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Tuberculosis Control: patient Perception Regarding Orientation for the Community and Community Participation; Controle da tuberculose: percepção dos doentes sobre orientação a comunidade e participação comunitária; Control de la tuberculosis: percepción de los enfermos sobre orientación a la comunidad y participación comunitaria

CURTO, Márcio; SCATENA, Lúcia Marina; ANDRADE, Rubia Laine de Paula; PALHA, Pedro Fredemir; ASSIS, Elisângela Gisele de; SCATOLIN, Beatriz Estuque; VILLA, Tereza Cristina Scatena
Fonte: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Publicador: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
56.29%
To evaluate, from the patient’s perspective, actions of orientation for the community and community participation carried out in tuberculosis control in health services in Ribeirão Preto - SP. This was an evaluative quantitative exploratory study which used part of the Primary Care Assessment Tool, adapted and validated for tuberculosis care, applied through interview, with 100 patients. Indicators of the instrument and analysis of variance were used. The realization of social partnerships for delivery of the sputum pot together with the community, the delivery of the sputum pot to the community by professionals, and the participation of the community to discuss the problem of tuberculosis were identified, 5%, 6% and 5%, respectively. The health services with fewer patients in treatment showed the best indicators. The actions of social partnerships, searching for respiratory symptomatics in the community and community participation in tuberculosis control are poorly incorporated by health services.; O objetivo deste estudo foi avaliar, sob a percepção dos doentes, ações de orientação para a comunidade e participação comunitária, realizadas no controle da tuberculose em serviços de saúde de Ribeirão Preto, SP. É pesquisa avaliativa quantitativa exploratória que utilizou parte do Primary Care Assessment Tool...

Participação comunitária nos processos de educação em saúde e ambiental: região de Paranapiacaba e Parque Andreense; COMMUNITY PARTICIPATION IN THE CRIMINAL EDUCATION HEALTH AND ENVIRONMENTAL Region Paranapiacaba and Andreense Park

Silva, Elaine Cristina da
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 31/08/2009 PT
Relevância na Pesquisa
66.31%
A palavra participação tem aparecido nos mais variados discursos. Mas afinal, que participação é essa? Considerando o âmbito da promoção da saúde e seus pressupostos, a participação é citada como uma das condições fundamentais para que as comunidades assumam o controle sobre sua saúde. Percebe-se que há uma grande distância entre o que propõem os principais documentos referentes à promoção da saúde e o que realmente é colocado em prática. Uma das formas mais importantes de estimular a participação comunitária é por meio do processo educativo. Para entender como esses processos educativos vêm ocorrendo em áreas de proteção ambiental de modo que atenda os pressupostos da promoção da saúde, esta pesquisa foi realizada com o objetivo de identificar e analisar as ações de educação em saúde e de educação ambiental desenvolvidas pelo poder público municipal nas áreas de mananciais de Santo André/SP e as formas de participação da comunidade local nesses processos, bem como suas percepções sobre tais ações. A metodologia utilizada para a pesquisa foi de abordagem quali-quantitativa, tendo como instrumentos a análise documental; entrevistas estruturadas e semi-estruturadas. As entrevistas foram iniciadas após prévia aprovação do Comitê de Ética em Pesquisa e consentimento esclarecido dos entrevistados. Os sujeitos eram adultos de ambos os sexos residentes em 02 áreas da região de Paranapiacaba e Parque Andreense e funcionários da Prefeitura de Santo André. Os principais resultados mostraram que as ações de saúde desenvolvidas na região de estudo ainda são vistas predominantemente sob o prisma da prevenção e não como um processo educativo capaz de subsidiar e alcançar alguns dos objetivos da promoção da saúde...

