Utilizing an HIV community advisory board as an agent of community action and health promotion in a low-resource setting: a case-study from Nova Iguaçu, Rio de Janeiro, Brazil

2019 ◽  
Vol 27 (3) ◽  
pp. 56-64
Author(s):  
Jacob R. Milnor ◽  
Clarice Silva Santana ◽  
Alexander J. Martos ◽  
Jose Henrique Pilotto ◽  
Claudia Teresa Viera de Souza
Keyword(s):  
Health Promotion ◽  
Resource Sharing ◽  
Rio De Janeiro ◽  
Research Team ◽  
Community Action ◽  
Advisory Board ◽  
Hiv And Aids ◽  
Community Advisory Board ◽  
Low Resource ◽  
Intervention Point

Introduction: Brazil’s HIV burden has greatly increased over the past decade, especially for socially marginalized and vulnerable groups such as adolescents, women, and men who have sex with men. The reasoning for worsening HIV outcomes is complex, but ongoing economic and political crises have placed extreme operational and financial burdens on both the public health system and HIV-related civil society, affecting both treatment and prevention efforts and delivery. Context: Community-based HIV-related health-promotion activities have continued in Nova Iguaçu, Rio de Janeiro, despite these setbacks. These efforts have been led by a semi-independent community advisory board and engagement group based at the Hospital Geral de Nova Iguaçu with support from researchers based at the Oswaldo Cruz Foundation. Methods: The research team supported, documented, and participated in various activities led by the community advisory board and engagement group from 2017–2018 including meetings, community workshops/lectures, production of health promotion materials, and the dissemination of research findings. Results: The research team utilized the concepts of vernacular knowledge and critical pedagogy to describe and document the ongoing, bottom-up approach, community-led efforts of the community advisory board and engagement group. In particular, we describe the process of stakeholder engagement, popularization of research results, and resource sharing spearheaded by the community advisory board in Nova Iguaçu. Conclusion: The community advisory board demonstrates how community-led efforts are essential to HIV and AIDS response efforts in light of worsening HIV burdens and global shifts towards biomedicalization. Their HIV-related activities rely on existing community networks and resources with secondary support from a research team. This illustrates a key intervention point between traditional research and an empowering community mobilization that can inform similar efforts in other low-resource settings.

scholarly journals Raising Awareness About Women’s Cancer and Increasing Local Engagement With Healthcare Services in Haiti

2016 ◽  
Vol 2 (3_suppl) ◽  
pp. 26s-26s
Author(s):  
Grace Tillyard ◽  
Jean Renald Cornely ◽  
Estefania Santamaria ◽  
Gerty Surena ◽  
Mita Alcindor Casimir ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cervical Cancer ◽  
Cancer Screening ◽  
Healthcare Services ◽  
Advisory Board ◽  
Community Advisory Board ◽  
Cancer Awareness ◽  
Human Centered Design ◽  
Low Resource ◽  
Breast And Cervical Cancer

Abstract 37 Background: Project Medishare launched a breast cancer program in Port-au-Prince in 2013. In 2015, the program was expanded as part of a national breast cancer treatment program. Project Medishare is currently implementing a women’s cancer awareness campaign funded by the Union for International Cancer Control (UICC). The program will explore and address the complex social and cultural narratives around women’s cancer in Haiti. This will be accomplished using human-centered design to build a communications tool-kit for community health workers. The program was conceived with local partners and the Haitian government. Both parties sought to increase breast and cervical cancer screening, as well as reduce the number of late-stage presentations. Methods: Project Medishare has adopted methods from Community-Based-Participatory-Research (CBPR) in order to identify and foster a community of actors involved in women’s health, and cancer screening and treatment in Haiti. Since September 2015, a group of 8 distinct Haitian organizations, including the government, make up a Community Advisory Board that conducts research and explores different programmatic approaches in the fight against breast and cervical cancer in Haiti. Results: Through creation of the advisory board and equitable partnerships with local organizations, the group has had success in fostering engagement and ownership over challenges presented by screening and treating cancer in a low-resource setting. The group designed and implemented a nationwide survey to document reasons why communities and individuals in Haiti do not engage with healthcare services provided until cancer is at an advanced stage, despite a basic awareness of the disease and visible symptoms. Once collected, the group will work towards a collective interpretation of the data and will determine how it should be used. Conclusions: Like academic institutions, CBPR methods can be invaluable to organizations researching barriers to care and addressing health inequalities in low-resource settings. Creating a community advisory board encourages local ownership of research outcomes and projects. Future endeavors will consist of sharing the resources created by CBPR and human-centered design, to build a network of partners and implement a national cancer awareness program to parallel our national comprehensive cancer program efforts. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST: No COIs from the authors.

