‘No time for health:’ exploring couples’ health promotion in Indian slums

2018 ◽  
Vol 35 (1) ◽  
pp. 70-81 ◽  
Author(s):  
Shivani Mathur Gaiha ◽  
Katja Gillander Gådin
Keyword(s):  
Health Promotion ◽  
Health Information ◽  
Contraceptive Use ◽  
Urban Poverty ◽  
Family Health ◽  
Joint Involvement ◽  
Sources Of Information ◽  
Structured Interviews ◽  
Community Based ◽  
Health Related

Summary Joint involvement of couples is an effective strategy to increase contraceptive use and improve reproductive health of women. However, engaging couples to understand how their gender attitudes affect their personal and family health is an idea in search of practice. This mixed-methods study explores opportunities and barriers to couples' participation in health promotion in three slums of Delhi. For each couple, surveys and semi-structured interviews were conducted with husbands and wives individually to contrast self and spousal work, time, interest in health, sources of information related to health and depth of knowledge (n = 62). Urban poverty forces men to work long hours and women to enter part-time work in the informal sector. Paid work induces lack of availability at home, lack of interest in health information and in performing household chores and a self-perception of being healthy among men. These factors inhibit men's' participation in community-based health promotion activities. Women's unpaid work in the household remains unnoticed. Women were expected to be interested in and to make time to attend community-based health-related activities. Men recalled significantly less sources of health information than their spouse. Men and their wives showed similar depth of health-related knowledge, likely due to their spousal communication, with women acting as gatekeepers. Health promotion planners must recognize time constraints, reliance on informal interpersonal communication as a source of health information and the need to portray positive masculinities that address asymmetric gender relations. Innovative, continuous and collaborative approaches may support couples to proactively care about health in low-resource settings.

Identifying Communities’ Perspectives on their Health Needs in Impoverished Villages to Guide Non-government Organizations’ Health Promotion Efforts in Guatemala

2020 ◽  
Vol 7 (5) ◽  
pp. 9-20
Author(s):  
Claudia Bale
Keyword(s):  
Health Promotion ◽  
Community Health ◽  
Health Care Access ◽  
Family Health ◽  
Community Based Participatory Research ◽  
Health Needs ◽  
Health Conditions ◽  
Personal Health ◽  
Structured Interviews ◽  
Non Profit

Objective: The aim of this mixed-methods study is to capture and understand impoverished Guatemalan community members’ perspectives of their own health needs on a community level in order to guide Hope of Life (HOL) Non-Profit organization’s health promotion interventions in the villages they serve. Methods: A modified health needs assessment survey was conducted with 96 participants from four impoverished villages in the department of Zacapa, Guatemala. Survey responses were analyzed for significant differences in 4-item individual, family, and community health scores across demographic variables and significant correlations with reported personal health conditions and children’s health conditions. Five semi-structured interviews were also conducted with community leaders from three of the villages surveyed. Interviews were audio recorded and responses were transcribed verbatim and translated from Spanish to English. Thematic analysis using HyperRESEARCH qualitative analysis software version 4.5.0. was conducted to identify major themes. Results: The mean age of the 96 participants surveyed was 40.4 years and the majority were women, married or in Union, and have children. Women reported a significantly lower individual and family health score than men. The most rural village included in the study had significantly lower family health scores than the three sub-urban villages in the study. Among the personal health problems reported by participants, alcohol consumption, dental problems, and malnutrition were significant predictors of lower individual health scores. Themes that emerged from the interview analysis included the greatest community health needs, perceived negative community health behaviors, barriers to health care access, HOL’s impact, and suggestions for community health promotion.   Conclusion: The results of this study reveal many unmet health needs and barriers to healthcare that Guatemalan village communities face. Community-based participatory research using a mixed approach voices communities’ perspective on their perceived needs and is an important tool to guide non-profit aid and intervention serving impoverished communities.

scholarly journals Exploring Health Literacy in Individuals with Alcohol Addiction: A Mixed Methods Clinical Study

