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Results for “Community Participation”

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At least 253 records · Page 14Linked to original sources
PubMed1992

Community participation in the control of filariasis.

A programme was launched in 1986 for the control of brugian filariasis in an area of high endemicity in southern India. Sustained community involvement was achieved by integrating economic measures to improve the lot of the people with the creation of widespread awareness about the cause of the disease and about the possibilities of combating it.

Animals↗
PubMed2003

Community participation eliminates yaws in Ecuador.

Yaws is no longer a national and international health priority for intervention, but there is still a negative perception of the disease in the few affected communities. A survey in 1988 in the northern region of Ecuador documented a prevalence of 16.5% of clinical cases and 96.3% of serological cases. A continuous, long-term community-based surveillance programme was therefore put in place focusing on yaws as one of the sentinel diseases. The results of this intervention are reported here. In 1993, a second survey showed a reduction in the prevalence of clinical cases to 1.4% and of serological cases to 4.7%. Between 1993 and 1998, no other clinical cases were detected and the serological prevalence in 1998 was 3.5%, corresponding with clinical cases of primary or congenital syphilis, latent yaws under follow-up, and individuals with low serological titres indicating a 'serological scar'. These data indicate that yaws has been eliminated. Another important outcome of the intervention is the increased self-confidence in the communities that health problems can be tackled.

Attitude to Health↗
PubMed1980

Workers' and community participation and democratic control in Cuba.

This article is a historical and current analysis and description of the evolution of worker, community, and popular participation and democratic control in Cuba since 1958. It contains: (a) an analysis of the political developments in the Cuban Revolution that led to the establishment of direct forms of democracy at the work-place and in the community; (b) a detailed analysis and account of how workers participate and control the processes of production and distribution of goods and services; and (c) an in-depth account and analysis of how people living in neighborhoods, rural and urban districts, municipalities, and provinces control the different levels and branches of the state apparatus--People's Power--and also how they participate in the implementation--through mass organizations--of state policies. The responsibilites, modus operandi, and relationships of the Communist Party, the trade unions, and other mass organizations, and the organs of People's Power, are also described and analyzed. The opportunities and problems, successes and failures, and strengths and weaknesses of the Cuban road to socialism and democracy are detailed. It is concluded that the Cuban Revolution has enhanced democracy most dramatically through the Cuban people's substantial involvement, participation, and control of their own lives.

Civil Disorders↗
PubMed1996

Community participation in malaria control in Tigray region Ethiopia.

During the Ethiopian civil war from 1974 to 1991, the Tigrean People's Liberation Front established a primary health care system in Tigray in which community residents helped to plan and implement health services through health committees and community health workers (CHWs). To strengthen and update this system, a Community-Based Malaria Control Programme was initiated in 1992. The primary objectives of the Programme are to reduce malaria morbidity and mortality and to prevent malaria in pregnant women through early diagnosis and treatment of cases, chemoprophylaxis during pregnancy, and vector control by environmental management. A secondary objective is to introduce a cost-sharing scheme for eventual development of a village revolving fund. A total of 681 volunteers chosen by their communities have received malaria training and serve a rural population of 1,682319 (CHW/population ratio 1:2,500). The principal success of the programme at this stage is that a significant proportion of the rural population at risk for malaria is now being treated at the village level. During the last major transmission season from September through November 1993, each CHWs treated a mean of 45178 clinical malaria cases per month. Under-utilization of treatment services by women and children under 5 years and low chemoprophylaxis coverage of pregnant women have been documented. After focus group discussions with community members and CHWs to identify the reasons for these problems, changes in programme policies were made to improve coverage of these groups. Since 1992, considerable progress toward meeting programme objectives has been made, and continued evaluation will allow for interventions that should further strengthen the malaria control efforts in the region.

Child, Preschool↗
PubMed1990

Cuba's health care policy: prevention and active community participation.

In Cuba, health care is considered a human right for all citizens; health care is therefore a national priority. Cuba's health policy emphasizes prevention, primary care, services in the community, and the active participation of citizens. These emphases have produced an impressively high ranking on major health indicators, despite economic handicaps. The Cuban experience demonstrates the influence of ideological commitment and policy-making on the provision of health care and challenges the assumption that high-quality care for all citizens requires massive financial investment. The evolution of the Cuban health care system since the revolution thus has implications for the U.S. health care system; specifically, it suggests that the equitable distribution of health care services in the United States requires a national health insurance and service delivery system.

Cuba↗