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Evaluation of Changes in Individual Community-Related Empowerment in Community Health Promotion Interventions in Estonia

Kasmel, Anu; Tanggaard, Pernille
Fonte: Molecular Diversity Preservation International (MDPI) Publicador: Molecular Diversity Preservation International (MDPI)
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
26.22%
This study assessed changes in community members’ ratings of the dimensions of individual community related empowerment (ICRE) before and two years after the implementation of an empowerment expansion framework in three community health promotion initiatives within the Estonian context. We employed a self-administered questionnaire, the adapted mobilisation scale–individual. As the first step, we investigated the multidimensional nature of the ICRE construct and explored the validity and reliability (internal consistency) of the ICRE scale. Two datasets were used. The first dataset comprised a cross-sectional random sample of 1,000 inhabitants of Rapla County selected in 2003 from the National Population Register, which was used to confirm the composition of the dimensions of the scale and to examine the reliability of the dimensions. The second dataset comprised two waves of data: 120 participants from three health promotion programs in 2003 (pre-test) and 115 participants in 2005 (post-test), and the dataset was used to compare participants’ pre-test and post-test ratings of their levels of empowerment. The content validity ratio, determined using Lawshe’s formula, was high (0.98). Five dimensions of ICRE, self-efficacy, intention...

Community participation in the prevention and control of dengue: the patio limpio strategy in Mexico

Tapia-Conyer, Roberto; Méndez-Galván, Jorge; Burciaga-Zúñiga, Pierre
Fonte: Maney Publishing Publicador: Maney Publishing
Tipo: Artigo de Revista Científica
Publicado em /05/2012 EN
Relevância na Pesquisa
26.22%
Community participation is vital to prevent and control the spread of dengue in Latin America. Initiatives such as the integrated management strategy for dengue prevention and control (IMS-Dengue) and integrated vector management (IVM) incorporate social mobilisation and behavioural change at the community level as part of a wider strategy to control dengue. These strategies aim to improve the efficacy, cost-effectiveness, environmental impact and sustainability of vector control strategies. Community empowerment is a key aspect of the strategy as it allows the local population to drive eradication of the disease in their environment. Through the patio limpio campaign, the concept of community participation has been employed in Mexico to raise awareness of the consequences of dengue. Patio limpio consists of training local people to identify, eliminate, monitor and evaluate vector breeding sites systematically in households under their supervision. A community participation programme in Guerrero State found that approximately 54% were clean and free of breeding sites. Households that were not visited and assessed had a 2·4-times higher risk of developing dengue than those that were. However, after a year, only 30% of trained households had a clean backyard. This emphasises the need for a sustainable process to encourage individuals to maintain efforts in keeping their environment free of dengue.

The impact of Community Mobilisation on HIV Prevention in Middle and Low Income Countries: A Systematic Review and Critique

Cornish, Flora; Priego-Hernandez, Jacqueline; Campbell, Catherine; Mburu, Gitau; McLean, Susie
Fonte: Springer US Publicador: Springer US
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
46.31%
While community mobilisation (CM) is increasingly advocated for HIV prevention, its impact on measurable outcomes has not been established. We performed a systematic review of the impact of CM within HIV prevention interventions (N = 20), on biomedical, behavioural and social outcomes. Among most at risk groups (particularly sex workers), the evidence is somewhat consistent, indicating a tendency for positive impact, with stronger results for behavioural and social outcomes than for biomedical ones. Among youth and general communities, the evidence remains inconclusive. Success appears to be enhanced by engaging groups with a strong collective identity and by simultaneously addressing the socio-political context. We suggest that the inconclusiveness of the findings reflects problems with the evidence, rather than indicating that CM is ineffective. We discuss weaknesses in the operationalization of CM, neglect of social context, and incompatibility between context-specific CM processes and the aspiration of review methodologies to provide simple, context-transcending answers.

