A Review of Faith-Based Holistic Health Models: Mapping Similarities and Differences

2020 ◽  
Vol 7 (2) ◽  
pp. 120-132
Author(s):  
Ruth Dykstra ◽  
Jason Paltzer
Keyword(s):  
Holistic Health ◽  
Community Level ◽  
Community Readiness ◽  
Local Leadership ◽  
Individual Level ◽  
Faith Based ◽  
Primary Difference ◽  
Similarities And Differences ◽  
Planning Development ◽  
And Behavior

This review identified and determined core aspects of holistic health models often used in faith-based global development to integrate the spiritual determinant of health into a multiple determinants framework. Understanding such models and their similarities and differences is essential when planning development opportunities. Seven holistic health models were identified for review. A similar feature among the models was the importance of understanding the impacts of a community’s worldview and beliefs on health to discussing the spiritual aspects of health and behavior change. Community engagement and cultivating relationships were two common themes motivating the models. A primary difference among the models was the direction of engagement. Some models intentionally focus on individual-level relationships and move toward larger community-level impact while others start at the community level and move toward individual-level engagement. Both approaches are helpful depending on the context, community readiness and available local leadership. Based on the review, two diagrams or maps were created to help organizations determine which models or parts of models may be applicable to their situation.

scholarly journals Less than one-fifth of the mothers practised exclusive breastfeeding in the emerging regions of Ethiopia: a multilevel analysis of the 2016 Ethiopian demographic and health survey

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tsegaye Gebremedhin ◽  
Demiss Mulatu Geberu ◽  
Asmamaw Atnafu
Keyword(s):  
Health Survey ◽  
Exclusive Breastfeeding ◽  
Household Wealth ◽  
Community Level ◽  
Wealth Status ◽  
Individual Level ◽  
Factors Associated ◽  
Breastfeeding Practices ◽  
The Individual ◽  
Low Coverage

Abstract Background The burden of low coverage of exclusive breastfeeding (EBF) has a significant impact on the health of a newborn and also on the family and social economy in the long term. Even though the prevalence of EBF practices in Ethiopia is low, the practices in the pastoral communities, in particular, are significantly low and affected by individual and community-level factors. Besides, its adverse outcomes are mostly unrecognised. Therefore, this study aimed to assess the individual and community-level factors of low coverage of EBF practices in the emerging regions of Ethiopia. Methods In this analysis, data from 2016 Ethiopian Demographic and Health Survey (EDHS) were used. A two-stage stratified sampling technique was used to identify 1406 children aged 0 to 23 months in the emerging regions of Ethiopia. A multilevel mixed-effect binary logistic regression analysis was used to determine the individual and community level factors associated with exclusive breastfeeding practices. In the final model, variables with a p-value of < 0.05 and Adjusted Odds Ratio (AOR) with 95% Confidence Interval (CI) were found to be statistically significant factors that affect exclusive breastfeeding practices. Results Overall, 17.6% (95% CI: 15.6–19.6) of the children aged 0 to 23 months have received exclusive breastfeeding. Employed mothers (AOR: 0.33, 95% CI: 0.21–0.53), richer household wealth status (AOR: 0.39, 95% CI: 0.16–0.96), mothers undecided to have more children (AOR: 2.29, 95% CI: 1.21–4.29), a child with a history of diarrhoea (AOR: 0.31, 95% CI: 0.16–0.61) were the individual-level factors, whereas Benishangul region (AOR: 2.63, 95% CI: 1.44–4.82) was the community-level factors associated with the exclusive breastfeeding practices. Conclusions Less than one-fifth of the mothers have practised exclusive breastfeeding in the emerging regions of Ethiopia. The individual-level factors such as mother’s employment status, household wealth status, desire for more children, presence of diarrhoea and community-level factors such as region have contributed to the low coverage of exclusive breastfeeding. Therefore, the federal and regional health bureaus and other implementers should emphasise to those emerging regions by creating awareness and strengthening the existing community-based health extension program to enhance exclusive breastfeeding practices.

