scholarly journals AWRAMBA COMMUNITY-BASED CARE FOR ELDERS LACKING FAMILY SUPPORT IN ETHIOPIA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S159-S159
Author(s):  
Margaret E Adamek ◽  
Setegn Ali
Keyword(s):  
Family Support ◽  
Older Persons ◽  
Northwest Ethiopia ◽  
Primary Data ◽  
Residential Home ◽  
Urban Migration ◽  
Full Time ◽  
Community Members ◽  
Community Based ◽  
Rural Ethiopia

Abstract In rural Ethiopia, land fragmentation, poverty, rural-urban migration, and the expansion of market forces are negatively impacting family support for older persons. This study explored an innovative community-based support system that uses its own wealth redistribution mechanism to support congregate residential care for older persons. The Awramba Community in northwest Ethiopia has different social norms and values that make it unique from surrounding communities. To explore this new approach to meeting the needs of rural elders, primary data were obtained from in-depth interviews with 8 elders who reside in the older adult center, 3 focus group discussions, and personal observations. In addition, key informant interviews were conducted with a full-time caregiver, two community leaders, and members of the Older Persons’ Support Committee. Interviews explored the types of services provided to older persons, the interactions of older residents within the community, and the benefits of congregate living. Community members (N=403) must agree to 4 guiding principles relating to gender equality, respecting the rights of children, discouraging dishonesty, lying and stealing, and helping the less fortunate, ill and older persons. The Older Person’s Support Committee is responsible for coordinating the provision of care for the older persons who live in the congregate center. Residing in a common residential home benefited the elders in multiple ways, including opportunities for socialization with peers and access to a full-time caregiver. As traditional family support wanes and the population of elders increases in developing nations, such alternative support strategies are critically needed.

scholarly journals How do community health actors explain their roles? Exploring the roles of community health actors in promoting maternal health services in rural Ethiopia

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Abebe Mamo ◽  
Sudhakar Morankar ◽  
Shifera Asfaw ◽  
Nicole Bergen ◽  
Manisha A. Kulkarni ◽  
...  
Keyword(s):  
Child Health ◽  
Health System ◽  
Community Health ◽  
Rural Areas ◽  
Maternal Child Health ◽  
Community Members ◽  
Health Extension Workers ◽  
Community Based ◽  
Rural Ethiopia ◽  
Rural Settings

Abstract Background Maternal and child morbidity and mortality remains one of the most important public health challenges in developing countries. In rural settings, the promotion of household and community health practices through health extension workers in collaboration with other community members is among the key strategies to improve maternal and child health. Little has been studied on the actual roles and contributions of various individuals and groups to date, especially in the rural areas of Ethiopia. In this study, we explored the role played by different actors in promoting ANC, childbirth and early PNC services, and mainly designed to inform a community based Information, Education & Communication intervention in rural Ethiopia. Methods An exploratory qualitative study was conducted on 24 in-depth interviews with health extension workers, religious leaders, women developmental army leaders, and selected community members; and 12 focus group discussions, six with female and six with male community members. Data was captured using voice recorders and field notes and transcribed verbatim in English, and analyzed using Atlas.ti software. Ethical approval for the fieldwork was obtained from Jimma University and the University of Ottawa. Results Participants described different roles and responsibilities that individuals and groups have in promoting maternal/child health, as well as the perceived roles of family members/husband. Commonly identified roles included promotion of health care services; provision of continuous support during pregnancy, labour and postnatal care; and serving as a link between the community and the health system. Participants also felt unable to fully engage in their identified roles, describing several challenges existing within both the health system and the community. Conclusions Involvement of different actors based on their areas of focus could contribute to community members receiving health information from people they trust more, which in turn is likely to increase use of services. Therefore, if our IEC interventions focus on overcoming challenges that limit actors’ abilities to engage effectively in promoting use of MCH services, it will be feasible and effective in rural settings, and these actors can become an epicenter in providing community based intervention in using ANC, childbirth and early PNC services.

scholarly journals Local Tourism Initiative in an Eastern Himalayan Village: Sustainable Ecotourism or Small-scale Nature Exploitation?

