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>

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.

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 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.

Contexts, Mechanisms, and Outcomes That Matter in Dutch Community-Based Physical Activity Programs Targeting Socially Vulnerable Groups

2016 ◽  
Vol 40 (3) ◽  
pp. 294-331 ◽  
Author(s):  
Marion Herens ◽  
Annemarie Wagemakers ◽  
Lenneke Vaandrager ◽  
Johan van Ophem ◽  
Maria Koelen
Keyword(s):  
Physical Activity ◽  
Local Governance ◽  
Community Outreach ◽  
Vulnerable Groups ◽  
Outreach Program ◽  
Intersectoral Collaboration ◽  
Structured Interviews ◽  
Community Based ◽  
Physical Activity Programs ◽  
Socially Vulnerable Groups

This article presents a practitioner-based approach to identify key combinations of contextual factors (C) and mechanisms (M) that trigger outcomes (O) in Dutch community-based health-enhancing physical activity (CBHEPA) programs targeting socially vulnerable groups. Data were collected in six programs using semi-structured interviews and focus groups using a timeline technique. Sessions were recorded, anonymized, and transcribed. A realist synthesis protocol was used for data-driven and thematic analysis of CMO configurations. CMO configurations related to community outreach, program sustainability, intersectoral collaboration, and enhancing participants’ active lifestyles. We have refined the CBHEPA program theory by showing that actors’ passion for, and past experiences with, physical activity programs trigger outcomes, alongside their commitment to socially vulnerable target groups. Project discontinuity, limited access to resources, and a trainer’s stand-alone position were negative configurations. The authors conclude that local governance structures appear often to lack adaptive capacity to accommodate multilevel processes to sustain programs.

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>

scholarly journals Promoting a Culturally Safe Evaluation of an On-the-Land Wellness Program in the Inuvialuit Settlement Region

ARCTIC ◽  
2020 ◽  
Vol 73 (3) ◽  
pp. 312-325
Author(s):  
Mary Ollier ◽  
Audrey R. Giles ◽  
Meghan Etter ◽  
Jimmy Ruttan ◽  
Nellie Elanik ◽  
...  
Keyword(s):  
Cultural Practices ◽  
Evaluation Framework ◽  
Cultural Safety ◽  
Community Advisory Board ◽  
Wellness Program ◽  
Structured Interviews ◽  
Community Based ◽  
Building Relationships ◽  
Community Based Research ◽  
The Social

In 2017, the Inuvialuit Regional Corporation partnered with a diverse research advisory team to understand how Project Jewel, a land-based program in the Inuvialuit Settlement Region, could be evaluated in a way that promotes cultural safety (i.e., in a way that addresses the social, historical, and economic contexts that shape participants’ experiences). We used community-based research methodology to approach the study, through which semi-structured interviews, sharing circles, and photovoice were identified by the community advisory board and research advisory team as appropriate research methods for this project. After piloting and evaluating these methods, we then used thematic analysis to analyze the data, which included images and transcripts, to identify the components of a culturally safe evaluation: centring the land, building relationships, working with words and pictures, and promoting benefit over harms through program aftercare. Our community-based research and findings provide a template of a meaningful evaluation framework that other on-the-land programs can use if contextualized within local cultural practices and values.

scholarly journals Wearing the Label of Mental Illness: Community-Based Participatory Action Research of Mental Illness Stigma

2015 ◽  
Author(s):  
Jean Theurer ◽  
Nicole Jean-Paul ◽  
Kristi Cheyney ◽  
Mirka Koro-Ljungberg ◽  
Bruce Stevens
Keyword(s):  
Mental Illness ◽  
Action Research ◽  
Participatory Action Research ◽  
Local Community ◽  
Research Question ◽  
Mental Illness Stigma ◽  
Structured Interviews ◽  
Participatory Action ◽  
Community Members ◽  
Community Based

Stigma remains an impediment to seeking and receiving the requisite care for mental illness. To enhance a local National Alliance for Mental Illness (NAMI) affiliate’s understanding of community members’ perceptions of mental illness and its associated stigma, a community-based participatory action research study was conducted. The study addressed the following research question: how do community members understand and experience the stigma associated with mental illness? Twenty-two participant-researchers wore mental illness labeled T-shirts around the local community, recorded their observations and reflections of this experience and recruited twenty-two community members for semi-structured interviews about mental illness stigma. Domain analysis of the interviews revealed community members’ understandings of (1) sources of stigma, (2) impacts of stigma, (3) conceptualizations of stigma and (4) pathways to change stigma. Findings were presented to members of the local NAMI affiliate as well as other community members. Practical implications, specific to the community of interest, are discussed.

scholarly journals Ecolodges as a Community-Based Tourism Development Strategy: the case of Chaouen in Morocco

2018 ◽  
Vol 3 (1) ◽  
pp. 37-47
Author(s):  
Yassir Lamnadi
Keyword(s):  
Development Strategy ◽  
Local Community ◽  
Tourism Development ◽  
Theoretical Framework ◽  
Structured Interviews ◽  
Government Officials ◽  
Community Based ◽  
Data Set ◽  
Region Data ◽  
Considerable Benefit

This paper consists of an empirical study investigating to what extent can ecolodges serve as community-based tourism development strategy. It is conducted in a cultural and natural tourism destination north of Morocco-Chefchaouen or shortly known as Chaouen-. A considerable amount of literature was reviewed in order to form the theoretical framework of this study consisting mainly of community-based tourism (CBT), local participation, tourism benefits, and tourism development. Fifteen (15) semi-structured interviews were conducted mainly with ecolodges’ owner/managers, civil society activists who contribute to the tourism sector, and government officials who directly represent public agencies in charge of tourism in the region. Data collection method were chosen to be semi-structured interviews for the sake of maximum data quality and more vivid interaction with interviewees (Harris & Brown, 2010). The collected data set was analysed using quantitative content analysis, following the categories of themes and concepts extracted from the theoretical framework. The main findings of the paper show that indeed ecolodges generate a considerable benefit to local community, especially, on the socioeconomic level, but on the other hand, there is a lack environmental awareness and an unclear stakeholders structure.

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