scholarly journals Community-based health committee initiatives in India: a descriptive analysis of village health sanitation and nutrition committee model

2012 ◽  
Vol 6 (S5) ◽  
Author(s):  
Heikrujam Nongyai Nongdrenkhomba ◽  
Banuru Muralidhara Prasad ◽  
Biraj Kanti Shome ◽  
Achyut Chandra Baishya
PEDIATRICS ◽  
1996 ◽  
Vol 97 (2) ◽  
pp. 179-184
Author(s):  
Bahman Joorabchi ◽  
Jeffrey M. Devries

Objective. To evaluate a 3-year experience with the Objective Structured Clinical Examinations (OSCEs) and to compare faculty expectations with resident performance. Design. Descriptive analysis of measures of resident performance. Setting. Community-based pediatric residency program in Michigan. Participants. One hundred twenty-six pediatric residents at all levels of training. Methods. The three examinations consisted of 36 to 42 5-minute stations, testing skills in physical examination, history, counseling, telephone management, and test interpretation. A committee of faculty and chief residents predetermined minimum pass levels for each resident level. Results were compared with other indices of resident performance. Results. There was evidence for content, construct, and concurrent validity, as well as a high degree of reliability. However, 40% to 96% of residents scored below the minimum pass levels for their levels. In each examination, third-year residents had the highest failure rates, yet they scored well on the American Board of Pediatrics in-training examination and on their monthly clinical evaluations. Furthermore, for residents at all levels, the scores reflecting application of data were significantly lower than those assessing data gathering. Conclusions. The gaps between expectations and performance, and between data gathering and application, have important implications for institutional educational philosophy, suggesting a shift toward more clinically oriented and learner-directed strategies in the design of instructional and evaluation methods.


2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
João M. Pedro ◽  
Miguel Brito ◽  
Henrique Barros

From a community-based survey conducted in Angola, 468 individuals aged 40 to 64 years and not using drug therapy were evaluated according to the World Health Organisation STEPwise Approach to Chronic Disease Risk Factor Surveillance. Using data from tobacco use, blood pressure, blood glucose, and total cholesterol levels, we estimated the 10-year risk of a fatal or nonfatal major cardiovascular event and computed the proportion of untreated participants eligible for pharmacological treatment according to clinical values alone and total cardiovascular risk. The large majority of participants were classified as having a low (<10%) 10-year cardiovascular risk (87.6%), with only 4.5% having a high (≥ 20%) cardiovascular risk. If we consider the single criteria for hypertension, 48.7% of the population should be considered for treatment. This value decreases to 22.0% if we apply the risk prediction chart. The use of hypoglycaemic drugs does not present any differences (19.0% in both situations). The use of lipid-lowering drugs (3.8%) is only recommended by the risk prediction chart. This study reveals the need of integrated approaches for the treatment of cardiovascular disorders in this population. Risk prediction charts can be used as a way to promote a better use of limited resources.


Author(s):  
Geronimo Jimenez ◽  
David Matchar ◽  
Gerald Choon Huat Koh ◽  
Shilpa Tyagi ◽  
Rianne M. J. J. van der Kleij ◽  
...  

Abstract Background: The four primary care (PC) core functions (the ‘4Cs’, ie, first contact, comprehensiveness, coordination and continuity) are essential for good quality primary healthcare and their achievement leads to lower costs, less inequality and better population health. However, their broad definitions have led to variations in their assessment, in the innovations implemented to improve these functions and ultimately in their performance. Objectives: To update and operationalise the 4Cs’ definitions by using a literature review and analysis of enhancement strategies, and to identify innovations that may lead to their enhancement. Methods: Narrative, descriptive analysis of the 4Cs definitions, coming from PC international reports and organisations, to identify measurable features for each of these functions. Additionally, we performed an electronic search and analysis of enhancement strategies to improve these four Cs, to explore how the 4Cs inter-relate. Results: Specific operational elements for first contact include modality of contact, and conditions for which PC should be approached; for comprehensiveness, scope of services and spectrum of population needs; for coordination, links between PC and higher levels of care and social/community-based services, and workforce managing transitions and for continuity, type, level and context of continuity. Several innovations like enrolment, digital health technologies and new or enhanced PC provider’s roles, simultaneously influenced two or more of the 4Cs. Conclusion: Providing clear, well-defined operational elements for these 4Cs to measure their achievement and improve the way they function, and identifying the complex network of interactions among them, should contribute to the field in a way that supports efforts at practice innovation to optimise the processes and outcomes in PC.