Perceived Service Need After Hurricane Sandy in a Representative Sample of Survivors: The Roles of Community-Level Damage and Individual-Level Stressors

2016 ◽  
Vol 10 (3) ◽  
pp. 428-435 ◽  
Author(s):  
Laura Sampson ◽  
Sarah R. Lowe ◽  
Oliver Gruebner ◽  
Gregory H. Cohen ◽  
Sandro Galea
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Task Force ◽  
Demographic Data ◽  
Hurricane Sandy ◽  
Building Damage ◽  
Community Level ◽  
Individual Level ◽  
Service Need

AbstractObjectiveWe aimed to explore how individually experienced disaster-related stressors and collectively experienced community-level damage influenced perceived need for mental health services in the aftermath of Hurricane Sandy.MethodsIn a cross-sectional study we analyzed 418 adults who lived in the most affected areas of New York City at the time of the storm. Participants indicated whether they perceived a need for mental health services since the storm and reported on their exposure to disaster-related stressors (eg, displacement, property damage). We located participants in communities (n=293 census tracts) and gathered community-level demographic data through the US Census and data on the number of damaged buildings in each community from the Federal Emergency Management Agency Modeling Task Force.ResultsA total of 7.9% of participants reported mental health service need since the hurricane. Through multilevel binomial logistic regression analysis, we found a cross-level interaction (P=0.04) between individual-level exposure to disaster-related stressors and community-level building damage. Individual-level stressors were significantly predictive of individual service needs in communities with building damage (adjusted odds ratio: 2.56; 95% confidence interval: 1.58-4.16) and not in communities without damage.ConclusionIndividuals who experienced individual stressors and who lived in more damaged communities were more likely to report need for services than were other persons after Hurricane Sandy. (Disaster Med Public Health Preparedness. 2016;10:428–435)

scholarly journals PARTICIPATIVE MANAGEMENT AS A TOOL TO ENSURE STRATEGIC DEVELOPMENT OF ENTERPRISES

2021 ◽  
Author(s):  
Viktoriia Kyfyak ◽  
Olena Herenda
Keyword(s):  
Managerial Behavior ◽  
Management Decisions ◽  
Strategic Development ◽  
Individual Level ◽  
Healthy Environment ◽  
Advantages And Disadvantages ◽  
Positive Side ◽  
Company Policy ◽  
The Individual ◽  
And Behavior

The main focus of this article is on the correlation between employee involvement in management decisions and the growth of both the organization and employees in all areas. The types of managerial behavior are analyzed, within which the main styles are identified, such as: authoritarian and democratic, as well as the advantages and disadvantages of each of them, their impact on the workforce and behavior. The article reflects the need to involve employees in order to improve performance and a sense of responsibility, and lists not only the positive side of this implementation, but also possible negative changes. Effective communication and involvement of staff in management decisions create a basis for ensuring the effective functioning of the enterprise. Involvement of employees, in this article, is not seen as a goal or tool, as is practiced in many organizations, but as a philosophy of management and leadership on how best in a healthy environment to realize their abilities, grow, improve and succeed in each unit and organization in general. The article discusses the main forms of participatory management: informal and short-term participation of personnel in management decisions, consultative involvement of employees, attraction of employees to ownership, involvement of employees in control and improvement of processes, involvement of personnel in decisions about company policy, participation in the organization's income, participation in profits of the organization, participation in the management of the organization. A distinctive feature of this method from many systems of remuneration for labor activity is that the latter are built on the recognition of the contribution of an employee of a given organization at the individual level. Participatory governance is based on the recognition of interests all personnel being reciprocal. This leads to the fact that there is an integration of these interests, and workers become more interested in the results of their work. Involving employees in the decision-making process not only reduces outsourcing, which saves money, time and offers the company long-term reliable assistance from employees who have knowledge of all the processes and deep needs of the corporation.

Barriers and Facilitators of HIV and Hepatitis C Care Among People Who Inject Drugs in Nairobi, Kenya: A Qualitative Study with Peer Educators

2021 ◽  
Author(s):  
Natasha Ludwig-Barron ◽  
Brandon L Guthrie ◽  
Loice Mbogo ◽  
David Bukusi ◽  
William Sinkele ◽  
...  
Keyword(s):  
Hepatitis C ◽  
Law Enforcement ◽  
Harm Reduction ◽  
People Who Inject Drugs ◽  
Community Level ◽  
Barriers And Facilitators ◽  
Peer Educators ◽  
Prevention Education ◽  
Individual Level ◽  
Policy Level