Eco-bio-social research on community-based approaches for Chagas disease vector control in Latin America

Gürtler, Ricardo E.; Yadon, Zaida E.
Fonte: Oxford University Press Publicador: Oxford University Press
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.17%
This article provides an overview of three research projects which designed and implemented innovative interventions for Chagas disease vector control in Bolivia, Guatemala and Mexico. The research initiative was based on sound principles of community-based ecosystem management (ecohealth), integrated vector management, and interdisciplinary analysis. The initial situational analysis achieved a better understanding of ecological, biological and social determinants of domestic infestation. The key factors identified included: housing quality; type of peridomestic habitats; presence and abundance of domestic dogs, chickens and synanthropic rodents; proximity to public lights; location in the periphery of the village. In Bolivia, plastering of mud walls with appropriate local materials and regular cleaning of beds and of clothes next to the walls, substantially decreased domestic infestation and abundance of the insect vector Triatoma infestans. The Guatemalan project revealed close links between house infestation by rodents and Triatoma dimidiata, and vector infection with Trypanosoma cruzi. A novel community-operated rodent control program significantly reduced rodent infestation and bug infection. In Mexico, large-scale implementation of window screens translated into promising reductions in domestic infestation. A multi-pronged approach including community mobilisation and empowerment...

Citoyenneté, identité et mobilisation communautaire autour du VIH dans une organisation de travailleuses du sexe au Karnataka, en Inde

Chevrier, Claudyne
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
FR
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26.19%
Ce mémoire interroge les possibilités présentes et futures d’actions concertées pour remettre en question les structures sociales d’exclusion qui affectent des groupes désignés à risque, entre autres en les rendant plus vulnérables à l’infection au VIH. En Inde, l’attention grandissante portée aux travailleuse(r)s du sexe (TS) par la santé publique dans les interventions contre le VIH contribue à façonner l’identité des groupes ciblés en les associant à l’épidémie du VIH et à sa prévention. L’acceptation et la réorganisation de cette catégorie servent de base d’organisation d’efforts collectifs pour un groupe de TS de Mysore, dans l’état du Karnataka. Les membres de ce collectif, nommé Ashodaya, déploient des actions concertées pour remettre en question les limites de catégories qui leur sont assignées (avec des tentatives pour désamorcer certaines dynamiques d’exclusion sociale -en limitant la stigmatisation), et s’imposer comme un groupe de citoyennes à part entière en s’incluant dans des sphères civiles comme citoyens, comme représentants d’une occupation et non comme individus marginalisés ou « représentants » d’une maladie. L’inclusion d’Ashodaya dans les efforts de prévention du VIH offre un accès à des ressources humaines et matérielles qui lui seraient autrement inaccessibles...

The microbial mobilisation of sulphur and phosphorus in biochar amended soils

Fox, Aaron
Fonte: University of Limerick Publicador: University of Limerick
Tipo: info:eu-repo/semantics/masterThesis; all_ul_research; ul_published_reviewed; ul_theses_dissertations
ENG
Relevância na Pesquisa
36.57%
peer-reviewed; Biochar amended soils have demonstrated various agronomic benefits, principally a plant growth promotion effect. The char’s impact, however, on macronutrient bio-availability and the microorganisms involved in their transformation remain largely elusive. This is particularly the case with sulphur (S) and phosphorus (P). Plants rely on microorganisms to mineralize organic and inorganically bonded S and P which the plant can then readily utilise. The aim of this study was to investigate the role of S and P mobilizing bacteria in the observed plant growth promotion effect associated with biochar amendment. The bacterial genera associated with S and P mobilisation in Irish soils were isolated from the rhizosphere of Zea mays. This study revealed a broad metabolic plasticity in agriculturally important genera such as Pseudomonas, Burkholderia and Rhizobium. Replicate pot experiments of Lolium perenne, Hordeum vulgare and Lycopersicon esculentum were established on S and P limited soil. Pot soils were treated with 1 or 2% biochar (w/w) (Miscanthus giganteus) or were kept biochar-free as a control. After growth of approximately 3 months the plant shoots were harvested. Both biochar amendments resulted in a significant growth promotion effect (P<0.01) with all plants tested. Rhizospheric soil was sampled and bacteria capable of mobilising a) S from aromatic sulphonates...

