Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Community Development”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 253 records · Page 14Linked to original sources

Developing a community board for a mental health center.

Federally funded community mental health centers are required to have governing boards made up of community residents to ensure that services are meeting the community's needs. Sound View-Throgs Neck Community Mental Health Center in Bronx, New York, met that requirement by developing three local advisory boards, one for each subcatchment area served by an outpatient clinic. Later a central community board with 12 members, four from each of the local advisory boards, was formed. The central board has several standing committees that parallel the organization of the center, including community, hospital, and rehabilitation services; research and development; and administration. Board members and center staff meet regularly. They have found that they must act as partners and learn to share power, privileges, and knowledge.

Catchment Area, Health↗

A framework for the development of community health agency partnerships.

The purpose of the study reported in this paper was to generate substantive theory regarding the development of effective partnerships among community agencies working with vulnerable populations. Ethnographic interviews were conducted and analyzed by applying the constant comparative method of qualitative analysis. This information was supplemented with data from the participants in two workshops, three manuscript reviewers, and relevant literature. Analysis of the data resulted in the emergence of a framework that outlines elements of partnerships. This framework furnishes the foundation for discussions of partnership configuration and partnership development. The results of this study provide basic guidelines for the formation of effective partnerships, and show that there is no single way to develop and structure such collaborative initiatives. Further studies are required in other substantive areas to advance the emergence of a formal theory of partnerships.

Adult↗

Initial community site development for first--and second-year medical students.

BACKGROUND: Many medical schools are planning community-based experiences for preclinical students. As part of a generalist physician initiative, the University of Texas Medical Branch in Galveston placed all 200 first-year medical students in generalists' offices in a new course, called the "Community Continuity Experience." METHODS: Driven by significant time, class size, and geographic constraints, a process managed by the local Area Health Education Center was formulated for identifying and developing potential sites. The final process included identification of candidate generalist sites, departmental participation, and a detailed site assessment. The individual office nurses were the focus of site development activities. RESULTS: Feedback indicated that having office nurses serve as site facilitators was effective, and a key enabling strategy was having a nurse site coordinator serve as a single point of contact for all the sites. The students expressed positive views of the site experience and an interest in assignment, rather than student choice, for site allocation. CONCLUSIONS: Important components of site development for such a new course are development of an accurate database of available generalist community faculty, a methodical site selection process, an early orientation for all involved, and consideration of nonphysician site facilitators during the start-up phase.

Ambulatory Care↗

[Participatory action-research in the development of health policies for Izumo City, Japan].

The method of participatory action-research has been introduced in planning and implementing health and welfare projects for the elderly in Izumo City since 1993. Public health researchers have participated in the projects with other related administrative sectors, citizen and non-profit organizations. This study analyzes the establishment and implementation of health policies of Izumo from the following five aspects: policy-making, priority, education, intersectoral cooperation and community development. The participatory action-research method was useful for developing the ability of health-staff to work with citizens; for integrating community care and community development; for using community resources effectively for primary health care; and for developing community-based education of citizens, medical students and health staff. This method can be and should be adopted for strengthening the policy-making ability of public health researchers who learn through cooperation with citizens and non-profit organizations.

Community Participation↗

Cysticercosis in an urban black South African community: prevalence and risk factors.

Cysticercosis still represents a significant health problem in developing communities, despite supposed improvements in sanitation and personal hygiene. An ELISA for Cysticercosis antibodies was performed on serum from 230 random adult admissions to Baragwanath Hospital. Seventeen patients were seropositive giving a prevalence of 7.39% for this group of urban black South Africans. Twenty-one patients with documented cerebral cysticercosis were selected in order to evaluate risk factors for cysticercosis. Of the risk factors considered only a history of tapeworm infestation appeared to be significant. Even urbanisation has not resulted in n reduction in the prevalence of Cysticercosis and it appears that the disease continues to be endemic in this developing community.

Black or African American↗

Nosocomial infections in black South African children.

