scholarly journals Assesment of Stakeholder Participation as Criterion for Sustainability of Community Based Public Health Projects in Western Kenya

2021 ◽  
Vol 10 (2) ◽  
pp. 57
Author(s):  
Ramadhan Makokha BARASA ◽  
Clive Malietso MUKANZI ◽  
Samson NYANG’AU

Community based projects are the basis for sustainable socio-economic development of most nations in the developing world. Consequently, such projects should be planned and designed to benefit communities over a long period. In Kenya, existing literature indicates that most of these projects don’t stand the test of time. Incidences of projects stalling soon after commissioning have been reported in many parts of the country. It is in this vain that as events unfold, organizations and institutions are integrating the principles of sustainability in project management in order to ensure projects serve the communities for a long time as envisioned. This study was carried out in Western Kenya. It assessed the role of stakeholder participation in the sustainability of community based public health projects. Funding was considered as a moderating variable. The study adopted descriptive survey design. A sample of 360 respondents was purposely sampled from of a population of 5570 committee members of various public health facilities. Data was sourced through questionnaires, interview schedules, and document analysis and observation checklists. Data was analyzed both descriptively and inferentially. The computations for correlation on the influence of stakeholder participation on sustainability was at value r = 0.713, with a coefficient of determination at 0.508. This translates to 50.8%, of change in project sustainability is attributable of stakeholder participation. ANOVA was at R value of o.901, implies 81.2 % of change in sustainability could be explained by stakeholder participation. Further, the rate of change, computed at Y= 0.945X+5.648, implied positive change, at rate of 0.945 between the two variables. Consequently, the study recommended, that for public health projects to sustainably serve communities, players must adopt stakeholder participation, amongst others parameters in project design, planning and sustainability.

2020 ◽  
Vol 2 (1) ◽  
pp. 34-38
Author(s):  
Caroline Noel Amunga

Even though mental health is usually discussed from the western worldview, it has been existent in Kenya even before civilization. The main objective of this paper therefore is to assess the impact of cultural beliefs on mental health among some selected communities in Western Kenya. This paper was guided by the social psychology theory which posits that social influences, perception and interaction are vital in understanding social behavior. The paper adopted the descriptive survey design to present data thus studying the situation as it is in an attempt to explain it. The sampling techniques were Purposive which was used to select the specialists. The study instruments were interview schedule, Focus Group Discussion and documents review. The validity o the instruments were established through content validity by experts from MMUST. This paper established that cultural beliefs have both a negative and positive impact on mental health in the sense that anxiety and trauma from broken taboos and norms led to mental illness whereas the performance of rituals brought about peace and psychological contentment hence mental health. This article recommends that cultural beliefs which lead to mental health should be preserved for the same purpose.


2019 ◽  
Vol 3 (2) ◽  
pp. 63-70
Author(s):  
Gusti Meliyanie ◽  
Dicky Andiarsa

Filariasis has been a public health problem in Indonesia for a long time and WHO has established this disease as a neglected disease which is a public health problem in the world, therefore a global filariasis elimination program that must be achieved in 2020. This article compiles some literature for writing references related to the development of global filariasis elimination and the progress of filariasis elimination in Indonesia particularly.  Filariasis elimination program in Indonesia has been running at least 26 districts that have stopped implementing mass drug administration (MDA) from 239 endemic filariasisdistricts. The remaining districts are expected to have implemented MDAstart from 2015 so that the year 2020 is completed and verified also given predicates of filariasis elimination according to global target of filariasis elimination. Management-based and community-based research is important to determine the best model of elimination. There are still many challenges in increasing coverage, so that continuing education efforts on filariasis and the importance of treatment will motivate communities to play an active role in achieving maximum coverage targets, and national filariasis elimination targets can be achieved by 2020.


2020 ◽  
Vol 3 (1) ◽  
pp. 159-176
Author(s):  
Bonface O. Kihima ◽  
Paul M. Musila

Community Based Tourism (CBT) is among several types of tourism that have been considered sustainable and beneficial to the host populations in conservation areas. The local community participation in tourism in conservation areas is supposed to be high and its members should benefit from the tourism process. However, having been presented with opportunity to improve their livelihoods, communities are constrained in various ways and generally fail to benefit from tourism development. This study was set to investigate constraints to community participation in conservation areas. It was carried out in Mwaluganje Elephant Sanctuary (MES) in Kwale County, Kenya, using a descriptive survey design. Data was collected using researcher administered questionnaires and oral interviews. The results indicated that lack of coordination among stakeholders; inadequate financial resources, lack of conducive environment for tourism growth, and lack of skills/knowledge were major constraints to participation. The study concludes that to address both operational and structural constraints to community participation, the national and county governments should develop policies that compel investors to honor agreements with communities, assist communities to enter into fair collaborations with investors, and provide incentives to investors in tourism.


2021 ◽  
Vol 12 (1) ◽  
pp. 70-87
Author(s):  
Paul M. Musila ◽  
Bonface O. Kihima

Community Based Tourism (CBT) is among several types of tourism that have been considered sustainable and beneficial to the host populations in conservation areas. The local community participation in tourism in conservation areas is supposed to be high and its members should benefit from the tourism process. However, having been presented with opportunity to improve their livelihoods, communities are constrained in various ways and generally fail to benefit from tourism development. This study was set to investigate constraints to community participation in conservation areas. It was carried out in Mwaluganje Elephant Sanctuary (MES) in Kwale County, Kenya, using a descriptive survey design. Data was collected using researcher administered questionnaires and oral interviews. The results indicated that lack of coordination among stakeholders; inadequate financial resources, lack of conducive environment for tourism growth, and lack of skills/knowledge were major constraints to participation. The study concludes that to address both operational and structural constraints to community participation, the national and county governments should develop policies that compel investors to honour agreements with communities, assist communities to enter into fair collaborations with investors, and provide incentives to investors in tourism.