2015 ◽  
Vol 27 (27) ◽  
pp. 33-49 ◽  
Author(s):  
Debajit Datta ◽  
Suranjana Banerji
Keyword(s):  
Environmental Conservation ◽  
Primary Data ◽  
Small Scale ◽  
Community Members ◽  
Community Based ◽  
Scenic Beauty ◽  
Mass Tourism ◽  
Physical Infrastructure ◽  
Local Residents

Abstract Many famous tourism destinations of the eastern Himalayas have become severely polluted and environmentally vulnerable due to decades of unsustainable mass tourism practices. The recent popularization of the so called 'ecotourism destinations' as alternatives to these degraded sites have raised considerable debate among academia, planners and decision makers regarding community based development and environmental conservation. In this study, the newly initiated tourism ventures of a mountainous village named Silerigaon located in this region were evaluated as a case study through participatory appraisals among tourists and local residents to comprehend whether these ventures could truly be termed as ecotourism initiatives. Results derived from the analyses of the primary data collected through these appraisals showed that although the area possessed pristine natural environment and excellent scenic beauty, lack of proper civic amenities and physical infrastructure was hindering the development of sustainable tourism. Here, tourism activities had notably contributed to the increase in annual savings of community members but these financial gains had not equally transcended to all spheres of sustainable community based development. Till now, the activities have lacked the systematic long-term planning required for sustainable ecotourism and nature conservation. Accordingly, these could not be designated as ecotourism activities in their present orientation and capacity. In this regard, several necessary corrective measures to transform these activities into proper ecotourism ones have been suggested.

PENGARUH TRANSPARANSI PENGELOLAAN KEUANGAN DANA DESA DAN PEMBERDAYAAN MASYARAKAT TERHADAP KESEJAHTERAAN MASYARAKAT DESA SIDOHARJO

2020 ◽  
Vol 28 (1) ◽  
pp. 35-50
Author(s):  
Dewi Kusuma Wardani ◽  
Ratih Ranika Putri Utami
Keyword(s):  
Financial Management ◽  
Linear Regression Analysis ◽  
Sampling Technique ◽  
Multiple Linear Regression Analysis ◽  
Community Empowerment ◽  
Primary Data ◽  
Community Members ◽  
The People ◽  
Quantitative Descriptive ◽  
Positive Effect

This study aims to determine the effect of transparency in financial management of village funds and community empowerment on community welfare in Sidoharjo Village, Tepus District, Gunungkidul Regency. This research method uses quantitative descriptive methods and primary data using questionnaires. This study took a sample of residents who were divided into 11 hamlets in Sidoharjo Village, Tepus District, Gunung kidul Regency. The sampling technique is stratified random sampling. Data collection is done by distributing questionnaires directly to people’s homes, attending social gatherings and routine meetings held by community members. It aims to obtain more data from respondents directly. The number of questionnaires processed was 120 questionnaires. Data were analyzed using multiple linear regression analysis. The results of this study indicate that community empowerment has a positive effect on the welfare of the people of Sidoharjo Village, Tepus District, Gunungkidul Regency, while transparency in financial management of village funds does not affect the welfare of the community in Sidoharjo Village, Tepus District, Gunungkidul Regency.

Community-Based Interventions to Reduce Child Maltreatment

2021 ◽  
pp. 104973152098696
Author(s):  
Camilla Kin-Ming Lo ◽  
Yuet Wing Cho
Keyword(s):  
Child Maltreatment ◽  
Hybrid Approach ◽  
Inclusion Criteria ◽  
Community Members ◽  
Protective Services ◽  
Community Based Interventions ◽  
Community Based ◽  
Community Institutions ◽  
Core Components ◽  
Further Development

Purpose: This review seeks to summarize selected literature on existing findings on the impacts of community-based interventions on the actual reduction of child maltreatment and to identify the core components of the interventions. Methods: This study systematically searched electronic databases, including PsycInfo, Medline, and Web of Science. The findings of the selected studies were summarized using narrative synthesis. Results: A total of four studies met the inclusion criteria of this study. The studies showed declines in child maltreatment incidences reported by child protective services and hospitals during the study periods. Four major components and approaches were identified among the selected interventions, including (1) the involvement of community members, (2) partnerships with community institutions, (3) multidisciplinary collaboration, and (4) responsiveness to the needs of the communities involved. Conclusions: The results of this review support the need for further development of community-based interventions using a hybrid approach.