Abstract Background: In Kenya, people who inject drugs (PWID) are disproportionately affected by HIV and hepatitis C (HCV) epidemics, including HIV-HCV coinfections; however, few have assessed factors affecting their access to and engagement in care through the lens of harm reduction specialists. This qualitative study leverages the personal and professional experiences of peer educators to help identify HIV and HCV barriers and facilitators to care among PWID in Nairobi, including resource recommendations to improve service uptake. Methods: We recruited peer educators from two harm reduction facilities in Nairobi, Kenya, using random and purposive sampling techniques. Semi-structured interviews explored circumstances surrounding HIV and HCV service access, prevention education and resource recommendations. A thematic analysis was conducted using the Modified Social Ecological Model (MSEM) as an underlying framework, with illustrative quotes highlighting emergent themes. Results: Twenty peer educators participated, including six women, with 2 months to 6 years of harm reduction service. Barriers to HIV and HCV care were organized by (a) individual-level themes including competing needs of addiction and misinterpreted symptoms; (b) network-level themes including social isolation and drug pusher interactions; (c) community-level themes including transportation, mental and rural healthcare services, and limited HCV resources; and (d) policy-level themes including nonintegrated services, clinical administration, and law enforcement. Stigma, an overarching barrier, was highlighted throughout the MSEM. Facilitators to HIV and HCV care were comprised of (a) individual-level themes including concurrent care, personal reflections, and religious beliefs; (b) network-level themes including community recommendations, navigation services, family commitment, and employer support; (c) community-level themes including quality services, peer support, and outreach; and (d) policy-level themes including integrated services and medicalized approaches within law enforcement. Participant resource recommendations include (i) additional medical, social and ancillary support services, (ii) national strategies to address stigma and violence and (iii) HCV prevention education. Conclusions : Peer educators provided intimate knowledge of PWID barriers and facilitators to HIV and HCV care that were described at each level of the MSEM, and should be given careful consideration when developing future initiatives. Recommendations emphasized policy and community-level interventions including educational campaigns and program suggestions to supplement existing HIV and HCV services.

Abstract P447: Index of Concentration at the Extremes and Diabetes Prevalence: The Reasons for Geographic and Racial Differences in Stroke (regards) Study

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Gargya Malla ◽  
D. Leann Long ◽  
Nyesha C Black ◽  
Sha Zhu ◽  
Jalal Uddin ◽  
...  
Keyword(s):  
Racial Differences ◽  
Community Level ◽  
Diabetes Prevalence ◽  
Median Income ◽  
Census Tracts ◽  
Individual Level ◽  
Black And White ◽  
The Us ◽  
Regards Study ◽  
Increase Diabetes Risk

Background: Stark regional and racial disparities in diabetes prevalence exist in the US. Community-level factors (e.g., median income) have been associated with higher diabetes prevalence. However, few studies have investigated how community-level spatial polarization, specifically in race and income, may relate to diabetes burden. Objective: To investigate the association between the Index of Concentration at the Extremes (ICE), a measure that reflects polarization in race and income at the community-level, and individual-level diabetes prevalence. Methods: This analysis included 24,752 Black and White adults age ≥ 45 years at baseline (2003-2007) from the REGARDS Study. The ICE measure quantifies the concentration of community affluence and poverty in a census tract using both income and race jointly, with values ranging from -1 (most deprived) to +1 (most privileged). Diabetes was defined as fasting glucose ≥ 126 mg/dL or random glucose ≥ 200 mg/dL or use of diabetes medication. Modified Poisson regression was used to obtain prevalence ratios and 95% CI for the association of ICE quartiles with prevalent diabetes. Results: The overall prevalence of diabetes was 21% and was highest for adults living in the most deprived census tracts (28.3%) and lowest for those living in the most privileged census tracts (12.5%). The association between ICE and prevalent diabetes was graded in crude analyses but attenuated after adjustment for individual-level sociodemographic, lifestyle and clinical factors (Table). Conclusion: Communities with greater polarization in race and income had a higher burden of diabetes. This association was mostly explained by individual-level socioeconomic and lifestyle factors. Further investigation of community-level attributes and how they relate to individual-level factors that increase diabetes risk is needed.

scholarly journals Task-Layer Multiplicity as a Measure of Community Level Health

Complexity ◽  
2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
P. Fraundorf
Keyword(s):  
Belief Systems ◽  
Well Being ◽  
Community Level ◽  
Behavioral Measure ◽  
Policy Changes ◽  
Web Searches ◽  
Individual Level ◽  
Broken Symmetries ◽  
Attention Focus ◽  
The Impact

