From my experience with Dominican professionals I would say one has to be careful when suggesting anything new. While the aforementioned are certainly quite aware of the major issues in their country they are still proud of their country and can be resistant to change, even a good idea, just based on "presentation" of the new idea.
I can assure you that our "presentation" has been remarkable. Gifts for the doctors and nurse, literature in Spanish, donations for the patients, one on one sessions with the nurses interedted in Midwifery. LaTeacher has gone when I'm not there and I can also assure you that her "presentation" is also remarkable
As odd as it sounds my first suggestion would be to make sure the term "Kangaroo Care" is not be used but rather something more scientific.
"Kangaroo care" IS the term used for this type of care, in Spanish it is known as Metodo Canguro. There is not a Scientific word for it. Describe it to even the most intelligent of Physicians and they will say "That is Kangaroo Care"
Second, a real genuine repertoire needs to be established with the administrative doctors and nurses in charge who will be charged with implementing this change and to do that a real understanding of Dominican culture is of utmost importance.
I have the cell phone numbers of the Head nurse and also the Director of Obstetrics, and thank you but I interact with Dominicans as much as you do and think that although not an expert, I am very well understanding of the culture
These type of interactions need to be formal in the Dominican sense and very cordial to say the least(never say "vaina" please). Mentioning a very healthy respect for the job that is being done with so little resources would be a winner as well - but only for the public hospitals not private clinics.
Have you heard me speak professionally?? I didn't think so. Also when I bring the donations to the hospital, and supplies that sometimes (many times) come out of my own pocket, I let them know each and every time that it is to make their job easier as they do not have the resources that I do
Dominicans are also interested in why would a foreigner be so interested in helping them out. They may assume that the foreigner thinks they are better and thus they will be resistant. However, if the foreigner can demonstrate effectively that they want to help out because they generally are interested and impressed by aspects of Dominican culture they certainly will be received better. However, the latter can't be faked imo.
Faked?? I am American, it would not affect me one way or the other if 10,000 Dominican women died tomorrow. I believe that the people that I work with regarding Women's Health in the country and the Domincans that I associated with know whether I am faking or not. They know it when I take my Christmas bonus and buy supplies, they know it when I promise the nurses a rest lounge makeover next year if I have to pay for it myself, they know it when they have my personal cell phone number and call me to ask my opinion on one matter or the other. Thank you very much...
I'm basing this on my experience with other professionals in my field as a civil engineer. Any respect of what is good about the DR, whether it be food or love of the family, is always well received and respected. Bottom line is Dominican professionals want to be seen as equals. These are my personal observations based on my experiences and it may be different for others.
Finally, I would personally would stick to the task at hand at of selling this type of care, which seems very good, instead of throwing a lot of statistics out there (like those that were presented in this thread) such as reminding them than there are a lot of teen pregnancies, etc. as this could be misinterpreted that one would at some point be advocating abortion
Statistics are how we know how we are doing, statistics are used to track failures and successes, they are a starting point for change. I will remind them a million nore times that the teenage pregnancy rate is high until I see a change in statistics. We have never advocated for abortion and it has never been taken that way. The nurses want to see more education and it has been decided that that is where we will start
- which would be a big no no imo.