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.

scholarly journals An Examination of Rural Homestay Operations through the Lens of the Sustainable Livelihood Framework: A Case Study of Phou Khao Khouay National Park Community-Based Tourism (PKK NP CBT), Lao PDR

2021 ◽  
Author(s):  
◽  
Khamsavay Pasanchay
Keyword(s):  
Qualitative Methodology ◽  
Local Community ◽  
Culture Shock ◽  
Primary Data ◽  
Sustainable Livelihood ◽  
Structured Interviews ◽  
Community Based ◽  
Sustainable Livelihood Framework ◽  
The Government

<p>In many developing countries, Community-Based Tourism (CBT) is regarded as a sustainable tourism development tool as well as a catalyst for rural community development through the involvement of local people and the improvement of the standard of living. To extend the involvement of the local community in CBT, homestay tourism is a form of operation unit and its concept aims to facilitate individual household social-cultural and economic benefit from CBT directly. Although homestays are widely regarded as providing better livelihoods directly to the homestay operators, it is not clear to what extent homestay operations actually contribute to the sustainable livelihood of homestay operators when considering the wider livelihood implications. This research seeks to explore this gap by analysing homestay operators through the lens of Sustainable Livelihood theory (Scoones, 1998). This research adopts a post-positivist paradigm with qualitative methodology. Taking a case study approach, semi-structured interviews and observations were employed to collect primary data from community leaders, heads and deputy heads of the tourist guides, and homestay operators themselves.  Results of the study found that although homestay tourism was initially established by the government. The study also found the main characteristics of the homestay operation are in a small size with a limitation of bedrooms, and a few family members involved in hosting tourists, which are husband, wife, and an adult child. All of these people are unpaid labour but receive benefits from the sharing of food and shelter. The study also uncovered that cash-based income, gender empowerment enhancement, and environmental enhancement were the positive impacts of homestay tourism on the livelihoods of the homestay operators, and these positive livelihood outcomes were in line with the original sustainable livelihood framework. In addition, cultural revitalisation was found as an emerged indicator of the sustainable livelihood outcomes, which was used to extend the revised framework. However, the study discovered that opportunity costs, culture shock, and conflict with villagers were negative implications affecting sustainable livelihood outcomes of the homestay operators. The revised Sustainable Livelihood Framework (SLF) suggests that if these negative implications are mitigated, the overall livelihood outcomes will be even greater. The results of this study are expected to provide a deeper understanding of how the impacts of homestay tourism on the sustainable livelihood of the homestay operators.</p>

“Out-of-the-Mainstream” Youth as Partners in Collaborative Research: Exploring the Benefits and Challenges

1999 ◽  
Vol 26 (2) ◽  
pp. 250-265 ◽  
Author(s):  
Gary W. Harper ◽  
Lisa J. Carver
Keyword(s):  
Health Promotion ◽  
Collaborative Research ◽  
Service Providers ◽  
Street Youth ◽  
Prevention Strategies ◽  
Community Based ◽  
Community Based Organizations ◽  
Service Programs ◽  
Related Risk ◽  
Improve Health

Forming collaborations between university-based researchers and community-based organizations (CBOs) serves to improve health promotion research and service. Unfortunately, members of the targeted populations are typically not included in such collaborations. This article describes the development and maintenance of a successful university-CBO collaboration that was formed to explore HIV-related risk rates and prevention strategies for suburban street youth and discusses the benefits and challenges of including out-of-the-mainstream youth as full collaborative partners in the research. Specific benefits included population-specific modifications of the research methods and instruments, recruitment of hard-to-reach youth, greater ease in tracking participants, and increased project acceptability and credibility. Among the challenges were issues related to boundaries, confidentiality, commitment, and burnout. Although such collaborations require increased time and commitment, the synergistic knowledge and experience of university researchers, community-based service providers, and out-of-the-mainstream youth can result in the development of unique and informative research and service programs.

