scholarly journals Social Relations, Community Engagement and Potentials: A Qualitative Study Exploring Resident Engagement in a Community-Based Health Promotion Intervention in a Deprived Social Housing Area

2020 ◽  
Vol 17 (7) ◽  
pp. 2341
Author(s):  
Abirami Srivarathan ◽  
Rikke Lund ◽  
Ulla Christensen ◽  
Maria Kristiansen
Keyword(s):  
Health Promotion ◽  
Social Relations ◽  
Ethnic Diversity ◽  
Social Housing ◽  
Local Context ◽  
Health Promotion Intervention ◽  
Community Based Interventions ◽  
Post Intervention ◽  
Community Based ◽  
Housing Area

Emerging evidence points towards a lower quality of life, fragile social relations and suboptimal health behavior and status of residents living in social housing areas characterized by ethnic diversity and socioeconomic deprivation. Community-based health promotion interventions developed in collaboration with the target group and adjusted to the local context can affect the acceptance of and engagement in such interventions. However, few studies have investigated the potential of community-based interventions in deprived social housing areas. This study explores residents’ perspectives on engagement in a community-based health promotion intervention focusing on enhancing social relations. The study builds on qualitative methods including participant observations combined with pre- and post-intervention interviews with a selected group of residents (n = 9). Data were thematically analyzed with focuses on participation in an everyday life context, concepts of othering, and territorial stigmatization. Engagement in the intervention was motivated by the need to establish and enhance social relations, and to explore the world outside the housing area. However, barriers including cultural and language differences among residents, and competing contextual factors, challenged engagement. We conclude that participatory community-based interventions have a potential to enhance social relations in deprived social housing areas. However, adequate support and efforts to overcome the identified barriers are needed.

scholarly journals A qualitative study on resident engagement in a community-based health promotion intervention

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Srivarathan ◽  
R Lund ◽  
U Christensen ◽  
M Kristiansen
Keyword(s):  
Health Promotion ◽  
Social Relations ◽  
Ethnic Diversity ◽  
Social Housing ◽  
Local Context ◽  
Health Promotion Intervention ◽  
Community Based Interventions ◽  
Post Intervention ◽  
Community Based ◽  
Health Promotion Interventions

Abstract Emerging evidence points towards lower quality of life, more fragile social relations and suboptimal health behaviour and health status of residents living in social housing areas characterized by ethnic diversity and socioeconomic disadvantage. Residents from social housing areas are less likely to engage in health promotion interventions compared to the rest of society. Community-based health promotion interventions developed in collaboration with the target group and adjusted to local context can affect the acceptance of and engagement in such interventions. However, few studies have investigated the potential of community-based interventions in social housing areas. This study explores resident perspectives on engagement in a community-based health promotion intervention focusing on enhancing social relations. Engagement was the key foundation for the designing and implementation of the intervention by the use of graphic facilitation. The intervention consisted of social outings to different sights and historical landmarks in Denmark. The study builds on qualitative methods including participant observations combined with pre- and post-intervention interviews with a selected group of residents (n = 9). Data were thematically analysed with a focus on participation in an everyday life context and by concepts of othering and territorial stigmatization. Engagement in the intervention was motivated by a need for establishing and enhancing social relations, and exploring the world outside the housing area. However, barriers including cultural and language differences among residents and competing contextual factors challenged engagement. We conclude that participatory community-based interventions have a potential to enhance social relations in social housing areas. Nevertheless, it is necessary to understand the motives and barriers to ensure feasible and relevant health promotion interventions and future engagement among residents living in social housing areas.

‘You Are Kind of Like One of Us’: Exploring Researcher Positioning in Studying Community-Based Health Promotion Interventions Among Social Housing Residents of Danish, Turkish and Pakistani Origin

2021 ◽  
pp. 104973232110675
Author(s):  
Abirami Srivarathan
Keyword(s):  
Health Promotion ◽  
Social Housing ◽  
Social Situation ◽  
Research Process ◽  
Community Based ◽  
Individual Interviews ◽  
Ethical Implications ◽  
Housing Area ◽  
Pakistani Origin ◽  
Health Promotion Interventions

