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McConkey, Roy, Sue Macdonald, Marlene Sinclair, and Igor Veljkovik. "Training community nurses on supporting families with children who have developmental difficulties: lessons from the former Yugoslavian Republic of Macedonia." Advances in Mental Health and Intellectual Disabilities 8, no. 6 (October 28, 2014): 370–80. http://dx.doi.org/10.1108/amhid-04-2014-0008.
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Purpose – In the former Yugoslavian republics, community nursing services are not well developed to support families with infants who have developmental problems. The purpose of this paper is to design an in-service training package for nurses on supporting families of children with developmental disabilities. Design/methodology/approach – A conceptual framework evolved to guide the design and content of the training package which was further consulted on with local partners. A cascade model of training was adopted, based largely on experiential learning. A nine-session training package (around 20 hours in all) was devised and a Training for Trainers workshop held to prepare them to use the package in their locality. The in-service training of nurses is ongoing during 2014-2015. Findings – Key findings are presented in relation to perceived training needs; the key features of the Training Framework; the content and teaching methods used and the outcomes of the Training for Trainers workshop. Ongoing evaluations will assess the impact of the training on community nurses and on families. Originality/value – This study provides a conceptual model for the provision of effective in-service training on developmental disabilities for community personnel throughout the region and internationally.
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Brooker, Charles, Nicholas Tarrier, Christine Barrowclough, Anthony Butterworth, and David Goldberg. "Training Community Psychiatric Nurses for Psychosocial Intervention." British Journal of Psychiatry 160, no. 6 (June 1992): 836–44. http://dx.doi.org/10.1192/bjp.160.6.836.
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Community psychiatric nurses were trained to deliver psychosocial intervention to clients with a diagnosis of schizophrenia living at home with relatives. The training package consisted of family assessment, health education, and family stress management strategies. In a ‘quasi-experimental’ design, a sample of families (n = 54) were recruited to either a control or experimental condition and followed up for 12 months. A number of favourable outcomes were observed in the experimental group, including improvements in the client's target symptoms, personal functioning, and social adjustment. Relatives' satisfaction with services increased and reports of their own minor psychiatric morbidity improved.
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Hemmings, Colin, and Alaa Al‐Sheikh. "Expert opinions on community services for people with intellectual disabilities and mental health problems." Advances in Mental Health and Intellectual Disabilities 7, no. 3 (May 10, 2013): 169–74. http://dx.doi.org/10.1108/20441281311320756.
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PurposeThere has been limited evidence on which to base services in the community for people who have intellectual disabilities and coexisting mental health problems. Recent research involving service users, carers and professionals has identified a number of key service components that community services should provide. More detail is needed to explore how best these components could be implemented and delivered. This paper aims to discuss these issues.Design/methodology/approachA total of 14 multidisciplinary professionals from specialist intellectual disabilities services in the UK were interviewed about their opinions on four key areas of community service provision. These included the review and monitoring of service users, their access to social, leisure and occupational activities, the support, advice and training around mental health for a person's family or carers and “out of hours” and crisis responses. The interview data was used for coding using the NVivo 7 software package and then analyzed using thematic analysis.FindingsAnalysis of participants' views on these key essential service components produced wider themes of importance. The ten major emergent themes for services were: their configuration/structure, their clarity of purpose/care pathways, their joint working, their training, their flexibility, their resources, their evidence‐base, being holistic/multidisciplinary, being needs‐led/personalised and providing accessible information.Originality/valueThese views of experts can help inform further research for the development and the evaluation of services.
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Myers, Kevan, Simon Kroes, Sarah O’Connor, and Melissa Petrakis. "Reasons for Use Package: Outcomes From a Case Comparison Evaluation." Research on Social Work Practice 30, no. 7 (May 11, 2020): 783–90. http://dx.doi.org/10.1177/1049731520915636.
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The objective was to explore the efficacy of a dual diagnosis resource—the Reasons For Use Package (RFUP)—to build staff capacity to work with service users and explore service user experiences. A two-state case comparison evaluation was conducted employing a mixed methods action research design, utilizing staff and service user surveys combined with focus groups involving staff trained and mentored in use of the RFUP. Results were that both staff and service users responded positively to the RFUP. Staff self-reported improvements in knowledge and confidence, and service users reported the RFUP assisted them with reflecting on interactions between their mental health and substance use; this assisted them with goal planning and improved their working relationship with staff. Implications were that training and mentoring in the RFUP can contribute to building staff knowledge and confidence in dual diagnosis interventions in mental health community services, and benefit service users.
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Aynalem, Bewket Yeserah, and Misganaw Fikrie Melesse. "Health extension service utilization and associated factors in East Gojjam zone, Northwest Ethiopia: A community-based cross-sectional study." PLOS ONE 16, no. 8 (August 19, 2021): e0256418. http://dx.doi.org/10.1371/journal.pone.0256418.
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Introduction Health Extension Program is a preventive, promotive, and basic curative service targeting households to improve the health status of families with the effective implementation of 16 health extension packages. We, therefore, did this study to assess health extension package utilization and associated factors in the East Gojjam zone, Northwest Ethiopia. Methods A community-based mixed cross-sectional study was conducted on households of East Gojjam Zone, from January 1 to April 30, 2020. A multistage sampling procedure was used to select 806 study participants in this study. We used EPI info version 7 for data entry and SPSS version 24 software for cleaning and analysis. Variables having a P-value of less than 0.25 in the bivariate logistic regression analysis were fitted into the multivariable logistic regression model. The 95% confidence interval of odds ratio was computed and a variable having P-value less than 0.05 in the multivariable logistic regression analysis was considered as statistically significant. Results The study showed that 119 (14.8%) respondents have utilized health extension packages. Knowledge health extension package (AOR = 1.84, 95% CI: 1.22, 2.79), residence (AOR = 3.55, 95% CI: 1.99,6.33),visited health post(AOR = 1.63, 95% CI: 1.054,2.50), home visited by health extension worker (AOR = 1,68, 95% CI: 1.025,2.74) and involving in model family training(AOR = 2.10, 95% CI: 1.38,3.215) were significant factors for health extension service utilization. Conclusion The magnitude of health extension service utilization was low since the Ethiopian government recommends 100% health extension service utilization coverage. Knowledge of health extension package, residence, health post-visit, home visit, and model family training were significant factors for health extension service utilization. So expanding the model family training and strict home-to-home visit especially in rural areas may increase the health extension package utilization.
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Viljoen, Lario, Tila Mainga, Rozanne Casper, Constance Mubekapi-Musadaidzwa, Dillon T. Wademan, Virginia A. Bond, Triantafyllos Pliakas, et al. "Community-based health workers implementing universal access to HIV testing and treatment: lessons from South Africa and Zambia—HPTN 071 (PopART)." Health Policy and Planning 36, no. 6 (May 8, 2021): 881–90. http://dx.doi.org/10.1093/heapol/czab019.
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Abstract The global expansion of HIV testing, prevention and treatment services is necessary to achieve HIV epidemic control and promote individual and population health benefits for people living with HIV (PLHIV) in sub-Saharan Africa. Community-based health workers (CHWs) could play a key role in supporting implementation at scale. In the HPTN 071 (PopART) trial in Zambia and South Africa, a cadre of 737 study-specific CHWs, working closely with government-employed CHW, were deployed to deliver a ‘universal’ door-to-door HIV prevention package, including an annual offer of HIV testing and referral services for all households in 14 study communities. We conducted a process evaluation using qualitative and quantitative data collected during the trial (2013–2018) to document the implementation of the CHW intervention in practice. We focused on the recruitment, retention, training and support of CHWs, as they delivered study-specific services. We then used these descriptions to: (i) analyse the fidelity to design of the delivery of the intervention package, and (ii) suggest key insights for the transferability of the intervention to other settings. The data included baseline quantitative data collected with the study-specific CHWs (2014–2018); and qualitative data from key informant interviews with study management (n = 91), observations of CHW training events (n = 12) and annual observations of and group discussions (GD) with intervention staff (n = 68). We show that it was feasible for newly recruited CHWs to implement the PopART intervention with good fidelity, supporting the interpretation of the trial outcome findings. This was despite some challenges in managing service quality and CHW retention in the early years of the programme. We suggest that by prioritizing the adoption of key elements of the in-home HIV services delivery intervention model—including training, emotional support to workers, monitoring and appropriate remuneration for CHWs—these services could be successfully transferred to new settings.
