scholarly journals Mitigasi Kebakaran melalui Masyarakat

2011 ◽  
Vol 6 (4) ◽  
pp. 179
Author(s):  
Yusran Nasution
Keyword(s):  
Fire Risk ◽  
Urban Slum ◽  
Fire Prevention ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Community Based ◽  
Youth Organization ◽  
Strong Motivation ◽  
Fire Mitigation ◽  
In Fire

Upaya dini pencegahan kebakaran telah mampu menurunkan risiko kecelakaan di lingkungan permukiman padat perkotaan. Penelitian ini bertujuanuntuk mengidentifikasi kebutuhan masyarakat dalam mitigasi kebakaran, menilai bentuk-bentuk penanggulangan kebakaran di masyarakat danmengembangkan model berbasis masyarakat dalam mitigasi kebakaran. Kelompok diskusi terarah dilakukan pada 130 informan yang terdiri dariunsur-unsur rukun tetangga, rukun warga, pembinaan kesejahteraan keluarga, perlindungan masyarakat atau pertahanan sipil, tokoh masyarakat, dewan kelurahan, karang taruna, dan anggota barisan sukarelawan kebakaran (Balakar). Seluruh informan menilai bahwa masyarakat perlu memiliki tujuan bersama dan motivasi yang kuat untuk mencegah kebakaran guna menurunkan risiko kebakaran serta mencegah dan meminimalkan korban. Bentuk-bentuk partisipasi masyarakat yang telah dilakukan dalam mencegah kebakaran adalah saling mengingatkan warga lain tentang bahaya kebakaran, remaja dan hansip mengikuti pelatihan Balakar di kelurahan dan setelah pelatihan mempersiapkan kelompok remaja sebagai pelopor yang bergerak memadamkan api saat terjadi kebakaran, serta mempraktekkan perilaku aman saat menggunakan peralatan listrik dan kompor di rumah. Namun demikina, informan belum memiliki suatu model berbasis masyarakat yang khusus menangani kebakaran, kecuali Balakar.Melalui pengembangan model berbasis komunitas ini diharapkan kejadian kebakaran dapat diminimalisir sehingga kejadian kebakaran tidak meningkat pada masa mendatang.Kata kunci: Mitigasi kebakaran, masyarakat, pengendalian kebakaran, anggota balakarAbstractThe efforts on fire prevention and early fire fighting can reduce fire risk mainly in urban slum area. The research objectives were to identify needs community on fire mitigation, to assess types of fire controlling in community, and to develop community-based model in fire mitigation. Focus group discussions were conducted in 130 informants consisted of RT, RW, PKK, linmas/hansip, community leaders, dewan kelurahan, youth organization, and balakar members. All informants considered that community shouldhave the similar objective and strong motivation on fire prevention to reduce fire cases, and also to minimize the number of victims. There were a lot oftypes of preventive efforts on fire cases i.e. reminding other people on fire dangers, youth people and security staffs involved in balakar training at villageoffice, and practicing safe behavior when using electrical tools/kits and stove at home. However, some informants said that they had no specific othercommunity based model on fire prevention, except balakar. By developing community based model, it can reduce fire cases in order not to increase anymore in future.Key words: Fire mitigation, community, fire controlling, balakar member

scholarly journals Setting the global research agenda for community-based HIV service delivery through the faith sector

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Martha T. Ndlovu-Teijema ◽  
Maarten O. Kok ◽  
Sabine L. van Elsland ◽  
Hilleen Smeets ◽  
David Barstow ◽  
...  
Keyword(s):  
South Africa ◽  
Focus Group ◽  
Research Agenda ◽  
Primary Research ◽  
Focus Group Discussions ◽  
Online Questionnaire ◽  
Group Discussions ◽  
Community Based ◽  
Faith Leaders ◽  
Global Research

