scholarly journals Community health priorities: Lessons for malaria prevention from Balaka district, Malawi

2018 ◽  
Vol 30 (2) ◽  
pp. 99 ◽  
Author(s):  
Warren Parker
2021 ◽  
Vol 18 ◽  
Author(s):  
Jennifer Padden Elliott ◽  
Stephanie N. Christian ◽  
Katie Doong ◽  
Hannah E. Hardy ◽  
Dara D. Mendez ◽  
...  

2016 ◽  
Vol 3 (1) ◽  
pp. 27
Author(s):  
Amos Habimana ◽  
Alexis Harerimana ◽  
Domina Asingizwe ◽  
Theogene Nyandwi ◽  
Kato J. Njunwa

Author(s):  
Sarah Duignan ◽  
Tina Moffat ◽  
Dawn Martin-Hill

This article explores how Indigenous Knowledge and medical anthropology can co-construct community health knowledge through boundary work and the use of boundary objects. It will highlight how community-based participatory research (CBPR) in medical anthropology can help co-develop methods and strategies with Indigenous research partners to assess the human health impact of the First Nations water crisis. We draw on a case study of our community-based approach to health research with Six Nations of the Grand River First Nation community stakeholders and McMaster University researchers. We highlight how framing a co-constructed health survey as a boundary object can create dialogical space for Indigenous and western academic pedagogies and priorities. We also explore how this CBPR anthropology approach, informed by Indigenous Knowledge, allows for deeper foundations of culturally centered health to guide our work in identifying current and future community health needs concerning these ongoing water contamination and access issues. Through three health survey versions, priorities and research questions shifted and expanded to suit growing community health priorities. This led to collaborative action to communicate specific messages around water contamination and access across governance, community, and institutional boundaries. We demonstrate how our co-constructed approach and boundary work allows for the respectful and reciprocal development of these long-term research partnerships and works in solidarity with the Two-Row Wampum (Kaswentha) treaty established by the Haudenosaunee Nation and European settler nations. 


2017 ◽  
Vol 3 (1_suppl) ◽  
pp. 67S-72S ◽  
Author(s):  
Peter M. Ginter ◽  
Lauren Wallace ◽  
Andrew C. Rucks

Public health departments provide many services critical to maintaining healthy populations, including communicable disease control, immunizations, primary care, and emergency preparedness. The Public Health Accreditation Board (PHAB) has established an accreditation process for public health departments that measures departmental performance against nationally recognized, evidence-based standards. The goal is to recognize departmental strengths and weaknesses, strengthen partnerships, and promote the prioritization of organizational goals to improve community health. Achieving accreditation from the PHAB requires health departments to develop Community Health Assessment (CHA), Community Health Improvement Plan (CHIP), and Strategic Plan processes. The intent of the CHA is to determine contributing factors for poor health outcomes and assess available resources. Building on the CHA, the CHIP establishes health priorities and improvement strategies, including measurable health outcomes and recommended policy changes. Finally, Strategic Plan defines the health department’s strategic priorities, goals, and implementation plans. A number of methodologies are available to develop these plans, but many prove to be complicated and confusing, leading to suboptimal performance. The Alabama-Mississippi Public Health Training Center assisted the Alabama Department of Public Health with the creation of their plans by developing the Focused Strategic Thinking Approach, which supplied simple and effective processes to develop useful and successful plans. These processes provide useful guides for other public health departments developing their prerequisites as they pursue PHAB accreditation.


Author(s):  
Jacquelyn Fede ◽  
Stephen Kogut ◽  
Anthony Hayward ◽  
John F. Stevenson ◽  
Amy Nunn ◽  
...  

2021 ◽  
Vol 9 ◽  
Author(s):  
Atsuyoshi Ishizumi ◽  
Roberta Sutton ◽  
Anthony Mansaray ◽  
Lauren Parmley ◽  
Oliver Eleeza ◽  
...  

Introduction: Community health workers (CHWs) play an integral role in Sierra Leone's health systems strengthening efforts. Our goal was to understand CHWs' experiences of providing immunization and malaria prevention services in urban settings and explore opportunities to optimize their contributions to these services.Methods: In 2018, we conducted an exploratory qualitative assessment in the Western Area Urban district, which covers most of the capital city of Freetown. We purposively selected diverse health facilities (i.e., type, ownership, setting) and recruited CHWs through their supervisors. We conducted eight focus group discussions (FGD) with CHWs, which were audio-recorded. The topics explored included participants' background, responsibilities and priorities of urban CHWs, sources of motivation at work, barriers to CHWs' immunization and malaria prevention activities, and strategies used to address these barriers. The local research team transcribed and translated FGDs into English; then we used qualitative content analysis to identify themes.Results: Four themes emerged from the qualitative content analysis: (1) pride, compassion, recognition, and personal benefits are important motivating factors to keep working as CHWs; (2) diverse health responsibilities and competing priorities result in overburdening of CHWs; (3) health system- and community-level barriers negatively affect CHWs' activities and motivation; (4) CHWs use context-specific strategies to address challenges in their work but require further support.Conclusion: Focused support for CHWs is needed to optimize their contributions to immunization and malaria prevention activities. Such interventions should be coupled with systems-level efforts to address the structural barriers that negatively affect CHWs' overall work and motivation, such as the shortage of work supplies and the lack of promised financial support.


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