scholarly journals Umbilical cord care through community-based distribution of chlorhexidine in rural Sindh, Pakistan

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Shah ◽  
Q Jamali ◽  
F Aisha
Keyword(s):  
Rural Communities ◽  
Data Collection ◽  
Umbilical Cord ◽  
Rural Areas ◽  
Health Workers ◽  
High Rate ◽  
Cord Care ◽  
Community Based ◽  
Sindh Province ◽  
At Home

Abstract Background Unsafe practices such as cutting umbilical cord with unsterilized instruments and application of harmful substances, are in practice in many rural areas of Pakistan, and associated with high risk of neonatal sepsis and mortality. Methods We conducted an implementation research in 2015 in Tharparkar district, in Sindh province of Pakistan to understand the feasibility and acceptability of community-based distribution of chlorhexidine (CHX) in rural Pakistan. For this cohort group-only study, 225 lady health workers (LHWs) enrolled 495 pregnant women. Enrolled women received 4% CHX gel and user’s instructions for newborn cord care. The LHWs also counseled women on the benefits and correct use of CHX. Study enumerators collected data from CHX receiving women 3 times: at around 2 weeks before delivery, within 24 hours after delivery, and on the 8th day after delivery. We implemented this study jointly in collaboration with Ministry of Health in Sindh province, Pakistan. Results Among enrolled participants, 399 women (81%) received only the first visit, 295 women (60%) received first two visits and 261 women (53%) received all three visits by enumerators. Among 399 women, who received CHX gel, counseling on its use and were respondent to the first round data collection, 78% remembered that the CHX gel to be applied to cord stump and surrounding areas immediately after birth; but less than a third (29%) forgot the need to keep the cord clean and dry. Among 295 respondents in the first two rounds of data collection, who delivered at home, 97% applied CHX to cord stump on the first day. Conclusions Community-based CHX distribution by LHWs, along with counseling to recipient women, resulted in a high rate of cord care with CHX among newborn delivered at home. Results from this study may help program implementers to consider expanding this intervention for improving newborn cord care on the first day of life in Pakistan. Key messages Community-based distribution of chlorhexidine for newborn cord care appears as highly acceptable and feasible in rural communities in Pakistan. Relevant program policy supporting community-based CHX distribution along with counseling by LHW may help expanding coverage of newborn cord care in rural communities in Pakistan.

scholarly journals Testing a community-based distribution approach to reproductive health service delivery in Senegal (a study of community agents in Kébémer)

2004 ◽  
Keyword(s):  
Rural Communities ◽  
Reproductive Health ◽  
Service Delivery ◽  
Social Action ◽  
Rural Areas ◽  
Cost Effective ◽  
Health Service Delivery ◽  
Reproductive Health Services ◽  
Community Based ◽  
Integrated Cost

The Division of Reproductive Health (DSR) of the Senegal Ministry of Health and Social Action, in partnership with the Population Council’s FRONTIERS in Reproductive Health program and Management Sciences for Health (MSH), conducted a study to test and compare three ways of providing reproductive health services to rural communities in the Kébémer district of Senegal in terms of their effectiveness, cost, and cost-effectiveness. FRONTIERS and MSH collaborated with the DSR to design the interventions, MSH supported the DSR in implementing the interventions, and FRONTIERS undertook the evaluation. This study, funded by USAID, responded to the recommendations of a 1999 workshop, organized by FRONTIERS and the DSR, on the community-based distribution (CBD) approach, which defined alternative CBD models appropriate for Senegal. The DSR sees the development of community-based service delivery models as essential for the future of health care in Senegal. As noted in this report, the general objective of the study was to contribute to the development of an integrated cost-effective program to increase the accessibility and availability of reproductive health information and services in rural areas of Senegal.

scholarly journals HUBUNGAN PERSEPSI IBU BALITA TENTANG POSYANDU DENGAN PEMANFAATAN POSYANDU MAWAR 2 RW 06 KEBAGUSAN JAKARTA SELATAN TAHUN 2015

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Alifa Dinda Septifani ◽  
Apriningsih Apriningsih
Keyword(s):  
Data Collection ◽  
Study Design ◽  
Significant Relationship ◽  
Health Workers ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Chi Square ◽  
Cross Sectional

