Obstacles for Iranian rural population to participate in health education programmes: a qualitative study

ObjectiveTo explore the obstacles of community participation in rural health education programmes from the viewpoints of Iranian rural inhabitants.DesignThis was a qualitative study with conventional content analysis approach which was carried out March to October 2016.SettingData collected using semistructured interviews that were digitally recorded, transcribed and analysed until data saturation. MAXQDA 10 software was used to manage the textual data.ParticipantParticipants were twenty-two seven clients from a rural community in Ardabil, Iran who were receiving health services from health centres.ResultThe main obstacles to participate in health education programmes in rural settings were ‘Lack of trust to the rural health workers’, ‘Adherence to neighbourhood social networks in seeking health information’ and ‘Lack of understanding on the importance of health education’.ConclusionRural health education programmes in Iran are encountered with a variety of obstacles. We need to enhancing mutual trust between the rural health workers and villagers, and developing community-based education programmes to promote health information seeking behaviours among villagers. The finding of this study will be a referential evidence for the qualitative improvement of local health education programmes for rural inhabitants.

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Iranian Women’s Experiences of Health Information Seeking Barriers: A Qualitative Study in Kerman

Iranian Red Crescent Medical Journal ◽

10.5812/ircmj.25156 ◽

2015 ◽

Vol 17 (2) ◽

Cited By ~ 10

Author(s):

Alireza Nikbakht Nasrabadi ◽

Sakineh Sabzevari ◽

Tayebeh Negahban Bonabi

Keyword(s):

Qualitative Study ◽

Health Information ◽

Information Seeking ◽

Health Information Seeking ◽

Women’S Experiences ◽

Women's Experiences

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Why do health workers give anti-malarials to patients with negative rapid test results? A qualitative study at rural health facilities in western Uganda

Malaria Journal ◽

10.1186/s12936-015-1020-9 ◽

2016 ◽

Vol 15 (1) ◽

Cited By ~ 18

Author(s):

Robin Altaras ◽

Anthony Nuwa ◽

Bosco Agaba ◽

Elizabeth Streat ◽

James K. Tibenderana ◽

...

Keyword(s):

Qualitative Study ◽

Rural Health ◽

Health Workers ◽

Rapid Test ◽

Health Facilities ◽

Test Results ◽

Western Uganda

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“They have been neglected for a long time”: a qualitative study on the role and recognition of rural health motivators in the Shiselweni region, Eswatini

Human Resources for Health ◽

10.1186/s12960-020-00504-9 ◽

2020 ◽

Vol 18 (1) ◽

Author(s):

Caroline Walker ◽

Doris Burtscher ◽

John Myeni ◽

Bernhard Kerschberger ◽

Bernadette Schausberger ◽

...

Keyword(s):

Rural Communities ◽

Qualitative Study ◽

Rural Health ◽

Health Workers ◽

Influencing Factor ◽

Limiting Factors ◽

Positive Health ◽

Community Stakeholders ◽

Public Health Challenges

Abstract Background Community health workers (CHWs) are increasingly engaged to address human resource shortages and fill primary healthcare gaps. In Eswatini, a cadre of CHWs called Rural Health Motivators (RHM) was introduced in 1976 to respond to key public health challenges. However, the emergence of health needs, particularly HIV/TB, has been met with inadequate programme amendments, and the role of RHMs has become marginalised following the addition of other CHWs supported by non-governmental organisations. This study was implemented to understand the role of RHMs in decentralised HIV/TB activities. In this paper, we explore the findings in relation to the recognition of RHMs and the programme. Methods This exploratory qualitative study utilised individual in-depth interviews, group and focus group discussions, participatory methods (utilising a game format) and observations. Participants were purposively selected and comprised RHM programme implementers, community stakeholders and local and non-governmental personnel. Data collection took place between August and September 2019. Interviews were conducted in English or siSwati and transcribed. SiSwati interviews were translated directly into English. All interviews were audio-recorded, manually coded and thematically analysed. Data was validated through methodical triangulation. Results Suboptimal organisational structure and support, primarily insufficient training and supervision for activities were factors identified through interviews and observation activities. Significant confusion of the RHM role was observed, with community expectations beyond formally endorsed tasks. Community participants expressed dissatisfaction with receiving health information only, preferring physical assistance in the form of goods. Additionally, gender emerged as a significant influencing factor on the acceptability of health messages and the engagement of RHMs with community members. Expectations and structurally limiting factors shape the extent to which RHMs are recognised as integral to the health system, at all social and organisational levels. Conclusions Findings highlight the lack of recognition of RHMs and the programme at both community and national levels. This, along with historical neglect, has hindered the capacity of RHMs to successfully contribute to positive health outcomes for rural communities. Renewed attention and support mechanisms for this cadre are needed. Clarification of the RHM role in line with current health challenges and clearer role parameters is essential.

