Increases in correct administration of chloroquine in the home and referral of sick children to health facilities through a community-based intervention in Bougouni District, Mali

ObjectivesHypertension and diabetes mellitus are important risk factors for cardiovascular diseases (CVDs). Once identified with these conditions, individuals need to be linked to primary healthcare system for initiation of lifestyle modifications, pharmacotherapy and maintenance of therapies to achieve optimal blood pressure and glycaemic control. In the current study, we evaluated predictors and barriers for non-linkage to primary-care public health facilities for CVD risk reduction.MethodsWe conducted a community-based longitudinal study in 16 urban slum clusters in central India. Community health workers (CHWs) in each urban slum cluster screened all adults, aged 30 years or more for hypertension and diabetes, and those positively screened were sought to be linked to urban primary health centres (UPHCs). We performed univariate and multivariate analysis to identify independent predictors for non-linkage to primary-care providers. We conducted in-depth assessment in 10% of all positively screened, to identify key barriers that potentially prevented linkages to primary-care facilities.ResultsOf 6174 individuals screened, 1451 (23.5%; 95% CI 22.5 to 24.6) were identified as high risk and required linkage to primary-care facilities. Out of these, 544 (37.5%) were linked to public primary-care facilities and 259 (17.8%) to private providers. Of the remaining, 506 (34.9%) did not get linked to any provider and 142 (9.8%) defaulted after initial linkages (treatment interrupters). On multivariate analysis, as compared with those linked to public primary-care facilities, those who were not linked had age less than 45 years (OR 2.2 (95% CI 1.3 to 3.5)), were in lowest wealth quintile (OR 1.8 (95% CI 1.1 to 2.9), resided beyond a kilometre from UPHC (OR 1.7 (95% CI 1.2 to 2.4) and were engaged late by CHWs (OR 2.6 (95% CI 1.8 to 3.7)). Despite having comparable knowledge level, denial about their risk status and lack of family support were key barriers in this group.ConclusionsThis study demonstrates feasibility of CHW-based strategy in promoting linkages to primary-care facilities.

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The Uganda Newborn Study (UNEST): an effectiveness study on improving newborn health and survival in rural Uganda through a community-based intervention linked to health facilities - study protocol for a cluster randomized controlled trial

Trials ◽

10.1186/1745-6215-13-213 ◽

2012 ◽

Vol 13 (1) ◽

Cited By ~ 25

Author(s):

Peter Waiswa ◽

Stefan S Peterson ◽

Gertrude Namazzi ◽

Elizabeth Kiracho Ekirapa ◽

Sarah Naikoba ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Study Protocol ◽

Controlled Trial ◽

Newborn Health ◽

Health Facilities ◽

Cluster Randomized Controlled Trial ◽

Effectiveness Study ◽

Community Based ◽

Randomized Controlled ◽

Cluster Randomized

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A Causal Model of Attitudes toward Mental Health Facilities

Environment and Planning A Economy and Space ◽

10.1068/a150525 ◽

1983 ◽

Vol 15 (4) ◽

pp. 525-542 ◽

Cited By ~ 12

Author(s):

G B Hall ◽

S M Taylor

Keyword(s):

Mental Health ◽

Community Mental Health ◽

Mentally Ill ◽

Causal Model ◽

Health Facilities ◽

Community Mental Health Care ◽

Community Based ◽

Mental Health Facilities ◽

Perceived Impacts ◽

Community Facilities

Nonuser responses to community facilities are recognised as among the most important factors determining the success or failure of community-based systems of service delivery. A causal model of individual attitudes to community mental health care is defined and tested with survey data collected in Toronto, Ontario. The results from a path analysis show the strong antecedent influence of attitudes toward facility users and of perceived impacts of facilities on facility desirability. The importance of personal nonattitudinal characteristics on reactions to facilities is also revealed. The implications of familiarity with mental illness and of attitudes toward the mentally ill for the acceptance of community mental health facilities are considered.

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Mortality of sick children after outpatient treatment at first-level health facilities in rural western Kenya

Tropical Medicine & International Health ◽

10.1111/j.1365-3156.2007.01898.x ◽

2007 ◽

Vol 12 (10) ◽

pp. 1258-1268 ◽

Cited By ~ 6

Author(s):

Kim A. Lindblade ◽

Mary J. Hamel ◽

Daniel R. Feikin ◽

Frank Odhiambo ◽

Kubaje Adazu ◽

...

Keyword(s):

Outpatient Treatment ◽

Health Facilities ◽

Western Kenya ◽

Sick Children

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Effect of Geographical Access to Health Facilities on Child Mortality in Rural Ethiopia: A Community Based Cross Sectional Study

PLoS ONE ◽

10.1371/journal.pone.0033564 ◽

2012 ◽

Vol 7 (3) ◽

pp. e33564 ◽

Cited By ~ 60

Author(s):

Yemisrach B. Okwaraji ◽

Simon Cousens ◽

Yemane Berhane ◽

Kim Mulholland ◽

Karen Edmond

Keyword(s):

Child Mortality ◽

Cross Sectional Study ◽

Health Facilities ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Rural Ethiopia ◽

Geographical Access ◽

Access To Health

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Book Review: Community-Based Mental Health Facilities

