scholarly journals Community-Based Stunting Intervention Strategies: Literature Review

2020 ◽  
Vol 8 (2) ◽  
pp. 259
Author(s):  
Lita Heni Kusumawardani ◽  
Rasdiyanah Rasdiyanah ◽  
Utami Rachmawati ◽  
Muhamad Jauhar ◽  
I Gusti Ayu Putu Desy Rohana
Keyword(s):  
Literature Review ◽  
Rural Areas ◽  
Health Workers ◽  
Management Strategies ◽  
Intervention Strategies ◽  
Personal Hygiene ◽  
Community Based ◽  
Normal Children ◽  
Nutritional Interventions ◽  
Attitudes And Practices

Stunting is a growth disorder in children caused by malnutrition for a long time. The child's condition becomes shorter than normal children his age and has a delay in thinking. The incidence of stunting in Indonesia is quite high sostunting is becoming a priority health problem now. An effective strategy is needed to control stunting in Indonesia. The aim of this review was to explore the stunting management strategies to potentially implement in Indonesia.A literature review design was used to explore the stunting management strategies. Literature study of 15 articles retrieved from the journal database of Science Direct, Proquest, Scopus, and EBSCO in the last 5 years using keywords stunting, management, rural areas, and community based. Data were analyzed in tables consist of title, author, year, sample, methodology, and result. Control and preventionstunting could done through integrated nutrition interventions.Strategy Specific nutritional interventions such as providing supplementation and supplementary food plus nutritional interventions including non-health interventions, improving the family's economy, access and utilization of clean water, sanitation (especially latrines and safe septic tanks), which are urgently needed to support personal hygiene behavior and the environment . Interventions can use mother's counseling and support methods regularly by health workers by involving health cadres.Specific and sensitive intervention strategies are effective strategies within stunting control and prevention. Monitoring and evaluation of nutritional knowledge, attitudes and practices coupled with an assessment of the nutritional status and morbidity of mothers and children is also very necessary in controlling and preventing stunting in Indonesia

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

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.

Using Formative Research to Inform a BCC Strategy to Increase Food Security and Dietary Diversity in Low-Income Rural Communities

2021 ◽  
Vol 6 (3) ◽  
Author(s):  
Turk T ◽  
◽  
Safdar NF ◽  
Hashmi S ◽  
Shah N ◽  
...  
Keyword(s):  
Literature Review ◽  
Nutrition Education ◽  
Low Income ◽  
Rural Areas ◽  
Dietary Diversity ◽  
Current Knowledge ◽  
Formative Research ◽  
Lessons Learned ◽  
Attitudes And Practices ◽  
Kitchen Gardens

Background: Adequate nutrition is a public health priority, particularly in low-income rural areas where there is a high prevalence of malnutrition and stunting. Baluchistan is an arid desert and mountainous province with the worst health indicators in Pakistan. The objective of this research study was to identify current knowledge, attitudes and practices of vulnerable women with young children residing in remote areas of Baluchistan and assess their information needs to guide the development of a BCC nutrition strategy materials and activities. Methods: This study design incorporated formative research via eight focus group discussions with demand and supply-side program beneficiaries (n=124) to assess current nutrition knowledge, attitudes and beliefs toward kitchen gardens and proposed nutrition resources. Semi-structured interviews (n=16) were also conducted to provide program intelligence from key informants. A literature review supported the development of discussion agenda based on predominant behavioral theories. Data analysis was conducted with in vivo qualitative software coupled with grounded theory with qualitative findings triangulated. Results: The study identified important factors for the development of BCC resources and activities. Opportunities included effective nutrition education, improved income and livelihoods from kitchen gardens, women’s empowerment and gender equality. Challenges included traditional cultural practices, entrenched food preparation behaviour, environmental and infrastructural constraints. Conclusions: Lessons learned highlight the benefits of integrating formative research methods with a comprehensive literature review and behavioural theories for the development of BCC resources for nutrition programs in insecure and resource-constrained settings.

scholarly journals Retention and Task Shifting in Human Resources for Health through Data Mining

2017 ◽  
Vol 10 (5) ◽  
pp. 29
Author(s):  
Cheng-Kun Wang
Keyword(s):  
Data Mining ◽  
Literature Review ◽  
Human Resources ◽  
Rural Areas ◽  
Health Workers ◽  
Human Resources For Health ◽  
Task Shifting ◽  
Good Tool ◽  
Medical Manpower ◽  
And Task