2020 ◽  
Vol 17 (18) ◽  
pp. 6728
Author(s):  
Gabriela Rolova ◽  
Beata Gavurova ◽  
Benjamin Petruzelka
Keyword(s):  
Clinical Practice ◽  
Mixed Methods ◽  
Health Literacy ◽  
Health Information ◽  
Mixed Methods Research ◽  
Addiction Treatment ◽  
Alcohol Addiction ◽  
Structured Interviews ◽  
Literacy Survey ◽  
Health Related

This mixed methods research paper explores health literacy (HL) in individuals with alcohol addiction by using the 47-item version of the European Health Literacy Survey Questionnaire (HLS-EU-Q47) and semi-structured interviews concerning health-related competencies (access, understand, appraise, and apply health information), and determines the limitations of the HLS-EU-Q47 when used under specific conditions of clinical practice. The questionnaire survey and the interviews were conducted with individuals of different health literacy levels who were undergoing inpatient alcohol addiction treatment. The findings indicate that individuals with alcohol addiction might require different types of health information according to their health literacy level in terms of quantity and quality of information to recover from alcohol addiction and improve their overall health. The implications for the clinical practice of addiction treatment as well as recommendations for national and regional policy are also discussed.

scholarly journals Planning for work: Exploring the relationship between contraceptive use and women’s sector-specific employment in India

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248391
Author(s):  
Lotus McDougal ◽  
Abhishek Singh ◽  
Kaushalendra Kumar ◽  
Nabamallika Dehingia ◽  
Aluisio J. D. Barros ◽  
...  
Keyword(s):  
Contraceptive Use ◽  
Family Health ◽  
Relative Risk Ratio ◽  
Women's Employment ◽  
Adjusted Relative Risk ◽  
Multinomial Regression ◽  
Women’S Employment ◽  
Health Related ◽  
Current Employment Status ◽  
The Relationship

While the health-related benefits of contraceptive use for women are well documented, potential social benefits, including enabling women’s employment, have not been well researched. We examine the relationship between contraceptive use and women’s employment in India, a country where both factors have remained relatively static over the past ten years. We use data from India’s 2015–16 National Family Health Survey to test the association between current contraceptive use (none, sterilization, IUD, condom, pill, rhythm method or withdrawal) and current employment status (none, professional, clerical or sales, agricultural, services or production) with multivariable, multinomial regression; variable selection was guided by a directed acyclic graph. More than three-quarters of women in this sample were currently using contraception; sterilization was most common. Women who were sterilized or chose traditional contraception, relative to those not using contraception, were more likely to be employed in the agricultural and production sectors, versus not being employed (sterilization adjusted relative risk ratio [aRRR] = 1.5, p<0.001 for both agricultural and production sectors; rhythm aRRR = 1.5, p = 0.01 for agriculture; withdrawal aRRR = 1.5, p = 0.02 for production). In contrast, women with IUDs, compared to those who not using contraception, were more likely to be employed in the professional sector versus not being employed (aRRR = 1.9, p = 0.01). The associations between current contraceptive use and employment were heterogeneous across methods and sectors, though in no case was contraceptive use significantly associated with lower relative probabilities of employment. Policies designed to support women’s access to contraception should consider the sector-specific employment of the populations they target.

scholarly journals Implementing community-based health promotion in socio-economically disadvantaged areas: a qualitative study

2019 ◽  
Vol 42 (4) ◽  
pp. 839-847
Author(s):  
Emma R Lawlor ◽  
Margaret E Cupples ◽  
Michael Donnelly ◽  
Mark A Tully
Keyword(s):  
Health Promotion ◽  
Economically Disadvantaged ◽  
Local Community ◽  
Service Providers ◽  
Economic Status ◽  
Structured Interviews ◽  
Community Based ◽  
Related Factors ◽  
Service Engagement ◽  
Health Initiatives