Posyandu was one manifestation of Health Efforts on Community Based (UKBM). Based on data Posyandu Mawar 2 in February 2015 there were a decreased number of mothers’s visit from 81.25% to 62.5%, so the researchers wanted to know about association of the mother’s perception with the utilization of The Posyandu. This research used cross sectional study design using total sampling (80 mothers). Data collection was done by direct interviews based on the questionnaire and analyzed using Chi Square. The result there’s a significant association between mother’ss perception of the distance to the utilization of Posyandu RW 06 Posyandu Mawar 2 Kebagusan South Jakarta and there’s no significant relationship between education, employment and the knowledge and mothers’perceptions about the completeness of facilities, the attitude of cadres and the presence of health workers. Suggestions for Posyandu is to increase  of  mother’confident to visit Posyandu

scholarly journals Community-Based Stunting Intervention Strategies: Literature Review

2020 ◽  
Vol 8 (2) ◽  
pp. 259
Author(s):  
Lita Heni Kusumawardani ◽  
Rasdiyanah Rasdiyanah ◽  
Utami Rachmawati ◽  
Muhamad Jauhar ◽  
I Gusti Ayu Putu Desy Rohana
Keyword(s):  
Literature Review ◽  
Rural Areas ◽  
Health Workers ◽  
Management Strategies ◽  
Intervention Strategies ◽  
Personal Hygiene ◽  
Community Based ◽  
Normal Children ◽  
Nutritional Interventions ◽  
Attitudes And Practices

Stunting is a growth disorder in children caused by malnutrition for a long time. The child's condition becomes shorter than normal children his age and has a delay in thinking. The incidence of stunting in Indonesia is quite high sostunting is becoming a priority health problem now. An effective strategy is needed to control stunting in Indonesia. The aim of this review was to explore the stunting management strategies to potentially implement in Indonesia.A literature review design was used to explore the stunting management strategies. Literature study of 15 articles retrieved from the journal database of Science Direct, Proquest, Scopus, and EBSCO in the last 5 years using keywords stunting, management, rural areas, and community based. Data were analyzed in tables consist of title, author, year, sample, methodology, and result. Control and preventionstunting could done through integrated nutrition interventions.Strategy Specific nutritional interventions such as providing supplementation and supplementary food plus nutritional interventions including non-health interventions, improving the family's economy, access and utilization of clean water, sanitation (especially latrines and safe septic tanks), which are urgently needed to support personal hygiene behavior and the environment . Interventions can use mother's counseling and support methods regularly by health workers by involving health cadres.Specific and sensitive intervention strategies are effective strategies within stunting control and prevention. Monitoring and evaluation of nutritional knowledge, attitudes and practices coupled with an assessment of the nutritional status and morbidity of mothers and children is also very necessary in controlling and preventing stunting in Indonesia

scholarly journals Nurses attitude and perceived factors that influence working in rural communities in Delta State, South-South Nigeria

2017 ◽  
Vol 5 (2) ◽  
pp. 12
Author(s):  
Ehiemere IO ◽  
Onorikpori T ◽  
Nwaneri A ◽  
Ndie EC ◽  
Emeh A
Keyword(s):  
Rural Communities ◽  
Data Collection ◽  
Nursing Staff ◽  
Rural Areas ◽  
Positive Attitude ◽  
Descriptive Statistics ◽  
Cross Sectional ◽  
Test Analysis ◽  
Community Health Nurses ◽  
Nurses Attitude

The study was aimed at determining nurses’ attitude to and perceived factors that influence posting and working in rural communities in Delta State, Nigeria. Descriptive cross-sectional research design was used for the study. A total of 129 nurses covering the entire nursing staff working in these communities were studied. The instrument for data collection was questionnaire. The data obtained were subjected to simple descriptive statistics and t-test analysis. The results interestingly showed that nurses have positive attitude towards the acceptance of rural postings. This positive attitude not withstanding it was concluded that community Health nurses should be posted to rural areas since they are better prepared by training to work in rural communities.

scholarly journals Barriers to Meaningful Involvement in AIDS Service Organizations in Three Canadian Maritime Provinces

