparation for this journey, our group of 8 students obtained $390 worth of funds through hosting a “Kid’s Day” fundraiser and through donations of our families in order to purchase medical supplies for Hospital de San Vincente de Paul. This morning we met at the nursing school and divided up the supplies into all of our suitcases. These supplies included, but were not limited to, infant stethoscopes, a newborn blood pressure kit, pediatric resuscitation equipment, surgical drapes and gowns, surgical instruments, vaginal speculums, prenatal vitamins, tylenol, baby blankets, pacifiers, preemie diapers, and sterile gloves.
For our Quality Improvement project, we will be talking with members of Proyecto ADAMES, an organization that formed to address maternal and infant mortality in their community. We will be speaking (in Spanish!) to nurses at the hospital, community leaders in the surrounding barrios, and people at the university.
Dominican Republic is a country in the Carribbean that shares the island of Hispanola with Haiti. Approximately 9 million people live in Dominican Republic, with over half living under the national poverty line (Foster, et al, 2010). As with many lower-income countries, Dominican Republic is marked with financial inequalities as the poorest half of the country owns less than one-fifth the GDP and the richest 10% own two-fifths the total GDP (Foster, et al., 2010). Although 97% of all births occur within a hospital, there is a high rate of maternal (150-160 deaths/100,000) and infant (22 deaths/100,000) mortality (Foster, et al., 2010). While this rate is much lower than that of other “developing countries,” hospitalized births with skilled birth attendants are not the norm in other countries, as it is in Dominican Republic. Therefore, a need exists to improve quality care.
Foster, J., Burgos, R., Tejada, C., Caceres, R., Altamonte, A., Perez, L., Noboa, F. (2010). A community-based participatory research approach to explore community perceptions of the quality of maternal-newborn health services in Dominican Republic. Midwifery, 26, 504-511.