Reabilitação com ênfase no território - demandas de pessoas com deficiências e a promoção da participação comunitária; Community-based rehabilitation the demands of people with disability e the promotion of community participation

Aoki, Marta
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 15/09/2009 PT
Relevância na Pesquisa
56.28%
Este estudo pretendeu discutir a experiência da implantação de um grupo de convivência para adultos com deficiências, na comunidade, como uma das estratégias de reabilitação no âmbito territorial, realizadas a partir de uma unidade básica de saúde. Os objetivos foram: compreender o processo de grupalização de adultos com deficiências e identificar as transformações ocorridas no âmbito individual e coletivo; conhecer os modos de vida e as demandas dessas pessoas e como um grupo de convivência pode contribuir para responder a tais demandas.Para o estudo de caso, utilizou-se a entrevista semi estruturada e o registro/diário de campo das atividades realizadas e acompanhadas pela pesquisadora.Participaram do grupo 10 adultos com deficiências que vivenciavam situação de pobreza e isolamento social, sendo: seis mulheres e quatro homens. Cinco apresentavam deficiência mental, três deficiência física e duas deficiências múltiplas. As entrevistas foram realizadas com 05 participantes do grupo, que o representavam em termos de idade, sexo e tipo de deficiência e tratavam de assuntos como: atividades cotidianas, experiências em saúde e reabilitação, educação, trabalho e participação comunitária.Foram registrados 34 encontros...

Dimensão social da participação comunitária no processo de urbanização nos bairros cota da Serra do Mar em Cubatão; Social dimension of community participation in the process of urbanization in the bairros cota settlements of the "Serra do Mar" in Cubatão

Ovando, Adilana Goulart Silva
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 22/08/2014 PT
Relevância na Pesquisa
66.21%
Esta pesquisa versa sobre o processo de urbanização da Serra do Mar ocorrido nos bairros cota na cidade de Cubatão, no Estado de São Paulo, e se propõe analisar as mudanças sociais e a participação da comunidade no processo de intervenção governamental na área. O objeto da pesquisa é a implantação de um programa estadual de intervenção habitacional por meio de remoção de famílias que ocupavam trechos do Parque Estadual da Serra do Mar, áreas de risco de escorregamento e, ainda, por meio de urbanização de áreas que podem ser consolidadas e regularizadas. A urbanização foi proposta sob o amparo da participação comunitária e com a implantação de projetos sociais e analisar as mudanças sociais e a efetiva participação decorrentes desse processo é o objeto deste estudo.; This research is about deals with the social the process of urbanization of "Serra do Mar" in the "bairros cota" areas located in the city of Cubatão, state of São Paulo, and it aims to analyze social change and community participation in the process of urbanization of the area . The object focused is the actual implementation of a State Program of housing interventions through removal of families that were occupying portions of the "Serra do Mar" State Park as well as areas at risk of slipping; and also the urbanization ofsettlement areas that could be consolidated and legalized. Urbanization was proposed under the auspices of community participation and the implementation of social projects. Analyze social change and the effective participation in this process is the subject of this study .

An integrated malaria control program with community participation on the Pacific Coast of Colombia

Rojas,William; Botero,Sonia; Garcia,Hector Ivan
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2001 EN
Relevância na Pesquisa
66.2%
The study focuses on integrated malaria control in 23 communities on the Pacific Coast of Colombia, with several elements of an ecosystem approach to human health, including malaria-related sociopolitical, ecological, and economic factors. The program fostered community participation. The program presented here had 2 components: implementation and research. The first was conducted in 23 communities, 21 of which lacked adequate health services in terms of education, community participation, prompt diagnosis and complete treatment, and vector control. Research focused on specific vector control measures and the current national health services decentralization process. The project: 1) created a malaria prevention culture in the community; 2) avoided deaths from malaria (no fatal cases in the 3-year period, compared to 5-8 deaths a year previously); 3) avoided cases of cerebral malaria (no cases, as compared to 90-110 per year previously); 4) reduced malaria incidence by 45.36%; 5) decreased length of sick leave from 7.52 to 3.7 days; 6) established a permanent network of microscope technicians and 2-way radio communications; 7) integrated work by local, regional, and outside institutions; 8) demonstrated efficacy of insecticide-impregnated bednets to reduce malaria transmission.

