Community Health Education in Rural Ghana: The Danfa Project—An Assessment of Accomplishments

2005 ◽  
Vol 25 (1) ◽  
pp. 37-48 ◽  
Author(s):  
William B. Ward ◽  
Alfred K. Neumann ◽  
Matilda E. Pappoe
Keyword(s):  
Family Planning ◽  
Health Education ◽  
Study Data ◽  
Health Practices ◽  
Community Health Education ◽  
Community Based ◽  
Planning Project ◽  
Planning Methods ◽  
And Control

The Danfa Comprehensive Rural Health and Family Planning Project was a joint effort of the Ghana Medical School, the Ministry of Health, UCLA, and USAID. A health education component was developed as an integral part of program inputs during the initial conceptual phase of the project. As a result non-equivalent experimental and control areas were designated permitting an assessment of program impact during a five-year period (1972–1977) for which baseline and follow-up study data were available. A new cadre of community-based workers (Health Education Assistants) was developed from existing health personnel in the country, and trained in health education and multipurpose health work. Although the HEAs were found to have difficulty in bringing about changes in health practices when other support services were not available, they did have measurable impact on villagers' adoption of family planning methods and a number of specific health practices.

Community Health Education in Rural Ghana: The Danfa Project—An Assessment of Accomplishments

1981 ◽  
Vol 2 (2) ◽  
pp. 143-155 ◽  
Author(s):  
William B. Ward ◽  
Alfred K. Neumann ◽  
Matilda E. Pappoe
Keyword(s):  
Family Planning ◽  
Health Education ◽  
Study Data ◽  
Health Practices ◽  
Community Health Education ◽  
Community Based ◽  
Planning Project ◽  
Planning Methods ◽  
And Control

The Danfa Comprehensive Rural Health and Family Planning Project was a joint effort of the Ghana Medical School, the Ministry of Health, UCLA, and USAID. A health education component was developed as an integral part of program inputs during the initial conceptual phase of the project. As a result non-equivalent experimental and control areas were designated permitting an assessment of program impact during a five-year period (1972–1977) for which baseline and follow-up study data were available. A new cadre of community-based workers (Health Education Assistants) was developed from existing health personnel in the country, and trained in health education and multipurpose health work. Although the HEAs were found to have difficulty in bringing about changes in health practices when other support services were not available, they did have measurable impact on villagers' adoption of family planning methods and a number of specific health practices.

scholarly journals Effectiveness of Health Education Family Planning Guidelines on Health Beliefs and Behaviours Regarding Family Planning Methods Among Married Men in Myanmar

Jurnal NERS ◽  
2017 ◽  
Vol 12 (2) ◽  
pp. 278
Author(s):  
Zay Yar Tun ◽  
Tintin Sukartini
Keyword(s):  
Family Planning ◽  
Health Education ◽  
Health Beliefs ◽  
Health Belief ◽  
Control Group ◽  
Reproductive Health Services ◽  
Married Men ◽  
Quasi Experimental ◽  
Planning Methods ◽  
Family Planning Methods

Introduction: Males are the most important members and care-takers of the family, but they are considered to be uncooperative when it comes to the usage of family planning methods. Traditionally, family planning programs have focused primarily on women, and most of the methods are designed for women considering that it is the women who become pregnant and it is easy to deliver reproductive health services as part of maternal and child health programs. The main objective of this study was to study the effectiveness of Health Education (HE) Family Planning Guidelines on Health Belief and Behaviours regarding family planning methods among married men Methods: A quasi-experimental study design was used to compare the results of the effectiveness of health education on the health beliefs and behaviours regarding family planning methods among married men. Mann-Whitney test and Manova test were used to analyse the data. Results:  It was found that there was a difference of health belief with p= 0.038, knowledge with p= 0.000 and attitude with p= 0.000 between the treatment and control group. Conclusions: There was an impact on the improvement of health belief and behaviours regarding family planning methods in the study group which was significantly improved after intervention. As the predetermined hypothesis, a difference was found between the knowledge, attitude and health beliefs of the married men who received health education and those who did not receive health education.

