Community Based and Community Focused: Nursing Education in Community Health

2000 ◽  
Vol 17 (3) ◽  
pp. 155-159 ◽  
Author(s):  
Cheryl Feenstra
Keyword(s):  
Nursing Education ◽  
Community Health ◽  
Community Based

scholarly journals The failure of community-based health insurance schemes in Tanzania: opening the black box of the implementation process

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ramadhani Kigume ◽  
Stephen Maluka
Keyword(s):  
Health Insurance ◽  
Community Health ◽  
Rural Areas ◽  
Health Coverage ◽  
Access To Health Services ◽  
Community Based ◽  
Community Based Health Insurance ◽  
Urban Districts ◽  
Health Fund ◽  
The Government

Abstract Background Globally, there is increased advocacy for community-based health insurance (CBHI) schemes. Like other low and middle-income countries (LMICs), Tanzania officially established the Community Health Fund (CHF) in 2001 for rural areas; and Tiba Kwa Kadi (TIKA) for urban population since 2009. This study investigated the implementation of TIKA scheme in urban districts of Tanzania. Methods A descriptive qualitative case study was conducted in four urban districts in Tanzania in 2019. Data were collected using semi-structured interviews, focus group discussions and review of documents. A thematic approach was used to analyse the data. Results While TIKA scheme was important in increasing access to health services for the poor and other disadvantaged groups, it faced many challenges which hindered its performance. The challenges included frequent stock-out of drugs and medical supplies, which frustrated TIKA members and hence contributed to non-renewal of membership. In addition, the scheme was affected by poor collections and management of the revenue collected from TIKA members, limited benefit packages and low awareness of the community. Conclusions Similar to rural-based Community Health Fund, the TIKA scheme faced structural and operational challenges which subsequently resulted into low uptake of the schemes. In order to achieve universal health coverage, the government should consider integrating or merging Community-Based Health Insurance schemes into a single national pool with decentralised arms to win national support while also maintaining local accountability.

A Community-Based Participatory Diabetes Prevention and Management Intervention in Rural India Using Community Health Workers

2012 ◽  
Vol 38 (6) ◽  
pp. 822-834 ◽  
Author(s):  
Padmini Balagopal ◽  
N. Kamalamma ◽  
Thakor G. Patel ◽  
Ranjita Misra ◽  
Ranjita Misra ◽  
...  
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Diabetes Prevention ◽  
Health Workers ◽  
Rural India ◽  
Community Based ◽  
Management Intervention

Innovations in Community-Based Nursing Education: Transitioning Faculty

2005 ◽  
Vol 21 (3) ◽  
pp. 167-174 ◽  
Author(s):  
Kimberly Ferren Carter ◽  
Maggie Fournier ◽  
Susan Grover ◽  
Ermalynn M. Kiehl ◽  
Kathleen M. Sims
Keyword(s):  
Nursing Education ◽  
Community Based

Modeling the Principles of Community-Based Participatory Research in a Community Health Assessment Conducted by a Health Foundation

2009 ◽  
Vol 10 (1) ◽  
pp. 67-75 ◽  
Author(s):  
Karen Jaynes Williams ◽  
Patricia Gail Bray ◽  
Carrie K. Shapiro-Mendoza ◽  
Ilana Reisz ◽  
Jane Peranteau
Keyword(s):  
Community Health ◽  
Participatory Research ◽  
Health Assessment ◽  
Community Based Participatory Research ◽  
Local Area ◽  
Lessons Learned ◽  
Assessment Model ◽  
Community Based ◽  
Community Health Assessment ◽  
Practical Applications

