M R Ismail, J A Gilliland, J I Matthews, D S Battram
Process evaluation of the Centrally Procured School Food Program (CPSFP) in Ontario, Canada: school-level perspectives
Health education research
us currently experiencing maternal health crisis maternal morbidity mortality us higher developed nations continue rise infant mortality likewise higher us developed nations limited availability maternal health services particularly rural areas contributes crisis maternal health outcomes poorer maternal care workforce shortages severe rural areas us rural areas obstetric specialists rare many patients rely family medicine physicians maternity care however number family medicine physicians provide maternal care services decreasing aggravating shortages calls made build maternal care capacity rural areas role family medicine play addressing maternal health crisis clear maternal care shortages complex issues resulting multiple factors likewise efforts build maternal health capacity challenging require multifaceted approaches funding health resources services administration hrsa university utah seeks address shortage quality maternity care rural underserved areas utah strengthening partnerships enhancing maternal care training family medicine residents obstetrics fellows improving transition training rural practice residents fellows protocol describes evaluation hrsafunded project evaluation includes three components component 1 consists qualitative interviews diverse group maternal health providers administrators educators academics patients others interviews analyzed using qualitative content analysis component 2 survey family medicine residents obstetrics fellows aims increase understanding factors circumstances influencing intention practice rural underserved areas provide maternal health services component 3 involves surveying fellowship alumni tracking graduates assess effectiveness training programs producing physicians provide maternal health services rural underserved areas surveys analyzed descriptive statistics including means frequencies crosstabulations sample size participation provide sufficient power statistical tests included analyses evaluation results help fill important gap research literature concerning outcomes projects initiatives designed build maternal care capacity rural areas us addition results provide valuable information regarding effective practices building capacity adopted elsewhere address maternal care shortages finally results help define role family medicine addressing maternal health crisis amid maternal care shortages fewer fewer family medicine physicians providing maternal care practice evaluation results clarify role training preparation family medicine residents addressing workforce shortages evaluation provide important contributions additional research needed including research protocols studies project outcomes understand best resolve maternal care crisis us