Abstract Background While leading AIDS organizations expect faith and health collaborations to play a crucial role in organizing and scaling up community-based HIV services, it is unclear how this can be realized. Little primary research has been conducted into which strategies for collaboration and service provision are most effective, efficient, scalable and sustainable. Seeking to align research with urgent needs, enhance coordination and increase the likelihood that results are used, this study aimed to set an inclusive global research agenda that reflects priority research questions from key stakeholders at the intersection of HIV healthcare and faith. Methods In order to develop this global research agenda, we drew from document analyses, focus group discussions, interviews with purposively selected key informants from all continents (policy-makers, healthcare providers, faith leaders, academics and HIV activists), an online questionnaire, and expert meetings at several global conferences. We carried out focus group discussions and interviews with faith leaders in South Africa. Other stakeholder focus groups and interviews were carried out online or in person in France, Switzerland, the Netherlands and South Africa, and virtual questionnaires were distributed to stakeholders worldwide. Respondents were purposively sampled. Results We interviewed 53 participants, and 110 stakeholders responded to the online questionnaire. The participants worked in 54 countries, with the majority having research experience (84%), experience with policy processes (73%) and/or experience as a healthcare provider (60%) and identifying as religious (79%). From interviews (N = 53) and questionnaires (N = 110), we identified 10 research themes: addressing sexuality, stigma, supporting specific populations, counselling and disclosure, agenda-setting, mobilizing and organizing funding, evaluating faith-health collaborations, advantage of faith initiatives, gender roles, and education. Respondents emphasized the need for more primary research and prioritized two themes: improving the engagement of faith communities in addressing sexuality and tackling stigma. Conclusions A wide range of respondents participated in developing the research agenda. To align research to the prioritized themes and ensure that results are used, it is essential to further engage key users, funders, researchers and other stakeholders, strengthen the capacity for locally embedded research and research uptake and contextualize priorities to diverse religious traditions, key populations and local circumstances.

scholarly journals Addressing the challenges and relational aspects of index-linked HIV testing for children and adolescents: insights from the B-GAP study in Zimbabwe

2020 ◽  
Author(s):  
Chido Dziva Chikwari ◽  
Sarah Bernays ◽  
Stefanie Dringus ◽  
Victoria Simms ◽  
Helen A Weiss ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Children And Adolescents ◽  
Negative Impact ◽  
Discrete Event ◽  
Routine Care ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Community Based ◽  
Testing Uptake ◽  
Sexual Contacts

Abstract Introduction Index-linked HIV testing, targeted at sexual contacts or children of individuals with HIV, may improve yield and efficiency. The B-GAP study evaluated index-linked testing approaches in health facility and community-based settings. This paper reports on a qualitative study to understand factors that affect uptake of index-linked HIV testing for children and adolescents. Methods We conducted four focus group discussions (FGDs) with caregivers who had their children tested through B-GAP and one FGD with providers who offered index-linked HIV testing to indexes. We aimed to understand enabling and inhibiting factors in the decision-making process. Translated and transcribed transcripts were read for familiarisation. Following initial coding, analytical memos were written to identify emerging key themes across the data. Results Our findings showed there was inadequate emphasis on paediatric HIV in routine care which had a negative impact on subsequent uptake of testing for children. Once the decision to test had been made, access to facilities was sometimes challenging, and alleviated by community-based testing. A key finding was that HIV testing is not a discrete event but a process that was influenced by relationships with other family members and children themselves. These relationships raised complex issues that could prevent or delay the testing process. Conclusion There is a need to improve messaging on the importance of HIV testing for children and adolescents and to provide support to caregivers and their families in order to improve testing uptake. Addressing access barriers through the provision of community-based testing and implementing a family centred approach can optimize index-linked testing.

scholarly journals Addressing the challenges and relational aspects of index-linked HIV testing for children and adolescents: insights from the B-GAP study in Zimbabwe

