Qualification of the Nutritionist-Dietitian in Order to Participate in Community Based Health Programmes

1980 ◽  
pp. 899-903
Author(s):  
Sonia Moreira Alves de Souza
Keyword(s):  
Community Based ◽  
Health Programmes

scholarly journals Evaluation of district mental healthcare plans: The PRIME consortium methodology

2016 ◽  
Vol 208 (s56) ◽  
pp. s63-s70 ◽  
Author(s):  
Mary J. De Silva ◽  
Sujit D. Rathod ◽  
Charlotte Hanlon ◽  
Erica Breuer ◽  
Dan Chisholm ◽  
...  
Keyword(s):  
Research Methods ◽  
Mental Healthcare ◽  
Population Level ◽  
Theory Of Change ◽  
System Level ◽  
Community Based ◽  
Cross Sectional ◽  
Measure Change ◽  
Cross Country ◽  
Health Programmes

BackgroundFew studies have evaluated the implementation and impact of real-world mental health programmes delivered at scale in low-resource settings.AimsTo describe the cross-country research methods used to evaluate district-level mental healthcare plans (MHCPs) in Ethiopia, India, Nepal, South Africa and Uganda.MethodMultidisciplinary methods conducted at community, health facility and district levels, embedded within a theory of change.ResultsThe following designs are employed to evaluate the MHCPs: (a) repeat community-based cross-sectional surveys to measure change in population-level contact coverage; (b) repeat facility-based surveys to assess change in detection of disorders; (c) disorder-specific cohorts to assess the effect on patient outcomes; and (d) multilevel case studies to evaluate the process of implementation.ConclusionsTo evaluate whether and how a health-system-level intervention is effective, multidisciplinary research methods are required at different population levels. Although challenging, such methods may be replicated across diverse settings.

scholarly journals Integration of eMental health technologies into traditional community-based interventions

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
K Turmaine ◽  
C Picot Ngo ◽  
A Le Jeannic ◽  
J L Roelandt ◽  
K Chevreul ◽  
...  
Keyword(s):  
Mental Health ◽  
Digital Technology ◽  
Digital Health ◽  
Local Level ◽  
World Health ◽  
Local Network ◽  
Local Health ◽  
Community Based ◽  
Health Technologies ◽  
Health Programmes

Abstract Background Very little research has been conducted to appraise the merits of including municipalities and their local health providers in the promotion of digital health programmes. While more and more municipalities have locally implemented a health strategic plan and have focused on building local network of professionals, how do the latter react to the implementation of innovative e-mental health community-based programmes? Methods In 2018, 42 French municipalities volunteered to promote StopBlues, a digital health tool aimed at preventing mental distress and suicide. In each municipality, a local delegate was responsible for the promotion of the tool. Using observations, questionnaires and interviews with the delegates, we analysed how the promotion of StopBlues® was conducted in each setting. 2/3 of these municipalities started the promotion directly, and in 2019, a second wave of municipalities launched the promotion with a stronger support from the research team backed by the French World Health Organization Collaborating Centre for Research and Training in Mental Health (WHOCC). Results The use of digital technology in the implementation of a mental health programme received a mixed reception from the local health professionals because of its innovative aspect. 2/3 of the delegates declared that they were struggling to create a stronger network of local partners including private medical practioners. 63% of the respondents stated that their municipalities got involved in the programme for networking purposes. Conclusions Digital technologies have initiated a paradigm shift in the way community-based health programmes are set up but need to strengthen their territorial anchorage in order to be accepted and used at the local level. Key messages Digital technology can be a strong lever against health inequities but its effectiveness has to be studied carefully. Digital technolgy has to be implemented in local settings with the collaboration of local actors in order to be accepted and used.

scholarly journals Addressing fragility through community-based health programmes: insights from two qualitative case study evaluations in South Sudan and Haiti

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Séverine Erismann ◽  
Sibel Gürler ◽  
Verena Wieland ◽  
Helen Prytherch ◽  
Nino Künzli ◽  
...  
Keyword(s):  
Qualitative Case Study ◽  
South Sudan ◽  
Community Based ◽  
Health Programmes

scholarly journals The Development of a Multilevel Intervention to Optimise Participant Engagement with an Obesity Prevention Programme Delivered in UK children’s Centres

2021 ◽  
Author(s):  
Wendy Burton ◽  
Pinki Sahota ◽  
Maureen Twiddy ◽  
Julia Brown ◽  
Maria Bryant
Keyword(s):  
Public Health ◽  
Obesity Prevention ◽  
Prevention Programme ◽  
Community Based ◽  
Participant Engagement ◽  
Multi Level ◽  
Children’S Centres ◽  
Public Health Programmes ◽  
Health Programmes ◽  
Engagement Intervention