Abstract Background There is a gradient relationship between socio-economic status and health. We investigated the views and perceptions of health promotion service providers regarding factors that affect lack of engagement in public health initiatives by residents in socio-economically disadvantaged (SED) communities. Methods We conducted semi-structured interviews with a purposive sample of key providers (n = 15) of community-based health promotion services to elicit their views about engagement-related factors and their experiences of the provision, delivery and impact of health promotion in SED areas. Interviews were analysed using thematic analysis. Results Failure to (i) recognise within SED communities, socio-cultural norms of health-related behaviour and (ii) communicate to local residents an understanding of complex lifestyle influences appeared to affect adversely service engagement and contribute to the development of negative attitudes towards health promotion. Engagement is more likely when services are delivered within familiar settings, peer support is available, initiatives are organized within existing groups, external incentives are offered and there are options regarding times and locations. Collaborative working between providers and communities facilitates efficient, context-sensitive service delivery. Conclusions Knowledge of a local community and its socio-environmental context alongside a collaborative, facilitative and tailored approach to delivery are required to ensure successful engagement of SED communities in health promotion.

What sources do adolescents turn to for information about their health concerns?

2014 ◽  
Vol 26 (1) ◽  
pp. 61-68 ◽  
Author(s):  
Azam Baheiraei ◽  
Elham Khoori ◽  
Abbas Rahimi Foroushani ◽  
Fazlollah Ahmadi ◽  
Michele L. Ybarra
Keyword(s):  
Health Information ◽  
Age Differences ◽  
Information Sources ◽  
The Internet ◽  
Sources Of Information ◽  
Same Sex ◽  
Resource Limited ◽  
Health Related ◽  
Health Programming ◽  
Evidenced Based

Abstract Background: Adolescents are developmentally normatively interested in information about sexuality and other health-related issues. In the absence of available health programming, identifying the sources of information that youth are currently accessing will help adolescent health researchers understand where youth ‘are,’ thereby informing where and how future interventions can be targeted. This is particularly important in resource-limited settings, such as Iran, where funding for public health programming is scant. This study aimed to examine primary and preferred sources of adolescents’ health information queries and identify health topics in which they are most interested. Methods: In 2011, a random sample of 915 adolescents, aged 14–18 years, completed anonymous, self-administered questionnaires. Results: Mothers (51.11%) and same-sex friends (40.11%) were both the primary as well as the preferred source of health information for adolescents. More than one in three adolescents identified media information sources, including books (39.6%) and the Internet (37.9%), as their primary and preferred sources. The most common topic adolescents sought information about was sexuality issues. Younger adolescents preferred receiving information from parents, whereas older adolescents preferred friends as sources for information [X2=9.3, p=0.009]. No age differences were noted in using media sources (p>0.05). Conclusions: These findings indicate future interventions should integrate some if not all of these sources [both people (mothers, same-sex friends) and media (books, the Internet)] to deliver evidenced-based health information.

scholarly journals Community-Based Strategies as Transformative Approaches for Health Promotion and Empowerment among Commercial Sex Workers in India

Sexes ◽  
2021 ◽  
Vol 2 (2) ◽  
pp. 202-215
Author(s):  
Satarupa Dasgupta
Keyword(s):  
Health Promotion ◽  
Health Communication ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Red Light ◽  
Community Mobilization ◽  
Structured Interviews ◽  
Community Based ◽  
Female Sex ◽  
Red Light District

The current paper examines the utilization of community mobilization as a strategic health communication technique in an intervention to reduce human immunodeficiency virus (HIV) and sexually transmitted infections (STI) rates among marginalized and at-risk populations such as commercial female sex workers in a red-light district in India. The research documents the struggles of a historically exploited community in India to mitigate its marginalization through implementation of a multilayered strategy of capacity building and economic empowerment. Semi-structured interviews of 37 commercial female sex workers were conducted in a red-light district of India. Qualitative analysis of the interview transcripts showed the prevalence of three themes which demonstrated the different facets of the community mobilization framework within the context of a health communication intervention. The findings of this research delineate how STI risk reduction as well as participation and empowerment can be achieved through a community-based health promotion project targeted towards commercial female sex workers within the context of their lived realities of marginalization and oppression.

scholarly journals Percepción de riesgos a la salud frente al cambio climático en México

2021 ◽  
Vol 11 (2) ◽  
pp. 57-82
Author(s):  
Juan Alberto Gran Castro ◽  
Silvia Lizette Ramos de Robles
Keyword(s):  
Climate Change ◽  
Local Knowledge ◽  
Urban Poverty ◽  
Well Being ◽  
Methodological Framework ◽  
Sources Of Information ◽  
Structured Interviews ◽  
Adaptation Measures ◽  
Changement Climatique ◽  
Health And Well Being