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Abdillah, Annur Ahadi, Eka Saputra, Adriana Monica Sahidu, and Dwi Yuli Pujiastuti. "Packaging Design and Marketing of Online Seaweed Products in Aeng Dake Village, Bluto District, Sumenep Regency." Journal of Marine and Coastal Science 7, no. 3 (July 14, 2020): 120. http://dx.doi.org/10.20473/jmcs.v7i3.20738.
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Online marketing training is given to the fishermen groups of Karang Baru and Fisheries Vocational School Nasyrul Ulum Aeng Dake covering about the theory of marketing concepts, use of Web media and social media and online marketing-based governance. Community service is expected to be able to provide the ability of the community to package products into attractive packaging and the community can use marketing online so as to expand the reach of marketing, namely reaching regional and national areas. With the community service, it is expected to increase the economy of the seaweed grass cultivation community in Aeng Dake Subdistrict Seaweed Village. Community service activities are carried out by various methods, namely theoretical and practical training and assistance in online marketing media management activities. and practices aimed at students of the Nasyul Ulum Aeng Dake Vocational School of Fisheries Products Processing. The training provided was in the form of introducing various kinds of interesting packaging forms. The training activities continued on the direct practice of product packaging as well as presentations from student students regarding packaged products. The activity aimed at the Karang Baru fishermen group is in the form of assistance in making online marketing media, namely web and social media.
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Taib, Fahisham, Hans Van Rostenberghe, and Nurul Adilah Muhammad. "Pediatric Palliative Care in Kelantan: A Community Engagement Model." Bangladesh Journal of Medical Science 15, no. 1 (April 11, 2016): 51–56. http://dx.doi.org/10.3329/bjms.v15i1.27139.
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Holistic package of palliative care service for children is not available in most places in the South East Asia. This has resulted in unwanted suffering and loss of hope in the unfortunate families. Pediatric palliative care (PPC) is a new subspecialty in Malaysia. In our region, it was started in 2012 as a Universitys community engagement project following completion of self-initiated palliative care distance learning in Australia by a pediatrician. The grant was labeled as a flagship project and secured under the Division of Community & Industry Network of USM (BJIM) to provide service in the hospital and outreach home based PPC services, which include nursing care, needs assessment and psychosocial support for the patients and caregivers. Knowledge transfer program was initiated, in collaboration with Yayasan Orang Kurang Upaya (YOKUK) or Kelantan Foundation for the Disabled, to equip the outreach team with skills dealing with children with life limiting illnesses (LLI) in Kelantan. The move has propagated regular training setup with transformational program from hospital to community settings. This setup has led to mutual cooperation across the disciplines and provided linkages for stronger networking and training either locally or internationally. Better understanding on the importance of palliative care in the community can be achieved by having active community participation and volunteerism.Bangladesh Journal of Medical Science Vol.15(1) 2016 p.51-56
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Macpherson, R., N. Hovey, A. Khan, G. Riley, and K. Taralipoyina. "Individual care packages for people with severe mental illness: a description of their implementation in an English County." Irish Journal of Psychological Medicine 30, no. 2 (May 31, 2013): 125–30. http://dx.doi.org/10.1017/ipm.2013.21.
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BackgroundThis paper includes a brief review of the historical and policy background to a new form of supported accommodation, the Individual Care Package (ICP). This is a co-ordinated, individualised and flexible method to support people with complex mental health problems in the community.MethodThe study aimed to describe the implementation of this new form of care in Gloucestershire, England, over a 5-year period. We aimed to audit the quality of care in the packages against six care standards, derived by a project steering group. Staff working in community mental health services and staff providing ICPs were asked to report their levels of satisfaction with care provision.ResultsA total of 35 ICPs were developed, mostly relating to service users with severe mental illness. Only 60% of the community mental health team key workers were aware of the expected level of care. In many cases, service users were accessing support from day services or family alongside the ICP. Four service users were admitted, and four moved accommodation after going into ICPs. Overall, levels of care provided within ICPs tended to remain static. Trust key workers were mostly satisfied with the support provided in ICPs, but a range of concerns were expressed. ICP staff reported mostly positive views about the support that they received from statutory services, but also reported some concerns.ConclusionsICPs appeared to be successful in enabling a number of service users with complex difficulties to obtain and maintain tenancies in the community. There were some concerns about the quality of monitoring of the ICPs and some uncertainty about whether ICP staff would have the skills, support and training to promote recovery and increasing independence of service users. There was little evidence of service users moving on or reduction in care over time. There is a need for good inter-agency working for the successful deployment of this new form of service. There is also a need for more research, comparing ICPs with other forms of supported accommodation and considering the service user experience through qualitative research.
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Diema Konlan, Kennedy, Nathaniel Kossi Vivor, Isaac Gegefe, Imoro A. Abdul-Rasheed, Bertha Esinam Kornyo, and Isaac Peter Kwao. "The Practice of Home Visiting by Community Health Nurses as a Primary Healthcare Intervention in a Low-Income Rural Setting: A Descriptive Cross-Sectional Study in the Adaklu District of the Volta Region, Ghana." Scientific World Journal 2021 (March 24, 2021): 1–11. http://dx.doi.org/10.1155/2021/8888845.
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Background. Home visit is an integral component of Ghana’s PHC delivery system. It is preventive and promotes health practice where health professionals render care to clients in their own environment and provide appropriate healthcare needs and social support services. This study describes the home visit practices in a rural district in the Volta Region of Ghana. Methodology. This descriptive cross-sectional study used 375 households and 11 community health nurses in the Adaklu district. Multistage sampling techniques were used to select 10 communities and study respondents using probability sampling methods. A pretested self-designed questionnaire and an interview guide for household members and community health nurses, respectively, were used for data collection. Quantitative data collected were coded, cleaned, and analysed using Statistical Package for Social Sciences into descriptive statistics, while qualitative data were analysed using the NVivo software. Thematic analysis was engaged that embraces three interrelated stages, namely, data reduction, data display, and data conclusion. Results. Home visit is a routine responsibility of all CHNs. The factors that influence home visiting were community members’ education and attitude, supervision challenges, lack of incentives and lack of basic logistics, uncooperative attitude, community inaccessibility, financial constraint, and limited number of staff. Household members (62.3%) indicated that health workers did not adequately attend to minor ailments as 78% benefited from the service and wished more activities could be added to the home visiting package (24.5%). Conclusion. There should be tailored training of CHNs on home visits skills so that they could expand the scope of services that can be provided. Also, community-based health workers such as community health volunteers, traditional birth attendants, and community clinic attendants can also be trained to identify and address health problems in the homes.
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Dacholfany, M. Ihsan. "Pemberdayaan Masyarakat dalam Meningkatkan Mutu Pendidikan Non-Formal." Tapis : Jurnal Penelitian Ilmiah 2, no. 1 (July 4, 2018): 43. http://dx.doi.org/10.32332/tapis.v2i1.866.