2020 ◽  
Vol 2 (2) ◽  
pp. 27-36
Author(s):  
Felix Ferdin Bakker ◽  
Muh. Alif Jamil Pratama

Transnational crime in the territory of Indonesia is increasingly motivated by several pushes and pull factors. First, Indonesia's strategic position makes many people tempted to anchor to Indonesia to make Indonesia a transit country and live and develop. This is worrying because it cannot be denied that foreigners enter a country in an illegal way and cross borders. Second, state borders without immigration documents or other valid documents will create new problems, which of course, can lead to criminal issues. Of course, a policy of equitable borders and controls is the answer to this problem.Another thing that cannot be left out is that establishing a positive law that is firm and binding is the key to the success of this policy. This research study uses normative legal research methods with qualitative data collection juxtaposed with descriptive analysis techniques so that the existing problems regarding transnational crimes, especially human smuggling, can be presented comprehensively and informatively. Outreach to the community as the first informant is one of the keys to community-based surveillance and enforcement management. It is hoped that with the coordination and synergy of problems related to foreign nationals who are the perpetrators of human smuggling crimes, it is expected that it can decrease statistically so that the selective policy principle that is aspired is that only foreigners who provide benefits and have valid documents can enter Indonesian territory and give services to Indonesia's national progress.


2019 ◽  
Vol 7 (1) ◽  
pp. 66
Author(s):  
Gusti Ayu Putu Marwangi ◽  
I Putu Anom

Tabanan Regency has a high prospect in the development of tourism and its complementary facilities. Tourism village is the alternative tourism products that can provide the development of rural areas that are certainly sustainable for the future. Timpag Village is one of the villages which located in Kerambitan District, Tabanan Regency which has several tourism potentials such as nature, cultures, and the local communities. The development of Rural Tourism in Timpag Village has a high value to be a tourist attraction but the reality this village has not been able to be a developed as a rural tourism. Based on these problems this research aims to determine “Development Strategies of Rural Tourism Based Local Community in Timpag Village, Kerambitan District, Tabanan Regency Bali.” The research method used in this study is a qualitative descriptive analysis supported by IFAS and EFAS analysis in designing a strategy for developing local community-based tourism villages used SWOT analysis. Data collection techniques are using the method of observation, interviews, library research. The result show the design of alternative strategies to develop community-based tourism villages that can be applied in the development of Rural Tourism in Timpag Village. There are six altrenative strategys that can be applied such as attractions development based on tourism potential, local communities involvement , tourism facilities development, tourism organisation development, improve the traditional security system, and improve the ability of communities about tourism development. Therefore, local communities need to preserve the tourism potential that is owned as a rural tourism product. Keywords: Rural Tourism, Community Based Tourism, and Strategy


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Bryce K. Perler ◽  
Ryan Ungaro ◽  
Grayson Baird ◽  
Meaghan Mallette ◽  
Renee Bright ◽  
...  

An amendment to this paper has been published and can be accessed via the original article.


Author(s):  
Mercy Pindani ◽  
Idesi Chilinda ◽  
Janet Botha ◽  
Genesis Chorwe-Sungani

Background: Malawi is grappling with a high maternal mortality of 439 per 100 000 live births. It is estimated that 80% of maternal deaths can be prevented by actively engaging the community in the country. However, community support on safe motherhood remains unknown.Aim: This study, therefore, explored community support rendered to mothers and babies during antenatal, intrapartum and postpartum periods.Setting: This study was conducted in the Lilongwe District, Malawi.Methods: This was a qualitative study that collected data from 30 village health committee members through Focus Group Discussions (FGDs). Data were analysed using thematic analysis.Results: This study found that community support on safe motherhood rendered to women varied. The following five themes emerged from FGDs data on community support on safe motherhood: antenatal support, intrapartum support, postpartum support, bylaws reinforced by chiefs in the community and safe motherhood support groups. Community members encourage pregnant women to attend antenatal care, escorted pregnant women to the hospital for delivery and assisted women to care for a child and go for postpartum checkups. Community bylaws were considered as a necessary tool for encouraging women to attend antenatal care, deliver at the health facility and attend postpartum checkups.Conclusion: This study suggests that community members play a crucial role in providing support to women and newborns during antenatal, intrapartum and postpartum periods.


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