scholarly journals HIV-targeted health promotion: Can we learn from the experience in Tanzania?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Gross
Keyword(s):  
Health Promotion ◽  
Migrant Workers ◽  
Road Construction ◽  
Hiv And Aids ◽  
Construction Workers ◽  
Sub Saharan Africa ◽  
Basic Knowledge ◽  
Transport Sector ◽  
The Road ◽  
Road Project

Abstract The overall rise in deaths from preventable communicable diseases in the African Region is of utmost concern from a public health perspective. Sub-Saharan Africa (SSA) is home to a severe generalized HIV epidemic with the value of targeted health promotion only recently gaining momentum. The transport sector and transport corridors represent a major transmission route for HIV, fueled by unemployment, multiple sexual partnerships, gender-based violence (GBV), migrant workers and poor access to quality health information and services. In Tanzania, targeted sensitization and health promotion interventions spanning two major road corridors and their large-scale construction projects led to improved knowledge and behavior change among the road construction workers, community leaders and local residents in the communities along the road project as measured during a baseline and end line survey. Taking a comprehensive approach to health promotion the road project in Tanzania focused on: Educational and behavioral change campaigns, aimed via road shows at creating awareness on HIV and AIDS, STI, TB and GBV and encouraged people to know their sero status at mobile outlets of the HIV Counselling and Testing Services (HTS) during community bonanzas, featuring edutainment.Training peer educators from communities and road construction workers on basic knowledge and communication skills to transfer information along the roads, within the communities and in the nearby schools.Establishing village multi-sectoral HIV/AIDS committees.Development of SBCC materials with targeted messages to road construction workers and community members, developed jointly with multiple stakeholders.HIV Testing Services in collaboration with districts and health facilities along the roads.Capacity development of health workers and relevant stakeholders. Lessons learnt can provide guidance for similar settings in SSA and stimulate also a fresh view on promotive activities in Europe.

scholarly journals MENTAL HEALTH OF INCARCERATED WOMEN IN THE STATE OF RIO DE JANEIRO

2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Márcia Vieira dos Santos ◽  
Valdecyr Herdy Alves ◽  
Audrey Vidal Pereira ◽  
Diego Pereira Rodrigues ◽  
Giovanna Rosário Soanno Marchiori ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Content Analysis ◽  
Family Relationships ◽  
Rio De Janeiro ◽  
National Policy ◽  
Incarcerated Women ◽  
The State ◽  
Sexual Abstinence ◽  
Multiprofessional Team

ABSTRACT Objective: identifying the factors related to the mental health of women in a prison in the Statey of Rio de Janeiro. Method: a descriptive, exploratory and qualitative study conducted between October 2014 and January 2015 in a female prison in the State of Rio de Janeiro. Forty (40) incarcerated women were interviewed. The information collected was discussed based on content analysis, using a thematic based modality. Results: the following factors that affect the mental health of incarcerated women have been identified: anxiety, stress, depression, altered sleep patterns, misuse of psychotropic medication, sexual abstinence, and interruption of family relationships, in addition to the precarious conditions of confinement. Conclusion: we emphasize the need for a multiprofessional team in mental health within the prison system that meets the needs of this population, ensuring applicability of the National Policy of Comprehensive Healthcare for Persons Deprived of Freedom, reinforcing dialogue with Humanization Policies and Health Promotion, with the intention of performing healthcare that contributes to comprehensive healthcare for incarcerated women.

