Special Outcomes, Unexpected Successes, Constraints. An important contribution of the CS Project is the ethnographic study, titled “Salud Sexual y Reproductiva en Cuatro Comunidades Aymaras” (Reproductive and Sexual Health in Four Aymara Communities). The study presents points of view from community members and health personnel and recommends ways to overcome these. Some of the recommendations regarding delivery include: presence of the mother, mother-in-law, or father during delivery; heating of the delivery room; availability of a stove so that family members can cook and provide the traditional foods and teas believed to be important; permission for the woman to give birth in a squatting position; and sensitivity to the importance of modesty, such as not taking off the woman’s clothes and keeping her well covered. The study recommends to: 1) hire a socio- cultural facilitator to improve behavior change strategies, 2) make changes in service delivery methods, and 3) use traditional medicines at health centers and teach health volunteers how to use and prepare them.
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Sources: Cooperative Agreement, Cooperative Agreement