scholarly journals Study on post partum intrauterine contraceptive device practices and causes for discontinuation of PPIUCD at follow up in a tertiary hospital

2018 ◽  
Vol 7 (6) ◽  
pp. 2299 ◽  
Author(s):  
Radhika Chethan ◽  
Anitha G. S. ◽  
Savitha C.
Keyword(s):  
Family Planning ◽  
Post Partum ◽  
Unmet Need ◽  
Tertiary Hospital ◽  
Contraceptive Device ◽  
Eligibility Criteria ◽  
Reversible Method ◽  
Planning Methods ◽  
The Government

Background: Post partum contraception is the best evidence based intervention in prevention of pregnancy and abortion related maternal morbidity and mortality in the developing countries. The unmet need for contraception among women in the postpartum period can be effectively fulfilled by post partum insertion of IUCD, in a single visit under the Government scheme of providing free maternity services during institutional delivery. Despite optimal efforts by family planning program, very few couples are opting for spacing methods and lack of awareness has resulted in discontinuation of family planning methods particularly PPIUCD. This study is designed to study the practices of PPIUCD and causes for discontinuation at follow up in our hospital. The objectives of the study were study PPIUCD practices at Vanivilas hospital; causes for discontinuation of PPIUCD.Methods: Prospective study done at Vanivilas hospital attached to Bangalore Medical College and Research Institute from January 2014 to December 2014. Women admitted and delivered at VVH, were counselled. CuT 380A was inserted in accepters who fulfilled the Medical Eligibility Criteria and had no contraindications for PPIUCD. They were followed up till June 2016.Results: There were 2072 PPIUCD insertions in one year, out of which 1244 were post placental, 139 were in immediate postpartum and 689 were intra caesarean insertions. Fifty four (54) women discontinued PPIUCD during follow up .Main causes for removal were menstrual abnormalities (19), pain abdomen (13), wanting sterilisation procedure (12) and marital disharmony.Conclusions: PPIUCD is an effective, safe, reversible method of long term contraception with high reported expulsion and low perforation rate, compared to interval insertion. More research is needed in the field of PPIUCD to enhance awareness and acceptance in the community. Awareness and counselling the eligible couples during ante natal care can improve acceptance and compliance of PPIUCD continuation rates.

Research Utilization in Taiwan's Family Planning Program

1981 ◽  
Vol 2 (1) ◽  
pp. 23-34 ◽  
Author(s):  
George P. Cernada ◽  
T. H. Sun
Keyword(s):  
Social Change ◽  
Family Planning ◽  
Health Education ◽  
Applied Research ◽  
Family Planning Program ◽  
Research Utilization ◽  
Asian Countries ◽  
Community Health Education ◽  
Planning Program ◽  
Research Findings

This paper deals with why the applied research carried out in the Taiwan family planning program facilitated the planned program of social change — both in the productive integration of research findings into community health education action programs and in the dissemination of these ideas to other Asian countries. A summary of the factors that assisted or hindered research utilization and an analysis of some of the especially favorable factors in the Taiwan situation are presented. The viewpoint presented is that of the Taiwan Provincial Institute of Family Planning Director and his former resident program advisor.

scholarly journals Prevalence, Risk Factors, Awareness, and Treatment and Control of Hypertension in Mafia Island, Tanzania

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
M. S. Muhamedhussein ◽  
Z. I. Nagri ◽  
K. P. Manji
Keyword(s):  
Risk Factors ◽  
South Africa ◽  
Health Education ◽  
Descriptive Statistics ◽  
Female Ratio ◽  
High Prevalence ◽  
Receive Treatment ◽  
And Control ◽  
Male To Female