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The non-formal education of an education service that is not limited by age, time, gender, race (ethnicity, descent), economy, socio-cultural conditions, religion and so on, although formal education is an essential component of lifelong education, Informal education in the framework of lifelong educational services for the community is needed now and in the future. Herewith the Researcher uses analytic descriptive method with case study variation. Descriptive analytic method is a method of research that emphasizes the effort to obtain information about the status or symptoms at the time of the study, provide an overview of the phenomena, also further explain the relationship, and draw the meaning of a desired problem. The research in Learning centers al-Suroya in which there is Non Formal Education which is carried out especially Package B and Package C and others can fulfill a function in the effort to serve the needs of society outside the school system, the main target of non formal education and is needed by the community especially the people who want Continuing education, as well as developing the ability of interest and talent as well as training, in the hope that this program is implemented in accordance with the ability of the community despite many obstacles.
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Yurkiv, Yaroslava. "Features of Providing Social Services to Children and Adolescents in the Community." Bulletin of Luhansk Taras Shevchenko National University, no. 7 (338) (2020): 76–83. http://dx.doi.org/10.12958/2227-2844-2020-7(338)-76-83.
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The article examines the current state of the process of providing social services to vulnerable groups (children and adolescents), which are provided in a united territorial community. The normative and legal support of the community functioning as a local self-government body is analyzed. The definition of the term «community» is given, the meaning of the term «social work in the community» is revealed, the main functional directions of social work in the community are outlined, the concept of «difficult life circumstances» is briefly considered as a key indicator of community social services. Listed, without filling the content, the types of social services that can be obtained in the community (social support of the client, registration in the «emergency department», organization of leisure, assistance in placement in educational and medical institutions, assistance in organizing training, applications, letters , other documents to the relevant bodies and organizations, forming a package of documents, advising parents on the equipment of premises with free access for children with special needs, assistance in obtaining referrals to specialized health care facilities, sanatorium treatment, inpatient social care institutions; identification of sources and causes of social maladaptation of children, psychological correction of conflicting relationships between parents and children, psychological and pedagogical assistance to children to relieve stress caused by difficult life situations). The purpose of further research is outlined.
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Hughes, P., Z. Hijazi, and K. Saeed. "Improving access to mental healthcare for displaced Syrians: case studies from Syria, Iraq and Turkey." BJPsych. International 13, no. 4 (November 2016): 84–86. http://dx.doi.org/10.1192/s2056474000001392.
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The conflict in Syria has led to an unprecedented humanitarian crisis that extends across multiple countries in the area. Mental health services were undeveloped before and now face huge strain and unmet need. The World Health Organization and others have developed a programme to build capacity in the delivery of mental health services in an integrated healthcare package to refugees and displaced people. The tool used for this is the mhGAP Intervention Guide and complementary materials. In this paper we refer to training in Turkey, Iraq and Syria where health professionals were trained to roll out this community-based integrated approach through primary healthcare. We describe field case examples that show the complexity of situations that face refugees, displaced people and those caught in active conflict. Training improved the knowledge and skills for managing mental health disorders in primary healthcare. Further work needs to be done to demonstrate greater access to and utilisation of services, client outcomes and organisational change with this approach.
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Ftanou, Maria, Anna Machlin, Angela Nicholas, Kylie King, Justine Fletcher, Carol Harvey, and Jane Pirkis. "Mental Health Professional Online Development (MHPOD): a web-based training tool for the non-government community mental health workforce." Journal of Mental Health Training, Education and Practice 9, no. 3 (September 2, 2014): 177–89. http://dx.doi.org/10.1108/jmhtep-05-2014-0014.
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Purpose – The purpose of this paper is to evaluate the usefulness and relevance of the Mental Health Professional Online Development (MHPOD) training package in further developing the skills in mental health and recovery-informed practice of the Australian non-government community mental health workforce. MHPOD is an evidence-based, self-paced, online learning resource that consists of 58 mental health topics. Design/methodology/approach – A total of 349 e-learners were recruited from seven non-government community mental health services across Australia. E-learners were invited to complete up to twelve online surveys, a baseline survey, a topic completion survey for each completed topic, and a follow-up survey towards the end of the pilot. Findings – The majority of e-learners indicated that MHPOD was useful for professional development and relevant to their current employment. E-learners identified that MHPOD led to significant improvement in their knowledge and confidence in their ability. A number of enabling factors such as managerial and organizational supports, technical supports and up-to-date and relevant content materials need to be present for the successful implementation of online programs such as MHPOD. Originality/value – Online training packages such MHPOD that a relatively easy to use are helpful in developing knowledge, and confidence in the skills of the mental health workforce. The evaluation findings suggest that MHPOD is a relevant and appropriate training tool for the non-government community mental health sector within Australia.
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Perbawasari, Susie, Yanti Setianti, Aat Ruchiat Nugraha, Dian Wardiana Sjuchro, and Ayu Indra Wardhani. "PELATIHAN MARKETING PUBLIC RELATIONS BAGI STAKEHOLDERS PARIWISATA DI OBJEK WISATA STONE GARDEN BANDUNG BARAT." Jurnal Pengabdian UntukMu NegeRI 3, no. 1 (May 30, 2019): 52–60. http://dx.doi.org/10.37859/jpumri.v3i1.1144.
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The trend of Muslim tourism continues to increase along with the awareness of Muslims to apply the Muslim lifestyle. The Muslim lifestyle affected the demands of halal tourism packages — one of the attractions that are trying to hold a halal tour package, namely Stone Garden. Several obstacles are found related to the realization of Stone Garden into halal tourist destinations, namely the limited human resources, infrastructure, facilities, and coaching patterns from the manager. To foster human resources in the activities of tourism services and tourism promotion needs to be improved through the implementation of Marketing Public Relations training for tourism destination managers in facing the challenges of the increasingly globalized tourism market. The training held at the Stone Garden Tourism Awareness Group secretariat with participants from tourism agents, tourist managers, and tour guides. The training methods used are discussion, lecture, and case simulation. The results of the training showed that the knowledge and communication skills of Marketing Public Relations communication among the actors, managers, and tour guides in the Stone Garden area experienced a considerable increase which was shown by participants understanding the importance of communication in community-based tourism management.
Keywords: Marketing Public Relations, Training, Tourism, Stakeholders, Halal Tourism
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McCausland, Beth, Nicola Minicozzi, Siobhan O'Halloran, Avril Ward, and Kerry Elliott. "Increasing staff confidence about domestic abuse identification, disclosure and safeguarding in a community mental health team." BJPsych Open 7, S1 (June 2021): S146—S147. http://dx.doi.org/10.1192/bjo.2021.413.
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AimsTo increase staff confidence about identifying Domestic Abuse (DA), particularly regarding ‘how to ask’ to encourage disclosure and the pathways available for appropriately safeguarding survivors; in a Community Mental Health Team (CMHT) setting.BackgroundDA is bi-directionally associated with mental health (MH) disorders; 1:4 women in contact with MH services are currently experiencing DA. MH professionals (MHPs) are in a privileged position to identify DA and support survivors. However, this is dependent on MHPs receiving adequate training about DA. For this, we collaborated with Pathfinder, a national pilot project run by a consortium of five expert partners that aims to establish comprehensive health practice in relation to DA and Violence Against Women & Girls in Acute Hospital Trusts, MH Trusts and Primary Care. In Southampton, Pathfinder has funded two domestic and sexual abuse (DSA) advocates to both train MH staff and take a small caseload of MH service users who are experiencing abuse.MethodWe conducted a baseline survey of staff confidence across the following domains:Knowing the legal definition of DA,The process used to escalate a DA concern,How to make a referral,How to complete DASH forms,How and when to refer to Pathfinder,What the following acronyms mean: PIPPA, MAPPA, MARAC, IDVA, DASH,What HRDA and MASH mean,How to ask about DA,Who to signpost service users to if they make a disclosure, and when to involve the police.We presented the survey results at the regional Pathfinder strategic group, with Trust management representatives present. This project fits within the strategic group's sustainability aims to increase DA awareness and safeguarding processes across the Trust.The Pathfinder funded DSA Advisors delivered a four-hour training package targeting the surveyed questions and wider information on DA. We then re-surveyed to see if staff confidence had increased. We are currently analyzing the number of referrals to the Pathfinder service pre- and post-training.ResultStaff confidence increased across all domains following the training (% mean increase): Qs1 (35%), Qs2 (9%), Qs3 (45%), Qs4 (81%), Qs5 (25%), Qs6 (49%), Qs7 (89%), Qs8 (62%) and Qs9 (48%).We have now arranged a bi-monthly drop-in at the CMHT by the DSA advisor who provided the training, to embed the link between the services and maintain staff confidence. We will circulate these results to advocate that this training is provided across the Trust.