Les stratégies d'intervention de l'Association des Paysans de Vallue (APV) dans le développement local

Destiné, Johnny
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
FR
Relevância na Pesquisa
26.58%
Ce mémoire porte sur le mouvement de l’Association des Paysans de Vallue (APV), qui a vu le jour après la chute de la dictature des Duvalier en Haïti en 1986. La recherche vise à cerner les stratégies mises en œuvre par l’APV dans le développement local, la portée et les impacts de ses initiatives locales sur les conditions de vie des paysans et sur leur relation avec le territoire de Vallue. Elle vise également à identifier les modes de participation des paysans dans la dynamique de développement local qui est implantée par l’APV à Vallue. Après avoir présenté une brève revue de littérature sur le développement local en Haïti, nous évoquons les problèmes confrontés par les paysans et les stratégies qu’ils ont développées en vue de trouver des moyens de survie. Pour comprendre et étudier l’expérience de l’APV à Vallue, nous nous sommes inspirés des perspectives théoriques portant sur le développement local et sur les stratégies d’intervention. La recherche est de type qualitatif ; elle est articulée autour de dix-sept (17) entretiens réalisés avec les vingt-et-un (21) participants recrutés à Vallue. Les résultats de la recherche indiquent que l’APV a su orchestrer des stratégies variées pour réaliser un développement qui est ancré localement et qui répond aux besoins des paysans. En misant sur l’éducation...

Développement local comme stratégie de lutte contre la pauvreté : le cas du Programme de développement de zone implanté par World Vision en Haïti

Pierre, Mislie
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
FR
Relevância na Pesquisa
26.44%
Ce mémoire est une étude sur le développement local comme stratégie de lutte contre la pauvreté en Haïti. C'est une étude de cas sur une stratégie qui a été implantée par la WVI dans plusieurs communautés pauvres en Haïti, le Programme de Développement de zone (PDZ). Nous avons cherché à savoir comment le PDZ a permis de mettre en place un projet de développement local de lutte contre la pauvreté dans ces communautés. Plus spécifiquement, nous avons analysé, à l'aide de la perspective de Klein et al. (2011), le type de stratégie de développement local auquel le PDZ correspond et vu comment il implique les communautés visées. En effet, plusieurs dimensions, dont la majorité proposée par Klein et al. ont été analysées : le transfert de la stratégie aux leaders locaux ; le processus de leadership local (individuel, organisationnel et socio-territorial) ; la mobilisation des ressources endogènes et exogène ; l'utilisation créative des programmes publics ; la gestion locale des conflits et apprentissage collectif ; et la construction d'une identité positive et d'un sentiment d'appartenance. Ce mémoire fait ressortir une critique souvent adressée à l'endroit des interventions des ONGI, à savoir que la situation de dépendance qu'elles engendrent compte tenu de l'approche assistentialiste sur laquelle elles sont souvent échafaudées. Particulièrement...

La mobilisation sociale dans un contexte de gouvernance au Québec et en Irlande : le rôle des organismes communautaires dans l'élaboration des politiques pour lutter contre la pauvreté

Charlebois, Kathleen
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
FR
Relevância na Pesquisa
36.82%
Cette thèse porte sur le rôle des organismes communautaires entre 1994 et 2002 dans l’élaboration de politiques pour lutter contre la pauvreté au Québec et en Irlande et ce, dans un contexte de gouvernance. Au cours de années 1980 et 1990, des gouvernements, dont ceux du Québec et de l’Irlande, ont fait appel à des organismes communautaires pour que ceux-ci participent à la gestion des services sociaux ainsi qu’à la formulation des politiques sociales. Cette participation s’est inscrite dans le cadre de nouveaux arrangements politiques, soit des nouvelles formes de gouvernance alors que les gouvernements éprouvaient des difficultés à remédier à l’accroissement des inégalités sociales. Cependant, il demeure difficile de discerner en quoi l’établissement de ces nouvelles formes de gouvernance a façonné le rôle des organismes communautaires dans l’élaboration des politiques pour lutter contre la pauvreté. De plus, les partenariats sociaux en Irlande relèvent d’un processus davantage institué que la concertation au Québec, ce qui a entraîné des différences au plan des mobilisations sociales. L’objectif de cette thèse est donc celui de mieux cerner le lien entre les nouvelles formes de gouvernance et la mobilisation sociale des organismes communautaires dans l’élaboration de politiques pour lutter contre la pauvreté. L’hypothèse mise en avant est que l’efficacité de l’action collective dépend de la manière dont les organismes communautaires s’y prennent pour pallier l’incertitude qui caractérise les modes de gouvernance. Sur le plan théorique...