Community-based island tourism: the case of Boa Vista in Cape Verde

2014 ◽  
Vol 8 (2) ◽  
pp. 219-233 ◽  
Author(s):  
Sandra M. Sánchez-Cañizares ◽  
Ana María Castillo-Canalejo
Keyword(s):  
Local Community ◽  
Service Providers ◽  
Cape Verde ◽  
Current Status ◽  
Supply Side ◽  
Demand Side ◽  
Negative Effects ◽  
Community Based ◽  
Content Type ◽  
Positive Effects

Purpose – This paper tries to explore the possibilities of developing sustainable, community-based tourism (CBT) in Boa Vista in Cape Verde, Africa. Island territories are generally considered preferential tourist destinations. However, the negative effects of tourism in these destinations should not be overlooked, among them environmental concerns and impacts on the culture of the island’s inhabitants. The development of CBT takes on special relevance, as it based on planning schemes in conjunction with the local community who share the positive effects derived from tourism. Design/methodology/approach – The methodology used consisted in designing two surveys: one focusing on the supply side and another on the demand side of tourism to define and analyse the current status of this sector in Boa Vista. The survey on tourism supply was distributed among a panel of experts formed by tourism service providers located in Boa Vista. The statistical results of the responses and the discussion carried out by the panel of experts permitted the development of a SWOT matrix. The survey on demand was administered to foreign tourists in different parts of the island. A total of 202 valid surveys were obtained. Findings – The main results of the fieldwork are twofold. On the supply side of tourism, the community is making an enormous effort to actively participate in the development of sustainable tourism, efforts which are often constrained by the geographical barriers of Boa Vista (sandy soil, poor accessibility to other islands) and the institutional and political situation of the island. As regards the demand side of tourism, the vast majority of tourists stay at the island’s all-inclusive resorts, whereas few tourists require the services provided by the community, mainly because they are unaware that such services exist. Originality/value – Certain island destinations are more appropriate for tourists wishing to flee mass tourism enclaves due to their natural environment, relative isolation and the traditional culture of their inhabitants. For this reason, it is important to develop a CBT model for these destinations in which initiatives are planned in conjunction with members of the local community who participate in decision-making processes and benefit equally from the positive effects of tourism. Although several case studies have been reported in the research on CBT initiatives, few studies have been carried out on CBT in island territories. This is the main contribution in this paper.

scholarly journals Operation of the Selected Local Action Group

2015 ◽  
Vol 63 (1) ◽  
pp. 347-352 ◽  
Author(s):  
Lukáš Nevěděl ◽  
Miroslav Horák
Keyword(s):  
Local Community ◽  
Local Development ◽  
Participant Observation ◽  
Local Action ◽  
Detailed Knowledge ◽  
Structured Interviews ◽  
Community Based ◽  
Action Group ◽  
Public Debates ◽  
Current Operation

The main objective of this article is to compare the current operation of elected local action group with the concept of learning regions. This comparison is built on detailed knowledge and understanding of the operation of local action group Podbrnensko citizens’ association (Podbrnensko CA) and learning regions in general. The following is assumed: the understanding of community-based processes from the perspective of residents, the important stakeholders who influence the operation of communities or locations. The operation of local action groups is in line with the current concept led by local community development (community led local development, CLLD), which uses elements of the LEADER method. In this method the solution of development problems comes primarily from the inside, not from the outside of the studied territory. The methods used for the collection of empirical data were mostly observation and interviews with all partners involved in LAG (31 people), all mayors in LAG (29 people) and 176 people from region, i.e. methods, which result in so called deep data. Between the primary techniques applied in the research are: participant observation, unstructured or semi-structured interviews and public debates.