Human resources for health (HRH) are the backbone of the healthcare system, but a shortage of medical manpower and the misdistribution of human resources are critical problems in the rural areas of many countries till 2017. The shortage of medical manpower is a big issue between 2004 and 2013. Data mining of bibliometrics is a good tool to find the solutions for shortage of medical manpower. By analyzing 118,092 citations in 2,000 articles published in the SSCI and SCI databases addressing HRH from 2004 to 2013, we plotted the networks among authors in the field. We combine quantitative bibliometrics and a qualitative literature review to determine the important articles and to realize the relationships between important topics in this field. We find that retention and task shifting are the hot topics in HRH field between 2004 and 2013, and find out the solutions for these issues through literature review in later papers. The solution to the HRH shortage is to determine the motivations of health workers and to provide incentives to maintain their retention. Task shifting is another solution to the HRH crisis.

scholarly journals Perceptions, attitudes and practices towards scabies in communities on the Bijagós Islands, Guinea-Bissau

2019 ◽  
Author(s):  
Maria João Lopes ◽  
Eunice Teixeira da Silva ◽  
Janete Ca ◽  
Adriana Gonçalves ◽  
Amabelia Rodrigues ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Community Education ◽  
Health Workers ◽  
Health Centre ◽  
Community Support ◽  
Personal Hygiene ◽  
Local Health ◽  
Community Members ◽  
Attitudes And Practices ◽  
Guinea Bissau

Abstract Background Scabies is highly endemic among impoverished populations and has been recently included in the WHO’s list of neglected tropical diseases (NTDs). Community support and behavioural changes are essential for the success of control interventions. This study aimed to explore beliefs, prevention attitudes and healthcare-seeking behaviours towards scabies in the Bijagós Archipelago of Guinea-Bissau. Methods Data were collected through two methods. Community key informants (community members, community health workers, healthcare workers and traditional healers) were interviewed using snowball sampling. A questionnaire covering perceptions, attitudes and practices was administered to community members using random cluster sampling. Thematic analysis of qualitative data was applied to identify themes. Descriptive statistics were used for quantitative data analysis. Results There was a satisfactory awareness about scabies, but perceptions about disease causation and transmission were imprecise. Misconceptions about personal hygiene as the primary measure for scabies prevention were recurrent. Some participants recognised the importance of early treatment to interrupt transmission. Treatment of close contacts was not considered important. Costs were the main determining factor for treatment choice between traditional healer and the local health centre. Late presentation and delayed treatment were common and associated with poverty and stigmatisation. Scabies impaired quality of life by affecting social interactions, health, fitness to work and school attendance. Conclusions There is a need to improve education, recognition, management and affordable access to treatment. Community education, healthcare workers’ training and skin NTD integrated control programmes should address the challenges highlighted in this study.

scholarly journals Intragroup Accounts of Teenage Motherhood: A Community Based Psychological Perspective

1997 ◽  
Vol 27 (4) ◽  
pp. 223-229 ◽  
Author(s):  
Angina Parekh ◽  
Cheryl de la Rey
Keyword(s):  
Peer Relationships ◽  
Adolescent Mothers ◽  
Rural Areas ◽  
Health Workers ◽  
Community Support ◽  
Teenage Mothers ◽  
Life Outcomes ◽  
Community Based ◽  
Teenage Motherhood ◽  
Parent Groups

Using community based and women-centred perspectives, this study explored experiences of unplanned motherhood during adolescence. Ten African teenage mothers from a semi-rural area in KwaZulu-Natal volunteered to meet once a week for eight weeks to discuss their experiences of pregnancy and motherhood. The findings are discussed in the context of the effect of teenage motherhood on self, on family and peer relationships, traditional Zulu customs, and community support. Current relationships with partners and concerns about the future are also reported. The results indicate the need for school-based programmes and parent groups for adolescent mothers that will enhance their ability to examine options with a view to establishing a trajectory towards better life outcomes. Community health workers were also identified as resource personnel for enabling teenage mothers in rural and semi-rural areas to cope with their concerns and develop a way of understanding them.

scholarly journals P.3.11 Implementation of community-based occupational health programs for informal workers in indonesia