The authors discuss strategies used and lessons learned by a health foundation during development of a community health assessment model incorporating community-based participatory research (CBPR) approaches. The assessment model comprises three models incorporating increasing amounts of CPBR principles. Model A combines local-area analysis of quantitative data, qualitative information (key informants, focus groups), and asset mapping. Model B, a community-based participatory model, emphasizes participatory rural appraisal approaches and quantitative assessment using rapid epidemiological assessment. Model C, a modified version of Model B, is financially more sustainable for our needs than Model B. The authors (a) describe origins of these models and illustrate practical applications and (b) explore the lessons learned in their transition from a traditional, nonparticipatory, quantitative approach to participatory approaches to community-health assessment. It is hoped that this article will contribute to the growing body of knowledge of practical aspects of incorporating CBPR approaches into community health assessments.

scholarly journals Challenges to the utilization of Community-based Health Planning and Services: the views of stakeholders in Yendi Municipality, Ghana

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Bougangue Bassoumah ◽  
Andani Mohammed Adam ◽  
Martin Nyaaba Adokiya
Keyword(s):  
Health Care ◽  
Community Engagement ◽  
Community Health ◽  
National Health ◽  
Postnatal Care ◽  
Road Network ◽  
Health Planning ◽  
Cultural Beliefs ◽  
Community Based ◽  
Antenatal And Postnatal Care

Abstract Background The Community-based Health Planning and Services (CHPS) is a national health reform programme that provides healthcare at the doorsteps of rural community members, particularly, women and children. It seeks to reduce health inequalities and promote equity of health outcomes. The study explored implementation and utilization challenges of the CHPS programme in the Northern Region of Ghana. Methods This was an observational study that employed qualitative methods to interview key informants covering relevant stakeholders. The study was guided by the systems theory. In all, 30 in-depth interviews were conducted involving 8 community health officers, 8 community volunteers, and 14 women receiving postnatal care in four (4) CHPS zones in the Yendi Municipality. The data were thematically analysed using Atlas.ti.v.7 software and manual coding system. Results The participants reported poor clinical attendance including delays in seeking health care, low antenatal and postnatal care visits. The barriers of the CHPS utilization include lack of transportation, poor road network, cultural beliefs (e.g. taboos of certain foods), proof of women’s faithfulness to their husbands and absence of health workers. Other challenges were poor communication networks during emergencies, and inaccessibility of ambulance service. In seeking health care, insured members of the national health insurance scheme (NHIS) still pay for services that are covered by the NHIS. We found that the CHPS compounds lack the capacity to sterilize some of their equipment, lack of incentives for Community Health Officers and Community Health Volunteers and inadequate infrastructures such as potable water and electricity. The study also observed poor coordination of interventions, inadequate equipment and poor community engagement as setbacks to the progress of the CHPS policy. Conclusions Clinical attendance, timing and number of antenatal and postnatal care visits, remain major concerns for the CHPS programme in the study setting. The CHPS barriers include transportation, poor road network, cost of referrals, cultural beliefs, inadequate equipment, lack of incentives and poor community engagement. There is an urgent need to address these challenges to improve the utilization of CHPS compounds and to contribute to achieving the sustainable development goals.

scholarly journals The status of Ghanaian community health workers’ supervision and service delivery: descriptive analyses from the 2017 Performance Monitoring and Accountability 2020 survey

2019 ◽  
Vol 3 ◽  
pp. 1468
Author(s):  
Dan Schwarz ◽  
June-Ho Kim ◽  
Hannah Ratcliffe ◽  
Griffith Bell ◽  
John Koku Awoonor-Williams ◽  
...  
Keyword(s):  
Service Delivery ◽  
Community Health ◽  
Service Provision ◽  
Performance Monitoring ◽  
Communicable Disease ◽  
Community Based ◽  
Disease Treatment ◽  
Facility Type ◽  
Community Based Services ◽  
Non Communicable Disease