Beyond Responsivity: Client Service Engagement in a Reentry Demonstration Program

2018 ◽  
Vol 62 (13) ◽  
pp. 4295-4313 ◽  
Author(s):  
Nicole M. Sachs ◽  
Joel Miller
Keyword(s):  
Learning Style ◽  
Service Providers ◽  
Case Managers ◽  
Demonstration Program ◽  
Community Based ◽  
Service Engagement ◽  
And Gender ◽  
Dispositional Factors ◽  
Employment Needs ◽  
Responsivity Principle

The specific responsivity principle advises us to provide offenders with treatment that takes into account their responsiveness to treatment, tied for example to their learning style, motivation, and gender. We examine challenges to service engagement and attendance in a community-based program in a reentry setting, and consider how far they correspond with these factors. Drawing on qualitative accounts of parolee engagement in services provided by parolees, service providers, case managers, and parole officers, we identify a number of difficulties faced by clients. These include logistical factors that affect clients’ physical ability to enroll in or attend programming (such as documentation, employment needs, and transportation problems) as well as elements of program and service delivery (such as client–provider matching, therapeutic style, and curriculum factors). We conclude that we should look beyond responsivity and consider logistical factors alongside the better-recognized psychological and dispositional factors, to understand client engagement in the context of reentry.

Community-Based Elder Care: A Model for Working With the Marginally Housed Elderly

2007 ◽  
Vol 8 (2) ◽  
pp. 96-99 ◽  
Author(s):  
Loan Mai ◽  
Judy Eng
Keyword(s):  
Elder Care ◽  
Service Providers ◽  
Emotional Health ◽  
Interdisciplinary Teams ◽  
Community Based ◽  
Geriatric Population ◽  
Motor Functioning ◽  
Health Maintenance ◽  
Service Engagement ◽  
Marginally Housed

The community-based elder care (C-BEC) model is a critical treatment leverage that can be used to serve the older geriatric population who live in marginal housing tenements and who have little to nonexistent formal or informal support systems. Service engagement includes a model of care encompassing health maintenance with ongoing assessment of several specific dimensions. These dimensions include motor functioning, environmental barriers, emotional health, supportive services, and adherence motivation. All of these effect outcome and treatment course, despite a variety of medical diagnosis, level of functioning, and supportive needs. From evaluation of the individuals described in this article, considerations for collaborative treatment relationships, interdisciplinary teams, and service assessments are recognized as focal points of change that can be facilitated with C-BEC. The model is replicable and recommended for service providers working with an ambulatory, homebound, frail, and older aged population.

scholarly journals Barriers and Facilitators for the Implementation and Evaluation of Community-Based Interventions to Promote Physical Activity and Healthy Diet: A Mixed Methods Study in Argentina

2019 ◽  
Vol 16 (2) ◽  
pp. 213 ◽  
Author(s):  
Maria Belizan ◽  
R. Chaparro ◽  
Marilina Santero ◽  
Natalia Elorriaga ◽  
Nadja Kartschmit ◽  
...  
Keyword(s):  
Physical Activity ◽  
Mixed Methods ◽  
Local Community ◽  
Project Evaluation ◽  
Political Support ◽  
Healthy Diet ◽  
Barriers And Facilitators ◽  
Structured Interviews ◽  
Community Based Interventions ◽  
Community Based

Background: Obesogenic environments promote sedentary behavior and high dietary energy intake. The objective of the study was to identify barriers and facilitators to the implementation and impact evaluation of projects oriented to promote physical activity and healthy diet at community level. We analyzed experiences of the projects implemented within the Healthy Municipalities and Communities Program (HMCP) in Argentina. Methods: A mixed methods approach included (1) in-depth semi-structured interviews, with 44 stakeholders; and (2) electronic survey completed by 206 individuals from 96 municipalities across the country. Results: The most important barriers included the lack of: adequate funding (43%); skilled personnel (42%); equipment and material resources (31%); technical support for data management and analysis (20%); training on project designs (12%); political support from local authorities (17%) and acceptance of the proposed intervention by the local community (9%). Facilitators included motivated local leaders, inter-sectorial participation and seizing local resources. Project evaluation was mostly based on process rather than outcome indicators. Conclusions: This study contributes to a better understanding of the difficulties in the implementation of community-based intervention projects. Findings may guide stakeholders on how to facilitate local initiatives. There is a need to improve project evaluation strategies by incorporating process, outcome and context specific indicators.

