Community-based door to door census of suspected people living with epilepsy: empowering community drug distributors to improve the provision of care to rural communities in Cameroon

Abstract Background Trachoma is an infectious disease of the eye caused by Chlamydia trachomatis and transmitted via contact with eye discharge from infected persons and leading to blindness worldwide. Children less than 9 years of age affected more seriously. The disease is common where access to water and sanitation are limited. Objective To determine the prevalence of active trachoma and associated factors among children aged 1–9 years in rural communities of Metema District, West Gondar Zone, Northwest Ethiopia. Method A community based cross-sectional study design was used to collect data from 792 children aged 1–9 years old in Metema district from April to May 2018. Multistage sampling technique was used to select the study participants. Pretested interviewer-administered structured questionnaire and eye examination using binocular loupe to differentiate trachoma cases was the data collection methods and tools. The bivariable and multivariable binary logistic regression model was employed for analysis. P-value < 0.05 was considered to declare statistical significance. Results A total of 752 children aged l-9 years were enrolled in this study with response rate of 94.9%. The overall prevalence of active trachoma among the study participants was 11.8% (95% CI, 9.5–13.9). Unprotected source of water (AOR = 4.7; 95% CI: 2.5–8.9), lower household water consumption (AOR = 2.8; 95% CI: 1.3–6.0), improper latrine utilization (AOR = 3.2; 95% CI: 1.5–6.7), and frequency of face washing once per day (AOR = 5.3; 95% CI: 1.2–26.6) were the factors significantly associated with active trachoma. Conclusion The current study revealed a lower overall prevalence of active trachoma (11.8%) than the WHO threshold prevalence (20%) used to declare it as a severe public health problem. All residents and health professional should collaborate on trachoma prevention by implementing the WHO SAFE strategy- surgery for trichiasis, antibiotics, facial cleanliness and environmental improvement for further trachoma elimination.

Download Full-text

Umbilical cord care through community-based distribution of chlorhexidine in rural Sindh, Pakistan

European Journal of Public Health ◽

10.1093/eurpub/ckz186.162 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

M Shah ◽

Q Jamali ◽

F Aisha

Keyword(s):

Rural Communities ◽

Data Collection ◽

Umbilical Cord ◽

Rural Areas ◽

Health Workers ◽

High Rate ◽

Cord Care ◽

Community Based ◽

Sindh Province ◽

At Home

Abstract Background Unsafe practices such as cutting umbilical cord with unsterilized instruments and application of harmful substances, are in practice in many rural areas of Pakistan, and associated with high risk of neonatal sepsis and mortality. Methods We conducted an implementation research in 2015 in Tharparkar district, in Sindh province of Pakistan to understand the feasibility and acceptability of community-based distribution of chlorhexidine (CHX) in rural Pakistan. For this cohort group-only study, 225 lady health workers (LHWs) enrolled 495 pregnant women. Enrolled women received 4% CHX gel and user’s instructions for newborn cord care. The LHWs also counseled women on the benefits and correct use of CHX. Study enumerators collected data from CHX receiving women 3 times: at around 2 weeks before delivery, within 24 hours after delivery, and on the 8th day after delivery. We implemented this study jointly in collaboration with Ministry of Health in Sindh province, Pakistan. Results Among enrolled participants, 399 women (81%) received only the first visit, 295 women (60%) received first two visits and 261 women (53%) received all three visits by enumerators. Among 399 women, who received CHX gel, counseling on its use and were respondent to the first round data collection, 78% remembered that the CHX gel to be applied to cord stump and surrounding areas immediately after birth; but less than a third (29%) forgot the need to keep the cord clean and dry. Among 295 respondents in the first two rounds of data collection, who delivered at home, 97% applied CHX to cord stump on the first day. Conclusions Community-based CHX distribution by LHWs, along with counseling to recipient women, resulted in a high rate of cord care with CHX among newborn delivered at home. Results from this study may help program implementers to consider expanding this intervention for improving newborn cord care on the first day of life in Pakistan. Key messages Community-based distribution of chlorhexidine for newborn cord care appears as highly acceptable and feasible in rural communities in Pakistan. Relevant program policy supporting community-based CHX distribution along with counseling by LHW may help expanding coverage of newborn cord care in rural communities in Pakistan.