AbstractPoor participant engagement threatens the potential impact and cost-effectiveness of public health programmes preventing meaningful evaluation and wider application. Although barriers and levers to engagement with public health programmes are well documented, there is a lack of proven strategies in the literature addressing these. This paper details the development of a participant engagement intervention aimed at promoting enrolment and attendance to a community-based pre-school obesity prevention programme delivered in UK children’s centres; HENRY (Health, Exercise, Nutrition for the Really Young). The Behaviour Change Wheel framework was used to guide the development of the intervention. The findings of a coinciding focused ethnography study identified barriers and levers to engagement with HENRY that informed which behaviours should be targeted within the intervention to promote engagement. A COM-B behavioural analysis was undertaken to identify whether capability, opportunity or motivation would need to be influenced for the target behaviours to occur. APEASE criteria were used to agree on appropriate intervention functions and behaviour change techniques. A multi-level participant engagement intervention was developed to promote adoption of target behaviours that were proposed to promote engagement with HENRY, e.g. ensuring the programme is accurately portrayed when approaching individuals to attend and providing ‘taster’ sessions prior to each programme. At the local authority level, the intervention aimed to increase buy-in with HENRY to increase the level of resource dedicated to engagement efforts. At the centre level, managers were encouraged to widen promotion of the programme and ensure that staff promoted the programme accurately. HENRY facilitators received training to increase engagement during sessions, and parents that had attended HENRY were encouraged to recruit their peers. This paper describes one of the first attempts to develop a theory-based multi-level participant engagement intervention specifically designed to promote recruitment and retention to a community-based obesity prevention programme. Given the challenges to implementing public health programmes with sufficient reach, the process used to develop the intervention serves as an example of how programmes that are already widely commissioned could be optimised to enable greater impact.

scholarly journals Application of the Ultra-Poverty Graduation Model in understanding community health volunteers’ preferences for socio-economic empowerment strategies to enhance retention: a qualitative study in Kilifi, Kenya

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Njeri Nyanja ◽  
Nelson Nyamu ◽  
Lucy Nyaga ◽  
Sophie Chabeda ◽  
Adelaide Lusambili ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Community Health ◽  
Economic Empowerment ◽  
Healthcare Provision ◽  
Community Based ◽  
Attrition Rates ◽  
Universal Healthcare ◽  
Community Health Volunteers ◽  
Asset Transfer ◽  
Health Programmes

Abstract Background A significant shortage of healthcare workforce exists globally. To achieve Universal Healthcare coverage, governments need to enhance their community-based health programmes. Community health volunteers (CHVs) are essential personnel in achieving this objective. However, their ability to earn a livelihood is compromised by the voluntary nature of their work; hence, the high attrition rates from community-based health programmes. There is an urgent need to support CHVs become economically self-reliant. We report here on the application of the Ultra-Poverty Graduation (UPG) Model to map CHVs’ preferences for socio-economic empowerment strategies that could enhance their retention in a rural area in Kenya. Methods This study adopted an exploratory qualitative approach. Using a semi-structured questionnaire, we conducted 10 Focus Group Discussions with the CHVs and 10 Key Informant Interviews with County and Sub-county Ministry of Health and Ministry of Agriculture officials including multi-lateral stakeholders’ representatives from two sub-counties in the area. Data were audio-recorded and transcribed verbatim and transcripts analysed in NVivo. Researcher triangulation supported the first round of analysis. Findings were mapped and interpreted using a theory-driven analysis based on the six-step Ultra-Poverty Graduation Model. Results We mapped the UPG Model’s six steps onto the results of our analyses as follows: (1) initial asset transfer of in-kind goods like poultry or livestock, mentioned by the CHVs as a necessary step; (2) weekly stipends with consumption support to stabilise consumption; (3) hands-on training on how to care for assets, start and run a business based on the assets transferred; (4) training on and facilitation for savings and financial support to build assets and instil financial discipline; (5) healthcare provision and access and finally (6) social integration. These strategies were proposed by the CHVs to enhance economic empowerment and aligned with the UPG Model. Conclusion These results provide a user-defined approach to identify and assess strategic needs of and approaches to CHVs’ socio-economic empowerment using the UPG model. This model was useful in mapping the findings of our qualitative study and in enhancing our understanding on how these needs can be addressed in order to economically empower CHVs and enhance their retention in our setting.

scholarly journals Community based schoolchildren’s oral health programmes, Kuwait 1985–1998

2004 ◽  
Vol 54 (5) ◽  
pp. 241-249
Author(s):  
R E Morris ◽  
F Al Za’abi ◽  
J Behbehani ◽  
G Gillespie ◽  
B Al Mahmeed
Keyword(s):  
Oral Health ◽  
Community Based ◽  
Health Programmes

Results of a project to develop a methodology for community-based child and family health programmes focusing on childhood obesity, nutrition and physical activity

Hygiena ◽  
2021 ◽  
Vol 66 (4) ◽  
pp. 113-121
Author(s):  
Jindřich Fiala ◽  
Helena Klimusová ◽  
Pavlína Kaňová ◽  
Lucie Smejkalová ◽  
Lenka Plzáková
Keyword(s):  
Physical Activity ◽  
Childhood Obesity ◽  
Family Health ◽  
Community Based ◽  
Nutrition And Physical Activity ◽  
Health Programmes
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