British Journal of Occupational Therapy ◽

10.1177/030802269906201210 ◽

1999 ◽

Vol 62 (12) ◽

pp. 566-566

Author(s):

Sue Dunn

Keyword(s):

Mental Health ◽

Health Facilities ◽

Community Based ◽

Mental Health Facilities

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Community based integrated vector management for malaria control: lessons from three years’ experience (2016–2018) in Botor-Tolay district, southwestern Ethiopia

BMC Public Health ◽

10.1186/s12889-019-7606-3 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 2

Author(s):

Abebe Asale ◽

Dereje Kussa ◽

Melaku Girma ◽

Charles Mbogo ◽

Clifford Maina Mutero

Keyword(s):

Malaria Control ◽

Community Education ◽

Health Facilities ◽

Adult Mosquito ◽

Integrated Vector Management ◽

Community Based ◽

Trap Night ◽

Southwestern Ethiopia ◽

Vector Management ◽

The Impact

Abstract Background Integrated vector management (IVM) remains a key strategy in the fight against vector-borne diseases including malaria. However, impacts of the strategy should be regularly monitored based on feedback obtained through research. The objective of this study was to assess the impact of IVM for malaria control in Botor-Tolay district, southwestern Ethiopia after three years (2016–2018) of IVM implementation. Method Prior to the implementation of IVM, a survey of socio-demographic, malaria burden, and communities’ perception towards malaria control was conducted in 200 households selected at random from 12 villages using standard questionnaire. Households were revisited after three years of project implementation for impact assessment. Compiled malaria case data was obtained from district health bureau for the three years period of the study while adult mosquito collection was conducted during each year using CDC light traps. Monthly larval mosquito collections were made each year using standard dipping method. Community education and mobilization (CEM) was made through different community-based structures. Results The proportion of respondents who sought treatment in health facilities showed a significant increase from 76% in 2015 to 90% in 2018(P < 0.001). An average of 6.3 working and 2.3 school days were lost per year in a household due to parents and children falling sick with malaria. Malaria costs in a household in Botor-Tolay averaged 13.3 and 4.5 USD per episode for medical treatment and transportation respectively. Significantly fewer adult mosquitoes were collected in 2018 (0.37/house/trap-night) as compared to 2015 (0.73/house/trap-night) (P < .001). Malaria cases significantly declined in 2018 (262) when compared to the record in 2015 (1162) (P < 0.001). Despite improved human behavioral changes towards mosquito and malaria control, there were many setbacks too. These include reluctance to seek treatment in a timely manner, low user compliance of LLINs and low net repairing habit. Conclusion The coordinated implementation of community-based education, environmental management, larviciding together with main core vector control interventions in Botor-Tolay district in Southwestern Ethiopia have contributed to significant decline in malaria cases reported from health facilities. However, commitment to seeking treatment by people with clinical symptoms of malaria and to repair of damaged mosquito nets remained low.

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Determinants of person-centered maternity care at the selected health facilities of Dessie town, Northeastern, Ethiopia: community-based cross-sectional study

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03221-2 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Fentaw Teshome Dagnaw ◽

Sofonyas Abebaw Tiruneh ◽

Melkalem Mamuye Azanaw ◽

Aragaw Tesfaw Desale ◽

Melaku Tadege Engdaw

Keyword(s):

Health Care ◽

Linear Regression ◽

Maternity Care ◽

Cross Sectional Study ◽

Health Facilities ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Modifiable Factors ◽

Study Participants

Abstract Background Person-centered maternity care is providing care that is respectful and responsive to individual women’s preferences, needs, and values and ensuring that their values guide all clinical decisions during childbirth. Although person-centered health care is one of the factors that increase client satisfaction and increased health service utilization in Ethiopia, little is known about predictors of person-centered maternity care. Therefore, the aim of this study was to identify the determinant factors of person-centered maternity care among mothers who gave birth in selected health facilities in Dessie town, Northeastern, Ethiopia. Methods A community-based cross-sectional study was conducted with a total of 317 study participants at Dessie town selected by a simple random sampling technique. The data was coded and entered Epi-data version 4.4 and analyzed using SPSS version 23. Descriptive statistics was presented using tables and figures. Multivariable linear regression analysis was used to identify factors associated with Person-Centered Maternity Care. Two sides P-value < 0.05 was taken to declare statistically significant. Results Overall, 310 study participants participated with a response rate of 97.8%. In multivariable linear regression, rural residence (β = -4.12; 95% CI: -7.60, -0.67), family average monthly income ≤ 3000 birr (β = -6.20, 95% CI: -9.40, -3.04), night time delivery(β = -2.98, 95%CI: -5.90, -0.06), dead fetus outcome during delivery (β = -12.7; 95% CI: -21.80, -3.50), and 2–7 days health facility length of stay (β = -5.07, 95% CI: -9.20, -0.92) were significantly decreased Person Center Maternity Care score, whereas private health institution delivery (β = 14.13, 95% CI: 7.70, 20.60) is significantly increased Person centered maternity care score. Conclusions This study revealed that most of the factors that affect person-centered maternity care are modifiable factors. Therefore, Primary attention should be given to improve the quality of care through effective communication between clients and providers at each level of the health care delivery system to increase the uptake of high-quality facility-based births.

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