Measuring the Efficacy of a Pilot Public Health Intervention for Engaging Communities of Puerto Rico to Rapidly Write Hurricane Protection Plans

2020 ◽  
pp. 1-10
Author(s):  
Mark E. Keim ◽  
Laura A. Runnels ◽  
Alexander P. Lovallo ◽  
Margarita Pagan Medina ◽  
Eduardo Roman Rosa ◽  
...  
Keyword(s):  
Public Health ◽  
Puerto Rico ◽  
User Satisfaction ◽  
National Guard ◽  
Rapid Development ◽  
Public Health Intervention ◽  
Health Intervention ◽  
Project Work ◽  
Community Members ◽  
Community Based

Abstract Objective: The efficacy is measured for a public health intervention related to community-based planning for population protection measures (PPMs; ie, shelter-in-place and evacuation). Design: This is a mixed (qualitative and quantitative) prospective study of intervention efficacy, measured in terms of usability related to effectiveness, efficiency, satisfaction, and degree of community engagement. Setting: Two municipalities in the Commonwealth of Puerto Rico are included. Participants: Community members consisting of individuals; traditional leaders; federal, territorial, and municipal emergency managers; municipal mayors; National Guard; territorial departments of education, health, housing, public works, and transportation; health care; police; Emergency Medical Services; faith-based organizations; nongovernmental organizations (NGOs); and the private sector. Intervention: The intervention included four community convenings: one for risk communication; two for plan-writing; and one tabletop exercise (TTX). This study analyzed data collected from the project work plan; participant rosters; participant surveys; workshop outputs; and focus group interviews. Main Outcome Measures: Efficacy was measured in terms of ISO 9241-11, an international standard for usability that includes effectiveness, efficiency, user satisfaction, and “freedom from risk” among users. Degree of engagement was considered an indicator of “freedom from risk,” measurable through workshop attendance. Results: Two separate communities drafted and exercised ~60-page-long population protection plans, each within 14.5 hours. Plan-writing workshops completed 100% of plan objectives and activities. Efficiency rates were nearly the same in both communities. Interviews and surveys indicated high degrees of community satisfaction. Engagement was consistent among community members and variable among governmental officials. Conclusions: Frontline communities have successfully demonstrated the ability to understand the environmental health hazards in their own community; rapidly write consensus-based plans for PPMs; participate in an objective-based TTX; and perform these activities in a bi-lingual setting. This intervention appears to be efficacious for public use in the rapid development of community-based PPMs.

Are Communities Willing to Transition Into Learning Health Care Communities? A Community-Based Participatory Evaluation of Stakeholders’ Receptivity

2021 ◽  
pp. 104973232199864
Author(s):  
Nabil Natafgi ◽  
Olayinka Ladeji ◽  
Yoon Duk Hong ◽  
Jacqueline Caldwell ◽  
C. Daniel Mullins
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Lessons Learned ◽  
Community Members ◽  
Community Based ◽  
Care Community ◽  
Care Experience ◽  
National Initiative

This article aims to determine receptivity for advancing the Learning Healthcare System (LHS) model to a novel evidence-based health care delivery framework—Learning Health Care Community (LHCC)—in Baltimore, as a model for a national initiative. Using community-based participatory, qualitative approach, we conducted 16 in-depth interviews and 15 focus groups with 94 participants. Two independent coders thematically analyzed the transcripts. Participants included community members (38%), health care professionals (29%), patients (26%), and other stakeholders (7%). The majority considered LHCC to be a viable model for improving the health care experience, outlining certain parameters for success such as the inclusion of home visits, presentation of research evidence, and incorporation of social determinants and patients’ input. Lessons learned and challenges discussed by participants can help health systems and communities explore the LHCC aspiration to align health care delivery with an engaged, empowered, and informed community.

Combating IPV With Community Leaders in Honduras: An Evaluation of an IPV Training Program Among Teachers and Health Professionals

2021 ◽  
pp. 107780122110089
Author(s):  
Chunrye Kim ◽  
Joel A. Capellan ◽  
Hung-En Sung ◽  
Eduardo Rafael Orellana
Keyword(s):  
Training Program ◽  
Health Care Professionals ◽  
Partner Violence ◽  
Intimate Partner ◽  
Educational Opportunities ◽  
Safety Planning ◽  
Community Members ◽  
Community Based ◽  
Confidence Levels ◽  
The Impact

Intimate partner violence (IPV) among women in Latin America, including Honduras, is serious. To help IPV victims, a community-based educational program has been implemented. This study aims to examine the impact of IPV training among teachers and health care professionals ( n = 160) on increases in IPV knowledge, attitudes, and self-efficacy when dealing with IPV victims using a pretest and posttest design. We found that the treatment group who received IPV training showed significantly lower justification for IPV, higher gender equality attitudes, and higher IPV knowledge as well as higher confidence levels in identifying IPV victims and safety planning for victims. We concluded that the IPV training program using the community-based approaches has the potential to help IPV victims in Honduras. More efforts should be made to increase the educational opportunities the community members can receive.