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A99.2-A99
Author(s):  
Astri Ferdiana ◽  
Fahmi Baiquni ◽  
Dhiya Ur Rahman ◽  
Awalia Febriana ◽  
Siti Solikhah ◽  
...  
Keyword(s):  
Occupational Health ◽  
Rural Areas ◽  
Social Protection ◽  
Health Workers ◽  
Group Discussion ◽  
District Health ◽  
Community Based ◽  
Informal Workers ◽  
Program Managers ◽  
Occupational Risks

Informal workers account for 60% of workforce in Indonesia. Most do not have access to occupational health and safety (OHS) services. The study aims to explore the implementation of community-based OHS program consisting of OHS post and cadres (referred to as UKK program) among informal workers in rural areas in Indonesia. This study was an implementation research using focus group discussion (FGDs) and key informant interviews (KIIs) to workers, primary health care (PHC) staff, and provincial and district program managers. Thematic analysis was used to identify barriers and enablers of UKK implementation at intrapersonal, interpersonal, community, organizational and policy level.A total of 10 FGDs with informal workers from different areas of occupation, two FGDs with PHC staff and 6 KIIs with program managers were conducted. Informal workers faced various occupational risks yet personal protective equipment were rarely available or used. OHS was perceived as important, however, participation in UKK was low because of lack of time and information. There was lack of workers empowerment, resulting in top-down planning of activities by PHC. Informal workers expected PHC health workers to provide OHS services rather than UKK cadres. Not all PHCs have implemented UKK. Few programmers were trained on OHS. The program was assigned low priority and resource allocation by PHC and District Health Office. The absence of OHS regulation for informal workers offered little incentive for government departments to implement OHS programs and services for informal workers.Informal workers had unmet needs of OHS. Substantial efforts are needed to implement UKK, especially investment in financial and human resources. UKK establishment should be focused at workplace with the highest occupational risks. Technical capacity of programmers responsible for health promotion and OHS should be improved. Local policy on social protection and OHS services for informal workers should be developed.

scholarly journals Management of severe acute malnutrition in low-income and middle-income countries

2014 ◽  
Vol 100 (3) ◽  
pp. 283-287 ◽  
Author(s):  
Indi Trehan ◽  
Mark J Manary
Keyword(s):  
Low Income ◽  
Rural Areas ◽  
Health Workers ◽  
Severe Acute Malnutrition ◽  
Acute Malnutrition ◽  
Community Based ◽  
Middle Income ◽  
Middle Income Countries ◽  
Environmental Enteropathy ◽  
Fortified Milk

Kwashiorkor and marasmus, collectively termed severe acute malnutrition (SAM), account for at least 10% of all deaths among children under 5 years of age worldwide, virtually all of them in low-income and middle-income countries. A number of risk factors, including seasonal food insecurity, environmental enteropathy, poor complementary feeding practices, and chronic and acute infections, contribute to the development of SAM. Careful anthropometry is key to making an accurate diagnosis of SAM and can be performed by village health workers or even laypeople in rural areas. The majority of children can be treated at home with ready-to-use therapeutic food under the community-based management of acute malnutrition model with recovery rates of approximately 90% under optimal conditions. A small percentage of children, often those with HIV, tuberculosis or other comorbidities, will still require inpatient therapy using fortified milk-based foods.

Introducing Integrated Health Services in a Traditional Society: The Sudan Community-Based Family Health Project

1984 ◽  
Vol 5 (3) ◽  
pp. 187-202 ◽  
Author(s):  
A. R. El Tom ◽  
M. Haytham Matthews ◽  
Suzan Wessley ◽  
Naila Mubarak ◽  
Donald Lauro
Keyword(s):  
Health Services ◽  
Nutrition Education ◽  
Rural Areas ◽  
Health Workers ◽  
Family Health ◽  
Child Health Services ◽  
Local Health ◽  
Community Based ◽  
Short Period ◽  
Health Project

The Sudan Community Based Family Health Project, begun in 1980, has sought to demonstrate that the existing cadre of practicing government-trained village midwives in the Sudan can be utilized to extend maternal and child health services to rural areas. A majority of these midwives are nonliterate, and attention was placed on effectively implementing a limited set of services, namely, oral rehydration, birth-spacing, nutrition education, and immunization. Carefully planned inservice training programs for midwives and local health workers and an intensive service introduction campaign implemented in phases resulted in mixed success over a relatively short period of observation. Perhaps the most important lessons that have emerged from the program have been about how to design and implement a rural MCH program building on local resources. The experience has since lead project staff to undertake, in a new area, a follow-up program designed to be a more cost-effective and replicable version of the original one.