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Li, Fuzhong, Peter Harmer, Karin A. Mack, David Sleet, K. John Fisher, Melvin A. Kohn, Lisa M. Millet, et al. "Tai Chi: Moving for Better Balance—Development of a Community-Based Falls Prevention Program." Journal of Physical Activity and Health 5, no. 3 (May 2008): 445–55. http://dx.doi.org/10.1123/jpah.5.3.445.
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Background:This study was designed to develop an evidence- and community-based falls prevention program—Tai Chi: Moving for Better Balance.Methods:A mixed qualitative and quantitative approach was used to develop a package of materials for program implementation and evaluation. The developmental work was conducted in 2 communities in the Pacific Northwest. Participants included a panel of experts, senior service program managers or activity coordinators, and older adults. Outcome measures involved program feasibility and satisfaction.Results:Through an iterative process, a program package was developed. The package contained an implementation plan and class training materials (ie, instructor’s manual, videotape, and user’s guidebook). Pilot testing of program materials showed that the content was appropriate for the targeted users (community-living older adults) and providers (local senior service organizations). A feasibility survey indicated interest and support from users and providers for program implementation. A 2-week pilot evaluation showed that the program implementation was feasible and evidenced good class attendance, high participant satisfaction, and interest in continuing Tai Chi.Conclusions:The package of materials developed in this study provides a solid foundation for larger scale implementation and evaluation of the program in community settings.
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Wati, Dyah Puteria, Dede Cahyati Sahrir, and Ahmad Fajri Lutfi. "Pelatihan Pembuatan dan Pendampingan Penerapan Multimedia Genggam Si Dio (Camtasia Studio) Berbasis Android bagi Tutor PKBM di Kabupaten Kuningan." Jurnal Pengabdian Pada Masyarakat 3, no. 2 (December 21, 2018): 125–34. http://dx.doi.org/10.30653/002.201832.74.
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TRAINING ON MAKING AND MENTORING ANDROID-BASED APPLICATION OF HANDHELD SI DIO (CAMTASIA STUDIO) MULTIMEDIA FOR PKBM TUTORS IN KUNINGAN REGENCY. Equality education of study group Package C is one of the non-formal education programs for people’s equivalent to high school level. One of the problems faced in the learning process of Package C program held by PKBM Kuningan city is not maximize the use of learning media, especially in the field of technology. This community service activity will be held in PKBM Kuningan city which already has NPSN. The purpose of this training is to improve tutor skills in making and implementing learning by utilizing android-based smartphone as a medium of learning. The method of training implementation consists of several stages: training licensing, training preparation, preparation of training module book, Si Dio handheld multimedia training, mentoring of media usage already made by tutor. Based on the results of training and mentoring the application of handheld multimedia Si Dio based on android this can help improve and improve the quality of the process of Package C equivalence program and facilitate understanding even though learners learn independently.
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Howe, Amanda, and Dhanasari Vidiawati. "Preface." Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) 1, no. 2 (June 8, 2018): 49. http://dx.doi.org/10.22146/rpcpe.36269.
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.......This edition, with its range of topics covering preventive / proactive care (detecting those at risk of diabetes and hypertension), non-communicable diseases, end of life care, and the social determinants of health (in the case report), show the extent of conditions which need to be included in any effective UHC (universal health coverage) package. It also demonstrates the breadth of work of family doctors, emphasising the need to be patient-centred and to look at the full context of the patient and community when addressing key health issues.............Improving the capability of physicians in primary care is necessary becasuse as a leading edge of health services, primary care is expected to provide more comprehensive health care services for patients, families, and their communities (patient-centered, family-focused, community-oriented care). A structured, measurable, and sustainable mode of education and training is needed to buid these abilities.......
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Naidoo, Vivian, Fatima Suleman, and Varsha Bangalee. "Roles and reimbursement of pharmacists as South Africa transitions towards Universal Health Coverage (UHC): An online survey-based study." PLOS ONE 16, no. 9 (September 23, 2021): e0257348. http://dx.doi.org/10.1371/journal.pone.0257348.
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Background The implementation of Universal Health Coverage in SA has sought to focus on promoting affordable health care services that are accessible to all citizens. In this regard, pharmacists are expected to play a pivotal function in the revitalization of primary health care (PHC) during this transition by the expansion of their practice roles. Objectives To assess the readiness and perceptions of pharmacists to expand their roles in an integrated health care system. To determine the availability and pricing of primary health care services currently provided within a community pharmacy environment and to evaluate suitable reimbursement for the provision of such services by a community pharmacist. Methods Community pharmacists’ across SA were invited to participate in an online survey-based study. The survey consisted of both open- and closed-ended questions. Descriptive statistics for closed-ended questions were generated and analysed using Microsoft Excel® and Survey Monkey®. Responses for the open-ended questions were transcribed, analysed, and reported as emerging themes. Results Six hundred and sixty-four pharmacists’ responded to the online survey. Seventy-five percent of pharmacists’ reported that with appropriate training, a transition into a more patient-centered role might be beneficial in the re-engineering of the PHC system. However, in order to adopt these new roles, appropriate reimbursement structures are required. The current fee levied by pharmacists in community pharmacies that offered these PHC services was found to be lower to that recommended by the South African Pharmacy Council; this disparity is primarily due to a lack of information and policy standardisation. Therefore, in order to ensure that fees levied are fair, comprehensive service package guidelines are required. Conclusions This study provides baseline data for policy makers on pharmacists’ readiness to transition into expanded roles. Furthermore, it can be used as a foundation to establish appropriate reimbursement frameworks for pharmacists providing PHC services.
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Gerrish, Kate, Sara Laker, Sarah Wright, and Wendy Stainrod. "Medicines reablement in intermediate health and social care services." Primary Health Care Research & Development 18, no. 04 (May 2, 2017): 305–15. http://dx.doi.org/10.1017/s1463423617000238.
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Aim To evaluate a medicines reablement initiative involving health and social care, to include consideration of the training package, proportion of patients reabled successfully, and patient and staff perspectives of the service. Background Intermediate care services provide short-term intervention to support patients with chronic conditions transition from hospital to community-based services and involves maximising patients’ independence through reablement. The term ‘medicines reablement’ describes the process of rehabilitating patients to be independent with their medication. Methods Pharmacy technicians led the medicines reablement initiative. They delivered a competency-based training programme for frontline health and social care staff. They assessed and set goals with patients to facilitate independence in self-administration of their medication. The pharmacy technicians provided on-going support to staff helping patients to reable. They reassessed patients after six weeks to determine if medicines reablement had been successful or whether further input was needed. Data were collected by means of a questionnaire and semi-structured interviews with pharmacy technicians, frontline staff, managers, and patients. Findings Twenty per cent of patients discharged from hospital to intermediate care were assessed to be suitable for medicines reablement. Of these patients, 44% were successfully reabled and a further 25% benefited from the input of a pharmacy technician. Patients and staff were positive about medicines reablement, emphasising the importance of patients attaining independence for self-administration of medication. Although following training, health and social care staff felt confident in facilitating medicines reablement they valued on-going access to pharmacy technicians for timely support, help with problem solving, and advice throughout the reablement process. Conclusion Medicines reablement can lead to patients becoming independent with taking medication and contribute to staff satisfaction. Pharmacy technicians can play an important part in delivering medicines reablement training to frontline staff and overseeing the reablement process. Further research examining medicines reablement is needed to develop a stronger evidence base.
