scholarly journals Public Health Citizen Science; Perceived Impacts on Citizen Scientists: A Case Study in a Low-Income Neighbourhood in the Netherlands

2017 ◽  
Vol 2 (1) ◽  
pp. 7 ◽  
Author(s):  
Lea Den Broeder ◽  
Lidwien Lemmens ◽  
Serfanim Uysal ◽  
Karin Kauw ◽  
Jitske Weekenborg ◽  
...  
Keyword(s):  
Public Health ◽  
The Netherlands ◽  
Citizen Science ◽  
Low Income ◽  
Perceived Impacts

scholarly journals Factors that influence the scale up of new interventions in low-income settings: a qualitative case study of the introduction of chlorhexidine cleansing of the umbilical cord in Bangladesh

2020 ◽  
Vol 35 (4) ◽  
pp. 440-451
Author(s):  
Jennifer A Callaghan-Koru ◽  
Munia Islam ◽  
Marufa Khan ◽  
Ardy Sowe ◽  
Jahrul Islam ◽  
...  
Keyword(s):  
Public Health ◽  
Health Systems ◽  
Umbilical Cord ◽  
Low Income ◽  
Qualitative Case Study ◽  
National Level ◽  
Scale Up ◽  
New Drugs ◽  
Low Income Countries

Abstract There is a well-recognized need for empirical study of processes and factors that influence scale up of evidence-based interventions in low-income countries to address the ‘know-do’ gap. We undertook a qualitative case study of the scale up of chlorhexidine cleansing of the umbilical cord (CHX) in Bangladesh to identify and compare facilitators and barriers for the institutionalization and expansion stages of scale up. Data collection and analysis for this case study were informed by the Consolidated Framework for Implementation Research (CFIR) and the WHO/ExpandNet model of scale up. At the national level, we interviewed 20 stakeholders involved in CHX policy or implementation. At the district level, we conducted interviews with 31 facility-based healthcare providers in five districts and focus group discussions (FGDs) with eight community-based providers and eight programme managers. At the community level, we conducted 7 FGDs with 53 mothers who had a baby within the past year. Expanded interview notes were thematically coded and analysed following an adapted Framework approach. National stakeholders identified external policy and incentives, and the engagement of stakeholders in policy development through the National Technical Working Committee for Newborn Health, as key facilitators for policy and health systems changes. Stakeholders, providers and families perceived the intervention to be simple, safe and effective, and more consistent with family preferences than the prior policy of dry cord care. The major barriers that delayed or decreased the public health impact of the scale up of CHX in Bangladesh’s public health system related to commodity production, procurement and distribution. Bangladesh’s experience scaling up CHX suggests that scale up should involve early needs assessments and planning for institutionalizing new drugs and commodities into the supply chain. While the five CFIR domains were useful for categorizing barriers and facilitators, additional constructs are needed for common health systems barriers in low-income settings.

scholarly journals Public Health Preparedness and Response Synergies between Institutional Authorities and the Community: A Qualitative Case Study of Emerging Tick-borne Diseases in Spain and the Netherlands

2021 ◽  
Author(s):  
Daniel de Vries ◽  
John Kinsman ◽  
Anne Cremers ◽  
John Angrén ◽  
Svetla Tsolova ◽  
...  
Keyword(s):  
Public Health ◽  
The Netherlands ◽  
Community Engagement ◽  
Information Dissemination ◽  
Qualitative Case Study ◽  
Lessons Learned ◽  
Vulnerable Groups ◽  
Health Official ◽  
Preparedness Planning