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Chido Dziva Chikwari ◽  
Sarah Bernays ◽  
Stefanie Dringus ◽  
Victoria Simms ◽  
Helen A. Weiss ◽  
...  
Keyword(s):  
Hiv Testing ◽  
Children And Adolescents ◽  
Negative Impact ◽  
Discrete Event ◽  
Routine Care ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Community Based ◽  
Testing Uptake ◽  
Sexual Contacts

Abstract Introduction Index-linked HIV testing, targeted at sexual contacts or children of individuals with HIV, may improve yield and efficiency. The B-GAP study evaluated index-linked testing approaches in health facility and community-based settings. This paper reports on a qualitative study to understand factors that affect uptake of index-linked HIV testing for children and adolescents. Methods We conducted four focus group discussions (FGDs) with caregivers who had their children tested through B-GAP and one FGD with providers who offered index-linked HIV testing to indexes. We aimed to understand enabling and inhibiting factors in the decision-making process. Translated and transcribed transcripts were read for familiarisation. Following initial coding, analytical memos were written to identify emerging key themes across the data. Results Our findings showed there was inadequate emphasis on paediatric HIV in routine care which had a negative impact on subsequent uptake of testing for children. Once the decision to test had been made, access to facilities was sometimes challenging and alleviated by community-based testing. A key finding was that HIV testing is not a discrete event but a process that was influenced by relationships with other family members and children themselves. These relationships raised complex issues that could prevent or delay the testing process. Conclusion There is a need to improve messaging on the importance of HIV testing for children and adolescents and to provide support to caregivers and their families in order to improve testing uptake. Addressing access barriers through the provision of community-based testing and implementing a family-centred approach can optimise index-linked testing.

scholarly journals The Development Of Election Smart House As A Tool Of Political Education Based On Local Wisdom

2019 ◽  
Vol 35 (1) ◽  
pp. 69-77
Author(s):  
Al Rafni ◽  
Suryanef Suryanef
Keyword(s):  
Lesson Plan ◽  
Political Education ◽  
Research Approach ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Community Based ◽  
Model Research ◽  
Smart House ◽  
Election Commission ◽  
Depth Interviews

Election Smart house that established by the General Election Commission in every province is the innovative effort in providing the facility for political education in society. The problem is RPP has not been used optimally by users and still needs to be institutionalized as a tool of political education based on local wisdom. This paper aims to elaborate on the forms of political education activities, especially voter education contained in the RPP, even how the model for the development of RPP as a tool of political education based on local wisdom. The research approach uses a more intensive qualitative approach through focus group discussions/ FGDs and in-depth interviews. While to build the model, Research and Development (R & D) are used. The results of the study show that the political education services contained in the lesson plan need to be developed by standardizing services and supporting facilities that can be a model for political education facilities for the community based on local wisdom.

scholarly journals Community Based Risk Behaviour Study on HIV/AIDS Targeting Women in Nepal - 2007

1970 ◽  
Vol 6 (2) ◽  
pp. 1-10
Author(s):  
KK Jha ◽  
VS Salhotra ◽  
AP Weerakoon ◽  
L Shrestha ◽  
P Malla
Keyword(s):  
High Risk ◽  
Risk Behaviour ◽  
Married Women ◽  
Age Group ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Community Based ◽  
High Risk Sexual Behaviour ◽  
Risk Sexual Behaviour ◽  
Hiv Aids