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Bhayat, Ahmed, and Usuf Chikte. "Human Resources for Oral Health Care in South Africa: A 2018 Update." International Journal of Environmental Research and Public Health 16, no. 10 (May 14, 2019): 1668. http://dx.doi.org/10.3390/ijerph16101668.
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To describe the current oral health care needs and the number and category of dental personnel required to provide necessary services in South Africa (SA). This is a review of the current disease burden based on local epidemiological studies and the number of oral health personnel registered with the Health Professions Council of South Africa (HPCSA). In SA, oral health services are rendered by oral hygienists, dental therapists, dentists, and dental specialists. Dental caries remains one of the most prevalent conditions, and much of them are untreated. The majority of oral care providers are employed in the private sector even though the majority of the population access the public sector which only offers a basic package of oral care. The high prevalence of caries could be prevented and treated by the public sector. The infrastructure at primary health care facilities needs to be improved so that dentists performing community service can be more effectively utilized. At present, SA requires more dental therapists and oral hygienists to be trained at the academic training institutions.
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Ding, Yi, Baoshen Guo, Lin Zheng, Mingming Lu, Desheng Zhang, Shuai Wang, Sang Hyuk Son, and Tian He. "A City-Wide Crowdsourcing Delivery System with Reinforcement Learning." Proceedings of the ACM on Interactive, Mobile, Wearable and Ubiquitous Technologies 5, no. 3 (September 9, 2021): 1–22. http://dx.doi.org/10.1145/3478117.
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The revolution of online shopping in recent years demands corresponding evolution in delivery services in urban areas. To cater to this trend, delivery by the crowd has become an alternative to the traditional delivery services thanks to the advances in ubiquitous computing. Notably, some studies use public transportation for crowdsourcing delivery, given its low-cost delivery network with millions of passengers as potential couriers. However, multiple practical impact factors are not considered in existing public-transport-based crowdsourcing delivery studies due to a lack of data and limited ubiquitous computing infrastructures in the past. In this work, we design a crowdsourcing delivery system based on public transport, considering the practical factors of time constraints, multi-hop delivery, and profits. To incorporate the impact factors, we build a reinforcement learning model to learn the optimal order dispatching strategies from massive passenger data and package data. The order dispatching problem is formulated as a sequential decision making problem for the packages routing, i.e., select the next station for the package. A delivery time estimation module is designed to accelerate the training process and provide statistical delivery time guarantee. Three months of real-world public transportation data and one month of package delivery data from an on-demand delivery platform in Shenzhen are used in the evaluation. Compared with existing crowdsourcing delivery algorithms and widely used baselines, we achieve a 40% increase in profit rates and a 29% increase in delivery rates. Comparison with other reinforcement learning algorithms shows that we can improve the profit rate and the delivery rate by 9% and 8% by using time estimation in action filtering. We share the data used in the project to the community for other researchers to validate our results and conduct further research.1 [1].
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Octaviani, Vethy, Sri Narti, and Syisva Nurwita. "Peningkatan Sumber Daya Masyarakat Desa dalam Binaan Pusat Kegiatan Belajar Masyarakat (PKBM)." Jurnal Pengabdian Pada Masyarakat 3, no. 2 (December 21, 2018): 117–24. http://dx.doi.org/10.30653/002.201832.62.
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IMPROVING RESOURCES OF VILLAGE SOCIETY IN COMMUNITY LEARNING ACTIVITY CENTER. The lack of productivity and economic activity carried out by the community is caused by the lack of knowledge and skills possessed. Thus, the Community Learning Activity Center (PKBM) was established as a community-based education tool. PKBM Alena Smart School in Tebat Monok Village and PKBM Az-Zahir in Talang Karet Village are two of several PKBM in Kepahiang Regency. PKM team and both of PKBM are together as partners make efforts to improve community skills and improvement of education services through training and advisory methods aimed to improve the quality of production, management and marketing with an expectation of achieving economic and educational improvements that lead to improving the welfare of Tebat Monok and Talang Karet Village Community. The result of the activity that has been achieved is the formation of a small industry managed by the community of Tebat Monok in the guidance of PKBM Alena Smart School which is focused on making handicraft and handmade with trademark of Tebat Monok Thonksys Galery And Craft. As for the Talang Karet village community, the business is focused on processed foods with trademarks of Talang Karet Thonksys Cake's. For the business able to run well, team also created the training and assistance in the field of management for administration and for direct marketing activities, team created the activity about to makin display in PKBM Location and created the promotion bay the sosial media instagram. Other than that, PKM activities are also carried out to improve education services in both PKBM so that the equalization of Package A, B, and C in PKBM Alena Smart School and guidance in PKBM Az-Zahir becomes more comfortable, which is also supported by the Park Community Reading.
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Husnah, Husnah, Rahmat Tisnawan, and M. Fajar Anugrah. "MENGELOLA SAMPAH MENJADI PUPUK KOMPOS DI KELURAHAN RANTAU PANJANG RUMBAI PEKANBARU." Jurnal Pengabdian Masyarakat Multidisiplin 4, no. 2 (June 27, 2020): 135–41. http://dx.doi.org/10.36341/jpm.v4i2.1333.
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Managing waste is a waste conversion activity that is not useful or the waste becomes useful useful efficiently and economically with minimal environmental impact. Therefore we need information about the character of waste, the technical character of existing conversion technology, the market character of processing products, environmental implications, environmental requirements, and availability of funds. The purpose of this service is to create a green and clean village that is packaged in a community service package by the Abdurrab University lecturer team. Activity Steps The activity steps taken are intensive training through the following stages:1. Lecture on the study of waste management systems.2. Lecture on managing and processing household waste, especially Composting the 3 R method (Reduce, reuse, recycle)3. Demonstration regarding the application of the Garbage Bank 4. Exercise on sorting waste and applying composter 5. Consultation in overcoming several obstacles faced by participants in managing household waste. 6. Mutual cooperation among the community.
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Youde, J., J. Rawlings, and J. Knight. "41 Using Patient Centred Care to Redesign Integrated Discharge Services in Derby." Age and Ageing 49, Supplement_1 (February 2020): i11—i13. http://dx.doi.org/10.1093/ageing/afz185.04.
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Abstract Background Discharge to Assess as outlined by the Department of Health was adopted in Derby in 2016. Previously the discharge pathways to community settings from the acute trust were complex. Challenges included: Operating from a traditional residential care home.No integration of community health staff and social care teams leading to delays in treatment and decision making as well as multiple referrals and hand-overs and no joint communication which was confusing for patients.Stakeholder anticipation of 6 weeks length of stay.Limited responsiveness to capacity demand within planned and unplanned community physiotherapy.Changing the culture and mind-set of staff.Different health and social care processes and procedures, IT systems, working patterns, contracts and pay scales. Methods A new service model, joint processes and standard operating procedures was developed with the patient at the centre of the design. Trusted assessment and information sharing reduce multiple assessments and hand overs, ensuring a smoother and improved patient experience. Outcomes Triage of patients from the Integrated Discharge Hub to the appropriate pathway, early discharge planning, board rounds and MDT's and timely assessments combined with an enablement ethos have increased the flow of patients through the service, decreased care package hours and increased capacity through reducing both length of stay and delayed transfers of care. The health and social care teams are now delivering fully integrated care and undertaking joint training. This has led to a reduction in treatment times from 20 days to 12 days, reductions in DTOC to average of 8 days per month and improved access to community based routine therapy from 85% of referrals being seen by 6 weeks 2017-18 to 99% in 2018-19. Conclusions The integrated service delivers more for less resulting in significant savings in the healthcare and social care system while maintaining quality standards and outcomes.