Tuberculosis Control: patient Perception Regarding Orientation for the Community and Community Participation

Curto,Márcio; Scatena,Lúcia Marina; Andrade,Rubia Laine de Paula; Palha,Pedro Fredemir; Assis,Elisângela Gisele de; Scatolin,Beatriz Estuque; Villa,Tereza Cristina Scatena
Fonte: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Publicador: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2010 EN
Relevância na Pesquisa
56.29%
To evaluate, from the patient’s perspective, actions of orientation for the community and community participation carried out in tuberculosis control in health services in Ribeirão Preto - SP. This was an evaluative quantitative exploratory study which used part of the Primary Care Assessment Tool, adapted and validated for tuberculosis care, applied through interview, with 100 patients. Indicators of the instrument and analysis of variance were used. The realization of social partnerships for delivery of the sputum pot together with the community, the delivery of the sputum pot to the community by professionals, and the participation of the community to discuss the problem of tuberculosis were identified, 5%, 6% and 5%, respectively. The health services with fewer patients in treatment showed the best indicators. The actions of social partnerships, searching for respiratory symptomatics in the community and community participation in tuberculosis control are poorly incorporated by health services.

Discussing community participation in health: an approach from the Brazilian experience

Maciel Filho,Romulo; Araújo Jr.,José Luiz C. de
Fonte: Instituto de Medicina Integral Prof. Fernando Figueira Publicador: Instituto de Medicina Integral Prof. Fernando Figueira
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2002 EN
Relevância na Pesquisa
66.28%
This article deals with the problem of community participation in the process of planning, management and decision-making in the Brazilian health system. It seeks to discuss the political process that gave rise to the formation of this model of participation in Brazilian health sector and to identify the reasons for possible weaknesses or constraints in the functioning participatory process.To that end, it makes a review on the literature to address the concept and approaches related to community participation, the advantages of adopting it, some obstacles to its implementation in health management and planning, as well as identifying three kinds of participation in health, according to different technical-political practices and rationalities. Special attention is given to Brazilian experiments in health participation, which culminated in the institutionalising of health councils. In this sense, emphasis is placed on the importance of the social process known as the "Health Reform Movement" and on the holding of the VIII National Health Conference in 1986. Finally, the study concludes that in countries with political, social and economic characteristics like Brazil, the task of incorporating community participation in the formulation and management of health policy depends on the creation of a new spirit of citizenship.

Community participation in primary care in Ireland: the need for implementation research

McEvoy, Rachel Margaret; MacFarlane, Anne
Fonte: Cambridge University Press Publicador: Cambridge University Press
Tipo: info:eu-repo/semantics/article; all_ul_research; ul_published_reviewed
ENG
Relevância na Pesquisa
56.3%
peer-reviewed; There are now several decades of history of community participation in health, with significant international evidence to suggest that there is much to be gained by primary health services and disadvantaged communities working in partnership. In this paper we provide an overview of community participation in primary care, establishing the policy context in which a recent ‘Joint Initiative on Community Participation in Primary Health Care’ was developed in Ireland. This Initiative was designed to support the involvement of disadvantaged communities and groups in the development of primary health care services at local level. An independent formative evaluation of the Joint Initiative took place between September 2009 and April 2010. We present a summary of key findings from this evaluation. We pay particular attention to the issue of sustaining community participation in newly developed Primary Care Teams (PCTs) in the current and changing economic climate, an issue considered crucial if the documented positive impacts of the Joint Initiative are to be maintained and the potential for health gains in the longer term are to be realised. We then argue that the Joint Initiative referred to in this paper clearly provides a strong prototype for community participation in PCTs in Ireland. We also ask whether it can be replicated across all PCTs in the country and embedded as a core part of thinking and everyday health care. We highlight the need for research to build knowledge about the ways in which innovations such as this can be embedded into ongoing...