Download Full-text

Cost Benefit Analysis of Use of Community Based Distributors in Promoting Access to Family Planning Services in Rural Communities in North Western Nigeria

Journal of Tropical Diseases ◽

10.4172/2329-891x.1000172 ◽

2015 ◽

Vol 03 (04) ◽

Author(s):

Onoriode Ezire Isa Saidu

Keyword(s):

Family Planning ◽

Rural Communities ◽

Cost Benefit Analysis ◽

Cost Benefit ◽

Benefit Analysis ◽

Community Based ◽

Family Planning Services ◽

North Western

Download Full-text

Testing a community-based distribution approach to reproductive health service delivery in Senegal (a study of community agents in Kébémer)

10.31899/rh17.1010 ◽

2004 ◽

Keyword(s):

Rural Communities ◽

Reproductive Health ◽

Service Delivery ◽

Social Action ◽

Rural Areas ◽

Cost Effective ◽

Health Service Delivery ◽

Reproductive Health Services ◽

Community Based ◽

Integrated Cost

The Division of Reproductive Health (DSR) of the Senegal Ministry of Health and Social Action, in partnership with the Population Council’s FRONTIERS in Reproductive Health program and Management Sciences for Health (MSH), conducted a study to test and compare three ways of providing reproductive health services to rural communities in the Kébémer district of Senegal in terms of their effectiveness, cost, and cost-effectiveness. FRONTIERS and MSH collaborated with the DSR to design the interventions, MSH supported the DSR in implementing the interventions, and FRONTIERS undertook the evaluation. This study, funded by USAID, responded to the recommendations of a 1999 workshop, organized by FRONTIERS and the DSR, on the community-based distribution (CBD) approach, which defined alternative CBD models appropriate for Senegal. The DSR sees the development of community-based service delivery models as essential for the future of health care in Senegal. As noted in this report, the general objective of the study was to contribute to the development of an integrated cost-effective program to increase the accessibility and availability of reproductive health information and services in rural areas of Senegal.

Download Full-text

Wisata Alam Coban Putri Sebagai Objek Dalam Penguatan Ekonomi Masyarakat Desa Tlekung

Journal of Education, Humaniora and Social Sciences (JEHSS) ◽

10.34007/jehss.v4i2.809 ◽

2021 ◽

Vol 4 (2) ◽

pp. 1105-1112

Author(s):

Ananda Yumnatus Syafira ◽

Elya Kurniawati ◽

Nur Hadi

Keyword(s):

Rural Communities ◽

Sampling Technique ◽

Public Attention ◽

Community Based ◽

Tourist Attractions ◽

Nature Tourism ◽

Village Community ◽

Village Communities ◽

The Government ◽

Empowerment Program

Village community-based nature tourism is currently getting a lot of public attention. The government through its empowerment program also provides support to village communities when developing natural tourism in their area. The effectiveness of this empowerment program will later be able to improve the economy of rural communities sustainably. As is done in Coban Putri nature tourism, Tlekung Village, Junrejo District, Batu City. This research is qualitative, using a descriptive approach.While the sampling technique used is the purposive sampling technique, where informants are determined based on their role related to the development of natural tourism in Coban Putri. The purpose of this study was to determine how influential the Coban Putri natural tourism area is on the improvement of the economy of the Tlekung Village community after developing tourist attractions. The results obtained from this study indicate that the Coban Putri natural tourism area has sufficient influence on the economy of the Tlekung Village community, especially after development, so it is important for the government and the community to participate in developing Coban Putri natural tourism through empowerment programs so that it always has more appeal for tourists who visit.