The practice of qualitative research demands reflexivity throughout the entire research process, with special attention directed towards researcher positioning. In this article, I explore how aspects and characteristics of my social situation positioned me contrary to my expectations regarding researcher positioning. I draw on individual interviews, focus group discussions and field notes about community-based health promotion interventions among residents of Danish, Turkish and Pakistani origin in a deprived social housing area in Denmark. Rather than insider-outsider positioning, the concept represented by the term ‘halfie’ unfolds the complexity of my researcher positioning: less minority ethnic than the residents of Turkish and Pakistani origin and less Danish than the residents of Danish origin, but similar to both, being a descendant of Sri Lankan Tamil origin brought up in a Danish social housing area. Finally, I present methodological and ethical implications of being a halfie in the context of qualitative health research.

scholarly journals Social relations and self-rated health in a multi-ethnic social housing area undergoing demolition

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M F Kvorning ◽  
A Srivarathan ◽  
S Nygaard ◽  
R Lund
Keyword(s):  
Social Relations ◽  
Social Housing ◽  
Structural Changes ◽  
Ethnically Diverse ◽  
Political Agenda ◽  
Residential Areas ◽  
Self Rated Health ◽  
Housing Area ◽  
Increased Risk ◽  
Contact Frequency

Abstract Background During the coming years, selected social housing areas in Denmark will undergo large structural changes as part of a political agenda. Previous studies on the effects of such interventions are inconclusive. Residential areas are important for the development of social relations and health. The aim of this study was to explore the associations between social relations and self-rated health (SRH) and the interaction with country of origin in an ethnically diverse social housing area undergoing demolition, and compare results with the municipality. Methods Data include multilingual interviewer driven surveys with residents aged 45+ years before demolition began in 2018 (N = 209) and during the demolition in 2019 (N = 132), and a health survey on municipality level (N = 1638). Information on social relations include contact frequency with and support from family, friends and neighbors. SRH was dichotomized into high/low. Descriptive and multivariate logistic regression analyses adjusted for age, sex and Western/non-Western origin are presented. Results In cross-sectional analyses from 2018, low contact frequency and low support increased the risk of low SRH, OR = 1.44 (0.63-3.29) and OR = 1.23 (0.62-2.48), especially when also having non-Western origin compared to having high contact frequency or support and Western origin, OR = 6.27 (1.80-21.84) and OR = 4.43 (1.68-11.69), respectively. The same association was seen in 2019 and on municipality level. Low contact frequency in 2018 was associated with higher risk of developing or maintaining low SRH in 2019 compared to the group with high contact frequency in 2018 in longitudinal analyses, OR = 3.04 (0.91-10.91). Conclusions Poor social relations increased the risk of low SRH, especially when also having non-Western origin. Having poor social relations before the demolition was associated with an increased risk of developing or maintaining low SRH during the demolition in an ethnically diverse social housing area. Key messages Having low contact frequency before area demolition in a social housing area in Denmark increased the risk of developing or maintaining low self-rated health after demolition had begun. Having poor social relations and non-Western origin is associated with a strong increased risk of low self-rated health in a deprived ethnic diverse social housing area in Denmark.

The application of the complexity theory to public health interventions: a review of the literature

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
P Contu ◽  
E Breton
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Promotion ◽  
Complexity Theory ◽  
Health Care Services ◽  
Health Interventions ◽  
Review Of The Literature ◽  
Community Based Interventions ◽  
Community Based ◽  
Care Services

Abstract Background There is a growing recognition of the limitations of a linear cause-and-effect rationality in planning and evaluating public health interventions. Although this perspective is amenable to programme planning and evaluation, it leaves aside a whole array of mechanisms of change triggered by interactions taking place in complex social systems. Generative causality is one and recognized under a number of works referring to the complexity paradigm. Here we review the state of knowledge on what is often referred to as the complexity theory (CT), and present the results of a review of the literature on its application in public health. Methods We searched PubMed for articles, commentaries, editorials published in English, French and Italian, using the keywords 'Complexity Theory' (also plural). We categorized the fields of application of the CT according to the three core WHO's Essential Public Health Operations, i.e., Health Promotion, Prevention and Protection. All papers addressing issues related to health care services (but not prevention) were included in the category “health care services” while others were tagged as “others”. Results We found 203 papers meeting our inclusion criteria. The largest share of the research output applying the CT was in health care services (n = 167), followed by Health Promotion (5), Prevention (3) and Protection (2). 26 papers were labelled others. In health promotion/ prevention, applications of the CT have yet to integrate most of its concepts. Most authors tap into both the linear and generative rationality perspectives. Conclusions Although regularly deemed as promising in uncovering mechanisms for change triggered by public health intervention, applications of the complexity theory remain uncommon and has made little inroads in the public health domain. This is particularly the case for health promotion where one would assume that participatory community-based interventions would be an incentive to integrate this perspective. Key messages Although deemed promising the complexity theory has made little inroads in public health. Health promotion with its participatory community-based interventions can benefit from its application.