La mobilisation des personnes en situation de pauvreté et d'exclusion à travers des organismes communautaires québécois

Racine, Sonia
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
FR
Relevância na Pesquisa
36.85%
Cette thèse porte sur le phénomène de la mobilisation de personnes en situation de pauvreté et d’exclusion dans un acteur collectif existant et à travers les espaces collectifs privilégiés que constituent les organismes communautaires. Elle est composée de trois chapitres. La problématique et l’objet d’étude forment le premier, la méthodologie est présentée dans le deuxième alors que les résultats de recherche, combinés à leur analyse et à leur interprétation, constituent le troisième chapitre. La discussion générale des résultats est incluse dans la conclusion. La particularité de cette thèse réside dans l’appréhension globale du phénomène de la mobilisation, l’examinant dans le contexte spécifique de la pauvreté et de l’exclusion en tant qu’oppressions structurelles, et dans la perspective du développement du pouvoir d’agir (empowerment). Considérant que la mobilisation est le fruit de l’amalgame entre un acteur collectif et une action collective, cette recherche apporte d’abord une nouvelle compréhension de l’espace dans lequel se développe le processus de mobilisation. Elle propose en effet une distinction novatrice entre d’une part l’acteur collectif, entité relativement floue et diffuse...

Obstacles to local-level AIDS competence in rural Zimbabwe: putting HIV prevention in context

Nhamo, Mercy; Campbell, Catherine; Gregson, Simon
Fonte: Taylor & Francis Publicador: Taylor & Francis
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.24%
We explore the wider social context of an HIV-prevention programme in rural Zimbabwe. We make no comment on the programme itself, rather seeking to examine the wider community dynamics into which it was inserted, to highlight how pre-existing social dynamics may have influenced community “readiness” to derive optimal benefit from the intervention. Using the concept of “the AIDS competent community”, we analysed 44 interviews and 11 focus groups with local people. Despite high levels of HIV/AIDS-related knowledge, there were several ways gender, poverty and low literacy may have undermined its perceived relevance to peoples’ lives. Lack of opportunities for dialogue in the social milieu beyond the intervention may have limited opportunities for translating factual AIDS knowledge into action plans, or sharing hidden individual experiences of HIV/AIDS-affected family members or friends, given stigma and denial. The initiative of women and young people to respond effectively to AIDS was limited in a context dominated by adult males. People spoke of HIV/AIDS in a passive and fatalistic way, expecting outsiders to solve the problem. This tendency was exacerbated given the community's previous experiences of HIV/AIDS-related NGOs...

MaiMwana women's groups: a community mobilisation intervention to improve mother and child health and reduce mortality in rural Malawi

Rosato, Mikey; Mwansambo, Charles; Lewycka, Sonia; Kazembe, Peter; Phiri, Tambosi; Malamba, Florida; Newell, Marie-Louise; Osrin, David; Costello, Anthony
Fonte: The Medical Association Of Malawi Publicador: The Medical Association Of Malawi
Tipo: Artigo de Revista Científica
Publicado em /12/2010 EN
Relevância na Pesquisa
36.07%
This article presents a detailed description of a community mobilization intervention involving women's groups in Mchinji District, Malawi. The intervention was implemented between 2005 and 2010.

Ideologies of Black churches in New York City and the public health crisis of HIV among Black men who have sex with men

Wilson, Patrick A.; Wittlin, Natalie M.; Muñoz-Laboy, Miguel; Parker, Richard G.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em //2011 EN
Relevância na Pesquisa
26.32%
Black men who have sex with men (MSM) are disproportionately affected by the HIV and AIDS in New York City (NYC). Black churches in NYC have a history of engaging in community mobilisation; however, research suggests that churches play a role in promoting stigma against Black MSM, which impedes prevention efforts. The goal of this study was to explore church ideologies surrounding sexuality and health, and the relationship of these ideologies to church mobilisation in response to HIV/AIDS among Black MSM. We conducted interviews and focus groups with pastors and parishioners at Black churches in NYC. Three prominent themes were identified: (1) `Love the sinner, hate the sin' – distinguishing behaviour and identity; (2) `Don't ask, don't tell' – keeping same-sex behaviour private; and (3) `Your body is a temple' – connecting physical and spiritual health. We discuss the implications of these ideologies for church mobilisation and HIV prevention efforts. In doing so, we pay close attention to how ideologies may both impede and facilitate church dialogue around sexuality and heightened responses to the HIV crisis affecting Black MSM.