English Abstract: The objective of this article is to analyze the perceptions of those who live in a context of marginalization and urban poverty as to their awareness of any risks to health and well-being associated with climate change. The methodological framework for this study was qualitative and ethnographic. The main sources of information were semi-structured interviews with residents of El Colli, located in Zapopan, Jalisco, Mexico who are parents. We conclude that there are climate change-induced environmental regional particularities that result in unequal conditions of vulnerability and a greater occurrence of risk events for populations in marginalized and poor areas. Thus, we argue that the theoretical and methodological references that consider local knowledge are key to enabling adaptation measures aimed at social welfare.Spanish Abstract: El objetivo de este artículo es analizar la percepción sobre riesgos a la salud y el bienestar asociados al cambio climático, a partir de las experiencias cotidianas de vivir en un contexto de marginación y pobreza urbana. La perspectiva metodológica fue de carácter cualitativo y de cohorte etnográfi co, cuya principal fuente de información fueron entrevistas semiestructuradas a los padres y madres de familia, habitantes de El Colli, ubicado en Zapopan, Jalisco, México. Concluimos que las particularidades regionales a escala local enfrentan impactos específicos asociados al cambio climático según las condiciones desiguales de vulnerabilidad entre la población y la ocurrencia de eventos riesgosos. Así, sostenemos que los referentes teórico-metodológicos que consideren el conocimiento local son clave para propiciar medidas de adaptación encaminadas al bienestar social.French Abstract: L’objectif de cet article est d’analyser la perception des risques pour la santé et le bien-être liés au changement climatique à partir des expériences quotidiennes de vie dans un contexte de marginalisation et de pauvreté urbaine. La méthodologie adoptée s’appuie sur une cohorte qualitative et ethnographique, dont la principale source sont des entretiens semi-structurés avec des parents résidant à El Colli, situé à Zapopan, au Jalisco, Mexique. Nous concluons que le changement climatique a des répercussions spécifiques en fonction des particularités régionales à l’échelle locale, notamment des conditions inégales de vulnérabilité de la population et de la survenue d’événements à risque. Ainsi, nous soutenons que les références théoriques et méthodologiques qui prennent en compte les connaissances locales sont essentielles pour promouvoir des mesures d’adaptation visant le bien-être social.

scholarly journals Promoção da saúde articulada aos determinantes sociais: possibilidade para a equidade

2019 ◽  
Vol 13 (4) ◽  
pp. 943
Author(s):  
Daniella Santos Figueredo ◽  
Ivonete Teresinha Schulter Buss Heidemann ◽  
Gisele Cristina Manfrini Fernandes ◽  
Aline Megumi Arakawa-Belaunde ◽  
Lays Souza De Oliveira ◽  
...  
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Primary Health Care ◽  
Social Determinants ◽  
Health Care Professionals ◽  
Family Health ◽  
Lifestyle Changes ◽  
Structured Interviews ◽  
Primary Health ◽  
Recursos Humanos

