Formative Exploration of the Feasibility of Embedding Community Assets Into Primary Health Care: Barbershop and Place of Worship Readiness in Guyana.
Formative Exploration of the Feasibility of Embedding Community Assets Into Primary Health Care: Barbershop and Place of Worship Readiness in Guyana.
复制标题
DOI：
10.1177/21501319221135949
复制
发表时间：
2022-01
影响因子：
3.6
通讯作者：
Harding, Seeromanie
中科院分区：
文献类型：
--
作者：
Goberdhan, Sharlene;Gobin, Reeta;Perreira, Olly;Sharma, Manoj;Ramdeen, Melissa;Harding, Seeromanie
关键词：
社区参与是提高初级卫生保健质量的关键，基于资产的干预措施对公平和健康结果产生了积极影响。然而，社区干预措施与初级保健之间往往脱节，缺乏关于如何发展可持续的社区-初级保健伙伴关系的证据。本文报告了两项研究的形成阶段，这些研究探讨了将社区资产，即礼拜场所和理发店，纳入贫困环境中预防和控制非传染性疾病的初级保健途径的可行性。它描述了用于绘制和收集背景准备信息的参与性方法，包括与初级保健合作伙伴关系的促进因素和制约因素。基于社区参与式研究，我们使用地面实况调查和参与式绘图的元素来定位和收集城市和农村社区礼拜场所和理发店的背景信息。从社区对话中收集的当地知识导致创建这些社区资产的抽样框架。选定的礼拜场所进行了66项准备问卷，其中包括治理和融资，会众概况，现有的健康计划和合作领域。参与的理发店管理的40个项目的准备问卷，其中包括理发师的人口统计信息，以前的培训，在健康促进和理发师的意愿，提供健康促进活动。确定了14家理发店，其中10家参加了准备情况调查，同时确定了240个礼拜场所，其中14个被选定并进行了准备情况评估。在这些资产内部和之间发现了关于治理、可访问性和范围的上下文差异。这两方面的关键推动因素包括促进健康方面的培训、对参与的极大热情以及对社区-初级保健伙伴关系的潜在好处的认识。两者以前都缺乏与正规卫生系统的合作。参与性办法扩大了服务不足社区的覆盖面，而准备情况数据则为干预措施的设计提供了信息，并确定了发展伙伴关系的机会。社区资产之间的背景差异需要全面的准备调查，以制定适当的干预措施，促进覆盖面，接受度和可持续性。
Community engagement is key to improving the quality of primary health care (PHC), with asset-based interventions shown to have a positive impact on equity and health outcomes. However, there tends to be a disconnect between community-based interventions and PHC, with a lack of evidence on how to develop sustainable community—primary care partnerships. This paper reports on the formative phases of 2 studies exploring the feasibility of embedding community assets, namely places of worship and barbershops, into the PHC pathway for the prevention and control of NCDs in deprived settings. It describes the participatory approach used to map and gather contextual readiness information, including the enablers and constrainers for collaborative partnerships with PHC. Grounded in community-based participatory research, we used elements of ground-truthing and participatory mapping to locate and gather contextual information on places of worship and barbershops in urban and rural communities. Local knowledge, gathered from community dialogs, led to the creation of sampling frames of these community assets. Selected places of worship were administered a 66-item readiness questionnaire, which included domains on governance and financing, congregation profile, and existing health programs and collaborations. Participating barbershops were administered a 40-item readiness questionnaire, which covered barbers’ demographic information, previous training in health promotion, and barbers’ willingness to deliver health promotion activities. Fourteen barbershops were identified, of which 10 participated in the readiness survey, while 240 places of worship were identified, of which 14 were selected and assessed for readiness. Contextual differences were found within and between these assets regarding governance, accessibility, and reach. Key enablers for both include training in health promotion, an overwhelming enthusiasm for participation and recognition of the potential benefits of a community—primary care partnership. Lack of previous collaborations with the formal health system was common to both. The participatory approach extended reach within underserved communities, while the readiness data informed intervention design and identified opportunities for partnership development. Contextual differences between community assets require comprehensive readiness investigations to develop suitably tailored interventions that promote reach, acceptance, and sustainability.
登录
查看更多内容
影响因子：
1.6
作者：
Luque, John S.;Rivers, Brian M.;Kambon, Maisha;Brookins, Ronald;Green, B. Lee;Meade, Cathy D.
通讯作者：
Meade, Cathy D.
影响因子：
34.3
作者：
Martinez, Ramon;Lloyd-Sherlock, Peter;McKee, Martin
通讯作者：
McKee, Martin
影响因子：
3.3
作者：
Releford, Bill J.;Frencher, Stanley K., Jr.;Norris, Keith
通讯作者：
Norris, Keith
影响因子：
2.8
作者：
Pichon, Latrice C.;Powell, Terrinieka Williams;Becton-Odum, Nicole
通讯作者：
Becton-Odum, Nicole
影响因子：
2.6
作者：
Cyril S;Smith BJ;Possamai-Inesedy A;Renzaho AM
通讯作者：
Renzaho AM