The legacies of apartheid and implications of economic liberalisation: a post-apartheid township

Mosoetsa, Sarah
Fonte: Crisis States Research Centre, London School of Economics and Political Science Publicador: Crisis States Research Centre, London School of Economics and Political Science
Tipo: Monograph; NonPeerReviewed Formato: application/pdf
Publicado em /07/2004 EN; EN
Relevância na Pesquisa
26.2%
This paper is concerned with organisational responses of residents in one low-income urban community located in the Province of KwaZulu-Natal. The area concerned is Mpumalanga Township near Durban, and it is an area that has had a difficult history of political violence. This has meant that, despite a coterminous history of trade union militancy and high levels of community mobilisation, social networks have been severely fractured. Firstly, this paper explores the tenuous process of rebuilding community level trust and collective action in the wake of political transition. A process of democratic consolidation has been made more difficult by economic recession and workplace restructuring. The general lack of trust in politicians and popular representatives in the contemporary period has meant that people are retreating into families and kinship networks, a response reinforced by poverty. In contrast to previous modes of trade union organisation in the area, problems of poverty and efforts towards enhancing livelihood opportunities are treated as private issues. Thus poverty and suspicion undermine community engagement and limit collective action responses to widespread problems. Secondly, the family is seen as a site of stability...

Towards a fourth generation of approaches to HIV/AIDS management: creating contexts for effective community mobilisation

Campbell, Catherine; Cornish, Flora
Fonte: Routledge Publicador: Routledge
Tipo: Article; PeerReviewed Formato: application/pdf
Publicado em /12/2010 EN; EN
Relevância na Pesquisa
46.85%
Many biomedical and behavioural HIV/AIDS programmes aimed at prevention, care and treatment have disappointing outcomes because of a lack of effective community mobilisation. But community mobilisation is notoriously difficult to bring about. We present a conceptual framework that maps out those dimensions of social context that are likely to support or undermine community mobilisation efforts, proposing that attention should be given to three dimensions of social context: the material, symbolic and relational. This paper has four parts. We begin by outlining why community mobilisation is regarded as a core dimension of effective HIV/AIDS management: it increases the reach and sustainability of programmes; it is a vital component of the wider task shifting agenda given the scarcity of health professionals in many HIV/AIDS-vulnerable contexts. Most importantly it facilitates those social psychological processes that we argue are vital preconditions for effective prevention, care and treatment. Secondly we map out three generations of approaches to behaviour change within the HIV/AIDS field: HIV-awareness, peer education and community mobilisation. We critically evaluate each approach's underlying assumptions about the drivers of behaviour change...

Grassroots groups, Milošević or dissident intellectuals? A controversy over the origins and dynamics of the mobilisation of Kosovo Serbs in the 1980s

Vladisavljević, Nebojša
Fonte: Routledge Publicador: Routledge
Tipo: Article; PeerReviewed Formato: application/pdf
Publicado em /12/2004 EN; EN
Relevância na Pesquisa
26.52%
The dominant view about the mobilisation of Kosovo Serbs in the 1980s is that they were little more than passive recipients of the attitudes and actions of high party-state officials, especially Milošević (Milosevic), and dissident intellectuals, who aimed to initiate reassessment of the party’s approach to Yugoslavia’s national question and its policy on Kosovo and Serb–Albanian relations. The paper challenges this view and broader claims of specialists on the former Yugoslavia and communist and non-democratic regimes in general, which lend it credibility. Drawing on previously unavailable sources, the paper argues that various grassroots groups of Kosovo Serbs played a decisive role in the mobilisation of their community, which originated from the post-1966 twist in the politics of inequality and their rapid demographic decline in Kosovo. It shows that the mobilisation of Kosovo Serbs was autonomous through a close look into their protest networks, demands and protest strategies as well as their links with the dissident intellectuals, other confidants and high officials of Yugoslavia, Serbia and Kosovo. The high officials tolerated the mobilisation partly because of the political change that occurred in the first half of the 1980s...