scholarly journals 575: Successful adoption and acceptance of a full-time laborist model in a community-based hospital

2019 ◽  
Vol 220 (1) ◽  
pp. S382
Author(s):  
Men-Jean Lee ◽  
Michael R. Berman ◽  
Christina Flores ◽  
Elisabeth Baron ◽  
JIan Wang ◽  
...  
Keyword(s):  
Full Time ◽  
Community Based

scholarly journals Low prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, Northwest Ethiopia: a community based cross-sectional study

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Kessete Ayelgn ◽  
Tadesse Guadu ◽  
Atalay Getachew
Keyword(s):  
Rural Communities ◽  
Associated Factors ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Active Trachoma ◽  
Study Participants

Abstract Background Trachoma is an infectious disease of the eye caused by Chlamydia trachomatis and transmitted via contact with eye discharge from infected persons and leading to blindness worldwide. Children less than 9 years of age affected more seriously. The disease is common where access to water and sanitation are limited. Objective To determine the prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, West Gondar Zone, Northwest Ethiopia. Method A community based cross-sectional study design was used to collect data from 792 children aged 1–9 years old in Metema district from April to May 2018. Multistage sampling technique was used to select the study participants. Pretested interviewer-administered structured questionnaire and eye examination using binocular loupe to differentiate trachoma cases was the data collection methods and tools. The bivariable and multivariable binary logistic regression model was employed for analysis. P-value < 0.05 was considered to declare statistical significance. Results A total of 752 children aged l-9 years were enrolled in this study with response rate of 94.9%. The overall prevalence of active trachoma among the study participants was 11.8% (95% CI, 9.5–13.9). Unprotected source of water (AOR = 4.7; 95% CI: 2.5–8.9), lower household water consumption (AOR = 2.8; 95% CI: 1.3–6.0), improper latrine utilization (AOR = 3.2; 95% CI: 1.5–6.7), and frequency of face washing once per day (AOR = 5.3; 95% CI: 1.2–26.6) were the factors significantly associated with active trachoma. Conclusion The current study revealed a lower overall prevalence of active trachoma (11.8%) than the WHO threshold prevalence (20%) used to declare it as a severe public health problem. All residents and health professional should collaborate on trachoma prevention by implementing the WHO SAFE strategy- surgery for trichiasis, antibiotics, facial cleanliness and environmental improvement for further trachoma elimination.

scholarly journals Managing Herder-Community-Based Tourism: An Institutional Framework for an Integrated Social–Ecological System

2021 ◽  
Vol 13 (7) ◽  
pp. 4001
Author(s):  
Undrakh Zagarkhorloo ◽  
Wim Heijman ◽  
Liesbeth Dries ◽  
Buyanzaya Batjargal
Keyword(s):  
Protected Area ◽  
Cultural Landscapes ◽  
Buffer Zone ◽  
Ecological System ◽  
Primary Data ◽  
Community Based ◽  
Conceptual Foundation ◽  
Social Ecological ◽  
Tourism Sector ◽  
The Social

Improving household livelihoods through tourism, while at the same time achieving the goals of conservation, remains a challenge in high-value nature areas around the world. This paper studies a herder-community-based tourism system in Mongolia in light of these challenges. The social–ecological system (SES) framework was used as a conceptual foundation. The generic SES framework was adapted to the case of the herder-community-based tourism system. The adapted framework was then used to assess the economic, ecological, and social objectives of the herder-community-based tourism system characterised by natural resources and cultural landscapes. Primary data collection included interviews with key informants in the tourism sector: tourism researchers, representatives of donor projects, managers of tour operators, and guides. Based on their responses, the study site was selected in the buffer zone of the Hustai National Park, which is a protected area. Respondents in the second stage of interviews were herders who participate in herder-based tourism and who live in the vicinity of the protected area. Results show that the SES framework is able to diagnose the sustainability of the herder-community-tourism system, but sustainability outcomes indicate an imbalance between social, economic, and environmental performance. The herder-community-based tourism system is successful in conserving wildlife and habitats; however, the distribution of revenues gained from tourism shows that only a small and inequitable share reaches the herder community.

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