2015 ◽  
Vol 2 (2) ◽  
pp. 81
Author(s):  
Steven Michael Ross ◽  
Lynne Duffy ◽  
Leslie Jeffrey ◽  
Donna Bulman ◽  
Marni Amirault
Keyword(s):  
Rural Communities ◽  
Risk Behaviors ◽  
Rural Areas ◽  
Negative Influence ◽  
Small Sample ◽  
Service Organizations ◽  
Maritime Provinces ◽  
Community Based ◽  
Community Based Research ◽  
Meaningful Involvement

<p>A three-year, community-based descriptive study examined how meaningful involvement in AIDS Service Organizations (ASOs) is conceptualized and experienced in three Canadian Maritime provinces that are considered rural areas. This paper focuses on one aspect of the research, namely the barriers to meaningful involvement in ASOs. Thirty-five participants were interviewed who self-identified as current or past clients of an ASO and were living with, or engaging in, at-risk behaviors for HIV/AIDS. Photovoice, a qualitative Community-Based Research (CBR) strategy, was also used with a small sample because marginalized populations that are traditionally difficult to recruit for interviews have embraced this method due to its oral-based and interactive design. The contribution to the field of knowledge about barriers to meaningful involvement is organized around three main themes: (1) stigma, a major negative influence, is particularly powerful due to the nature of social structures in rural communities; (2) readiness for meaningful involvement, where poor health status or the desire to lead a normal life can significantly impact an individual’s involvement, and (3) characteristics of the ASO environment that are critical in determining the degree, if any, of meaningful involvement.<strong></strong></p>

scholarly journals Symbolic Convergence and Community Based Tourism

2020 ◽  
Vol 7 (8) ◽  
pp. 575
Author(s):  
Bernadette Dian Nugraheni ◽  
Ismi Dwi Astuti Nurhaeni ◽  
Andre Noevi Rahmanto
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Information Exchange ◽  
Single Case ◽  
Convergence Theory ◽  
Community Based ◽  
Symbolic Convergence ◽  
Study Approach ◽  
Village Communities ◽  
Marketing Information

Based on Statistics Indonesia (BPS) data in 2018, Indonesian tourism villages have reached 1,734. It indicates that rural communities are significantly involved in the development, especially in the tourism sector. Tourism development based on the community is known as community-based tourism (CBT). During this tourism 4.0 era, CBT is required to use Information, Communication, and Technology (ICT). Previous research suggests that e-CBT is the precise form of involving CBT in the digitalization of the promotion, marketing, information exchange, and management aspects. There is a fantasy illustrating that e-CBT is a form of sustainability in confronting tourism 4.0. The focus of this research is CBT in rural areas or village communities that synergize tourism village management using ICT. The research method used is qualitative with a single case study approach. The theory used is the symbolic convergence theory to explain the dramatizing messages that occur in e-CBT. The results show that e-CBT used imaginative language in the form of wordplays so as to bring awareness to maintain local wisdom. Moreover, it was found that the role of social media started to be considered by the village community besides as a means of information exchange.

scholarly journals Bringing Community Back to Community Health Worker Studies: Community interactions, data collection, and health information flows

2017 ◽  
Vol 13 (3) ◽  
Author(s):  
Eric Ryan Obeysekare ◽  
Khanjan Mehta ◽  
Carleen Maitland
Keyword(s):  
Data Collection ◽  
Community Health ◽  
Health Information ◽  
Health Workers ◽  
Participant Observation ◽  
Health Resources ◽  
Community Members ◽  
Community Interactions ◽  
Community Based ◽  
Potential Health

Community Health Workers (CHWs) have the potential to be a great resource in the further growth of the fledging healthcare systems that exist in many developing countries. Through their position as community members, CHWs can interact with other individuals in the areas where they live and work and serve as valuable health resources by providing basic health information and referrals up the healthcare chain. However, few studies have examined CHWs from a community-based perspective. This study analyzes the work and relationships of several CHWs working for the Mashavu mHealth venture in Nyeri, Kenya. Through the use of participant observation and interviews, the workflows of these CHWs were investigated with a specific eye towards interactions between CHWs and their communities and how these interactions affect potential health data collection opportunities. This community-based perspective reveals unique insights into the workflows of the CHWs and how technology might be designed to support them.

