The Application of Health Education and Health Promotion in Consolidation of Schistosomiasis Transmission Interrupted Period in Lake Area, China

2020 ◽  
Author(s):  
Kuangyu Song ◽  
Zifan Song ◽  
Jun Ge ◽  
Guanghan Hu ◽  
Tiyuan Huang ◽  
...  

Abstract Background: In China, 387 counties had reached the criteria of schistosomiasis transmission interruption by the end of 2018, including 26 counties in Jiangxi province. In recent years, however, the intermediate host - Oncomelaniahupensis and schistosomiasis cases, as well as schistosome-infected snails, re-occurred or re-emerged in 9 transmission-interrupted counties, in Jiangxi Province. Surveillance on intermediate host and disease is the main strategy of schistosomiasis control in areas where the schistosomiasis transmission interrupted in China. Mobilizing residents to discover and report snails is a good method for improving snail surveillance.However, lack of awareness and passive behavior towards schistosomiasis control of residents is the main reason for the re-occurrence and spread of snails in schistosomiasis transmission-interrupted areas in China. The objective of this study was to assess the effect of health education and health promotion model of “information communication + behavior participation +behavior encouragement” to consolidate the achievements in lake area of China, where the transmission of schistosomiasis had been interrupted. Until recent years, there are few reports on the evaluation of the effect of health education and health promotion behavior intervention. The research results of this paper will not only consolidate and develop the existing achievements of schistosomiasis control in the areas where transmission is interrupted, prevent the epidemic from rising and reviving, but also play an important role in the implementation of the national health equity including residents in schistosomiasis endemic areas in the outline of "Healthy China 2030" and the implementation of the commitments of "2030 Agenda for Sustainable Development" of the United Nations.Methods: Two villages, Laoxia as control village and Xubo as experimental village, including its primary schools were located in Anyi County, Jiangxi Province, the typical region of lake and marshland area. The villagers aged 16-60 and pupils aged 8-10 were involved in the research. A model of interventions consisting of health education and promotion, namely, “information communication + behavior participation +behavior encouragement”, was implemented in the experimental village after the baseline survey with no significant difference in knowledge, attitude, belief and practice (KABP) regarding schistosomiasis control was detected before intervention.Results: After intervention, the percentages of villagers owning knowledge, appropriate attitude with regard to schistosomiasis control increased from 33.04% and 45.54% to 93.91%, and 92.17% (P<0.01), respectively. The corresponding percentages for pupils increased from 12.88% and 6.82% to 97.64% and 62.20%(P<0.01), respectively. Both groups showed a significant increase in the percentage in believing that schistosomiasis can be eliminated, while no significant changes were observed in the two study groups of the control village. i.e., the percentages with such believing in adult villagers and pupils rose from 28.57% and 3.79% to 96.52% and 71.65% (P<0.01), respectively. In addition, both the compliance towards snail survey of adult villagers and the compliance towards knowledge dissemination of pupils were significantly increased to 81.74% and 90.55% in the experimental village (P<0.01), respectively.Conclusions:The measures of “information communication + behavior participation +behavior encouragement” can be considered as an effective model of health education and promotion for consolidating the achievement of schistosomiasi s control in transmission-interrupted areas in China.

2020 ◽  
Author(s):  
Kuangyu Song ◽  
Zifan Song ◽  
Jun Ge ◽  
Chunli Cao ◽  
Guanghan Hu ◽  
...  

Abstract Background: In China, 387 counties had reached the criteria of schistosomiasis transmission interruption by the end of 2018, including 26 counties in Jiangxi province. In recent years, however, the intermediate host - Oncomelania hupensis and schistosomiasis cases, as well as schistosome-infected snails, re-occurred or re-emerged in 9 transmission-interrupted counties, in Jiangxi Province. Surveillance on intermediate host and disease is the main strategy of schistosomiasis control in areas where the schistosomiasis transmission interrupted in China. Mobilizing residents to discover and report snails is a good method for improving snail surveillance. However, lack of awareness and passive behavior towards schistosomiasis control of residents is the main reason for the re-occurrence and spread of snails in schistosomiasis transmission-interrupted areas in China. The objective of this study was to assess the effect of health education and health promotion model of “information communication + behavior participation + behavior encouragement” to consolidate the achievements in lake area of China, where the transmission of schistosomiasis had been interrupted. Until recent years, there are few reports on the evaluation of the effect of health education and health promotion behavior intervention. The research results of this paper will not only consolidate and develop the existing achievements of schistosomiasis control in the areas where transmission is interrupted, prevent the epidemic from rising and reviving, but also play an important role in the implementation of the national health equity including residents in schistosomiasis endemic areas in the outline of "Healthy China 2030" and the implementation of the commitments of "2030 Agenda for Sustainable Development" of the United Nations.Methods: Two villages, Laoxia as control village and Xubo as experimental village, including its primary schools were located in Anyi County, Jiangxi Province, the typical region of lake and marshland area. The villagers aged 16-60 and pupils aged 8-10 were involved in the research. A model of interventions consisting of health education and promotion, namely, “information communication + behavior participation +behavior encouragement”, was implemented in the experimental village after the baseline survey with no significant difference in knowledge, attitude, belief and practice (KABP) regarding schistosomiasis control was detected before intervention.Results: After intervention, the percentages of villagers owning knowledge, appropriate attitude with regard to schistosomiasis control increased from 33.04% and 45.54% to 93.91%, and 92.17% (P<0.01), respectively. The corresponding percentages for pupils increased from 12.88% and 6.82% to 97.64% and 62.20%(P<0.01), respectively. Both groups showed a significant increase in the percentage in believing that schistosomiasis can be eliminated, while no significant changes were observed in the two study groups of the control village. i.e., the percentages with such believing in adult villagers and pupils rose from 28.57% and 3.79% to 96.52% and 71.65% (P<0.01), respectively. In addition, both the compliance towards snail survey of adult villagers and the compliance towards knowledge dissemination of pupils were significantly increased to 81.74% and 90.55% in the experimental village (P<0.01), respectively.Conclusions: The measures of “information communication + behavior participation +behavior encouragement” can be considered as an effective model of health education and promotion for consolidating the achievement of schistosomiasis control in transmission-interrupted areas in China.


PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e6579
Author(s):  
Qiaohua Xu ◽  
Biyun Chen ◽  
Donghui Jin ◽  
Li Yin ◽  
Yuelong Huang

Background Cost-effective strategies of chronic disease control, integrated health education and health promotion play important roles in the programs of chronic disease demonstration districts in China. The performance of these districts can be directly assessed by their health education and promotion work. However, there have been only a few performance assessments done on these programs, most of which made without the inclusion of proper quality indicators. This study was designed to establish a framework of indicators for outcome evaluation of health education and promotion efforts in Chinese districts, and explore the factors involved in promoting these efforts. Methods A modified two-round Delphi survey was first used to construct quality indicators on a nine-point Likert scale. With those indicators, the rank sum ratio (RSR) method was then conducted through rank conversion and parametric statistics, to assess and classify the performance of ten districts or counties randomly chosen both from demonstration and non-demonstration districts in the Hunan province. Results The Delphi process produced seven themes and 25 sub-themes as quality indicators. The seven themes included organizational management, financial support, professional personnel, health education and promotion, residents’ health awareness and behaviors, residents’ satisfaction, and residents’ health literacy. The districts were classified into four levels by RSR as follows: One demonstration district at the first-ranked level, five other demonstration districts at the second-ranked level, all non-demonstration districts at the third-ranked level. None were at the fourth-qualified level. Discussion Chronic disease demonstration districts performed better on the work of health education and health promotion than the non-demonstration districts. The work should be focused on the following measures of chronic diseases: organizational management, financial support, media-related broadcasting, technical support, community-based promotion and supportive environment, and people’s enhanced awareness and health literacy.


Author(s):  
Michelle Lee D'Abundo ◽  
Cara Lynn Sidman ◽  
Debbie Heller

The term “mindfulness” has been widely referenced in research and popular media. In order to help Americans be healthier, innovative approaches to well-being like the practice of mindfulness are needed in the field of health promotion. The purpose of this chapter is to apply the concept of mindfulness to the field of health education and promotion. Topics covered include the origins and practice of mindfulness, measurement, and well-being related mindfulness research. Applications of mindfulness in health education and promotion are provided with specific emphasis on smoking and cancer. Finally, mindfulness in the workplace is described in depth with practical examples for worksite health education and promotion.


2017 ◽  
Vol 117 (2) ◽  
pp. 176-192 ◽  
Author(s):  
Irene Torres ◽  
Venka Simovska

Purpose The purpose of this paper is to contribute to the debate concerning community participation in school-based health education and health promotion, with regard to food and nutrition. Design/methodology/approach Based on empirical data generated over the course of one year of fieldwork in three rural communities and schools in Ecuador, the study examines community participation related to the implementation of the school feeding programme (SFP) in rural schools in Ecuador. The conceptual framework for the study is shaped by the concepts of student and community participation within the health promoting school (HPS) paradigm. Findings The findings help identify and portray different forms of community participation, ranging from a total absence of meaningful participation, though very limited, to consequential participation determined as community influence on the SFP practices to meet the community needs, priorities and systems of meanings. Research limitations/implications The study shows that the meaningful participation of the parents and community members in small rural schools in a low- to middle-income country such as Ecuador can be linked to an empowered stance towards the SFP so that it is better tuned to local conditions, priorities and systems of meaning. School leadership, geographical characteristics and internal community organization seem to influence how participation is valued and enacted. Challenges remain in the interpretations of community participation, including counter- and non-participation of members. Originality/value The study contributes to an understanding of policy implementation and the implications of a HPS approach to health education and health promotion in small rural schools.


2004 ◽  
Vol 2 (1) ◽  
pp. 16-21
Author(s):  
Eleanor Dixon-Terry

The profession of health education and health promotion involves a journey of discovery, where along the way, the student and new professional is uncovers many layers and nuances. One of the mysteries surrounding the profession is the participation in a professional meeting. Student and new professionals often perceive this to be challenging, overwhelming and fraught with roadblocks and barriers. While understanding perceptions of mystery from those entering the field about professional meetings, the best way to fully engage in the profession and to get the full effect and benefit of a professional health education meeting is through direct immersion and personal experience.


1990 ◽  
pp. 84-94
Author(s):  
Geoffrey Harding ◽  
Sarah Nettleton ◽  
Kevin Taylor

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