Nosocomial infections in infants and children were prospectively studied in the general wards of a hospital serving a developing community. Of 1350 admissions in 5 months, 193 (14.3%) developed 302 infections (22.4/100 admissions). The major risk factors were malnutrition, age less than 2 years and prolonged hospitalization. The most common sites of infection were the lower respiratory and gastrointestinal tracts. The most frequently isolated organisms were Staphylococcus aureus and Klebsiella species and the site of most frequent isolation was the lower respiratory tract for which the method most commonly used was endotracheal aspiration. Seventy percent of isolates were resistant in vitro to conventional antibiotics. Thirty-one percent of infections developed while the patient was awaiting a diagnostic procedure or waiting to be sent home. During the study period 60 patients (4.4% of admissions) were admitted with a nosocomial infection acquired elsewhere (31 at this hospital and 29 from other hospitals). Measles and its complications accounted for 28 of these cases and 7 deaths. This study provides information on nosocomial infections in children from a developing community.

Black or African American↗

Development of a community health programme.

This formulation of the steps necessary to develop a community health programme is based on Ms Johnston's considerable experience in the "Dana Sehat" programme in Central Java, Indonesia. "Dana Sehat" means health funds and the programme is based on the concept of a community development programme, built upon a health insurance scheme. Further details on the Dana Sehat programme were given in CONTACT 31 "Community Health Care in Rural Java" and in an article by Dr Gunawan Nugroho in the WHO book "Health by the People", 1975. The following outline was first printed in CONTACT 43, February 1976.

Community Health Services↗

Evaluation of public health impact of schistosomiasis.

Present knowledge on the "importance"/"impact" of schistosomiasis is reviewed. Due to different methological approaches and outcome measures used as well as the substantial inter- and intra-setting variation of the epidemiology, the public health importance of schistosomiasis appears quite inconclusive for any schistosome species and cannot be generalised. In most studies "importance" is mainly understood as the amount of schistosome-related morbidity and mortality. The consequence of these morbidity patterns are however hardly specified in terms of impact on (i) the physical and socioeconomic development of an affected family/household and on (ii) the economic and social consequences for community development. It follows that impact studies mainly considered individuals as unit of analysis and hardly focused on the family/household-level. Consequently, microeconomic studies were so far not undertaken within the concept of household production models and did not distinguish between market and non-market productivity. Standardized ranking of measured schistosome-related morbidity combined with perception patterns of disease, signs, symptoms and of additional health and community development issues could lead to new approaches on how epidemiological data on the transmission and morbidity of schistosomiasis could be linked with information on health and development priorities of a community in order to estimate the relative impact of the disease.

Animals↗

Rural development and primary health care in less developed countries.

The traditional approach has been to regard health activities as a small component of rural development programmes. Under the Primary Health Care approach health is seen as the lever for rural development. But there are tendencies in the implementation of Primary Health Care in less developed countries towards limiting the range of activities to preventive and curative personal health services and of denuding it of its community development orientation. This paper highlights some of the issues that seem to militate against the establishment of Primary Health Care with its full complement of rural development activities. These activities together with the preventive and curative personal health services undertaken in the framework of community development promise to lead to the achievement of the hitherto elusive goal of improving the socioeconomic and health status of the rural population of less developed countries.

Allied Health Personnel↗

Community organization and development for health promotion within an urban black community: a conceptual model.

The community organization and development process is not new and has its roots in social action ideology from the 1960s. The difference between the 1960s and the 1990s is in bringing together of target community consumers with representatives of private and public sector resources (with consumers in the majority), to form a community coalition board. This community coalition board must make policy decisions. Combining these community organizers and development techniques with the mission of health promotion is a viable methodology for addressing the needs of medically underserved and unserved communities. The approach is a multifactorial one, as illustrated in Figure 1. The Health Promotion Resource Center at Morehouse School of Medicine seeks to combine the ideology of community organization and development with culturally sensitive and linguistically appropriate health promotion curriculum materials and intervention strategies. Within the HPRC lies the Statewide Coordinating Center for Georgia which has been funded by the Henry J. Kaiser Family Foundation. Its mandate is to assist minority and poor communities in Georgia in developing community-based health promotion initiatives which address the areas of cancer, cardiovascular disease, adolescent pregnancy, substance abuse, and violence and unintentional injury. Our strategy in carrying out this mandate is the community organization and development model described in this article.

Black or African American↗

Review on development and community implementation of oral rehydration therapy.

The review of the current status and implementation of Oral Rehydration Therapy at the community level have been presented in this communication with special emphasis on its development, ORS access rate, ORS use rate and home available fluids. The global ORS supply has gone up an increased eleven folds since 1981. Similarly the ORS access rate has also increase from 46% to 68% in 1991. However, the global ORS use rate was low (21%). The major constraints during ORT implementation which have been reported by several scientists are also discussed.

Asia↗