scholarly journals Process evaluation of a community-based mental health promotion intervention for refugee children

2011 ◽  
Vol 27 (4) ◽  
pp. 595-607 ◽  
Author(s):  
R. T. Nakkash ◽  
H. Alaouie ◽  
P. Haddad ◽  
T. El Hajj ◽  
H. Salem ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Process Evaluation ◽  
Mental Health Promotion ◽  
Refugee Children ◽  
Health Promotion Intervention ◽  
Community Based

scholarly journals Evaluation of a community-based intervention for health and economic empowerment of marginalized women in India

2019 ◽  
Author(s):  
Shantanu Sharma ◽  
Devika Mehra ◽  
Faiyaz Akhtar ◽  
Sunil Mehra
Keyword(s):  
Health Services ◽  
Qualitative Interviews ◽  
Economic Empowerment ◽  
Successful Implementation ◽  
Access To Health Services ◽  
Community Based Interventions ◽  
Post Intervention ◽  
Community Based ◽  
Access To Health ◽  
Four Blocks

Abstract Background Empowered women have improved decision-making capacity and can demand equal access to health services. Community-based interventions (CBI) based on building women’s groups for awareness generation on maternal and child health (MCH) are the best and cost-effective approach in improving their access to health services. The present endeavor evaluates a community-based intervention aimed at improving marginalized women’s health and economic status using the peer-led approach from two districts of India. Methods We used peer educators as mediators of knowledge transfer among women and for creating a supportive environment at the household and community-level. The intervention was implemented in two socially backward districts of Uttar Pradesh, namely Kaushambi and Banda. Two development blocks in each of the two districts were selected randomly, and twenty-four villages in each of the four blocks were selected based on the high percentage of a marginalized population. The evaluation of the intervention involved a non-experimental, pre- and post-research design, using a mixed-method approach. Data were collected at three points in time, including a rapid assessment (quantitative and qualitative interviews) at baseline, qualitative interviews at the end line and tracking data of the intervention population (n=37,324) through an online management information system. Results Most of the women in Banda (90%) and Kaushambi (85%) attended at least 60% of the education sessions. Around 39% of women in Banda and 35% of women in Kaushambi registered for livelihood scheme, and 94% and 80% of them had worked under the scheme. Women during group discussions informed that their awareness about MCH increased post-intervention. The money earned after getting work under livelihood scheme or from daily savings was deposited in the bank account by the women. These savings had helped women investing money at the times of need, such as starting their work, in emergencies for the medical treatment of their family members, education of their children, etc. Conclusion Considering the interlinked plexus of literacy, social status, economic empowerment, and health status of women, interventions targeting anyone of them in silos may not achieve the desired results. The study provides scientific evidence of the successful implementation of peer-led community-based intervention model..

scholarly journals The Danish SoL Project: Effects of a Multi-Component Community-Based Health Promotion Intervention on Prevention of Overweight among 3–8-Year-Old Children

2021 ◽  
Vol 18 (16) ◽  
pp. 8419
Author(s):  
Tine Buch-Andersen ◽  
Frank Eriksson ◽  
Paul Bloch ◽  
Charlotte Glümer ◽  
Bent Egberg Mikkelsen ◽  
...  
Keyword(s):  
Health Promotion ◽  
Intervention Group ◽  
Control Group ◽  
Health Promotion Intervention ◽  
Component Community ◽  
Community Based ◽  
Quasi Experimental ◽  
Z Scores ◽  
And Control ◽  
Over Time

