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Related Experiment Videos

Community participation in disease control

A Bermejo1, A Bekui

  • 1Department of Public Health, University of Leeds, U.K.

Social Science & Medicine (1982)
|May 1, 1993
PubMed
Summary
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Community participation in disease control programs depends on multiple factors beyond political support. A new framework highlights variables like community traits and disease epidemiology for effective health interventions.

Area of Science:

  • Public Health
  • Health Policy
  • Social Sciences

Background:

  • Community participation is crucial for successful disease control programs.
  • Understanding the determinants of this participation is essential for program design and implementation.

Purpose of the Study:

  • To identify key determinants of community participation in disease control programs.
  • To develop a framework for assessing and monitoring community participation.
  • To analyze the effectiveness of this framework using case studies.

Main Methods:

  • Development of a conceptual framework with eleven variables.
  • Analysis of two case studies: the Ghanaian Guinea Worm Eradication Programme and the Nicaraguan Tuberculosis Control Programme.
  • Qualitative and quantitative assessment of participation determinants.

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Main Results:

  • Political support alone is insufficient for ensuring community participation.
  • Key determinants include commitment to Primary Health Care (PHC), intersectoral coordination, project approach, and human resources.
  • The epidemiology of the disease influences the optimal level of community participation.

Conclusions:

  • A multi-variable framework is necessary for understanding and enhancing community participation in disease control.
  • Effective disease control requires a nuanced approach that considers various socio-political and programmatic factors.
  • The framework provides a tool for health professionals to systematically assess and monitor participation.