Physical Activity among Adults with Low Socioeconomic Status Living in Industrialized Countries: A Meta-Ethnographic Approach to Understanding Socioecological Complexities

Rawal, Lal; Smith, Ben J.; Quach, Henry; Renzaho, Andre Μ Ν

doi:10.1155/2020/4283027

Cited by 33 publications

(28 citation statements)

References 66 publications

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“…Studies in Bangladesh have reported that, despite the introduction of NCD corners in the country and implementation of NCD related services, the public sector role has been limited to providing NCDs and related services to combat the growing burden of NCDs [13,20,25]. However, developing a functional team and a service delivery system in a resource-poor setting like Bangladesh is possible and has been highlighted by several studies, but there is a need for translating these potentials to actions [28,48,49].…”

Section: Discussionmentioning

confidence: 99%

Community health workers for non-communicable diseases prevention and control in Bangladesh: a qualitative study

Rawal

Jubayer

Choudhury

et al. 2021

glob health res policy

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Background The increasing burden of Non-Communicable Diseases (NCDs) in Bangladesh underscores the importance of strengthening primary health care systems. In this study, we examined the barriers and facilitators to engaging Community Health Workers (CHWs) for NCDs prevention and control in Bangladesh. Methods We used multipronged approaches, including a. Situation analyses using a literature review, key personnel and stakeholders’ consultative meetings, and exploratory studies. A grounded theory approach was used for qualitative data collection from health facilities across three districts in Bangladesh. We conducted in-depth interviews with CHWs (Health Inspector; Community Health Care Provider; Health Assistant and Health Supervisor) (n = 4); key informant interviews with central level health policymakers/ managers (n = 15) and focus group discussions with CHWs (4 FGDs; total n = 29). Participants in a stakeholder consultative meeting included members from the government (n = 4), non-government organisations (n = 2), private sector (n = 1) and universities (n = 2). Coding of the qualitative data and identification of themes from the transcripts were carried out and thematic approach was used for data analyses. Results The CHWs in Bangladesh deliver a wide range of public health programs. They also provide several NCDs specific services, including screening, provisional diagnosis, and health education and counselling for common NCDs, dispensing basic medications, and referral to relevant health facilities. These services are being delivered from the sub-district health facility, community clinics and urban health clinics. The participants identified key challenges and barriers, which include lack of NCD specific guidelines, inadequate training, excessive workload, inadequate systems-level support, and lack of logistics supplies and drugs. Yet, the facilitating factors to engaging CHWs included government commitment and program priority, development of NCD related policies and strategies, establishment of NCD corners, community support systems, social recognition of health care staff and their motivation. Conclusion Engaging CHWs has been a key driver to NCDs services delivery in Bangladesh. However, there is a need for building capacity of CHWs, maximizing CHWs engagement to NCD services delivery, facilitating systems-level support and strengthening partnerships with non-state sectors would be effective in prevention and control efforts of NCDs in Bangladesh.

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Section: Discussionmentioning

confidence: 99%

Community health workers for non-communicable diseases prevention and control in Bangladesh: a qualitative study

Rawal

Jubayer

Choudhury

et al. 2021

glob health res policy

Self Cite

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“…Moreover, psychostimulants can cause sleeplessness ( 37 ). Low socioeconomic status may also lead to social deterioration ( 38 ), lower physical activity level ( 39 ), and unbalanced diet ( 40 ).…”

Section: Negative Effects Of Decreased Quality Of Life and Psychoemotional And Socioeconomic Burden On Sleep Qualitymentioning

confidence: 99%

Mutual Relationship Between Sleep Disorders, Quality of Life and Psychosocial Aspects in Patients With Psoriasis

2021

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Psoriasis is a chronic, autoimmune skin disease affecting about 2–4% of the worldwide population. It is now perceived as a systemic disease because of the complex pathogenesis and multiple comorbidities. It leads to decreased quality of life and productivity of patients. Nowadays, sleep disorders are investigated as well in relation to psoriasis as another possible comorbidity. This review focuses on possible negative effects of sleep deprivation, decreased quality of life, and psychosocial status in patients with psoriasis and highlights their mutual, complex relationship of divergent consequences. The relationship between sleep disorders and psychosocial status in patients with psoriasis is bidirectional and resembles a vicious circle, one abnormality triggering the other. Sleep disorders additionally increase the risk of metabolic and psychiatric diseases in psoriatic patients who are already at increased risk of developing such disorders. There should be measures taken to screen patients with psoriasis for sleep disorders in order to diagnose early and treat.

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“…SEM acknowledges that an individual’s behaviour is shaped through multilevel factors. In general, five hierarchical levels of SEM have been recommended and used in social science, psychology and health science sectors: individual, interpersonal, community, organizational and policy levels ( Newes-Adeyi et al , 2000 ; Lounsbury and Mitchell, 2009 ; Rawal et al , 2020 ). Themes denoting factors influencing the practice of IPC to reduce HAIs were categorized under the various SEM levels, and other arising themes were also integrated ( Figure 1 ).…”

Section: Data Collection Toolsmentioning

confidence: 99%

Perspectives and practices of healthcare providers and caregivers on healthcare-associated infections in the neonatal intensive care units of two hospitals in Ghana

Sunkwa-Mills

Rawal

Enweronu‐Laryea

et al. 2020

Health Policy and Planning

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Healthcare-associated infections (HAIs) remain a serious threat to patient safety worldwide, particularly in low- and middle-income countries. Reducing the burden of HAIs through the observation and enforcement of infection prevention and control (IPC) practices remains a priority. Despite growing emphasis on HAI prevention in low- and middle-income countries, limited evidence is available to improve IPC practices to reduce HAIs. This study examined the perspectives of healthcare providers (HPs) and mothers in the neonatal intensive care unit on HAIs and determined the major barriers and facilitators to promoting standard IPC practices. This study draws on data from an ethnographic study using 38 in-depth interviews, four focus group discussions and participant observation conducted among HPs and mothers in neonatal intensive care units of a secondary- and tertiary-level hospital in Ghana. The qualitative data were analysed using a grounded theory approach, and NVivo 12 to facilitate coding. HPs and mothers demonstrated a modest level of understanding about HAIs. Personal, interpersonal, community, organizational and policy-level factors interacted in complex ways to influence IPC practices. HPs sometimes considered HAI concerns to be secondary in the face of a heavy clinical workload, a lack of structured systems and the quest to protect professional authority. The positive attitudes of some HPs, and peer interactions promoted standard IPC practices. Mothers expressed interest in participation in IPC activities. It however requires systematic efforts by HPs to partner with mothers in IPC. Training and capacity building of HPs, provision of adequate resources and improving communication between HPs and mothers were recommended to improve standard IPC practices. We conclude that there is a need for institutionalizing IPC policies and strengthening strategies that acknowledge and value mothers’ roles as caregivers and partners in IPC. To ensure this, HPs should be better equipped to prioritize communication and collaboration with mothers to reduce the burden of HAIs.

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Physical Activity among Adults with Low Socioeconomic Status Living in Industrialized Countries: A Meta-Ethnographic Approach to Understanding Socioecological Complexities

Cited by 33 publications

References 66 publications

Community health workers for non-communicable diseases prevention and control in Bangladesh: a qualitative study

Community health workers for non-communicable diseases prevention and control in Bangladesh: a qualitative study

Mutual Relationship Between Sleep Disorders, Quality of Life and Psychosocial Aspects in Patients With Psoriasis

Perspectives and practices of healthcare providers and caregivers on healthcare-associated infections in the neonatal intensive care units of two hospitals in Ghana

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