The insights of many disciplines, and of commonsense, about individual-level well-being might be strengthened by a shift in focus to community-level well-being in a way that respects belief systems as well as the power of each individual. We start with the jargon of complex systems and the possibility that a small number of broken symmetries, marked by the edges of a hierarchical series of physical subsystem types, underlie the delicate correlation-based complexity of life on our planet’s surface. We show that an information-theory-inspired model of attention-focus on correlation layers, which looks in/out from the boundaries of skin, family, and culture, predicts that behaviorally diverse communities may tend toward a characteristic task-layer multiplicity per individual of only e29/20≅ 4.26 of the six correlation layers that comprise that community. This behavioral measure of opportunity may help us to (i) go beyond GDP in quantifying the impact of policy changes and disasters, (ii) manage electronic idea-streams in ways that strengthen community networks, and (iii) leverage our paleolithic shortcomings toward the enhancement of community-level task-layer diversity. Empirical methods for acquiring task-layer multiplicity data are in their infancy, although for human communities a great deal of potential lies in the analysis of web searches and asynchronous experience sampling similar to that used by “flu near you.”

scholarly journals A Theory of Adaptive Intelligence and Its Relation to General Intelligence

2019 ◽  
Vol 7 (4) ◽  
pp. 23 ◽  
Author(s):  
Robert J. Sternberg
Keyword(s):  
Evolutionary Theory ◽  
Hierarchical Model ◽  
Cultural Context ◽  
General Factor ◽  
General Intelligence ◽  
Similarities And Differences ◽  
Definition Of ◽  
And Behavior

Intelligence typically is defined as consisting of “adaptation to the environment” or in related terms. Yet, it is not clear that “general intelligence” or g, traditionally conceptualized in terms of a general factor in a psychometrically-based hierarchical model of intelligence, provides an optimal way of defining intelligence as adaptation to the environment. Such a definition of adaptive intelligence would need to be biologically based in terms of evolutionary theory, would need to take into account the cultural context of adaptation, and would need to take into account whether thought and behavior labeled as “adaptively intelligent” actually contributed to the perpetuation of the human and other species, or whether it was indifferent or actually destructive to this perpetuation. In this article, I consider the similarities and differences between “general intelligence” and “adaptive intelligence,” as well as the implications especially of the differences.

scholarly journals Individual-level and community-level factors associated with the family planning use among pastoralist community of Ethiopia: a community-based cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e036519 ◽  
Author(s):  
Mussie Alemayehu ◽  
Araya Abrha Medhanyie ◽  
Elizabeth Reed ◽  
Afework Mulugeta
Keyword(s):  
Family Planning ◽  
Cross Sectional Study ◽  
Married Women ◽  
Community Level ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Individual Level ◽  
Pastoralist Community ◽  
The Individual

ObjectiveThe study aimed to identify the effects of the individual-level and community-level factors on the use of family planning (FP) among married women in the pastoralist community of Ethiopia.DesignA community-based cross-sectional study was conducted in September 2018. Data were analysed using R software. To determine the fixed effect of individual-level and community-level factors of FP use, a two-level mixed-effects logistic regression was used. The result was described using the Adjusted OR (AOR), and the variance partition coefficient.Setting and participantsAfar, Ethiopia (2018; n=891) married women of reproductive age (15–49) years.Primary outcome measuresFP use or non-use.ResultsThe current use of FP was 18.7% (16.31%–21.43%). Women who need to walk 1 hour and more to the nearest health facility (AOR 0.14, 95% CI 0.05 to 0.3), have ANC visit of 4 and above (AOR 6.02, 95% CI 1.74 to 20.8), had their last birth at a health facility (AOR 2.71 95% CI 1.27 to 5.81), have five and more children (AOR 4.71, 95% CI 1.86 to 11.9), have high knowledge on FP (AOR 2.74, 95% CI 1.11 to 6.74) and had high intentions to use FP (AOR 10.3, 95% CI 3.85 to 27.6) were more likely to report FP use. The magnitude of the effect of for FP use was smaller than that of 9 of the 13 individual factors. Apart from this 19.4% of the total variance in the odds of using FP attributed to between community difference (intraclass correlation coefficient=0.194). Regarding the community-level characteristics, clusters of having higher electronic media possession (AOR 2.84, 95% CI 1.2 to 6.72) and higher women decision making on FP (AOR 8.35, 95% CI 2.7 to 27.1) were significantly associated with increased FP use compared with clusters with lower reports of these aspects.ConclusionFP use among the pastoralist community is influenced by both individual cluster/community-level characteristics or factors. Even though the effect of clustering in FP use was large in comparison with the unexplained between-cluster variation, it was lower than the individual-level factors.Trail registrtion numberNCT03450564

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