The impact of community mobilisation on HIV prevention in middle and low income countries: a systematic review and critique

Cornish, Flora; Priego-Hernandez, Jacqueline; Campbell, Catherine; Mburu, Gitau; McLean, Susie
Fonte: Springer Publicador: Springer
Tipo: Article; PeerReviewed Formato: application/pdf
Publicado em //2014 EN; EN
Relevância na Pesquisa
46.31%
While community mobilisation (CM) is increasingly advocated for HIV prevention, its impact on measurable outcomes has not been established. We performed a systematic review of the impact of CM within HIV prevention interventions (N = 20), on biomedical, behavioural and social outcomes. Among most at risk groups (particularly sex workers), the evidence is somewhat consistent, indicating a tendency for positive impact, with stronger results for behavioural and social outcomes than for biomedical ones. Among youth and general communities, the evidence remains inconclusive. Success appears to be enhanced by engaging groups with a strong collective identity and by simultaneously addressing the socio-political context. We suggest that the inconclusiveness of the findings reflects problems with the evidence, rather than indicating that CM is ineffective. We discuss weaknesses in the operationalization of CM, neglect of social context, and incompatibility between context-specific CM processes and the aspiration of review methodologies to provide simple, context-transcending answers.

Community mobilisation in the 21st century: updating our theory of social change?

Campbell, Catherine
Fonte: SAGE Publications Publicador: SAGE Publications
Tipo: Article; PeerReviewed Formato: application/pdf
Publicado em /01/2014 EN; EN
Relevância na Pesquisa
46.31%
The article explores the Freirian theory of social change underpinning health-related community mobilisation in poor and marginalised communities. Highlighting potential shortcomings of its essentialist understandings of power and identity, and linear notions of change, it examines how lessons from the ‘new left’, and burgeoning global protest movements, can rejuvenate the field given the growing complexity of 21st-century social inequalities. It suggests the need for a pastiche of approaches to accommodate health struggles in different times and places. However, while needing some updating, Freire’s profound and actionable understandings of the symbolic and material dimensions of social inequalities remain a powerful starting point for activism.

Re-politicizing race in community development: Using postcolonial psychology and Photovoice methods for social change

Kessi,Shose
Fonte: Psychology in Society Publicador: Psychology in Society
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2013 EN
Relevância na Pesquisa
46.17%
How far can community development lead to transformative social change within the context of global north-south development agendas? Drawing on the works of Frantz Fanon and Steve Biko, this article explores the possibilities of postcolonial psychology for community-based change. Findings from a youth intervention based on Photovoice methods and involving 51 young people from four urban communities in Sub-Saharan Africa reveal that racial identity, self-determination, and social inequality remain key concerns. The paper discusses the advantages and limitations of postcolonial psychology for mobilising communities towards change and the role of participatory action research methods such as Photovoice for marginalised communities to gain widespread recognition and promote transformative action in a globalised context.

Community involvement in health services at Namayumba and Bobi health centres: A case study

Namatovu,Jane F.; Ndoboli,Fred; Kuule,Julius; Besigye,Innocent
Fonte: African Journal of Primary Health Care & Family Medicine Publicador: African Journal of Primary Health Care & Family Medicine
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2014 EN
Relevância na Pesquisa
36.26%
BACKGROUND: Community involvement has been employed in the development of both vertical and horizontal health programmes. In Uganda, there is no empirical evidence on whether and how communities are involved in their health services. AIM AND SETTING: The aim of this study was to establish the existence of community involvement in health services and to identify its support mechanisms in Namayumba and Bobi health centres in Wakiso and Gulu districts, respectively METHODS: Participants were selected with the help of a community mobiliser. Key informants were selected purposively depending on their expertise and the roles played in their respective communities. The focus group discussions and key informant interviews were audio-recorded and transcribed verbatim. The transcripts were analysed manually for emerging themes and sub-themes. RESULTS: Several themes emerged from the transcripts and we categorised them broadly into those that promote community involvement in health services and those that jeopardise it. Easy community mobilisation and several forms of community and health centre efforts promote community involvement, whilst lack of trust for health workers and poor communication downplay community involvement in their health services. CONCLUSION: Community involvement is low in health services in both Namayumba and Bobi health centres.