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Dhital, Pankaj Raj. "AGRICULTURAL EXTENSION IN NEPAL: EXPERIENCES AND ISSUES." JOURNAL OF ADVANCES IN AGRICULTURE 7, no. 3 (September 7, 2017): 1071–82. http://dx.doi.org/10.24297/jaa.v7i3.6287.
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A detail study on the experience of agricultural extension in Nepal was done by discussion with experts, academicians and involved agricultural officers of Nepal along with review of different documents, books and articles on the subject matter. Since from the first effort of extension service, Training and visit, Integrated Rural Development Approach, Tuki Approach, Farming System Research and Extension Approach, Block Production Program were the approaches used in the past. Conventional Educational Approach, Pocket Package Approach, Projectization Approach, Farmers Group Approach, Farmers Field School Approach, Partnership Approach are the approaches being followed presently in agricultural extension in Nepal. The extension efforts in the country are guided by the National Agricultural Extension Strategy. Department of agriculture under ministry of agricultural development is responsible for providing public extension service via District Agriculture Development Office (DADO), Agriculture Service Centre, Contact Centre, Model Agriculture Service Centre and Community Agriculture Service Centre at the farmers level. Farmers Group and cooperatives, International and National Nongovernmental organizations, Community Based Organizations and few private entities are providing the private extension services. major issues found in public extension systems are lack of motivation among the rural youths, farmers; natural resource degradation and climate change and sustainability issues; inadequate number of the extension workers and their qualification and skills; inadequate infrastructure and capacity for use of ICTs among the ground level extension workers; lack of monitoring and assessment of impact of extension activities in rural farmers; low level of need based extension coverage particularly for small farmers; ineffective and weak linkages between stakeholders at different levels; low level of education of farmers; insufficient budget and investment for extension activities; domination of supply driven approaches rather than demand driven; inadequate extension services in parts of value addition and market exposure.
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Hough, Leaetta M. "Community-Oriented Policing: Hiring in the Spirit of Service." Industrial and Organizational Psychology 9, no. 3 (September 2016): 573–82. http://dx.doi.org/10.1017/iop.2016.57.
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The authors of the focal article ask a very important question: “Baltimore Is Burning: Can I-O Psychologists Help Extinguish the Flames?” (Ruggs et al., 2016). The answer is yes, emphatically, yes. The applied science of industrial–organizational (I-O) psychology knows a great deal that can be brought to bear to help solve this real-world problem. As the title of this commentary indicates, personnel selection is one area that is highly relevant to this issue. Personnel selection is one of I-O psychology's specialty areas and is thought of by many around the world, including those in the U.S. legal system, as “owned” by I-O psychology. Other I-O specialty areas such as recruitment, training and development, onboarding/socialization, performance management, leadership, culture/climate, and culture/climate change also clearly have much to offer to help solve the problem. Others can address relevant research and practice in those areas; this commentary, however, is devoted to personnel selection. Revising a police department's hiring strategy is not a quick fix, nor is it, by itself, sufficient. Nonetheless, it is an important part of the package that I-O psychology has to offer.
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Kyarimpa, A. "Delivering Cost-Effective Cervical Cancer Screening Package to Women Living With Human Immunodeficiency Virus By Reproductive Health Uganda." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 146s. http://dx.doi.org/10.1200/jgo.18.77200.
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Background and context: Uganda has one of the highest cervical cancer incidences in the world. Over 80% late diagnosis compounds the challenge. It is evident that women living with human immunodeficiency virus (HIV) have a higher prevalence of precancer lesions and have limited access to cervical cancer knowledge and relevant services especially women living with HIV, who are poor and marginalized. This results in a gap for first-line defense to cervical cancer. To bridge the gap and deliver services, Reproductive Health Uganda (RHU) introduced cost-effective “see and treat”, single visit approach (SVA), using combined visual inspection with acetic acid (VIA) and cryotherapy. Aim: To promote single visit approach in cervical cancer screening program in selected HIV clinics and assess the feasibility. Strategy: • Collaborate with HIV clinics, which enroll and provide counseling and services to women living with HIV • Integrate SVA into the current services package in HIV clinics and outreaches to break geographic barriers • Train RHU and public health clinic staff to perform VIA and cryotherapy if needed • Enable SVA in public antiretroviral therapy (ART) clinics through partnerships • Awareness creation through group health education and individual counseling Program: The project implemented in three high HIV prevalence rate districts targeted women 25-49 years of age. Partnered with public ART clinics and arranged training to ensure midwives and nurses in RHU and public health facilities are able to carry out VIA and cryotherapy if needed. Announcements and appointment posters were pinned up on the facility notice board providing details of dates and service package. RHU used this opportunity to promote contraception and STIs management. Health education and counseling session were conducted. Trained peer support mothers mobilized women seek cervical cancer screening when doing HIV follow-up. Quarterly support supervision, QOC assessments and DQAs were conducted to ensure quality and reliability of results and reports. Outcomes: Acceptability of cervical cancer screening was high. The project increased general awareness among rural community members, where cancer is generally stigmatized and associated with a lot of myths. Knowledge, skills and competencies of 54 midwives to screen for and treat with cryotherapy was built. 23,713 women were screened, with average VIA positivity rate 8%-11% across project districts. 98% of cryotherapy-eligible women treated during the same visit. Referral to Ugandan cancer institute was established to ensure timely cancer therapy. Integration and acceptability of family planning increased among women attending ART clinics. What was learned: With appropriate demand creation, acceptability of SVA was good among women attending the ART clinics, SVA is cost-effective and feasible. Integration of SRH package of services helps leverage resources. Strategic partnerships are critical in strengthening public–private partnership in services provision.
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Agrina, Agrina, Erika Erika, and Yesi Hasneli. "Peningkatan peran kelompok pendukung gizi balita di masyarakat di masa pandemi Covid-19." Unri Conference Series: Community Engagement 2 (December 30, 2020): 402–8. http://dx.doi.org/10.31258/unricsce.2.402-408.
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The underfive of children is a high-risk group of nutritional problems during the Covid-19 pandemic due to lack of nutritious eating intake, increasingly difficult economic conditions, and child health services (Posyandu) activities were closed. The community service objective was to increase the role of nutrition support groups (posyandu lay workers) in an effort to prevent and overcome nutritional problems for children. The community service targets are 4 posyandu lay workers in Sialang Mungu district, Pekanbaru as well as families with nutritional problems. The method used nutrition training for posyandu lay worker, screening the nutritional status, guidance to make the simple food (bento), providing nutrition packages and making aquaponic as an effort to endurance nutrition. The success of this activity is measured through the increase of posyandu lay workers to perform nutritional monitoring, the success of making bento, and the increase of weight of children between 500 to 1000 grams. Training and mentoring for nutrition support groups was able to provide the necessary understanding in detecting toddler nutrition during pandemic and making efforts to improve the nutrition of children. Nutrition support groups have the main role to prevent and solve the problem of nutrition of children in the community in Pekanbaru.