Nepal has progressed from a HIV low prevalence country to one with a concentrated epidemic in certain subgroups of population. It has been documented that girls and women are more vulnerable to HIV infection. However there is little documented evidence on the risk behaviour among women in Nepal. This study was conducted to assess the pattern of risk behaviour for HIV among women in Nepal. Methodology : The main component of the study comprised a community based cross-sectional study, using a multi stage random sampling technique. Data was collected by trained field health workers using an interviewer administered questionnaire. Eight focus group discussions were also conducted to supplement the findings. Statistical analysis was carried out using SPSS version 13. Results : A significant number of un married (13.7%) women and 2.2% of married women indulged in high risk sexual behaviour. A significant positive association was observed between sexual risk behaviour of married women and monthly family income less than 5000 Nepali Rs ,age group 25-34y and young age group (15- 34) in unmarried women. Nearly 70% of participatory women have heard about AIDS and have satisfactory level of knowledge about HIV/AIDS. However, significant number of respondents had misconceptions that one could contract HIV through hand shaking, mosquito bites and hugging. Using Condoms during unprotected sexual intercourse in both married and unmarried women were low (19.4% and 6.2% respectively). Findings of Focus Group Discussions revealed there is a strong stigma associated with HIV/AIDS in this rural community in Nepal. Conclusions : One in every seven unmarried woman in Nepal indulged in high risk sexual behaviour, which is much more compared to married women. There is an urgent need for reproductive health education especially among teenagers and for the National HIV/AIDS Control Programme to expand its awareness generation activities. Keywords : HIV/AIDS, women, risk behaviour, Nepal DOI: 10.3126/saarctb.v6i2.3051 SAARC J. Tuber. Lung Dis. HIV/AIDS 2009 VI (2) 1-10

USING LAY COUNSELLORS TO PROMOTE COMMUNITY-BASED VOLUNTARY COUNSELLING AND HIV TESTING IN RURAL NORTHERN GHANA: A BASELINE SURVEY ON COMMUNITY ACCEPTANCE AND STIGMA

2007 ◽  
Vol 39 (5) ◽  
pp. 721-733 ◽  
Author(s):  
F. BAIDEN ◽  
G. AKANLU ◽  
A. HODGSON ◽  
P. AKWEONGO ◽  
C. DEBPUUR ◽  
...  
Keyword(s):  
Focus Group ◽  
Hiv Testing ◽  
Northern Ghana ◽  
Baseline Survey ◽  
People Living With Hiv ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Community Based ◽  
Voluntary Counselling ◽  
Hiv Aids

SummaryAccess to voluntary counselling and HIV testing (VCT) remains limited in most parts of Ghana with rural populations being the least served. Services remain facility-based and employ the use of an ever-dwindling number of health workers as counsellors. This study assessed approval for the use of lay counsellors to promote community-based voluntary counselling and testing for HIV and the extent of HIV/AIDS-related stigma in the Kassena-Nankana district of rural northern Ghana. A cross-sectional questionnaire survey was conducted. Logistic regression was used to identify predictors of the tendency to stigmatize people living with HIV/AIDS (PLWHAs). Focus group discussions were held and analytical coding of the data performed. The majority (91·1%) of the 403 respondents indicated a desire to know their HIV status. Most (88·1%) respondents considered locations outside of the health facility as preferred places for VCT. The majority (98·7%) of respondents approved the use of lay counsellors. About a quarter (24%) of respondents believed that it was possible to acquire HIV through sharing a drinking cup with a PLWHA. About half (52·1%) of the respondents considered that a teacher with HIV/AIDS should not be allowed to teach, while 77·2% would not buy vegetables from a PLWHA. Respondents who believed that sharing a drinking cup with a PLWHA could transmit HIV infection (OR 2·50, 95%CI 1·52–4·11) and respondents without formal education (OR 2·94, 95%CI 1·38–6·27) were more likely to stigmatize PLWHAs. In contrast, respondents with knowledge of the availability of antiretroviral (ARV) drugs were less likely to do so (OR 0·40, 95%CI 0·22–0·73). Findings from the thirteen focus group discussions reinforced approval for community-based VCT and lay counsellors but revealed concerns about stigma and confidentiality. In conclusion, community-based VCT and the use of lay counsellors may be acceptable options for promoting access. Interventional studies are required to assess feasibility and cost-effectiveness.

scholarly journals Impaired Governance: Limiting Communities' Access to Service Delivery System in Nepal

