Module 3 Case Study Flow Chart-Essay

Read this short case from Loreto, ‘Gender-based Violence and Maternal Mortality’: A Case from Loreto, noted in the PHR report. (PG. 35 in the PHR- Deadly Delays report-see Link below). Adela and her husband arrived in San José de Lupuna a few months ago and settled in the community of Río Nanay. The couple did not have any family in this area, but they were forced out of their community in la Cuenca del Río Momón due to the violent behavior of Adela’s husband. When Adela was three months pregnant, she began hemorrhaging because her husband kicked her in the stomach. He did not want any more children and preferred for her to have an abortion. Adela had four children from a previous marriage in which she had been widowed and a daughter from her current marriage. She didn’t tell anyone that was pregnant. Her husband forbade her from going to the health post in San José de Lupuna because he did not want people to know that he mistreated her. Adela continued to bleed for two more months, at which point she could no longer walk or even get out of bed. The couple then decided to go to the health center in Moronacocha, but after two days they were forced to return home because they did not have enough money to pay for her treatment. The afternoon that she arrived home, Adela’s condition worsened. Her only friend and the friend’s mother brought her to the Regional Hospital in Iquitos, where she soon died. Adela’s husband tried to block the autopsy, because he did not want the doctors to discover that he had abused her. After her death, her neighbors buried Adela, and her husband fled from the community, leaving his children behind. Three of the children were very young, the two youngest of which are being cared for by the eldest daughter. Their current whereabouts are unknown. Using the Conceptual “Wider Context” Model presented in Fig. 5.1, page 84, Ehiri. •Create a flow chart that addresses possible root causes, potential barriers, and the major influences that might have contributed to the outcome in this case study. How might the 'Health System' 'scale up health services to bring about a more positive outcome in this and other similar cases? •Write a summary essay( 2 pages, double spaced 1”margins max) that supports your chart and conclusions. 2 pages total including your essay (couble spaced) and flow chart (single spaced).