Creating demand for sanitation and hygiene through Community Health Clubs: A cost-effective intervention in two districts in Zimbabwe

2005 ◽  
Vol 61 (9) ◽  
pp. 1958-1970 ◽  
Author(s):  
Juliet Waterkeyn ◽  
Sandy Cairncross
Keyword(s):  
Community Health ◽  
Cost Effective ◽  
Effective Intervention ◽  
Health Clubs ◽  
Sanitation And Hygiene

scholarly journals Use of group maturity index to measure growth, performance, and sustainability of community health clubs in urban water, sanitation and hygiene (WASH) program in Zimbabwe

2020 ◽  
Vol 10 (4) ◽  
pp. 1026-1033
Author(s):  
Mitsuaki Hirai ◽  
Arnold Cole ◽  
Moreblessing Munyaka ◽  
Steven Mudhuviwa ◽  
Taurai Maja ◽  
...  
Keyword(s):  
Growth Performance ◽  
Community Health ◽  
Cost Effective ◽  
Small Towns ◽  
Maturity Index ◽  
Mature Stage ◽  
Health Clubs ◽  
Sanitation And Hygiene ◽  
Hygiene Promotion ◽  
The Impact

Abstract Zimbabwe experienced an unprecedented cholera outbreak in 2008 and 2009. Reduced access to water, sanitation and hygiene, delayed community health education, and limited knowledge on cholera prevention were the major risk factors of this outbreak which were addressed by urban WASH interventions. Health and hygiene promotion through community health clubs (CHCs) is a cost-effective strategy to reduce the risk of cholera. In 2013, UNICEF Zimbabwe launched the Small Towns WASH Program (STWP) and used the CHC approach for hygiene promotion. To monitor the growth, performance, and sustainability of CHCs, STWP employed the Group Maturity Index, which measures the status of CHCs in five domains: objectives, governance, resources, group systems, and impacts. This study described the maturity status of CHCs as measured by GMI as a new monitoring tool and assessed if CHCs’ performances in GMI's output domains are associated with the impact domain. The results suggested that over 75% of CHCs had reached the managed stage or the mature stage by 2018. Three of the GMI's output domains were independently associated with the overall impact domain after controlling for potential confounders. CHCs and club members may experience overall positive impacts by developing their governance, resource, and group system domains.

Adapting a water, sanitation, and hygiene picture-based curriculum in the Dominican Republic

2019 ◽  
Vol 27 (3) ◽  
pp. 6-14 ◽  
Author(s):  
Jennifer Nordhauser ◽  
Jason Rosenfeld
Keyword(s):  
Dominican Republic ◽  
Community Health ◽  
Disease Transmission ◽  
Visual Literacy ◽  
Visual Aids ◽  
Cultural Appropriateness ◽  
Agricultural Communities ◽  
Health Clubs ◽  
Sanitation And Hygiene ◽  
Future Work

Water, sanitation, and hygiene issues present barriers to health in rural Dominican Republic. Limited access to adequate water, sanitation, and hygiene accompanies a prevalence of water, sanitation, and hygiene-related diseases. To address these issues, an education and behavior change program using community health clubs has been adapted for areas at greatest risk of water, sanitation, and hygiene disease transmission. To support this initiative, a protocol was created to evaluate 147 images from a community health clubs toolkit for Dominican agricultural communities, or bateyes, to determine image comprehension and cultural appropriateness, as well as the demographic variables associated with visual literacy. A total of 112 interviews were completed across seven bateyes located near the city of La Romana; 60 images were determined to require additional adaptation. Further analyses demonstrated that age and education were significantly associated with greater visual literacy. These results reinforce that educational visual aids require testing for cultural appropriateness and that future work should be conducted to investigate factors that contribute to visual literacy.

scholarly journals Community Health Clubs for Water, Sanitation and Hygiene (WASH) improvement in Rural Burkina Faso

2016 ◽  
Vol 82 (3) ◽  
pp. 495
Author(s):  
M. Niaone ◽  
S. Bendjemil ◽  
J. Rosenfeld ◽  
R. Berggren
Keyword(s):  
Burkina Faso ◽  
Community Health ◽  
Health Clubs ◽  
Sanitation And Hygiene

scholarly journals A Review of the Community Health Club Literature Describing Water, Sanitation, and Hygiene Outcomes

2021 ◽  
Vol 18 (4) ◽  
pp. 1880
Author(s):  
Jason Rosenfeld ◽  
Ruth Berggren ◽  
Leah Frerichs
Keyword(s):  
Social Capital ◽  
Collective Action ◽  
Community Health ◽  
Theory Of Change ◽  
Health Promotion Program ◽  
Review Of The Literature ◽  
Middle Income ◽  
Health Club ◽  
Qualitative Evidence ◽  
Sanitation And Hygiene