2017 ◽  
Vol 7 ◽  
pp. 40-74 ◽  
Author(s):  
Keshav Acharya
Keyword(s):  
Resource Constraints ◽  
Primary Data ◽  
Governance Mechanism ◽  
Service Delivery System ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Community Based ◽  
Power Politics ◽  
Basic Services ◽  
Grassroots Level

This paper examines governance impairing at the grassroots level that has limited the communities’ access to basic services in Nepal. Primary data were collected from 110 locally constituted community-based organisations that employed110 organisational surveys and three focus group discussions. Result indicates that the overall practice of governance at the community level remained weak to moderate due to a number of reasons. Firstly, many communities were influenced by power based socio-economic structure. Secondly, some communities were impressed by power politics and interests. Thirdly, many communities were facing biggest crisis of low capacity and resource constraints. Such crisis has been a foremost obstacle in the working culture of communities so they were unable to embrace governance mechanism in their development undertakings.Himalayan Journal of Sociology & Anthropology - Vol. VII (2016), page: 40-74

scholarly journals Perceptions of Lady Health Workers and their trainers about their curriculum for implementing the interventions identified for Essential Package of Health Services for Pakistan

2021 ◽  
Vol 37 (5) ◽  
Author(s):  
Shaherzad Sohail ◽  
Gohar Wajid ◽  
Saima Chaudhry
Keyword(s):  
Mental Health ◽  
Health Services ◽  
Health Workers ◽  
Neonatal Resuscitation ◽  
Health Issues ◽  
Focus Group Discussions ◽  
Community Based Interventions ◽  
Group Discussions ◽  
Community Based ◽  
The Government

Background and Objectives: Lady Health Workers (LHWs) form the central cadre of community-based health workers in Pakistan. They must be trained well for implementing community-based interventions identified for Essential Package of Health Services (EPHS) by the government of Pakistan. This study aims to explore the perceptions of LHWs and their trainers about their existing curriculum and identifies gaps in the curriculum for effective implementation of the interventions identified in EPHS. Methods: In this qualitative study, perceptions of 45 LHWs were taken through focus group discussions and their six trainers were interviewed as well. In addition, three experts analyzed the LHWs training curriculum to identify its relevance with achieving the community-based interventions as described in the EPHS by the government of Pakistan. Results: Thematic analysis of the information gathered by the interviews of trainers and focus group discussions from LHWs, was performed. Most participants were satisfied with their curriculum but suggested the addition of topics on emerging health issues, neonatal resuscitation, mental health and rehabilitation. Participants felt a deficiency in practical skills, communication skills and leadership skills. Experts identified gap in the current LHWs curriculum to address the recently identified community-based interventions. Conclusions: The current curriculum of LHWs need reforms to make it compatible with Essential Package of Health Services for Pakistan. The suggested areas for improvement include knowledge of emerging health issues, neonatal resuscitation, adolescent problems, mental health and rehabilitative services. doi: https://doi.org/10.12669/pjms.37.5.4175 How to cite this:Sohail S, Wajid G, Chaudhry S. Perceptions of Lady Health Workers and their trainers about their curriculum for implementing the interventions identified for Essential Package of Health Services for Pakistan. Pak J Med Sci. 2021;37(5):---------.  doi: https://doi.org/10.12669/pjms.37.5.4175 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

scholarly journals “Our culture prohibits some things”: Qualitative inquiry into how sociocultural context influences the scale up of community-based injectable contraceptives in Nigeria

2019 ◽  
Author(s):  
Oluwaseun Akinyemi ◽  
Bronwyn Harris ◽  
Mary Kawonga
Keyword(s):  
Focus Group ◽  
Qualitative Study ◽  
Health Workers ◽  
Scale Up ◽  
Community Members ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Community Based ◽  
Injectable Contraceptives ◽  
Depth Interviews