Abstract BackgroundCommunities affected by infectious disease outbreaks are increasingly recognised as partners with a significant role to play during public health emergencies. This paper reports on a qualitative case study of the interactions between affected communities and public health institutions prior to, during, and after two emerging tick-borne disease events in 2016: Crimean-Congo Haemorrhagic Fever in Spain, and Tick-Borne Encephalitis in the Netherlands. The aim of the paper is to identify pre-existing and emergent synergies between communities and authorities, and to highlight areas where synergies could be facilitated and enhanced in future outbreaks.MethodsDocumentary material provided background for a set of semi-structured interviews with experts working in both health and relevant non-health official institutions (13 and 21 individuals respectively in Spain and the Netherlands), and focus group discussions with representatives of affected communities (15 and 10 individuals respectively). Data from all sources were combined and analysed thematically, initially independently for each country and then for both countries together.ResultsStrong synergies were identified in tick surveillance activities in both countries, and the value of pre-existing networks of interest groups for preparedness and response activities was recognised. However, authorities also noted that there were hard-to-reach and potentially vulnerable groups, such as hikers, foreign tourists, and volunteers working in green areas. While the general population received preventive information about the two events, risk communication or other community engagement efforts were not seen as necessary specifically for these sub-groups. Post-event evaluations of community engagement activities during the two events were limited, so lessons learned were not well documented.ConclusionsA set of good practices emerged from this study, that could be applied in these and other settings. They included the potential value of conducting stakeholder analyses of community actors with a stake in tick-borne or other zoonotic diseases; of utilising pre-existing stakeholder networks for information dissemination; and of monitoring community perceptions of any public health incident, including through social media. Efforts in the two countries to build on the community engagement activities that are already in place could contribute to better preparedness planning and more efficient and timely responses in future outbreaks.

scholarly journals Public health preparedness and response synergies between institutional authorities and the community: a qualitative case study of emerging tick-borne diseases in Spain and the Netherlands

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Daniel H. de Vries ◽  
John Kinsman ◽  
Anne Lia Cremers ◽  
John Angrén ◽  
Massimo Ciotti ◽  
...  
Keyword(s):  
Public Health ◽  
The Netherlands ◽  
Community Engagement ◽  
Information Dissemination ◽  
Qualitative Case Study ◽  
Lessons Learned ◽  
Vulnerable Groups ◽  
Health Official ◽  
Preparedness Planning

Abstract Background Communities affected by infectious disease outbreaks are increasingly recognised as partners with a significant role to play during public health emergencies. This paper reports on a qualitative case study of the interactions between affected communities and public health institutions prior to, during, and after two emerging tick-borne disease events in 2016: Crimean-Congo Haemorrhagic Fever in Spain, and Tick-Borne Encephalitis in the Netherlands. The aim of the paper is to identify pre-existing and emergent synergies between communities and authorities, and to highlight areas where synergies could be facilitated and enhanced in future outbreaks. Methods Documentary material provided background for a set of semi-structured interviews with experts working in both health and relevant non-health official institutions (13 and 21 individuals respectively in Spain and the Netherlands), and focus group discussions with representatives of affected communities (15 and 10 individuals respectively). Data from all sources were combined and analysed thematically, initially independently for each country and then for both countries together. Results Strong synergies were identified in tick surveillance activities in both countries, and the value of pre-existing networks of interest groups for preparedness and response activities was recognised. However, authorities also noted that there were hard-to-reach and potentially vulnerable groups, such as hikers, foreign tourists, and volunteers working in green areas. While the general population received preventive information about the two events, risk communication or other community engagement efforts were not seen as necessary specifically for these sub-groups. Post-event evaluations of community engagement activities during the two events were limited, so lessons learned were not well documented. Conclusions A set of good practices emerged from this study, that could be applied in these and other settings. They included the potential value of conducting stakeholder analyses of community actors with a stake in tick-borne or other zoonotic diseases; of utilising pre-existing stakeholder networks for information dissemination; and of monitoring community perceptions of any public health incident, including through social media. Efforts in the two countries to build on the community engagement activities that are already in place could contribute to better preparedness planning and more efficient and timely responses in future outbreaks.

scholarly journals Indoor and outdoor particulate matter concentrations on the Mpumalanga highveld – A case study

2015 ◽  
Vol 25 (2) ◽  
pp. 12 ◽  
Author(s):  
B Wernecke ◽  
B Language ◽  
S.J Piketh ◽  
R.P Burger
Keyword(s):  
Public Health ◽  
Particulate Matter ◽  
Indoor Air ◽  
Solid Fuel ◽  
Low Income ◽  
Sampling Period ◽  
Solid Fuels ◽  
Respirable Fraction ◽  
Combustion Of Solid Fuels