The Community Health Club (CHC) model is a community-based health promotion program that utilizes water, sanitation, and hygiene (WASH) education as the first stage of a longitudinal development process. Although the CHC model has been implemented in fourteen countries over 20 years, this is the first review of the literature describing the model’s outcomes and impact. We conducted a review of the literature that provided quantitative or qualitative evidence of CHC interventions focused on WASH in low- and middle-income countries. We identified 25 articles that met our inclusion criteria. We found six major outcomes: WASH behaviors and knowledge, social capital, collective action, health, and cost or cost-effectiveness. The most consistent evidence was associated with WASH behaviors and knowledge, with significant effects on defecation practices, hand washing behaviors, and WASH knowledge. We also found qualitative evidence of impact on social capital and collective action. CHCs catalyze favorable changes in WASH behaviors and knowledge, yielding outcomes commensurate with other WASH promotion strategies. This review provides insights into the model’s theory of change, helping identify areas for further investigation. The CHC model’s holistic focus and emphasis on individual and collective change offer promising potential to address multiple health and development determinants.

scholarly journals Impact of Flock Health Clubs

Livestock ◽  
2020 ◽  
Vol 25 (6) ◽  
pp. 301-307
Author(s):  
Nicola Noble ◽  
Francesca Occhiuto ◽  
Fiona Lovatt ◽  
Marion Johnson ◽  
Wendy Jones ◽  
...  
Keyword(s):  
Qualitative Data ◽  
Rural Society ◽  
Cost Effective ◽  
Veterinary Profession ◽  
Health Clubs ◽  
Sheep Farmer ◽  
Veterinary Surgeon ◽  
The Impact

Sheep farming is an important part of UK agriculture with significantly more breeding females than either the pig or cattle sectors. Whether grazing alongside arable rotations or utilising the marginal uplands, sheep farms arguably play a key role that is embedded within UK rural society. However, research led by University of Nottingham has identified various challenges and barriers that have affected relationships between UK sheep farmers and the veterinary profession. In response to these findings, Flock Health Clubs were developed as an initiative that aimed for improved and cost-effective sheep farmer–veterinary interaction. We report quantitative and qualitative data that assess the impact of Flock Health Clubs and indeed show tangible improvements in both farmer–veterinary surgeon relationships and measures of flock health and welfare.

Cost-Effective Intervention in Stroke

1992 ◽  
Vol 2 (6) ◽  
pp. 468-499 ◽  
Author(s):  
David Dunbabin
Keyword(s):  
Cost Effective ◽  
Effective Intervention

scholarly journals Has Metal-On-Metal Resurfacing Been a Cost-Effective Intervention for Health Care Providers?—A Registry Based Study

PLoS ONE ◽  
2016 ◽  
Vol 11 (11) ◽  
pp. e0165021
Author(s):  
Ruth Pulikottil-Jacob ◽  
Martin Connock ◽  
Ngianga-Bakwin Kandala ◽  
Hema Mistry ◽  
Amy Grove ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Cost Effective ◽  
Effective Intervention ◽  
Care Providers ◽  
Metal On Metal

scholarly journals An Analytical Framework for TJR Readmission Prediction and Cost-Effective Intervention

2019 ◽  
Vol 23 (4) ◽  
pp. 1760-1772 ◽  
Author(s):  
Hyo Kyung Lee ◽  
Rebecca Jin ◽  
Yuan Feng ◽  
Philip A. Bain ◽  
Jo Goffinet ◽  
...  
Keyword(s):  
Cost Effective ◽  
Analytical Framework ◽  
Effective Intervention

On the track to adulthood: the missions of the young human being, dodging the risks and gaining the tools

2016 ◽  
Vol 28 (2) ◽  
pp. 127-131
Author(s):  
Jacob Urkin ◽  
Basil Porter ◽  
Yair Bar-David
Keyword(s):  
At Risk ◽  
Community Health ◽  
Economic Burden ◽  
Medical Staff ◽  
Cost Effective ◽  
Health Programs ◽  
Human Being ◽  
Psychosocial Determinants ◽  
Community Health Programs ◽  
Effective Cost

Abstract Medical staff are expected to cooperate with other professions and agencies in helping the young human in achieving the goal of becoming a healthy, well- functioning adult that expresses her/his maximal potential. Achieving this goal should be cost-effective. Cost includes not just the economic burden but also psychosocial determinants such as emotional disruption, stress, living at risk, malfunctioning, and dependency. Acknowledging the risks and the expected achievements at each age are useful in analyzing the failure of community health programs and in planning preventive modalities and needed remedies.

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