Introduction. The prevalence of hypertension in Africa ranges from 29.7% in Cameroon to 47% in South Africa. Only 10% receive treatment in Cameroon while 32% are on medications in Ghana. Control rates vary from 0.4% to 16.8%. This study was done to assess prevalence, risk factors, awareness, treatment, and control of hypertension in Mafia Island, Tanzania, which has never been documented before, so that necessary interventions can be undertaken accordingly.Methodology. Data was collected through questionnaires and anthropometric measurements were taken. Descriptive statistics were done and potential correlations were analyzed.Results. Out of 570 adults who were included in the study, 154 (27%) were aged 41–50 and the male-to-female ratio was 1 : 1.05. Almost half (49.5%) of the participants fit into the criteria of hypertension. Out of the 118 participants who were aware of having hypertension, 68 (57.6%) were currently taking medication. From those taking medication, only 14 (20.6%) had controlled hypertension.Conclusion. This study tried to show the extent of hypertension and find out risk factors which could explain the high prevalence of hypertension. This is very alarming and a dire need to raise awareness through health education, availability of screening, and treating and follow-up should be given priority.

scholarly journals Effectiveness of community-based health education and home support program to reduce blood pressure among patients with uncontrolled hypertension in Nepal: A cluster-randomized trial

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258406
Author(s):  
Mahesh Kumar Khanal ◽  
Pratiksha Bhandari ◽  
Raja Ram Dhungana ◽  
Pratik Bhandari ◽  
Lal B. Rawal ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Health Education ◽  
Usual Care ◽  
Reduce Blood Pressure ◽  
Uncontrolled Hypertension ◽  
Control Group ◽  
Community Based ◽  
Home Support ◽  
Cluster Randomized

Background Hypertension is a major global public health problem. Elevated blood pressure can cause cardiovascular and kidney diseases. We assessed the effectiveness of health education sessions and home support programs in reducing blood pressure among patients with uncontrolled hypertension in a suburban community of Nepal. Methods We conducted a community-based, open-level, parallel-group, cluster randomized controlled trial in Birendranagar municipality of Surkhet, Nepal. We randomly assigned four clusters (wards) into intervention and control arms. We provided four health education sessions, frequent home and usual care for intervention groups over six months. The participants of the control arm received only usual care from health facilities. The primary outcome of this study was the proportion of controlled systolic blood pressure (SBP). The analysis included all participants who completed follow-up at six months. Results 125 participants were assigned to either the intervention (n = 63) or the control (n = 62) group. Of them, 60 participants in each group completed six months follow-up. The proportion of controlled SBP was significantly higher among the intervention participants compared to the control (58.3% vs. 40%). Odds ratio of this was 2.1 with 95% CI: 1.01–4.35 (p = 0.046) and that of controlled diastolic blood pressure (DBP) was 1.31 (0.63–2.72) (p = 0.600). The mean change (follow-up minus baseline) in SBP was significantly higher in the intervention than in the usual care (-18.7 mmHg vs. -11.2 mmHg, p = 0.041). Such mean change of DBP was also higher in the intervention (-10.95 mmHg vs. -5.53 mmHg, p = 0.065). The knowledge score on hypertension improved by 2.38 (SD 2.4) in the intervention arm, which was significantly different from that of the control group, 0.13 (1.8) (p<0.001). Conclusions Multiple health education sessions complemented by frequent household visits by health volunteers can effectively improve knowledge on hypertension and reduce blood pressure among uncontrolled hypertensive patients at the community level in Nepal. Trial registration ClinicalTrial.gov: NCT02981251

scholarly journals Development and evaluation of a package to improve hypertension control in Nigeria [DEPIHCON]: study protocol for a cluster randomized controlled trial

2021 ◽  
Author(s):  
IkeOluwapo Oyeneye Ajayi ◽  
Oyediran Emmanuel Oyewole ◽  
Okechukwu S Ogah ◽  
Joshua Odunayo Akinyemi ◽  
Mobolaji Modinat Salawu ◽  
...  
Keyword(s):  
Risk Factors ◽  
Controlled Trial ◽  
Hypertension Control ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Community Based ◽  
Randomized Controlled ◽  
Cluster Randomized ◽  
And Control