HUBUNGAN PERSONAL HYGIENE DENGAN KEJADIAN PEDICULOSIS CAPITIS PADA SISWA SEKOLAH DASAR NEGERI KLOPOSAWIT, TURI,SLEMAN, YOGYAKARTA

2018 ◽  
Vol 11 (1) ◽  
Author(s):  
Susi Damayanti
Keyword(s):  
Elementary School ◽  
Elementary School Students ◽  
School Children ◽  
Rural Areas ◽  
Health Workers ◽  
Personal Hygiene ◽  
Bivariate Analysis ◽  
School Students ◽  
Pediculosis Capitis ◽  
Number Of Patients

ABSTRACTBackground: The prevalence and incidence of Pediculosis capitis in children is quite high in many countries of the world. Pediculosis capitis usually affects children aged 5 - 13 years. In Yogyakarta in 2011 the prevalence of pediculosis capitis infestation rate was 19.6% for elementary school students in rural areas and 12.3% in elementary school students in urbanareas. The incidence is far below the real number because of the number of patients who treat themselves and do not report to the health workers. Prevalence is definitely not known, this is because Pediculosis capitis is not a disease that must be reported while people consider it just a nuisance is not reported. Pediculosis capitis needs attention because it often attacks children. Objective: To see the relationship between Personal hygiene and Pediculosis capitis incidents, to know the incidence of Pediculosis capitis and to know personal hygiene School Children In Kloposawit, Turi, Sleman, Yogyakarta Method: The study used cross sectional design with population of all students of grade 1 to class VI. The sample was 43 respondents. The data were collected by giving questionnaires to the research respondents. Data processing using Chi Square test with 95% confidence level and α = 0,05. Result: Based on bivariate analysis, there is no correlation between personal hygiene with incidence of Pediculosis capitis School Children in Kloposawit, Turi, Sleman (P = 0,331), incidence Pediculosis capitis School Childre in Kloposawit 32,6% positive respondents Pediculosis capitis and 67,4% % of respondents negative pediculosis capitis. Personal hygienerespondents 53,5% good and 46,5% personal hygiene less. Conclusion: There is no relationship between personal hygiene and the incidence of Pediculosis capitis. Most of the respondents (67.4%) negative pediculosis capitis and respondents have good personal hygiene.

scholarly journals Characteristics and utilization of ante natal care services amongst women of rural Punjab, India- a community based study

2017 ◽  
Vol 4 (3) ◽  
pp. 752 ◽  
Author(s):  
Rajesh Garg ◽  
Shyam Sunder Deepti ◽  
Tejbir Singh ◽  
Avtar Singh Padda
Keyword(s):  
Infant Mortality ◽  
Rural Areas ◽  
Health Workers ◽  
Maternal Mortality Ratio ◽  
Infant Mortality Rate ◽  
Local Health ◽  
Community Based ◽  
Live Births ◽  
Characteristics And Utilization ◽  
Natal Care

Background: India has high maternal and infant mortality. The maternal mortality ratio (MMR) in India (2013) was 167 per 100 000 live births and infant mortality rate (IMR) was 40 per 1000 live births. In rural Punjab, the MMR and IMR were 155 and 26 respectively. Ante natal care (ANC) services are crucial in reducing MMR and IMR but still there are barriers to the reach and utilization of ANC services. The objective of present study is to assess the characteristics and utilization of antenatal care (ANC) services in rural areas of Punjab, IndiaMethods: A total of 820 women were interviewed in a community- based analytical cross sectional study from 20 villages of Amritsar, Punjab (India) in 2005-06 by standard cluster sampling.Results: About 93% respondents had received at least one ANC during last birth. Almost 92% of women received injection tetanus toxoid (TT) and 56.34% received iron folic acid (IFA) tablets as ANC services. But only 49.75 % of the respondents had at least ≥3 ANC visits. 59.15% respondents did not receive any health advice from health worker during pregnancy.Conclusions: The majority of respondents, although availed the ANC services, but did not availed the full ANC package. The literacy of women has significant bearing on utilization of ANC. Health education is observed to be the most neglected aspect. The role of local health workers and community participation would be crucial in improving the utilization of ANC services at ground level.

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