Download Full-text

Community-based psychological first aid with rural communities

Community-Based Psychological First Aid ◽

10.1016/b978-0-12-804292-2.00017-x ◽

2016 ◽

pp. 189-200

Author(s):

R.P. Quevillon

Keyword(s):

Rural Communities ◽

First Aid ◽

Community Based ◽

Psychological First Aid

Download Full-text

THE IMPACT OF THE OPIOID EPIDEMIC ON OLDER ADULTS: FINDINGS FROM A NATIONAL SURVEY OF COMMUNITY-BASED ORGANIZATIONS

Innovation in Aging ◽

10.1093/geroni/igz038.2706 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S738-S738

Author(s):

Kathleen A Cameron ◽

Lauren E Popham ◽

Angelica Herrera-Venson

Keyword(s):

Older Adults ◽

Rural Communities ◽

National Survey ◽

National Council ◽

Opioid Epidemic ◽

Opioid Misuse ◽

Strategic Partnerships ◽

Community Based ◽

Community Based Organizations ◽

The Impact

Abstract The National Council on Aging (NCOA) conducted a national survey of community-based organizations (CBOs) in early 2019 to better understand how older adults, people with disabilities, and their caregivers are affected by the opioid epidemic and identify new resources and tools needed by CBOs to better serve their community needs. Specifically, the survey asked about the extent to which CBOs’ service delivery and level of effort has changed as a result of the opioid epidemic; unique issues reported by this population, directly or indirectly resulting from opioid misuse by them or loved ones; how organizations screen and refer older adults and individual with disabilities for support associated with opioid misuse; how organizations may be connecting with local or state initiatives addressing the opioid epidemic, or forming strategic partnerships to respond to emerging client needs; and pinpoint gaps in resources that may help organizations to more effectively respond to these issues. Over 200 organizations, representing urban, suburban and rural communities, responded to the survey and included senior centers, area agencies on aging, Senior Health Insurance Assistance Programs, as well as health care organizations. Seventy percent of organizations report spending more effort to address the needs of older adults/caregivers who are adversely affected by opioid misuse/abuse since 2 years ago. Common health and financial concerns, current strategies related to screening, partnership development, and educational programming as reported by CBOs will be presented. This session will include a discussion of opportunities to assist CBOs address the opioid-related needs of their older adult clients.

Download Full-text

Scaling-up health insurance through community- based health insurance schemes in rural sub- Saharan African communities

Journal of Hospital Administration ◽

10.5430/jha.v3n1p14 ◽

2013 ◽

Vol 3 (1) ◽

pp. 14 ◽

Cited By ~ 2

Author(s):

Ufuoma John Ejughemre

Keyword(s):

Health Care ◽

Health Insurance ◽

Rural Communities ◽

Care Delivery ◽

Sub Saharan Africa ◽

Community Based ◽

Seek Health Care ◽

Community Based Health Insurance ◽

The Poor ◽

Sub Saharan

Context: The knotty and monumental problem of health inequality and the high burden of diseases in sub-Saharan Africa bothers on the poor state of health of many of its citizens particularly in rural communities. These issues are further exacerbated by the harrowing conditions of health care delivery and the poor financing of health services in many of these communities. Against these backdrops, health policy makers in the region are not just concerned with improving peoples’ health but with protecting them against the financial costs of illness. What is important is the need to support more robust strategies for healthcare financing in these communities in sub-Saharan Africa. Objective: This review assesses the evidence of the extent to which community-based health insurance (CBHI) is a more viable option for health care financing amongst other health insurance schemes in rural communities in sub-Saharan Africa. Patterns of health insurance in sub-Saharan Africa: Theoretically, the basis for health insurance is that it allows for risk pooling and therefore ensures that resources follow sick individuals to seek health care when needed. As it were, there are different models such as social, private and CBHI schemes which could come to bear in different settings in the region. However, not all insurance schemes will come to bear in rural settings in the region. Community based health insurance: CBHI is now recognized as a community-initiative that is community friendly and has a wide reach in the informal sector especially if well designed. Experience from Rwanda, parts of Nigeria and other settings in the region indicate high acceptability but the challenge is that these schemes are still very new in the region. Recommendations and conclusion: Governments and international development partners in the region should collect- ively develop CBHI as it will help in strengthening health systems and efforts geared towards achieving the millennium development goals. This is because it is inextricably linked to the health care needs of the poor.

Download Full-text