The aim of the study was to determine the effects of a multi-component community-based health promotion intervention on body mass index (BMI) z-scores and waist circumference (WC) in three- to eight-year-old children. A quasi-experimental design was adopted to evaluate the effects of the SoL intervention involving three intervention and three control communities. The 19-month intervention was based on the supersetting approach and was designed to promote healthier eating and physical activity among children and their families. BMI z-scores and WC were measured at baseline and follow-up. At baseline, 238 (54%) and 214 (51%) of all eligible children were measured from intervention and control, respectively. The change over time in the BMI z-scores of children from the intervention group was significantly different from that of the control group (p = 0.001). BMI z-scores increased over time in the intervention group in contrast to the control group, whose BMI z-scores decreased (difference in change between groups 0.19 z-scores 95% CI 0.08, 0.30). No significant differences were observed for WC. The results showed no favourable effects of the intervention of Project SoL on BMI z-scores and WC in children. Further studies based on a larger sample size and a longer intervention duration are needed.

scholarly journals Influence of Community-Based Interventions on Routine Immunization Uptake among Children Under Five Years in Ntungamo District-Uganda

2021 ◽  
Vol 9 (4) ◽  
pp. 62-83
Author(s):  
Byamukama Topher
Keyword(s):  
Immunization Coverage ◽  
Control Groups ◽  
Community Based Interventions ◽  
Post Intervention ◽  
Community Based ◽  
Significant Difference ◽  
Immunization Services ◽  
Level Of Knowledge ◽  
The Difference ◽  
And Control

Evidence of the effectiveness of community-based interventions in improving immunization coverage in populations of low coverage is limited. Vaccine-preventable diseases is a major public health challenge in low-income countries where Uganda lies, and immunization is the only reliable strategy for child survival. The study's objective was to assess the influence of a community-based intervention on the uptake of immunization services to recommend strategies to health stakeholders to improve immunization coverage. A quasi-experimental study was conducted in three phases. Structured and key informant interviews were used as data collection tools. Phase one provided baseline data before the intervention, the second phase was a community-based intervention, and the third phase was post-intervention evaluation. There was no significant difference on the uptake of BCG, POLIO-0, POLIO-1, POLIO-2, DPTHeP-Hib1, DPTHeP-Hib2, PCV1 and PCV2 immunizations between the intervention and control group post-intervention (P= 1.00, α =0.5). The level of knowledge on immunization was 68.8% and 29.6% in the intervention and control groups, respectively. The difference between the two was statistically significant (P=0.00 = α= 0.5). There was a significant association between the level of knowledge of the caregivers on immunization and the uptake of immunization services (P=0.00, α=0.5). There was also a statistically significant difference in immunization coverage between the intervention and control groups (97.5%) and (75.1%) for the intervention and control groups, respectively. The difference was statistically associated with the community-based intervention (P =0.00, α=0.5). Community-based interventions influenced the uptake of routine immunization services.

Challenges and lessons learnt from conducting a health survey in an ethnically diverse population

2021 ◽  
pp. 140349482110546
Author(s):  
Siv Steffen Nygaard ◽  
Abirami Srivarathan ◽  
jimmi Mathisen ◽  
Maria Kristiansen ◽  
Ulla Christensen ◽  
...  
Keyword(s):  
Social Relations ◽  
Social Housing ◽  
Ethnically Diverse ◽  
Response Rates ◽  
Cultural Barriers ◽  
Third Wave ◽  
The Third ◽  
Language Groups ◽  
Lessons Learnt ◽  
Housing Area

Aim: To document the challenges of developing and executing an interviewer-driven survey questionnaire in an ethnically diverse and deprived social housing area undergoing reconstruction in Denmark. Methods: The survey was initially planned to be conducted in three waves (before, during and after reconstruction of the housing area), based on a questionnaire covering health, wellbeing and social relations. The first two waves took place in 2018 and 2019 (invited n=~600 per wave) and the third wave will be conducted once the reconstruction is finalised. The approach to the third wave is under revision by the research team. The questionnaire was translated from Danish into the seven most common languages in the housing area. A bilingual interview team went door to door interviewing residents. Field notes were collected systematically during each wave to document the process. Results: The response rates were 35% ( n=209) and 22% ( n=132) for waves 1 and 2, respectively. There was an overall decrease in response rates between waves 1 and 2 for all language groups, but particularly for Arabic and Turkish-speaking men. The most frequently stated reasons for non-participation included illness and language barriers. The key lessons learnt were that overcoming linguistic and cultural barriers to conducting research among residents in this social housing area requires time and resources. Conclusions: Several challenges are associated with conducting a survey in ethnically diverse and deprived social housing areas. Documenting the challenges and learning from experience are both important, in order to include this hard-to-reach population in health research.

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