Author(s):  
Francisca Wavinya Ngala ◽  
Rosemary Wahu Mbogo

<p>Members of any congregation professing Christianity are a flock that needs to be looked after as commissioned by God. Faith in Christ often brings them together to strengthen one another by listening to the word of God and receiving God’s blessings through the minister/pastor/priest among others. These servants, therefore, have the obligation to mould and form a spirituality of their congregations as they patiently wait for the second coming of Jesus Christ by teaching them. Therefore, this paper endeavoured to interrogate the Christian curriculum of selected churches with respect to spiritual formation among the faithful. The descriptive survey design was used for the study. Systematic random sampling was used to select 945 participants. Questionnaires were consequently distributed to the 945 members. Overall, 538 questionnaires were returned and analyzed to provide useful information. The Statistical Package for the Social Sciences (SPSS) was used to analyze the data and t-tests performed. The study findings revealed that the servants of God use Christian education as an approach towards the great commission of God in enhancing spiritual formation on the faithful. The findings suggest that the servants are working towards strengthening spirituality and hence Christianity of the faithful in their churches. Despite the omission of the great commission over a long time, churches are now embracing curriculum tailored to addressing specific objectives geared to enhancing Christianity and strengthening faith among the faithful.</p>


Author(s):  
Mukhwana Dennis Wafula

Leishmaniasis has spread beyond the traditional areas of the Rift Valley and North Eastern provinces. There is more evidence of emergence and spread of leishmaniasis in Western Kenya. However, there is currently no comprehensive study on knowledge, attitude and prevention practices on leishmaniasis among the risk populations in the endemic Mount Elgon region of western Kenya. This has hindered the protocol for understanding the epidemiology of leishmaniasis. The descriptive survey design study was carried out from April to June, 2019 and it sought for information on KAP related to cutaneous leishmaniasis (C.L) in Mount Elgon region. Using stratified simple random sampling technique, a total of 340 household participants were selected in the study area. Structured questionnaire was used to collect the data. Regarding the responses given to knowledge, attitude and practice, a score of 1 was given for each right response and 0 for unsure responses. Data analysis was conducted using IBM SPSS version 23 statistical software. Descriptive statistics that include frequency and percentage were used to analyze the results. Out of 340 individuals were participated in our study 214 (62.9%) of the participants were males and 126 (37.1%) were females. The result of the present study in terms of knowledge showed that most of the respondents scored less than four items out of six correctly, hence described as having poor knowledge of CL. With regard to attitude respondents believed that CL was a problem in their area and had positive attitude towards the treatment of the disease. The study also found out that majority of the respondents practiced well, as indicated by scoring positively in more than three items. In terms of plants used in the treatment of the disease, Olea europaea, Kigelia Africana, Terminial mollis, Croton macrostachyus, Tylosema fassoglense and Bridella micrantha were mentioned. It was concluded that, people were less knowledgeable, had positive attitude towards the treatment especially using plant extracts could act as the basis for future research on alternative drugs against the disease.


Author(s):  
Ezeama Matina Chikodi ◽  
Iwu A. Olivia ◽  
Ezinna Ezinne Enwereji

Background: Diabetes mellitus poses a major global health threat worldwide. Compliance to prescribed regimen helps to reduce complications and death, but the rate of compliance has been consistently low in developing countries. This study therefore identified factors and conditions that influence compliance to medical regimen among diabetic patients treated in federal medical centre Owerri.Methods: Descriptive survey design was adopted. A convenience sampling technique was used to recruit all the 68 diabetic patients receiving treatment in the out-patients’ male and female wards. Data were collected using administered questionnaire. Data were analyzed and presented with percentages, tables and graphs.Results: The result showed low level of compliance among 37 (54.4%) of the diabetic patients treated in federal medical center Owerri. Factors that influenced compliance as indicated by the respondents include; drugs that are taken for a long time 23 (33.8%), long waiting time before seeing a doctor as well as the distance covered to the facility and diet restriction 22 (32.3%) respectively. Other factors that contributed to poor compliance included: inability to afford monitoring machine 16 (23.5%), and unaffordability of diabetic drugs 15 (23.5%). Majority (73.5%) of the patients suggested good communication as the best measure to promote patient’s compliance.Conclusions: This study identified that several factors contributed to lack of diabetic patients’ compliance to medical regimen and that only good communication can encourage patients’ compliance. Therefore, good communication between the health care givers and diabetic patients should be encouraged.  


2005 ◽  
Vol 10 (1) ◽  
pp. 25-38 ◽  
Author(s):  
Hilde Iversen ◽  
Torbjørn Rundmo ◽  
Hroar Klempe

Abstract. The core aim of the present study is to compare the effects of a safety campaign and a behavior modification program on traffic safety. As is the case in community-based health promotion, the present study's approach of the attitude campaign was based on active participation of the group of recipients. One of the reasons why many attitude campaigns conducted previously have failed may be that they have been society-based public health programs. Both the interventions were carried out simultaneously among students aged 18-19 years in two Norwegian high schools (n = 342). At the first high school the intervention was behavior modification, at the second school a community-based attitude campaign was carried out. Baseline and posttest data on attitudes toward traffic safety and self-reported risk behavior were collected. The results showed that there was a significant total effect of the interventions although the effect depended on the type of intervention. There were significant differences in attitude and behavior only in the sample where the attitude campaign was carried out and no significant changes were found in the group of recipients of behavior modification.


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