Community Participation in Public Schools : The Impact of Information Campaigns in Three Indian States

Pandey, Priyanka; Goyal, Sangeeta; Sundararaman, Venkatesh
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Relevância na Pesquisa
66.2%
This study evaluates the impact of a community-based information campaign on school performance from a cluster randomized control trial. The campaign consisted of eight to nine public meetings in each of 340 treatment villages across three Indian states to disseminate information to the community about its state mandated roles and responsibilities in school management. The findings from the first follow-up 2-4 months after the campaign show that providing information through a structured campaign to communities had a positive impact in all three states. In two states there was a significant and positive impact on reading (14-27 percent) in one of the three grades tested; in the third state there was a significant impact on writing in one grade (15 percent) and on mathematics in the other grade tested (27 percent). The intervention is associated with improvement in teacher effort in two states. Some improvements occurred in the delivery of certain benefits entitled to students (stipend, uniform, and mid day meal) and in process variables such as community participation in each of the three states. Follow-up research needs to examine whether there is a systematic increase in learning when the impact is measured over a longer time period and whether a campaign sustained over a longer time is able to generate greater impact on school outcomes.

Designing for Community Participation in Procurement and Disbursement

Gopal, Gita; Marc, Alexandre
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Relevância na Pesquisa
66.26%
In view of the growing number of projects in the social sector, the study previewed by this article examines procurement and disbursement issues in Bank-financed projects with community participation to collate and analyze Bank-wide experience, to identify issues, present cases of best practices, and suggest, where feasible, possible enhancements to existing policies and procedures.

Revitalizing Low-Income Public Housing Through Community Participation in the UK

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Relevância na Pesquisa
66.32%
Poverty is at the root of the problems facing many public housing projects in the U.K. today. Experience emerging from 100 low-income housing estates echoes findings from urban upgrading for the poor in developing countries. Tackling poverty and unemployment in low income communities cannot be left to the market alone. Community participation and full partnership with communities is key, but this is constrained by the push to achieve results quickly, as well as lack of agency interest and skills in working with poor communities as partners. Lasting change requires a strong national and regional policy framework, a new approach based on inter-agency cooperation, local delivery, and meaningful participation by local residents. Residents of such projects offer a significant resource for regeneration, particularly when they have established a foundation of local activity and organizational experience.

Tenure, Divesity, and Commitment: Community Participation for Urban Service Provision

Lall, Somik V.; Deichmann, Uwe; Lundberg, Mattias K.A.; Chaudhury, Nazmul
Fonte: World Bank, Washington, D.C. Publicador: World Bank, Washington, D.C.
EN_US
Relevância na Pesquisa
66.35%
What factors influence community participation in the delivery of urban services? In particular, does security of tenure enhance the probability of participation as it provides individuals with incentives to act collectively in pursuit of a common objective? And are collective efforts less likely to succeed when there is a high degree of heterogeneity in culture or endowments among community members? The authors use household level survey data for Bangalore, India, to show that tenure security has a significant impact on the willingness of residents to participate even when neighborhoods are diverse in terms of their cultural background and welfare status. Their findings suggest that participation is possible in heterogeneous communities when it is a means to a common objective and not a goal by itself.

Community Participation Agreements: a model for welfare reform from community-based research

Smith, Diane E
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Working/Technical Paper Formato: 465663 bytes; application/pdf
EN_AU
Relevância na Pesquisa
66.27%
In its June 2001 budget, the Federal Government announced a new framework for welfare reform, Australians Working Together. One component of the framework is the proposed development of Community Participation Agreements in remote Indigenous communities, to deal with welfare income payments, mutual obligation and related service delivery. This paper presents the results of community consideration and the author's field research between March and August 2001 at Mutitjulu, Central Australia, regarding what such an Agreement might look like on the ground. Mutitjulu presents a microcosm of many of the issues currently affecting remote Indigenous communities. As Mutitjulu residents struggle daily to come to terms with substantial economic and social difficulties, they find their culturally-based forms of social and cultural capital are being undermined by external factors seemingly beyond their immediate control. These include:

the continuing failure of governments to develop a comprehensive approach to planning and service delivery, reflected in a band-aid approach to addressing welfare dependence; the debilitating impacts of inter-generational dependence on welfare income; and he multiplicity of local corporate structures and institutions with ill-defined roles and poor accountability to the Mutitjulu community.

The failure to adequately address welfare dependence and major community problems of substance abuse...

