A Community Health Education System to meet the health needs of Indo-Chinese women

Ratnaike, Ranjit N.; Chinner, Tracy L.

doi:10.1007/bf01321577

Cited by 4 publications

(3 citation statements)

References 11 publications

(1 reference statement)

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“…However, Viswanathan et al (2010) in a systematic review determining the outcomes and cost of Community Health Worker interventions found mixed evidence in terms of the utilisation of cervical cancer screening as some studies reported statistically significant benefits from the Community Health Worker arm while others found no significant differences. Ratnaike and Chinner (1992) suggest that a lack of community awareness or acceptance of the health problem addressed could lead to poor community participation as health programmes are often imposed on communities and does not include the community when these programmes are developed. This seemed not to be the case in the current study.…”

Section: Discussionmentioning

confidence: 99%

“…The reason why the Community Health Worker was not able to significantly improve screening uptake is not clear. Ratnaike and Chinner (1992) suggest that a lack of community awareness or acceptance of the health problem addressed could lead to poor community participation as health programmes are often imposed on communities and does not include the community when these programmes are developed. More subtle problems like 'top-down' messages, authoritarian and cultural insensitivity can also lead to a lack of community participation.…”

Section: Discussionmentioning

confidence: 99%

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Creating awareness and facilitating cervical and breast cancer screening uptake through the use of a Community Health Worker: a pilot intervention study

Tum

Maree

Clarke

2012

European Journal of Cancer Care

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In South Africa, cervical cancer is the most common female cancer followed by breast cancer. Despite the high incidence of these cancers, population-based screening is limited to cervical screening available at primary health clinics. Cervical screening uptake is, however, low. In 2009 a new cancer prevention initiative was launched in a specific resource poor community in Tshwane, South Africa. The low cervical screening uptake as well as a potentially low breast screening uptake could have resulted in the failure of this initiative. The purpose of the study was to develop and pilot test an intervention to address this risk. A Community Health Worker was trained and tasked to raise awareness of cervical and breast cancer and motivate women to take up screening. The intervention was assessed in terms of three outcomes: screening uptake, awareness and the value of the Community Health Worker. Despite the fact that the Community Health Worker's role was valued, screening uptake was disappointing and the level of awareness remained low. Unfortunately this intervention failed and once again we are left with the challenge of improving screening uptake.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Creating awareness and facilitating cervical and breast cancer screening uptake through the use of a Community Health Worker: a pilot intervention study

Tum

Maree

Clarke

2012

European Journal of Cancer Care

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“…In one article, the women's group set up an MNH task force 113 and two presented in community meetings to engage the wider community in the implementation of their identified solutions. 71 77 In two cases, women's groups were not specified to use PLA but focused on education 178 or to elicit understanding and preferences for safe delivery. 128 Community mobilisation (n=36) Community engagement (n=6) 70 101 119 125 149 206 Community participation (n=6) 64 128 160 178 194 201 Social mobilisation (n=1) 96 Awareness/ communication activities (n=45)…”

Section: Stakeholdersmentioning

confidence: 99%

What’s in a name? Unpacking ‘CommunityBlank’ terminology in reproductive, maternal, newborn and child health: a scoping review

et al. 2023

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IntroductionEngaging the community as actors within reproductive, maternal, newborn and child health (RMNCH) programmes (referred to as ‘communityblank’) has seen increased implementation in recent years. While evidence suggests these approaches are effective, terminology (such as ‘communityengagement,’‘communityparticipation,’‘communitymobilisation,’and ‘social accountability’) is often used interchangeably across published literature, contributing to a lack of conceptual clarity in practice. The purpose of this review was to describe and clarify varying uses of these terms in the literature by documenting what authors and implementers report they are doing when they use these terms.MethodsSeven academic databases (PubMed/MEDLINE, Embase, CINAHL, PsycINFO, Scopus, Web of Science, Global Health), two grey literature databases (OAIster, OpenGrey) and relevant organisation websites were searched for documents that described ‘communityblank’ terms in RMNCH interventions. Eligibility criteria included being published between 1975 and 1 October 2021 and reports or studies detailing the activities used in ‘communityblank.’ResultsA total of 9779 unique documents were retrieved and screened, with 173 included for analysis. Twenty-four distinct ‘communityblank’ terms were used across the documents, falling into 11 broader terms. Use of these terms was distributed across time and all six WHO regions, with ‘communitymobilisation’, ‘communityengagement’and ‘communityparticipation’ being the most frequently used terms. While 48 unique activities were described, only 25 activities were mentioned more than twice and 19 of these were attributed to at least three different ‘communityblank’ terms.ConclusionAcross the literature, there is inconsistency in the usage of ‘communityblank’ terms for RMNCH. There is an observed interchangeable use of terms and a lack of descriptions of these terms provided in the literature. There is a need for RMNCH researchers and practitioners to clarify the descriptions reported and improve the documentation of ‘communityblank’implementation. This can contribute to a better sharing of learning within and across communities and to bringing evidence-based practices to scale. Efforts to improve reporting can be supported with the use of standardised monitoring and evaluation processes and indicators. Therefore, it is recommended that future research endeavours clarify the operational definitions of ‘communityblank’ and improve the documentation of its implementation.

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Effectiveness of an Indonesian model for rapid training of Guatemalan health workers in diarrhea case management

Bailey

Coombs

1996

J Community Health

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The aim of this study was to assess the effectiveness of a newly developed method for rapid tiered training of health workers in improving community health worker knowledge and case management skills. The interactive "Kader" method, developed in West Java, Indonesia, was compared with traditional didactic training in a prospective trial with rural health workers ("Tecnicos") and village health promoters ("Promotores") for the Public Health Department in the state of Alta Verapaz, Guatemala. Twenty-five tecnicos received one day of training concerning diarrhea and dehydration. One group was trained using the interactive Kader method of Indonesia; the other with didactic methods. A sample of these tecnicos then trained 49 randomized promotores utilizing the same training method with which they were trained. The tecnicos and promotores in each group completed a case-based pre-test and post-test before and after their training sessions. Both tecnicos and promotores trained using the Kader tiered training approach demonstrated significantly greater improvement in their ability to correctly diagnose and recommend treatment for diarrhea of varying type and severity. Non-significant differences favoring the experimental groups were found in the tecnicos' and promotores' general knowledge regarding diarrhea prevention practices, signs of dehydration and preparation of oral rehydration solution. This pilot study suggests that the Kader method for rapid tiered training of health workers has applicability to the populations of other developing nations and can be recommended for large scale implementation and evaluation in the training of public health workers, village health promoters and families in Guatemala.

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A Community Health Education System to meet the health needs of Indo-Chinese women

Cited by 4 publications

References 11 publications

Creating awareness and facilitating cervical and breast cancer screening uptake through the use of a Community Health Worker: a pilot intervention study

Creating awareness and facilitating cervical and breast cancer screening uptake through the use of a Community Health Worker: a pilot intervention study

What’s in a name? Unpacking ‘CommunityBlank’ terminology in reproductive, maternal, newborn and child health: a scoping review

Effectiveness of an Indonesian model for rapid training of Guatemalan health workers in diarrhea case management

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