scholarly journals Parents’ Attitude about Hepatitis B Disease and Practice of Hepatitis B Vaccination among Children in Ho Chi Minh City, Vietnam

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Huynh Giao ◽  
Bui Quang Vinh ◽  
Nguyen Huynh Tam Lang ◽  
Pham Le An
Keyword(s):  
Hepatitis B ◽  
Rural Areas ◽  
Health Workers ◽  
High Rate ◽  
Ho Chi Minh City ◽  
Hepatitis B Vaccination ◽  
Information Strategies ◽  
Birth Dose ◽  
Expanded Program On Immunization ◽  
Urban People

Introduction. The Expanded Program on Immunization (EPI) in Vietnam for hepatitis B (HepB) among infants has been implemented since 2003. The rates of the birth dose (babies receiving HepB immunization injection within 24 hours after birth) and the later three-dose series were low in 2013-2014. Objective. This article evaluated attitudes about the hepatitis B disease and vaccine in relation to the correct practice of vaccination among mothers of 12–24-month-old children in Ho Chi Minh City. Material and Methods. The parents of 768 children aged 12 to 24 months, in Ho Chi Minh City, were interviewed and reviewed their vaccination cards from February 2016 to July 2017. Results. A total of 768 children had parents of a mean age of 30.8 years, approximately 34% of the children with a mean age of 16.8 months completed all four doses of the hepatitis B vaccine in a timely manner according to the EPI, and only 45.2% of children received the birth dose on schedule within 24 hours. The mother’s fears of HepB risk in the community, living in rural areas, and receiving vaccination information from health workers increased the odds of complete and timely HepB vaccination (all p<0.05). Conclusions. A high rate of children did not receive a complete and timely HepB vaccination in the EPI. Health information strategies should be designed to target urban people and focus on safety of the vaccine, by health workers, to increase the correct practices of hepatitis B vaccination, including the birth dose, and provide education programs that emphasize the high risk for getting hepatitis B.

Integrating the Informal Sector for Improved Waste Management in Rural Communities

2019 ◽  
pp. 208-224
Author(s):  
Veronika Alhanaqtah
Keyword(s):  
Rural Communities ◽  
Waste Management ◽  
Informal Sector ◽  
Rural Areas ◽  
Poverty Reduction ◽  
Organizational Structures ◽  
Policy Recommendations ◽  
Community Members ◽  
Community Based

The chapter dwells on the theoretical and practical aspects of the informal sector involvement in the system of waste management in rural communities. First, the author discusses peculiar properties of the informal sector involvement such as social, economic, and environmental peculiarities. Second, organizing the informal sector in rural areas is considered. Such issues as the role of community members, organizational structures of community-based organizations, problems of community-based waste management, and directions of its solutions are covered. Third, the author provides summary of experience and policy recommendations for the integration of the informal sector in the waste management system in rural areas. The author concludes that policies facilitating the integration of the informal sector result in increasing recyclable recovery rates and reduction of total waste-management costs. Partnership with the informal recycling sector improves resource efficiency in rural areas and contributes to poverty reduction and environmental improvements.

Community-based prevention of child trafficking in Southern Ethiopia

2018 ◽  
Vol 63 (2) ◽  
pp. 133-146
Author(s):  
Asayeberhan Kastro ◽  
Karen Dullea
Keyword(s):  
Economic Development ◽  
Rural Communities ◽  
Focus Groups ◽  
Rural Areas ◽  
Addis Ababa ◽  
Skills Training ◽  
Southern Ethiopia ◽  
Community Based ◽  
Child Trafficking

The focus of this article is on children trafficked or migrating alone from rural areas of the Wolaita zone of the Southern Nations, Nationalities, and Peoples’ Region to the urban centres of Jimma or Addis Ababa in Ethiopia. The article, based on information from interviews and focus groups, develops awareness of this issue as it is locally conceptualised and prevented. Recommendations include coordinated efforts between government, non-government and community-based organisations (CBOs) to protect children, and economic development/skills training in rural communities.

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