ObjectiveTo explore the obstacles of community participation in rural health education programmes from the viewpoints of Iranian rural inhabitants.DesignThis was a qualitative study with conventional content analysis approach which was carried out March to October 2016.SettingData collected using semistructured interviews that were digitally recorded, transcribed and analysed until data saturation. MAXQDA 10 software was used to manage the textual data.ParticipantParticipants were twenty-two seven clients from a rural community in Ardabil, Iran who were receiving health services from health centres.ResultThe main obstacles to participate in health education programmes in rural settings were ‘Lack of trust to the rural health workers’, ‘Adherence to neighbourhood social networks in seeking health information’ and ‘Lack of understanding on the importance of health education’.ConclusionRural health education programmes in Iran are encountered with a variety of obstacles. We need to enhancing mutual trust between the rural health workers and villagers, and developing community-based education programmes to promote health information seeking behaviours among villagers. The finding of this study will be a referential evidence for the qualitative improvement of local health education programmes for rural inhabitants.
Background. Health education is one of the main cores of primary health care (PHC). However, there is limited evidence on the difficulties of implementing health education programs. This study explored the barriers of implementing health education programs in Iranian rural communities. Objectives. A qualitative study with conventional content analysis approach was conducted. Applying purposeful sampling, 34 rural folks and health care providers were employed to participate in the study. Data were collected through individually, semi-structured interviews. Data analysis continued until data saturation, when no new theme or idea emerged. Material and methods. A qualitative study with conventional content analysis approach was conducted. Applying purposeful sampling, 34 rural folks and health care providers were employed to participate in the study. Data were collected through individually, semi--structured interviews. Data analysis continued until data saturation, when no new theme or idea emerged. Results. Four themes, including "Ineffective teaching and learning processes", "Lack of health educators' motivation", "Communication gaps", and "Lack of resources and facilities for teaching and learning" emerged as the barriers of implementing health education programs in rural communities. Conclusions. Several executive and communicational problems were identified as the local-level obstacles of implementing health education programs in rural areas. Better understanding on the extensive range of health education barriers in rural areas may be helpful for rural health workers and stakeholders in designing and/or revisiting health education programs in rural communities.
Background: Given the major role of capacity building in improving the health of rural communities and due to the lack of studies performed on this issue, we aimed to investigate the effectiveness of educational and capacity building intervention on staff communication, job motivation skills, educational performance, and knowledge and behavior of health house clients in Ardabil city’s rural communities.Methods: The pretest-posttest nonequivalent control group design was conducted. In this study, convenience sampling was performed and a total of 220 health care recipients and 108 staff were surveyed in both interventional and control groups. The intervention was designed based on four approaches for capacity building introduced by Crisp et al. Data were collected using three questionnaires including knowledge and practice about healthy lifestyle, communication skills self-assessment, and Wright's job motivation. All statistical analyses were fulfilled using IBM SPSS Statistics software.Results: At the end of the study; the mean scores of knowledge and practice of referrals to health centers about a healthy lifestyle and communication skills and job motivation of healthcare worker increased statistically in the intervention group compared to the baseline (p< 0.05), but changes in these variables were not significant in the control group (p>0.05). Following 3 months of intervention, there were significant differences among the study groups (p< 0.05).Conclusion: Capacity building comprehensive interventions can help in identifying rural community health needs, increasing knowledge and practice of rural communities' residents about health issues, promoting health workers empowerment, and improving health workers' motivation.
Background We sought to investigate people's beliefs, decision dynamics, and future consequences of the current COVID-19 pandemic. Methods The present cross-sectional study was conducted from January 10th to April 30th, 2020. The data collection tool was a researcher-made electronic questionnaire that was designed in Porsline.com. The test-retest reliability of the questionnaire was good, and consisted of three sections: introduction, demographic characteristics, and belief questions about COVID-19. Results In 17 of the 43 beliefs, more than two-thirds of the subjects chose the "correct belief", and less than one-third chose the "I have no idea" or "I disagree" options. There was a significant correlation between age, gender, education, residential area, occupational status and correct belief about COVID-19. Conclusions Accurate knowledge of policymakers, managers, health care workers, and the public, beliefs about COVID-19 is important in promoting community health and disease prevention.
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