RESUMO Objetivo: conhecer as práticas de promoção da saúde articuladas aos determinantes sociais e desenvolvidas por profissionais da Atenção Primária à Saúde. Método: trata-se de estudo qualitativo, descritivo, exploratório. Realizaram-se 19 entrevistas semiestruturadas com profissionais de saúde inseridos em duas Unidades Básicas de Saúde. Avaliaram-se os dados a partir da técnica de Análise de Conteúdo na modalidade Análise Temática. Resultados: desenvolvem-se as práticas de Promoção da Saúde, em sua maioria, em grupos de educação em saúde, com orientações sobre mudança de estilo de vida durante as consultas agendadas. Apontaram-se, como potencialidades, o adequado processo de trabalho das equipes de saúde, o apoio e o incentivo da gestão atual e o vínculo com a comunidade. Citaram-se, como principais desafios, a demanda excessiva de usuários para consultas individuais e a falta de recursos humanos, apontando algumas fragilidades da gestão. Conclusão: ressalta-se a pertinência da Promoção da Saúde na Atenção Primária como forma de cuidado e autonomia do indivíduo e da comunidade, considerando os determinantes sociais, mas requerendo investimentos na educação permanente frente aos desafios apontados. Descritores: Promoção da Saúde; Estratégia Saúde da Família; Determinantes Sociais da Saúde; Atenção Primária à Saúde; Enfermagem; Equidade em Saúde.ABSTRACT Objective: to know the practices of health promotion articulated to social determinants and developed by Primary Health Care professionals. Method: this is a qualitative, descriptive, exploratory study. Nineteen semi-structured interviews were conducted with health professionals enrolled in two Basic Health Units. Data were evaluated using the Content Analysis technique in the Thematic Analysis modality. Results: health promotion practices are developed, mostly in health education groups, with orientations on lifestyle changes during the scheduled consultations. As potentialities, the adequate work process of the health teams, the support and the incentive of the current management and the bond with the community were pointed out. The main challenges were the excessive user demand for individual consultations and the lack of human resources, pointing out some management weaknesses. Conclusion: the relevance of Health Promotion in Primary Care as a form of care and autonomy of the individual and of the community, considering the social determinants, but requiring investments in the permanent education facing the challenges pointed out. Descriptors: Health Promotion; Family Health Strategy; Social Determinants of Health; Primary Health Care; Nursing; Equity in Health.RESUMEN Objetivo: conocer las prácticas de promoción de la salud articuladas a los determinantes sociales y desarrolladas por profesionales de la Atención Primaria a la Salud. Método: se trata de un estudio cualitativo, descriptivo, exploratorio. Se realizaron 19 entrevistas semiestructuradas con profesionales de salud insertados en dos Unidades Básicas de Salud. Se evaluaron los datos a partir de la técnica de Análisis de Contenido en la modalidad Análisis Temático. Resultados: se desarrollan las prácticas de Promoción de la Salud, en su mayoría, en grupos de educación en salud, con orientaciones sobre cambio de estilo de vida durante las consultas programadas. Se señalaron, como potencialidades, el adecuado proceso de trabajo de los equipos de salud, el apoyo y el incentivo de la gestión actual y el vínculo con la comunidad. Se citaron, como principales desafíos, la demanda excesiva de usuarios para consultas individuales y la falta de recursos humanos, apuntando algunas debilidades de la gestión. Conclusión: se resalta la pertinencia de la Promoción de la Salud en la Atención Primaria como forma de cuidado y autonomía del individuo y de la comunidad, considerando los determinantes sociales, pero requiriendo inversiones en la educación permanente frente a los desafíos señalados. Descriptores: Promoción de la Salud, Estrategia de la Salud Familiar; Determinantes Sociales de la Salud; Enfermería; Equidad en Salud.

The use and availability of occupational health information: results of a study

1984 ◽  
Vol 9 (4) ◽  
pp. 141-151 ◽  
Author(s):  
Frances E. Wood
Keyword(s):  
Occupational Health ◽  
Health Information ◽  
Professional Education ◽  
Information Provision ◽  
Professional Staff ◽  
Health Staff ◽  
Sources Of Information ◽  
Structured Interviews ◽  
The United Kingdom ◽  
Use Of Information Sources

The aims of this study were to identify requirements for occupational health information and ways in which the provi sion of, and access to, such information could be improved in the United Kingdom. Structured interviews with professional staff working in several occupational health professions and with general practi tioners were used to establish the pattern of information use and to elicit views on information provision. Literature searches were undertaken and some important organisations visited. Respondents preferred to ask for information rather than seek it in publications but sometimes they did not know where to ask. About two thirds of the occupational 'health staff worked in organisations with libraries. Reading primary jour nals was the main way in which respondents kept up to date. Use of abstracting publications, indexing publications and online services was low. There was little use of, or enthusiasm for, Prestel amongst the respondents. Toxicological information presented problems for many of the respondents. More effective information handling could be promoted by: inclusion of the use of information sources in basic and con tinuing professional education, provision of guides to sources of information and improved alerting services.

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