Community Health Councils, Inc.: A Case Study in Addressing Health Inequities

2017 ◽  
pp. 152-170
2015 ◽  
Vol 12 ◽  
Author(s):  
Alicia M. Hoke ◽  
Donna K. Kephart ◽  
Judith F. Dillon ◽  
Jody R. McCullough ◽  
Barbara J. Blatt ◽  
...  

2020 ◽  
Vol 12 (23) ◽  
pp. 10152
Author(s):  
Joel T. Betts ◽  
Juan F. Mendoza Espinoza ◽  
Armando J. Dans ◽  
Christopher A. Jordan ◽  
Joshua L. Mayer ◽  
...  

The practice of harvesting fish and crustaceans by using pesticides is understudied and under-reported in tropical inland fisheries yet poses a significant threat to freshwater biodiversity and community health. This research provides a brief review of the practice and an in-depth case study from southeast Nicaragua. In 2019, 86 interviews and 5 focus groups were conducted in remote communities in the Indio Maíz Biological Reserve (IMBR) and nearby surrounding area and combined with 4 years of local Indigenous Rama and Afrodescendent Kriol community forest ranger data. Forest rangers and 74% of interviewees reported that fishing with pesticides occurs in their communities, including both inside the IMBR and in the nearby surrounding area. The practice is primarily used by illegal settlers, and not by Rama and Kriol communities who have rights to the land in the IMBR. It entails the release of liquid pesticides in water or mixing powdered pesticides with corn flour and using the mixture as bait. Of seven chemicals reported, Cypermethrin, Deltamethrin, and Aluminum Phosphide were most common. The use of ichthyotoxic woody plants was more rarely reported. Habitats targeted ranged from swift headwaters to slow pools in small creeks to larger rivers, depending on target species. Main uses reported for the catch were food for family, bait to catch larger fish, and for sale. The main motivation was increased catch efficiency. Many interviewees attributed stomach issues, diarrhea, cough, convulsions, and miscarriage to exposure to poisoned river water. Twenty-five interviewees blamed poisoned rivers for livestock miscarriages or death. Severe local losses of fish and shrimp populations were reported. Rama and Kriol interviewees describe the practice as a threat to their river-based food security. Despite its illegality, no study participant knew a case of pesticide fishing that had been prosecuted. This destructive fishing practice has significant implications for conservation of the intact river systems of the primary rainforests of southeast Nicaragua, and to the local traditional fisheries they support.


2013 ◽  
Vol 19 (1) ◽  
pp. 110-116 ◽  
Author(s):  
Ian Lubek ◽  
Helen Lee ◽  
Sarath Kros ◽  
Mee Lian Wong ◽  
Tiny Van Merode ◽  
...  

2013 ◽  
Vol 15 (1) ◽  
pp. 79-85
Author(s):  
Jill Dumbauld ◽  
Michael Kalichman ◽  
Yvonne Bell ◽  
Cynthia Dagnino ◽  
Howard L. Taras

Author(s):  
Meredith Minkler ◽  
Charlotte Chang

After reading this chapter you will be able to define participatory research and its core principles, describe how engaging communities in participatory research and action can add value to research, while building community capacity and helping achieve action to promote community health, identify some of the challenges that arise in such work and how they may be addressed, and describe a case study that started with an important issue in the community and demonstrates core principles of CBPR, challenges faced in such work, and subsequent community action for change.


1997 ◽  
Vol 20 (3) ◽  
pp. 68 ◽  
Author(s):  
Rohan Jayasuriya

The rapid increase in investments for computerised systems is a major concern for all health organisations. Questions about these investments arise as information technologyis only one of the areas that are competing for a finite amount of resources. There is also some concern that some of the failures of information technology would have been detected if proper evaluation of information systems were conducted. The state of the art of evaluating information systems shows changes from a very positivist approach tomore comprehensive approaches that would incorporate multiple methods. This paperpresents an assessment of the techniques and methods for information systems evaluation, followed by an application to a case study in community health to illustrate the value of the contextualist approach to evaluation. The paper argues for the use of longitudinal, contextualist approaches to information systems evaluation if decision-makers seek to improve the situation of information systems in the health industry.


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