scholarly journals Community based saving groups: an innovative approach to overcome the financial and social barriers in health care seeking by the women in the rural remote communities of Pakistan

2017 ◽  
Vol 75 (1) ◽  
Author(s):  
Babar Tasneem Shaikh ◽  
Qayyum Noorani ◽  
Shazia Abbas
Keyword(s):  
Health Care ◽  
Innovative Approach ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Remote Communities ◽  
Community Based ◽  
Social Barriers

scholarly journals A Community-Based Intervention Designed to Increase Preventive Health Care Seeking Among Adolescents: The Gonorrhea Community Action Project

2005 ◽  
Vol 95 (2) ◽  
pp. 331-337 ◽  
Author(s):  
Nancy L. VanDevanter ◽  
Peter Messeri ◽  
Susan E. Middlestadt ◽  
Amy Bleakley ◽  
Cheryl R. Merzel ◽  
...  
Keyword(s):  
Health Care ◽  
Preventive Health Care ◽  
Community Action ◽  
Preventive Health ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Community Based ◽  
Action Project

scholarly journals Culturally Responsive Health Promotion to Address Health Disparities in African American Men: A Program Impact Evaluation

2020 ◽  
Vol 14 (4) ◽  
pp. 155798832095132
Author(s):  
Olihe N. Okoro ◽  
Chantele S. Nelson ◽  
Stephan P. Witherspoon ◽  
Salaam F. Witherspoon ◽  
Glenn E. Simmons
Keyword(s):  
Social Support ◽  
Health Care ◽  
Health Promotion ◽  
African American ◽  
Health Outcomes ◽  
Self Efficacy ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Community Based ◽  
Program Impact

African American (AA) men continue to experience worse health outcomes compared to men of other races/ethnicities. Community-based interventions are known to be effective in health promotion and disease prevention. The program objectives were to (a) increase knowledge and risk awareness of targeted conditions, (b) change health-care-seeking attitudes toward regular primary care among AA men, and (c) improve their lifestyle-related health behaviors by leveraging the influence of women in their lives. The community-engaged educational intervention targeted both men and women and included eight 90-min sessions per cohort. Topics included prostate cancer, cardiovascular disease, diabetes, mental health, health-care access, and healthy lifestyle. Sessions were both didactic and interactive. A pre-/post-intervention questionnaire assessed knowledge. Interviews were conducted with male participants and a focus group discussion (FGD) with women to assess program impact. Interview and FGD transcripts were analyzed for themes and recommendations. Major themes were—increased knowledge/awareness of risk associated with chronic conditions, change in health-care-seeking attitudes, increased self-efficacy to engage the health-care system, and lifestyle changes. Other impacts reported were building community/social support, a safe and enabling learning environment, and enhanced community health status overall. Recommendations included having extended, more in-depth sessions, targeting the younger generation, smaller cohort sizes, and more community-based health programming. Community-engaged health promotion using a cohort model as well as including women can be effective in increasing knowledge, enhancing self-efficacy, and providing the much-needed social support. These can influence health-related behaviors and thus contribute to improving health outcomes for AA men.

scholarly journals Needs assessment for adapting TB directly observed treatment intervention programme in Limpopo Province, South Africa: A community-based participatory research approach

2016 ◽  
Vol 8 (2) ◽  
Author(s):  
Jabu T. Mabunda ◽  
Lunic B. Khoza ◽  
Hubertus B. Van den Borne ◽  
Rachel T. Lebese
Keyword(s):  
Health Care ◽  
Participatory Research ◽  
Community Based Participatory Research ◽  
Limpopo Province ◽  
Research Approach ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Community Based ◽  
Directly Observed Treatment ◽  
Participatory Research Approach

Background: Limpopo Province is one of the hardest hit by tuberculosis and human immune virus infections in the country. The province has been implementing directly observed treatment strategy since 1996. However, the cure rate was 64% in 2015 and remains far from the set target by the World Health Organization of 85%. Poor health-care seeking and adherence behaviours were identified as major risk behaviours.Aim: To apply a community-based participatory research approach in identifying barriers and facilitators to health-care seeking and adherence to treatment, and to determine strategies and messages in order to inform the design of an adapted intervention programme.Setting: This study was conducted in three districts in the Limpopo Province, Capricorn, Mopani and Sekhukhune districts.Methods: Community participatory research approach was applied. Purposive sampling was used to sample participants. Focus group discussions were used to collect data. Participatory analysis was used comparing findings within and across all the participants.Results: A total of 161 participated in the study. Participants included coordinators, professional nurses, supporters and patients. Major modifiable behavioural-related barriers were lack of knowledge about tuberculosis, misinformation and misperceptions cultural beliefs, stigma and refusal of treatment support. Environment-related barriers were attitudes of health workers, lack of support by family and community, lack of food and use of alcohol and drugs. Strategies and messages included persuasive and motivational messages to promote healthy behaviour.Conclusion: Joint programmatic collaboration between the community and academic researchers is really needed for interventions to address the needs of the community.Keywords: Health seeking, Adherence, Community based participatory research, Tuberculosis

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