A Framework for Best Practice Health Promotion in Primary Health Care

2001 ◽  
Vol 7 (1) ◽  
pp. 101
Author(s):  
Meredith Swaby ◽  
Amanda Biesot
Keyword(s):  
Health Promotion ◽  
Workforce Development ◽  
Resource Sharing ◽  
Best Practice ◽  
Reference Group ◽  
Program Planning ◽  
Integrated Approach ◽  
Health Issues ◽  
Structural Framework ◽  
Working Groups

ISIS Primary Care provides health and welfare services to the municipalities of Brimbank, Hobsons Bay and Wyndham. An organisational commitment was made to establish an integrated approach to health promotion that would result in best practice health promotion within the community and in partnership with other agencies. To achieve this it was necessary to develop internal organisational skills and processes as well as formalise the relationships with agencies within the catchment. A "framework for best practice health promotion" was developed with a number of interrelated components occurring concurrently at several levels within the organisation and externally. This encompasses a structural framework with a Health Promotion Reference Group of key intersectoral stakeholders, as well as six Health Promotion Working Groups across the organisation each focussing on identified health issues. The strategic framework is a procedural document outlining processes for planning, implementation and evaluation of health promotion at an organisational level. The supporting framework includes detailed program planning and evaluation guidelines and workforce development. The implementation of this framework has resulted in a coordinated and sustainable approach to health promotion across the catchment with opportunities for successful partnerships, capacity building, resource sharing and increased program reach in meeting the perceived needs of the community.

Victorian Health Policy Reform: Impact on Community-based Health Promotion

1997 ◽  
Vol 3 (4) ◽  
pp. 7
Author(s):  
Sharon Parkinson
Keyword(s):  
Health Promotion ◽  
Health Policy ◽  
Community Health ◽  
Policy Reform ◽  
Health Centre ◽  
Community Action ◽  
Small Sample ◽  
Significant Shift ◽  
Community Based ◽  
The Impact

Since the Victorian Coalition Government was elected to office in 1992, community health policy has undergone considerable change as part of broader initiatives within the public sector. In the context of changing policy, concerns have been raised in the field of community health regarding the direction of community-based health promotion. The purpose of this study is to investigate the impact of policy reform on the conceptualisation, priority setting and practice of community-based health promotion. A series of interviews was conducted with a small sample of community health centre managers and staff within metropolitan Melbourne. Findings suggest that there has been a significant shift in the profile of community-based health promotion, with increasing emphasis on health promotion in clinical encounters and in groups, and less project work and community development. In terms of the principles of the Ottawa Charter, health promotion has moved away from the areas of community action and building healthy public policy as the centres focus increasingly on direct service provision. This study discusses the influences on and implications for the changing profile of community-based health promotion and considers directions for the future.

scholarly journals 2543

2017 ◽  
Vol 1 (S1) ◽  
pp. 54-54
Author(s):  
Jorge Delva ◽  
Adam Paberzs ◽  
Patricia Piechowski ◽  
Karen Calhoun ◽  
Diane Carr ◽  
...  
Keyword(s):  
Translational Research ◽  
Research Methods ◽  
Health Research ◽  
Governance Structure ◽  
Advisory Board ◽  
Community Advisory Board ◽  
Strategic Decisions ◽  
Study Population ◽  
Wide Community ◽  
Future Plans

OBJECTIVES/SPECIFIC AIMS: To describe how Michigan Institute for Clinical & Health Research (MICHR) has engaged communities in its leadership and governance structure. This presentation will describe these practices, how they are being evaluated, and future plans for institute-wide engagement of communities in translational research. METHODS/STUDY POPULATION: Engaged partners from various communities across Michigan in various ways within MICHR’s Community Engagement Program. RESULTS/ANTICIPATED RESULTS: MICHR has utilized participatory practices in the development of the CAB to strengthen existing relationships and build new ones with potential partners. DISCUSSION/SIGNIFICANCE OF IMPACT: MICHR-wide Community Advisory Board (CAB) will ensure community voices are heard and utilized in leadership and strategic decisions for CTSA activities.

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