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Belemsaga, Danielle Yugbare, Seni Kouanda, Anne Goujon, Joel A. Kiendrebeogo, Els Duysburgh, Olivier Degomme, and Marleen Temmerman. "A review of factors associated with the utilization of healthcare services and strategies for improving postpartum care in Africa." Afrika Focus 28, no. 2 (February 26, 2015): 83–105. http://dx.doi.org/10.1163/2031356x-02802006.
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Reducing maternal mortality continues to be a major challenge for African countries. We conducted a literature review to identify the factors associated with the utilization of maternal and child healthcare services during the postpartum period and the strategies for strengthening postpartum healthcare in Africa. We carried out an electronic search in several databases of texts published between 1995 and 2012 related to maternal and child health. Seventy-five publications fitted the eligibility criteria. Our analysis shows that to a large extent the socio-economic context was dominant among the factors associated with the quality and utilization of postpartum services. The best interventions were those on immediate postpartum maternal care combining several intervention packages such as community mobilization and provision of services, community outreach services and health training. The integration within health facilities of mother and child clinics was shown to contribute significantly to improving the frequency of mothers’ postpartum visits.
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Suwarnoto, Suwarnoto, Hikmah Eva Trisnantari, and Imam Suwaktus Su’jai. "LIFE SKILLS EDUCATION IN INCREASING THE INDEPENDENCE OF STUDENTS PURSUING PACKAGE C THROUGH THE SPNF SKB TRENGGALEK." Jurnal Inovasi Penelitian 1, no. 5 (September 29, 2020): 985–88. http://dx.doi.org/10.47492/jip.v1i5.179.
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The background of the research in this thesis is based on population data in Trenggalek district, it is found that the population of productive age with low education (not graduating from school) has an unemployment rate that is higher than those who have completed education. The research focuses in this thesis are: (1). How is the personal skills ordering system in increasing the independence of package C students at SPNF SKB Trenggalek (2). How is the social skills booking system in increasing the independence of package C students. (3). What is the system for ordering intellectual skills in increasing the independence of package C students (4). How is the vocational proficiency ordering system in increasing the independence of package C students. The results of the research are (1). The personal skill formation system in increasing the independence of package C students at SPNF SKB Trenggalek is a very important skill, even the first and foremost skill that students must have, where personal skills are behaving in accordance with religious, social, and religious norms. law, have faith in God Almighty, have noble character, are just, honest, commendable, have a work ethic, are responsible and can be trusted. (2).Social skills formation system in increasing the independence of package C students: Social skills for students have characteristics, namely being open, easy to socialize / communicate well with others, superiors, customers / customers and relate to their environment / community the surroundings. (3). The system for building intellectual skills in increasing the independence of package C students: Where this skill implies the ability to analyze simply, think logically, the ability to make decisions, explore good ideas, the ability to dare to try in their field scientifically . (4). Vocational skills formation system in increasing the independence of package C students: Vocational skills (vocational skills), namely the ability to choose jobs, job training, mastering competencies, mastering skills, applying technology, carrying out work processes and producing goods and services that can ultimately improve their standard of living and be able to compete with DU / DI.
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Chu, Sidney. "Occupational Therapy for Children with Attention Deficit Hyperactivity Disorder: A Survey on the Level of Involvement and Training Needs of Therapists." British Journal of Occupational Therapy 66, no. 5 (May 2003): 209–18. http://dx.doi.org/10.1177/030802260306600505.
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There has been a substantial increase in clinical activity related to the identification and treatment of children with attention deficit hyperactivity disorder (ADHD) in the United Kingdom. The accurate diagnosis and successful management of children with ADHD requires a multifaceted evaluation and treatment package provided by a team of medical, psychological, educational and therapy professionals. Occupational therapists can make distinctive contributions in the processes of evaluation, diagnosis and multifaceted intervention. A national survey was carried out to investigate the level and nature of involvement of paediatric occupational therapists in services for children with ADHD in the United Kingdom. The learning needs of the therapists were also explored in this survey. A questionnaire was sent to all 941 members of the National Association of Paediatric Occupational Therapists. The response rate of this survey was 30%, that is, 282 completed questionnaires were returned. The results showed that only 8.5% of the therapists who responded had involvement in a designated service for children with ADHD. Twenty-seven per cent of the therapists indicated that they did not see children with ADHD. The 63.8% of therapists who did see children with ADHD as part of their overall caseload in a community service did so mainly because of the children's associated problems in different sensory, perceptual, motor and functional performance areas. The reasons for non-involvement are explored and discussed and the learning needs of the therapists and their preferred modes of training are identified.
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Grundy, A. C., L. Walker, O. Meade, C. Fraser, L. Cree, P. Bee, K. Lovell, and P. Callaghan. "Evaluation of a co-delivered training package for community mental health professionals on service user- and carer-involved care planning." Journal of Psychiatric and Mental Health Nursing 24, no. 6 (April 27, 2017): 358–66. http://dx.doi.org/10.1111/jpm.12378.
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okwor, V., K. Nwankwo, N. Lasebikan, I. Martin, I. Okoye, C. Nwogu, A. Okereke C, C. Okwor, T. Onyeka, and A. Okorafor. "Improving Community Health Workers Knowledge of and Attitude Toward Breast Cancer in Rural Communities in Eastern Nigeria." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 237s. http://dx.doi.org/10.1200/jgo.18.95300.
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Background and context: Nigeria presently grapples with a high burden of all forms of cancers with breast cancer being the most common and most lethal with estimated 27,304 new cases and 13,960 deaths annually. Poor knowledge of breast cancer and the wrong perception about its treatment is pervasive among many Nigerian women particularly those in rural communities leading to late presentation and poor treatment outcomes. Community health workers (CHWs) are at the forefront of closing the knowledge gap and improving on attitude toward breast cancer and its treatment in these rural settings through provision of an effective cancer patient care and support. Against this backdrop, the University of Nigeria Teaching Hospital-Breast cancer support group (UNTH-BCSG) was established by a group of health professionals involved in caring for cancer patients in the eastern parts of the country. The consortium provides education and supports to breast cancer patients, training support to community health workers for early detection and prompt referral, carry out community outreach and education in both urban and rural communities, free cancer screening services to communities, as well as creating and supporting systems that effectively links cancer patients from the community level to the treatment centers. Aim: To implement a training program aimed at improving community health workers knowledge of and attitude toward breast cancer in selected rural communities in eastern Nigeria. Strategy/Tactics: A cross-sectional study design was used to select total of 521 health workers drawn across the 7 randomly selected local government areas in Enugu state, southeastern Nigeria. Respondents' level of knowledge and attitude toward breast cancer was assessed before and after the training. Data were collected using self-administered questionnaire, while data analysis was done with Statistical Package for Social Sciences (IBM-SPSS) version 20. Program/Policy process: Advocacy and campaign on breast cancer screening. Outcomes: Out of a total 521 CHWs with a mean age of 37.71 ± 8.789 years, majority of the workers were females (92.9%), married (74.1%) received formal trainings in community health education (67.3%). Prior to training, only 18.4% of respondents had ever screened for breast cancer, while 68.3% practice breast self-examination. T-test analysis showed that the mean knowledge score of breast cancer (6.86 ± 2.48), mean knowledge of risk of breast cancer (5.69 ± 3.15) and the mean attitude toward breast cancer score (5.98 ± 3.04), significantly improved with the training program to 7.56 ± 2.29, 10.62 ± 3.09, and 7.21 ± 2.69 respectively ( P < 0.01). What was learned: Community health worker still need more sustained training as they operate at the grass root of health care system. Every little assistance will be translated to reduced cancer morbidity and a lot of lives being saved through early detection.
