Investigación operativa de humanización y adecuación cultural del parto (HACAP)

The project was implemented in four provinces: Tungurahua, Cañar, Azuay, and Morona Santiago. The HACAP project was based on a conceptual framework that recognized the importance of cultural adaptation in healthcare. The project's methodology involved a participatory approach, where healthcare providers, parteras (traditional birth attendants), and community members worked together to identify and address the cultural and social barriers to quality care. The project's interventions focused on improving the interpersonal treatment of women and their families, providing accompaniment during childbirth, and adapting the physical environment to meet the cultural needs of women. The project's implementation involved a series of workshops and training sessions for healthcare providers and parteras. These sessions focused on topics such as cultural sensitivity, communication skills, and the importance of accompaniment during childbirth. The project also developed a set of guidelines for the care of women during childbirth, which emphasized the importance of respect, dignity, and cultural sensitivity. The project's evaluation involved a mixed-methods approach, which included surveys, interviews, and observations. The results of the evaluation showed significant improvements in the quality of care during childbirth, including increased satisfaction among women and their families, improved communication between healthcare providers and women, and increased use of hospital services for childbirth. The HACAP project's findings highlight the importance of cultural adaptation in healthcare, particularly in the context of childbirth. The project's interventions demonstrate the potential for improving the quality of care during childbirth by addressing cultural and social barriers. The project's results also suggest that a participatory approach, which involves healthcare providers, parteras, and community members, can be an effective way to improve the quality of care during childbirth. The project's implementation involved a series of cycles of rapid change, which were designed to address specific cultural and social barriers to quality care. These cycles involved a series of workshops and training sessions, as well as the development of guidelines and protocols for the care of women during childbirth. The project's evaluation showed significant improvements in the quality of care during childbirth, including increased satisfaction among women and their families, improved communication between healthcare providers and women, and increased use of hospital services for childbirth.