Introduction: Community-based services are a critical component of high-quality primary healthcare. Ghana formally launched the National Community Health Worker (CHW) program in 2014, to augment the pre-existing Community-based Health Planning and Services (CHPS). To date, however, there is scant data about the program’s implementation. We describe the current supervision and service delivery status of CHWs throughout the country. Methods: Data were collected regarding CHW supervision and service delivery during the 2017 round of the Performance Monitoring and Accountability 2020 survey. Descriptive analyses were performed by facility type, supervisor type, service delivery type, and regional distribution. Results: Over 80% of CHWs had at least monthly supervision interactions, but there was variability in the frequency of interactions. Frequency of supervision interactions did not vary by facility or supervisor type. The types of services delivered by CHWs varied greatly by facility type and region. Community mobilization, health education, and outreach for loss-to-follow-up were delivered by over three quarters of CHWs, while mental health counseling and postnatal care are provided by fewer than one third of CHWs. The Western region and Greater Accra had especially low rates of CHW service provision. Non-communicable disease treatment, which is not included in the national guidelines, was reportedly provided by some CHWs in nine out of ten regions. Conclusions: Overall, this study demonstrates variability in supervision frequency and CHW activities. A high proportion of CHWs already meet the expected frequency of supervision. Meanwhile, there are substantial differences by region of CHW service provision, which requires further research, particularly on novel CHW services such as non-communicable disease treatment. While there are important limitations to these data, these findings can be instructive for Ghanaian policymakers and implementers to target improvement initiatives for community-based services.

scholarly journals Effect of community-based education on undergraduate nursing students’ skills: a systematic review

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Arezoo Zeydani ◽  
Foroozan Atashzadeh-Shoorideh ◽  
Fatemeh Abdi ◽  
Meimanat Hosseini ◽  
Sima Zohari-Anboohi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Nursing Education ◽  
Nursing Students ◽  
Practical Method ◽  
Thinking Skills ◽  
Critical Thinking Skills ◽  
Community Based ◽  
Undergraduate Nursing Students ◽  
Community Based Education ◽  
Undergraduate Nursing

Abstract Background Community-based education, as an effective approach to strengthen nurses’ skills in response to society’s problems and needs has increased in nursing education programs. The aim of this study was to review the effect of community-based education on nursing students’ skills. Methods For this systematic review, ProQuest, EMBASE, Scopus, PubMed/ MEDLINE, Cochran Library, Web of Science, CINAHL and Google Scholar were searched up to February 2021. The methodological quality of the studies was assessed using the Mixed Methods Appraisal Tool (MMAT). Seventeen studies were included in this systematic review. Inclusion criteria included articles published in English and were original articles. Results In all studies, undergraduate nursing students’ skills were improved by participation in a community-based education program. Community-based education enhances professional skills, communication skills, self-confidence, knowledge and awareness, and critical thinking skills and teamwork skills in undergraduate nursing students. Conclusions Community-based education should be used as an effective and practical method of training capable nurses to meet the changing needs of society, to improve nurses ‘skills and empower them to address problems in society.

scholarly journals Using Community-Based Participatory Evaluation (CBPE) Methods as a Tool to Sustain a Community Health Coalition

2009 ◽  
Vol 1 (1) ◽  
pp. 146-157 ◽  
Author(s):  
Leslie Aldrich ◽  
Daniel Silva ◽  
Danelle Marable ◽  
Erica Sandman ◽  
Melissa Abraham
Keyword(s):  
Community Health ◽  
Participatory Evaluation ◽  
Community Based

scholarly journals PERILAKU IBU YANG MEMILIKI BALITA DALAM PEMANFAATAN POSYANDU DI KAMPUNG SRI GADING KECAMATAN LUBUK DALAM KABUPATEN SIAK TAHUN 2018

2019 ◽  
Vol 2 (2) ◽  
pp. 50-56
Author(s):  
Andalia Roza ◽  
Multi Safri Atun ◽  
Lora Marlita
Keyword(s):  
Health Behavior ◽  
Community Health ◽  
Random Sampling ◽  
Sampling Technique ◽  
General Knowledge ◽  
Knowledge Level ◽  
Community Based ◽  
Children Under Five ◽  
Research Instrument ◽  
Under Five