Sub-Saharan Africa : Strengthening Community Participation; Renforcement de la participation communautaire en Afrique Subsaharienne

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Publications & Research :: Brief; Publications & Research
ENGLISH
Relevância na Pesquisa
66.25%
About two years ago, an effort was launched to try and harmonize the World Bank's considerable experience with community participation in a number of African countries. This effort was initiated by a group of organizations including the Benin National Research Institute, the Benin National Extension Service, the Royal Institute for the Tropics, and the World Bank. Very quickly, this group of organizations was expanded to include a variety of research, extension and other rural development organizations in about ten countries, with active support from bi, and multilaterals such as Food and Agricultural Organization (FAO), International Fund for Agricultural Development (IFAD), German Agency for Technical Cooperation (GTZ, and others. The goal of the effort was to make community participation truly multi-sectoral and to use the approach to cover entire countries over a relatively short period of time.

A Review of the Literature on Participatory Approaches to Local Development for an Evaluation of the Effectiveness of World Bank Support for Community-Based and Driven Development Approaches

Pozzoni, Barbara; Kumar, Nalini
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
56.33%
This paper explores the available literature on participatory approaches to development as an input to the operations evaluation department (OED) evaluation of World Bank-supported community-based development (CBD) and community-driven development (CDD) interventions. Participatory approaches to development have gained substantial support in the international community over the past quarter century, and have become increasingly important in the work of the World Bank and other donors. Undertaking this literature review has been a particularly challenging exercise for two reasons. The Bank categories CDD approaches in a three-fold typology, which encompasses both community participation efforts and participatory governance initiatives. This paper is primarily concerned with regularized participatory spaces, in which community members deliberate over the provision of services and the allocation of resources, rather than transient spaces, which entail one-off events or exercises aimed at generating discussion on specific policy issues with no direct link to decision making. This review was undertaken with a four-fold objective. First...

Community-Based and Driven Development: A Critical Review

Mansuri, Ghazala; Rao, Vijayendra
Fonte: World Bank, Washington, D.C. Publicador: World Bank, Washington, D.C.
Tipo: Publications & Research :: Policy Research Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
56.29%
Community-based (and driven) development (CBD/CDD) projects have become an important form of development assistance, with the World Bank's portfolio alone approximating 7 billion dollars. The authors review the conceptual foundations of CBD/CDD initiatives. Given the importance of the topic, there are, unfortunately, a dearth of well-designed evaluations of such projects. But there is enough quantitative and qualitative evidence from studies that have either been published in peer-reviewed publications or have been conducted by independent researchers to glean some instructive lessons. The authors find that projects that rely on community participation have not been particularly effective at targeting the poor. There is some evidence that CBD/CDD projects create effective community infrastructure, but not a single study establishes a causal relationship between any outcome and participatory elements of a CBD project. Most CBD projects are dominated by elites and, in general, the targeting of poor communities as well as project quality tend to be markedly worse in more unequal communities. However...

A systematic review of studies evaluating Australian indigenous community development projects: the extent of community participation, their methodological quality and their outcomes

Snijder, Mieke; Shakeshaft, Anthony; Wagemakers, Annemarie; Stephens, Anne; Calabria, Bianca
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
66.38%
BACKGROUND: Community development is a health promotion approach identified as having great potential to improve Indigenous health, because of its potential for extensive community participation. There has been no systematic examination of the extent of community participation in community development projects and little analysis of their effectiveness. This systematic review aims to identify the extent of community participation in community development projects implemented in Australian Indigenous communities, critically appraise the qualitative and quantitative methods used in their evaluation, and summarise their outcomes. METHODS: Ten electronic peer-reviewed databases and two electronic grey literature databases were searched for relevant studies published between 1990 and 2015. The level of community participation and the methodological quality of the qualitative and quantitative components of the studies were assessed against standardised criteria. RESULTS: Thirty one evaluation studies of community development projects were identified. Community participation varied between different phases of project development...