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 Characterizing the Community Collaborations of a Community-Based Student-Run Clinic

2020 ◽  
Vol 11 ◽  
pp. 215013272098440
Author(s):  
Kaylin Pennington ◽  
Eileen Harwood ◽  
Brian Sick
Keyword(s):  
Community Health ◽  
Local Community ◽  
Community Outreach ◽  
Access Point ◽  
Primary Objective ◽  
Advisory Board ◽  
Relationship Building ◽  
Community Advisory Board ◽  
Structured Interviews ◽  
Community Based

Introduction Community-based student-run free clinics (SRCs) can advance health on a community level by reaching populations not served by other organizations and serving as an access point to the healthcare system. However, little is known about the scope of community-engaged efforts undertaken by SRCs, including interorganizational partnerships and relationship-building activities. The primary objective of this study was to characterize the community collaborations of an interprofessional SRC located in a high-poverty area. Methods Qualitative data was collected through semi-structured interviews with key stakeholders, which included student volunteers holding leadership roles, representatives of community-based organizations, and current and former members of the community advisory board. Results Key informant interviews with student and community leaders offered insight into local community outreach activities and the community advisory board. Findings revealed opportunities to impact community health through more intentional collaboration and relationship-building. Conclusions This exploratory study adds to literature suggesting that community-based SRCs can address service gaps in medically underserved communities while advancing community health through intentional community engagement.

scholarly journals An Examination of Rural Homestay Operations through the Lens of the Sustainable Livelihood Framework: A Case Study of Phou Khao Khouay National Park Community-Based Tourism (PKK NP CBT), Lao PDR

2021 ◽  
Author(s):  
◽  
Khamsavay Pasanchay
Keyword(s):  
Qualitative Methodology ◽  
Local Community ◽  
Culture Shock ◽  
Primary Data ◽  
Sustainable Livelihood ◽  
Structured Interviews ◽  
Community Based ◽  
Sustainable Livelihood Framework ◽  
The Government

<p>In many developing countries, Community-Based Tourism (CBT) is regarded as a sustainable tourism development tool as well as a catalyst for rural community development through the involvement of local people and the improvement of the standard of living. To extend the involvement of the local community in CBT, homestay tourism is a form of operation unit and its concept aims to facilitate individual household social-cultural and economic benefit from CBT directly. Although homestays are widely regarded as providing better livelihoods directly to the homestay operators, it is not clear to what extent homestay operations actually contribute to the sustainable livelihood of homestay operators when considering the wider livelihood implications. This research seeks to explore this gap by analysing homestay operators through the lens of Sustainable Livelihood theory (Scoones, 1998). This research adopts a post-positivist paradigm with qualitative methodology. Taking a case study approach, semi-structured interviews and observations were employed to collect primary data from community leaders, heads and deputy heads of the tourist guides, and homestay operators themselves.  Results of the study found that although homestay tourism was initially established by the government. The study also found the main characteristics of the homestay operation are in a small size with a limitation of bedrooms, and a few family members involved in hosting tourists, which are husband, wife, and an adult child. All of these people are unpaid labour but receive benefits from the sharing of food and shelter. The study also uncovered that cash-based income, gender empowerment enhancement, and environmental enhancement were the positive impacts of homestay tourism on the livelihoods of the homestay operators, and these positive livelihood outcomes were in line with the original sustainable livelihood framework. In addition, cultural revitalisation was found as an emerged indicator of the sustainable livelihood outcomes, which was used to extend the revised framework. However, the study discovered that opportunity costs, culture shock, and conflict with villagers were negative implications affecting sustainable livelihood outcomes of the homestay operators. The revised Sustainable Livelihood Framework (SLF) suggests that if these negative implications are mitigated, the overall livelihood outcomes will be even greater. The results of this study are expected to provide a deeper understanding of how the impacts of homestay tourism on the sustainable livelihood of the homestay operators.</p>

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