Abstract Background: Nigeria’s healthcare system capacity to stem the increasing trend in hypertension is limited in coverage, scope and manpower. Use of trained community-based care providers demonstrated to be an effective complement in improving access to, and supporting healthcare delivery has not been adequately examined for hypertension care in Nigeria. This study is proposed to evaluate the effectiveness of using trained Community-based Oriented Resource Persons (CORPs) to improve hypertension control in Nigeria. Methods: An intervention study will be conducted in three states using mixed method design. First, is a baseline survey using a semi-structured pre-tested questionnaire to collect information on demographics, clinical data, knowledge, occurrence and risk factors of hypertension among 1,704 adults ≥18 years. Focus Group Discussions (FGD) and Key Informant Interviews (KII) will be conducted to explore community’s experience of hypertension, challenges with hypertension management, and support required to improve control in 10 selected communities in each state. The second is a cluster randomized controlled trial to evaluate effect of a package on reduction of blood pressure (BP) and prevention of cardiovascular (CVD) risk factors among 200 hypertensive patients to be followed up in intervention and control arms over a six-month period in each state. The package will include trained CORPs conducting community-based screening of BP and referral, diagnosis confirmation and initial treatment in the health facility, followed by monthly home-based follow-up care and provision of health education on hypertension control and healthy lifestyle enhanced by phone voice message reminders. In the control arm, the usual care (diagnosis, treatment and follow up care in hospital of patient’s choice) will continue. Third, an end-line survey will be conducted in both intervention and control communities to evaluate changes in mean BP, control, knowledge, and proportion of other CVD risk factors. In addition, FGD and KII will be used to assess participants’ perceived quality and acceptability of the interventions as delivered by CORPs.Discussion: This research is expected to create awareness, improve knowledge, perception, behaviours, attitude and practices that will reduce hypertension in Nigeria. Advocacy for buy-in and scale up of using CORPs in hypertension care by the government is key if found to be effective. Trial registration: PACTR Registry- PACTR202107530985857. Registered on 26 July 2021Url – https://pactr.samrc.ac.za

scholarly journals Determinants of Modern Family Planning Methods in the Oromia, Amhara, and Somali Regions, Ethiopia: A Community-Based, Cross-Sectional Mixed Methods Study

2020 ◽  
Author(s):  
Hocheol Lee ◽  
Eshetu Girma Kindane ◽  
Young Ah Doh ◽  
Eun Woo Nam
Keyword(s):  
Mixed Methods ◽  
Family Planning ◽  
Fertility Rate ◽  
Mixed Methods Study ◽  
Community Based ◽  
Cross Sectional ◽  
Modern Family ◽  
Planning Methods ◽  
Modern Family Planning ◽  
Family Planning Methods

Abstract Background: In 2019, Ethiopia had a total fertility rate of 4.2 births per woman with the rates varying significantly across regions. The Federal Ministry of Health of Ethiopia announced “Ethiopia FP 2020” to address the high fertility rate, aiming to reduce it to 3.0 by 2020. This study aimed to identify the determinants of the use of modern family planning services in the Amhara, Oromia, and Somali regions.Methods: A community-based, cross-sectional mixed methods study was conducted, using quantitative and qualitative data. The quantitative data were subjected to binary logistic regression analyses. Participants included over 4,117 married men and women aged 15-65 years old.Results: Respondents in Oromia were 8.673 times more likely to have modern family planning methods than those in Somali. Participants in Amhara were 5.183 times more likely to have modern family planning methods than their Somali counterparts. Women, married respondents, and recipients of media messages were more likely to have family planning experience. Family planning discussions with Health Extension Workers and health professionals played a significant role in modern family planning. Conclusion: Establishing a family planning strategy that considers the sociocultural characteristics of each region might help address regional contexts. Everyone in Somali—especially husbands and religious leaders—must be educated in family planning and funds be made available to deploy advanced measures for the same.

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