Controle da tuberculose: percepção dos doentes sobre orientação a comunidade e participação comunitária; Control de la tuberculosis: percepción de los enfermos sobre orientación a la comunidad y participación comunitaria; Tuberculosis Control: patient Perception Regarding Orientation for the Community and Community Participation

Curto, Márcio; Scatena, Lúcia Marina; Andrade, Rubia Laine de Paula; Palha, Pedro Fredemir; Assis, Elisângela Gisele de; Scatolin, Beatriz Estuque; Villa, Tereza Cristina Scatena
Fonte: Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto Publicador: Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; Formato: application/pdf; application/pdf; application/pdf
Publicado em 01/10/2010 ENG; POR; SPA
Relevância na Pesquisa
56.29%
O objetivo deste estudo foi avaliar, sob a percepção dos doentes, ações de orientação para a comunidade e participação comunitária, realizadas no controle da tuberculose em serviços de saúde de Ribeirão Preto, SP. É pesquisa avaliativa quantitativa exploratória que utilizou parte do Primary Care Assessment Tool, adaptado e validado para atenção à tuberculose, aplicado por meio de entrevista a 100 doentes. Utilizaram-se indicadores do instrumento e análise de variância. Foram identificadas a realização de parcerias sociais para entrega do pote para coleta de escarro junto à comunidade, entrega do pote para coleta de escarro na comunidade pelos profissionais e a participação da comunidade para discutir o problema da tuberculose, 5, 6 e 5% respectivamente. Os serviços de saúde com menor número de doentes em tratamento apresentaram os melhores indicadores. Conclui-se que as ações de parcerias sociais, busca de sintomáticos respiratórios na comunidade e participação da comunidade no controle da tuberculose são pouco incorporadas pelos serviços de saúde.; El objetivo de este estudio fue evaluar, bajo la perspectiva de los enfermos, las acciones de orientación para la comunidad y la participación comunitaria...

Empowerment and community participation in social policies; Empoderamento e participação da comunidade em políticas sociais

Gohn, Maria da Glória
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; Formato: application/pdf
Publicado em 01/08/2004 POR
Relevância na Pesquisa
66.15%
A partir da apresentação de alguns conceitos que tem sido utilizados no debate contemporâneo sobre a participação da sociedade civil em esferas públicas, este texto objetiva analisar as formas organizacionais, as possibilidades e as tendências dessa participação, na relação sociedade/estado, destacando o espaço dos conselhos. Como não é possível entender o papel dos diferentes tipos de conselhos que existem no Brasil na atualidade, se não entendermos a reforma do Estado, o texto aborda também as Organizações Sociais (OSs) e as - Organizações da Sociedade Civil de Interesse Público (OSCIPs). Uma das principais conclusões apresentadas na análise do protagonismo civil nas políticas sociais é: a participação da sociedade civil na esfera pública - via conselhos e outras formas institucionalizadas - não é para substituir o Estado, mas para lutar para que este cumpra seu dever: propiciar educação, saúde e demais serviços sociais com qualidade, e para todos.; This article aims to analyze organizational forms, possibilities and tendencies of community participation, in the relation society/government, emphasizing the role of Councils. Since it is impossible to understand the different types of Councils that exist nowadays in Brazil...

An integrated malaria control program with community participation on the Pacific Coast of Colombia

Rojas,William; Botero,Sonia; Garcia,Hector Ivan
Fonte: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz Publicador: Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2001 EN
Relevância na Pesquisa
66.2%
The study focuses on integrated malaria control in 23 communities on the Pacific Coast of Colombia, with several elements of an ecosystem approach to human health, including malaria-related sociopolitical, ecological, and economic factors. The program fostered community participation. The program presented here had 2 components: implementation and research. The first was conducted in 23 communities, 21 of which lacked adequate health services in terms of education, community participation, prompt diagnosis and complete treatment, and vector control. Research focused on specific vector control measures and the current national health services decentralization process. The project: 1) created a malaria prevention culture in the community; 2) avoided deaths from malaria (no fatal cases in the 3-year period, compared to 5-8 deaths a year previously); 3) avoided cases of cerebral malaria (no cases, as compared to 90-110 per year previously); 4) reduced malaria incidence by 45.36%; 5) decreased length of sick leave from 7.52 to 3.7 days; 6) established a permanent network of microscope technicians and 2-way radio communications; 7) integrated work by local, regional, and outside institutions; 8) demonstrated efficacy of insecticide-impregnated bednets to reduce malaria transmission.