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The Association of Workplace Health Education on Smoking-Related Behaviour and Unequal Gains by Job Position in China: ABWMC Programme Findings

10.21203/rs.3.rs-384059/v1 ◽

2021 ◽

Author(s):

Haoxiang Lin ◽

Meijun Chen ◽

Yunting Zheng ◽

Qingping Yun ◽

Chun Chang

Keyword(s):

Health Education ◽

Health Information ◽

Information Seeking ◽

Mainland China ◽

Spillover Effects ◽

Chinese Government ◽

Health Information Seeking ◽

Potential Health ◽

Information Seeking Behaviour ◽

Job Position

Abstract BackgroundAlthough the Chinese government has introduced a series of regulations to promote tobacco-related health education in workplaces, the implementation has been far from satisfactory. The aim of the present study was to explore the association of company level tobacco-related health education and employee’s smoking behavior.MethodsData from the 2018 Asia Best Workplace Mainland China programme were employed to address these aims. This was a cross-sectional study that included 14195 employees from 79 companies in mainland China. Spearman correlation tests were used to examine unadjusted correlation between the study variables, and binary logistic regression was used for multivariable analysis. The dependent variables included the smoking-related variables or health information-seeking behaviour. The explanatory variable is the company level tobacco-related health education.ResultsTobacco-related health education was associated with better smoking harm awareness, lower second-hand smoke exposure, better perceived workplace environment and positive health information-seeking behaviour. Job position interacted with health education, suggesting that positive association of health education were smaller for general employees than employees who held an administrative position.ConclusionsWe conclude that workplace tobacco-related health education was not only associated with tobacco control effects but also had spillover effects, which were significant for higher-ranking employees. Policy makers should recognize and reduce the potential health disparities.

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Exploring Community Tuberculosis Program in the Pastoralist Setting of Ethiopia: a Qualitative Study of Community Health Workers' Perspectives in Borena Zone, Oromia Region

10.21203/rs.3.rs-379820/v1 ◽

2021 ◽

Author(s):

Abebe Megerso ◽

Negusie Deyessa ◽

Godana Jarso ◽

Robel Tezera ◽

Alemayehu Worku

Keyword(s):

Qualitative Study ◽

Service Delivery ◽

Community Involvement ◽

Health Workers ◽

Community Setting ◽

Community Factors ◽

Geographically Dispersed ◽

Pastoralist Community ◽

Data Saturation ◽

Pastoral Setting

Abstract Background: Tuberculosis (TB) is one of the top ten causes of death and thee first cause of death due to single infectious disease in the world. Nevertheless, access to TB prevention and control is not uniform even within a country, The community TB program is designed to improve the access in Ethiopia. Exploring the program performance from the perspectives of its implemters in a pastoral setting remains important.Method: We conducted a qualitative study using an interpretive description method in the pastoralist community setting of Ethiopia. Study participants were recruited from geographically dispersed areas. Data were collected through in-depth interview using semi-structured guides and audio recordings during February 01-30, 2020. The interview guide was developed based on consultation with TB program experts and clinicians treating TB patients in the study area. Notes were taken at the interview to enrich the transcription of the data. The interview was conducted by the principal investigator. The subsequent data collection was informed by emerging ideas from forgoing interview transcriptions. The interview continued until data saturation was achieved.Results: One hundred and fisty six codes, nine categories and three themes emanated. The first theme was an inadequate community TB performance and some of its codes include inadequate presumptive TB case identification and compromised DOTs service delivery. The second theme was factors contributing to the performance. Community factors, lack of physical access to health facilities and indirect non-medical cost are some of categories under this theme. The final theme was related to solutions and its categories include a need for active community involvement and modification of service delivery approaches.Conclusion:Community TB performance is inadequate in the pastoralist community and many factors contribute to the inadequate performance. Aligning the program to the context of the pastoralist community setting is required to improve the performance.

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Dynamics of health information-seeking behaviour among older adults with very low incomes in Ghana: a qualitative study

BMC Public Health ◽

10.1186/s12889-020-08982-1 ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Williams Agyemang-Duah ◽

Francis Arthur-Holmes ◽

Charles Peprah ◽

Dina Adei ◽

Prince Peprah

Keyword(s):

Older Adults ◽

Qualitative Study ◽

Health Information ◽

Information Seeking ◽

Health Information Seeking ◽

Information Seeking Behaviour ◽

Low Incomes

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The Role of Health Literacy and Social Networks in Arthritis Patients' Health Information-Seeking Behavior: A Qualitative Study

International Journal of Family Medicine ◽

10.1155/2012/397039 ◽

2012 ◽

Vol 2012 ◽

pp. 1-6 ◽

Cited By ~ 18

Author(s):

Janette Ellis ◽

Judy Mullan ◽

Anthony Worsley ◽

Nagesh Pai

Keyword(s):

Social Network ◽

Health Literacy ◽

Qualitative Study ◽

Health Information ◽

Information Seeking ◽

Health Information Seeking ◽

Structured Interviews ◽

Information Seeking Behaviour ◽

Wide Range ◽

Selection Of

Background. Patients engage in health information-seeking behaviour to maintain their wellbeing and to manage chronic diseases such as arthritis. Health literacy allows patients to understand available treatments and to critically appraise information they obtain from a wide range of sources. Aims. To explore how arthritis patients' health literacy affects engagement in arthritis-focused health information-seeking behaviour and the selection of sources of health information available through their informal social network. Methods. An exploratory, qualitative study consisting of one-on-one semi-structured interviews. Twenty participants with arthritis were recruited from community organizations. The interviews were designed to elicit participants' understanding about their arthritis and arthritis medication and to determine how the participants' health literacy informed selection of where they found information about their arthritis and pain medication. Results. Participants with low health literacy were less likely to be engaged with health information-seeking behaviour. Participants with intermediate health literacy were more likely to source arthritis-focused health information from newspapers, television, and within their informal social network. Those with high health literacy sourced information from the internet and specialist health sources and were providers of information within their informal social network. Conclusion. Health professionals need to be aware that levels of engagement in health information-seeking behaviour and sources of arthritis-focused health information may be related to their patients' health literacy.

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