The household combustion of solid fuels, for the purpose of heating and cooking, is an activity practiced by many people in South Africa. Air pollution caused by the combustion of solid fuels in households has a significant influence on public health. People mostaffected are those considered to be the poorest, living in low-income settlements, where burning solid fuel is the primary source of energy. Insufficient data has been collected in South Africa to quantify the concentrations of particulate emissions that peopleare exposed to, especially the respirable fraction, associated with the combustion of solid fuels. The aim of this paper is to gain an understanding of the particulate matter (PM) concentrations a person living in a typical household in a low income settlement in theSouth African Highveld is exposed to. It also seeks to demonstrate that the use of solid fuels in the household can lead to indoor air pollution concentrations reaching levels very similar to ambient PM concentrations, which could be well in excess of the NationalAmbient Air Quality Standards, representing a major national public health threat. A mobile monitoring station was used in KwaDela, Mpumalanga to measure both ambient particulate concentrations and meteorological conditions, while a range of dust/particulate monitors were used for indoor and personal particulate concentration measurements. Indoor and personal measurements are limited to the respirable fraction (PM4) as this fraction contributes significantly to the negative health impacts. The sampling for this case study took place from 7-19 August 2014. Highest particulate matter concentrations were evident during the early mornings and the early evenings, when solid fuel burning activities were at their highest. Indoor and personal daily average PM4 concentrations did not exceed the 24h National Ambient PM2.5 Standard of 65 μg/m3 nor did they exceed the 24h National Ambient PM10 Standard of 75 μg/ m3. The outdoor PM2.5 concentrations were found to be below the standards for the duration of the sampling period. The outdoor PM10 concentrations exceeded the standards for one day during the sampling period. Results indicate that, although people in KwaDelamay be exposed to ambient PM concentrations that can be non-compliant to ambient standards, the exposure to indoor air, where solid fuel is burnt, may be detrimental to their health.

Analysing capabilities and resources used to incorporate fruit and vegetables into the family diet: findings from an Australian case study

2014 ◽  
Vol 2 (1) ◽  
pp. 13
Author(s):  
Samantha B Meyer
Keyword(s):  
Low Income ◽  
Vegetable Intake ◽  
Vegetable Consumption ◽  
Fruit And Vegetables ◽  
Fruit And Vegetable ◽  
Organizational Skills ◽  
Australian Case ◽  
Low Income Families ◽  
Conducting Research

Research attributes low fruit and vegetable consumption to problems of access, availability and affordability. We conducted, for the first time, a case study with three families designed and analysed using the sustainable Livelihoods Framework. The benefit of such an approach is that we moved away from identified barriers and towards identifying the capabilities and resources low-income families use to incorporate fruit and vegetables into their diets. Mitigating cost and access, we provided families with a box of fresh fruit and vegetables free of charge for up to 10 weeks and observed and recorded how/if the contents were used. Results identify the importance of social networking, organizational skills, knowledge of health benefits, and social structures. This paper demonstrates an effective methodology for understanding the capabilities of, rather than barriers to, low-income families increasing fruit and vegetable intake. Additionally, we provide a ‘how to’ and ‘lessons from the field’ for researchers interested in conducting research of this nature.

Eating NAFTA

2018 ◽  
Author(s):  
Alyshia Gálvez
Keyword(s):  
Public Health ◽  
Chronic Disease ◽  
Low Income ◽  
Food System ◽  
Dietary Habits ◽  
Trade Agreement ◽  
Well Being ◽  
Health Crisis ◽  
The North ◽  
The World

In the two decades since the North American Free Trade Agreement (NAFTA) went into effect, Mexico has seen an epidemic of diet-related illness. While globalization has been associated with an increase in chronic disease around the world, in Mexico, the speed and scope of the rise has been called a public health emergency. The shift in Mexican foodways is happening at a moment when the country’s ancestral cuisine is now more popular and appreciated around the world than ever. What does it mean for their health and well-being when many Mexicans eat fewer tortillas and more instant noodles, while global elites demand tacos made with handmade corn tortillas? This book examines the transformation of the Mexican food system since NAFTA and how it has made it harder for people to eat as they once did. The book contextualizes NAFTA within Mexico’s approach to economic development since the Revolution, noticing the role envisioned for rural and low-income people in the path to modernization. Examination of anti-poverty and public health policies in Mexico reveal how it has become easier for people to consume processed foods and beverages, even when to do so can be harmful to health. The book critiques Mexico’s strategy for addressing the public health crisis generated by rising rates of chronic disease for blaming the dietary habits of those whose lives have been upended by the economic and political shifts of NAFTA.

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