ABSTRACT, Posyandu is one form of UKBM (Community Based Health Effort) is best known by the community. Health behavior is a response of a person (organism) to stimuli or objects related to Knowledge (Knowlegde), Attitude (attitude), and action. The purpose of this study is to find out the description of the behavior of mothers who have a toddler in the utilization of posyandu dikampung srigading Kecamatan Lubuk Dalam Siak regency. The type of this research is descriptive by using random sampling technique. The research instrument used questionnaire. Respondents of this research mother who has a toddler in Kampung Sri Gading Kecamatan Lubuk In Siak regency as many as 60 respondents. This study was conducted on June 10 to June 28, 2018. The results of this study in general knowledge level in mothers who have a toddler in the category Good as many as 59 people (98.34%), Enough as much as 1 person (1.67%) and Less as much 0 people (0%). The results of this study in general about attitudes in mothers who have toddlers can be categorized Positive as many as 51 people (85%), Negative as many as 9 people (15%). The results of this study in general about the action on mothers with toddlers can be categorized Good as many as 53 people (88.34%), Not Good as many as 7 people (11.67%). Based on the results of general research on knowledge of mothers who have a toddler in pemgunan posyandu in good category, that is as much as 59 people (98,34). About the attitude of mother who has toddler in posyandu utilization in positive category, that is 51 people (85%). About the actions of mothers who have children under five in the use of posyandu in good category, that is as many as 53 people (88.34%). It is expected that mothers with toddlers to improve the posyandu activities again. Keywords                   : Behavior, Utilization of Posyandu ABSTRAK, Posyandu merupakan salah satu bentuk UKBM (Upaya Kesehatan Bersumberdaya Masyarakat) yang paling dikenal oleh masyarakat.Perilaku kesehatan adalah suatu respon seseorang (organisme) terhadap stimulus atau objek yang berkaitan dengan Pengetahuan (knowlegde), Sikap (attitude), dan tindakan (practice).Tujuan penelitian ini adalah untuk mengetahui gambaran perilaku ibu yang memiliki balita dalam pemanfaatan posyandu dikampung srigading Kecamatan Lubuk Dalam Kabupaten Siak. Jenis penelitian ini adalah deskriptif dengan menggunakan teknik penelitianRandom Sampling. Instrumen penelitian menggunakan kuesioner. Responden penelitian ini Ibu yang memiliki balita di Kampung Sri Gading Kecamatan Lubuk Dalam Kabupaten Siak sebanyak 60 responden. Penelitian ini dilakukan pada tanggal 10 Juni – 28 Juni 2018. Hasil penelitian ini secara umum tingkat pengetahuan pada ibu yang memiliki balita dalam kategori Baik sebanyak 59 orang (98,34%), Cukup sebanyak 1 orang (1,67%) dan Kurang sebanyak 0 orang (0%).Hasil penelitian ini secara umum tentang sikap  pada ibu yang memiliki balita dapat dikategorikan Positif sebanyak 51 orang (85%), Negatif sebanyak 9 orang (15%). Hasil penelitian ini secara umum tentang tindakan  pada ibu yang memiliki balita dapat dikategorikan Baik sebanyak 53 orang (88,34%), Tidak Baik sebanyak 7 orang (11,67%). Berdasarkan hasil penelitian secara umum tentang pengetahuan pada ibu yang memiliki balita dalam pemanfaatn posyandu dalam kategori baik, yaitu sebanyak 59 orang (98,34). Tentang sikap ibu yang memiliki balita dalam pemanfaatan posyandu dalam kategori positif, yaitu sebanyak 51 orang (85%). Tentang tindakan pada ibu yang memiliki balita dalam pemanfaatan posyandu dalam kategori baik, yaitu sebanyak 53 orang (88,34%).Diharapkan kepada ibu yang memiliki balita untuk meningkatkan lagi kegiatan posyandu.  

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