AbstractObjectivesTo explore how sociocultural factors may support or impede the adoption of community-based distribution of injectable contraceptives in Nigeria.DesignA qualitative study based on a grounded theory approach was conducted through in-depth interviews and focus group discussions.SettingMost participants lived in Gombe State, North East Nigeria. Other participants were from Ibadan (South West) and Abuja (Federal capital territory).ParticipantsThrough seven key informant interviews, 15 in-depth interviews and 10 focus group discussions, 102 participants were involved in the study.MethodsThis study, conducted in 2016 was part of a larger study on scale up of community-based distribution of injectable contraceptives. Qualitative data were collected from traditional and religious leaders, health workers and community members. The data were audio recorded, transcribed and analysed using a thematic framework method.ResultsSociocultural challenges to scale up included patriarchy and men’s fear of losing control over their spouses, traditional and religious beliefs about fertility, and myths about contraceptives and family planning. As a result of deep-rooted beliefs that children are ‘divine blessings’ and that procreation should not be regulated, participants described a subtle resistance to uptake of injectable contraceptives. Since Gombe is largely a patriarchal society, male involvement emerged as important to the success of meaningful innovation uptake. Community leaders largely described their participation in the scale up process as active, although they also identified scope for further involvement and recognition.ConclusionScale up is more than setting up health sector implementing structures, training health workers and getting innovation supplies, but also requires preparedness which includes paying attention to complex contextual issues. This requires the health system and those who work in it, to move beyond a narrow health ‘comfort zone’ by actively engaging with, and learning from, those who are leading, caring for and living in, the community.Strengths and limitations of this studyThe study participants represented a range of stakeholders - users of injectable contraceptives, community members, providers and health system managers.Our results highlighted that scale up is influenced by several socio-cultural factors; thus, showing the importance of paying attention to complex contextual issues during innovation uptake.The findings of our study emphasized how health systems and communities should interact in order to ensure successful scale up of health innovations.As with any qualitative study, the findings of this study are not statistically generalizable.FundingThis research was supported by the Consortium for Advanced Research Training in Africa (CARTA). CARTA is jointly led by the African Population and Health Research Center and the University of the Witwatersrand and funded by the Carnegie Corporation of New York (Grant No--B 8606.R02), Sida (Grant No:54100113), the DELTAS Africa Initiative (Grant No: 107768/Z/15/Z) and Deutscher Akademischer Austauschdienst (DAAD). The DELTAS Africa Initiative is an independent funding scheme of the African Academy of Sciences (AAS)’s Alliance for Accelerating Excellence in Science in Africa (AESA) and supported by the New Partnership for Africa’s Development Planning and Coordinating Agency (NEPAD Agency) with funding from the Wellcome Trust (UK) and the UK government. The statements made and views expressed are solely the responsibility of the authors.Declarations of interestNone.

scholarly journals From Fear to Festivity: Multi-stakeholder Perspectives on Human-Elephant Conflict and Coexistence in India

2020 ◽  
Author(s):  
Pranaya Swain ◽  
Medha Nayak
Keyword(s):  
Mitigation Strategies ◽  
Field Observations ◽  
Community Members ◽  
Forest Department ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Community Based ◽  
Stakeholder Perspectives ◽  
Ecological Relations ◽  
Multi Stakeholder

Humans and elephants have shared social, historical and ecological relations for ages. However, their coexistence has not been as pleasant as one would like that to be. Despite persistent efforts by several stakeholder to mitigate human-elephant conflict and foster coexistence, the problem refuses to wither away. People’s perception also varies widely across the types of stakeholders. With this at the backdrop, this paper, drawing on qualitative empirical inputs, attempts to understand the plurality of stakeholders’ connect with elephants, their perceptions, effectiveness of existing mitigation strategies and future of their coexistence. On the basis of interviews with key informants, focus group discussions among community members and Forest Department officials and field observations in one of the migratory elephant corridors of India, we also make a modest attempt to suggest participatory and community-based mitigation strategies.

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