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Sulistiyanti, Sri Ratna, Madi Hartono, and Agung Kusuma Wijaya. "THE TECHNOLOGY INDUCTION FOR PREVENTING LIVESTOCK OF ANIMAL FEED FARMER GROUPS IN DISTRICT OF EAST LAMPUNG." Journal of Community Research and Service 1, no. 2 (March 29, 2018): 53. http://dx.doi.org/10.24114/jcrs.v1i2.9337.
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AbstractThe common problem of livestock is abundant greenery during the rainy season and shortages in the dry season. The condition is bad for the health and productivity of livestock Preservation of animal feed technology is conducted by a team from Institute of Research and Community Service (LPPM) of Universitas Lampung, in Toto Mulyo Village, Way Bungur District, East Lampung. The purpose of the processing and preservation of forage feed source of fiber is to utilize forage in the rainy season, maintain the quality of forage, overcome the difficulty of forage in the dry season, improve the quality of forage fiber sources that have low nutrient content. Preservation technique is made silage (to maintain the quality of forage), while to improve the forage quality is done by fermentation and amoniation. The activities were carried out with the design of preserved livestock feeding equipment, training on the use and care of targeted farmer groups (Karya Makmur and Jati Diri 6), group management assistance, the handover of the preserved animal feed technology package, and formed a pilot group. The result of community service is a package of livestock feed preservation technology (silage and ammoniasi).Keywords: ammoniation, livestock feed preservation, fermentation, productivity, silage
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Rathod, Shanaya, Narsimha Pinninti, Muhammed Irfan, Paul Gorczynski, Pranay Rathod, Lina Gega, and Farooq Naeem. "Mental Health Service Provision in Low- and Middle-Income Countries." Health Services Insights 10 (January 1, 2017): 117863291769435. http://dx.doi.org/10.1177/1178632917694350.
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This article discusses the provision of mental health services in low- and middle-income countries (LMICs) with a view to understanding the cultural dynamics–how the challenges they pose can be addressed and the opportunities harnessed in specific cultural contexts. The article highlights the need for prioritisation of mental health services by incorporating local population and cultural needs. This can be achieved only through political will and strengthened legislation, improved resource allocation and strategic organisation, integrated packages of care underpinned by professional communication and training, and involvement of patients, informal carers, and the wider community in a therapeutic capacity.
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Faulkner, Wendy, and Tine Kleif. "One Size Does Not Fit All! Gender In/Exclusion in a Rural Community-Based ICT Initiative." Journal of Adult and Continuing Education 11, no. 1 (May 2005): 43–61. http://dx.doi.org/10.7227/jace.11.1.5.
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Community-based information and communication technologies (ICT) networks are seen as an important means of reducing social exclusion, and at the same time fostering community development. Increasing ICT capability locally is arguably crucial to furthering both of these broad aims. This paper presents evidence about the capability-building activities and impact of one community-based ICT initiative, which we have called the Ardmore Network. This is a network of part-time staffed Community Resource Centres in a remote rural region of Scotland. It provides three services: access to informational and technological resources, one-to-one support in learning to use these resources, and basic and vocational ICT training. The initiative is indeed increasing ICT capability amongst sections of the community. Our analysis identifies two keys to this success, which we believe have salience for other community-based efforts to increase ICT capability. First, it involves a heterogeneous package of measures in the sense that it is not ‘just’ about providing public-access computers. And second, it works to the degree that it facilitates informal ICT learning through networks of ‘local experts' within the community. However, the Ardmore Network attracts more women than men, and is failing to reach many non-ICT-using men in the communities it serves – especially middle-aged men in manual work – in spite of being promoted ‘for everybody’. We identify aspects of the ‘one size’ strategy which do not ‘fit’ this section of the community, and conclude that digital inclusion efforts must be based on gender-aware effective targeting if they really are to include everybody in the community
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Rosningsih, Sonita. "PENERAPAN TEKNOLOGI MINI INTEGRATED FARMING SEBAGAI UPAYA PEMULIHAN EKONOMI DAN KETAHANAN PANGAN MASYARAKAT KORBAN GEMPA DI DESA ARGOREJO KECAMATAN SEDAYU KABUPATEN BANTUL." Caraka Tani: Journal of Sustainable Agriculture 25, no. 1 (March 1, 2010): 106. http://dx.doi.org/10.20961/carakatani.v25i1.15754.
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<p>Community service of the mini-integrated aplication program was done in the village of Argorejo, Sedayu, Bantul, Yogyakarta, on May to December 2009, aims to accelerate economic recovery and food avaibility of the earthquake-victim communities in Argorejo village. The group and individual approaches method used for implemented this program. 10 packages of local Hens and 10 packages vertikultur given to 10 selected participants (the status of young housewives) who later formed farmers' group called "Srikandi". Each package consists of 1 head of local cock and 10 local Hens is ready to lay their eggs. Guidance, training and strategy of setting chicken population, and cultivation vertikultur has been implemented . The results of the activities was established 10 poultry farmer who runs a semiintensive business. Vegetable crops are able to consumpt for family need, and vegetable waste for poultry feed. Most of the egg production use for family food needs. Now poultry and vertikultur farm are conscious cheap source of food for the family. Recent developments owned by members of the population groups currently are 100 local Hens, 11 head of cockl, 550 pullet, 300 DOC, 340 hatching eggs (being incubated).</p>
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Dowrick, C., C. Chew-Graham, K. Lovell, J. Lamb, S. Aseem, S. Beatty, P. Bower, et al. "Increasing equity of access to high-quality mental health services in primary care: a mixed-methods study." Programme Grants for Applied Research 1, no. 2 (October 2013): XXXX. http://dx.doi.org/10.3310/pgfar01020.
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BackgroundEvidence-based interventions exist for common mental health problems. However, many people are unable to access effective care because it is not available to them or because interactions with caregivers do not address their needs. Current policy initiatives focus on supply-side factors, with less consideration of demand.Aim and objectivesOur aim was to increase equity of access to high-quality primary mental health care for underserved groups. Our objectives were to clarify the mental health needs of people from underserved groups; identify relevant evidence-based services and barriers to, and facilitators of, access to such services; develop and evaluate interventions that are acceptable to underserved groups; establish effective dissemination strategies; and begin to integrate effective and acceptable interventions into primary care.Methods and resultsExamination of evidence from seven sources brought forward a better understanding of dimensions of access, including how people from underserved groups formulate (mental) health problems and the factors limiting access to existing psychosocial interventions. This informed a multifaceted model with three elements to improve access: community engagement, primary care quality and tailored psychosocial interventions. Using a quasi-experimental design with a no-intervention comparator for each element, we tested the model in four disadvantaged localities, focusing on older people and minority ethnic populations. Community engagement involved information gathering, community champions and focus groups, and a community working group. There was strong engagement with third-sector organisations and variable engagement with health practitioners and commissioners. Outputs included innovative ways to improve health literacy. With regard to primary care, we offered an interactive training package to 8 of 16 practices, including knowledge transfer, systems review and active linking, and seven agreed to participate. Ethnographic observation identified complexity in the role of receptionists in negotiating access. Engagement was facilitated by prior knowledge, the presence of a practice champion and a sense of coproduction of the training. We developed a culturally sensitive well-being intervention with individual, group and signposting elements and tested its feasibility and acceptability for ethnic minority and older people in an exploratory randomised trial. We recruited 57 patients (57% of target) with high levels of unmet need, mainly through general practitioners (GPs). Although recruitment was problematic, qualitative data suggested that patients found the content and delivery of the intervention acceptable. Quantitative analysis suggested that patients in groups receiving the well-being intervention improved compared with the group receiving usual care. The combined effects of the model included enhanced awareness of the psychosocial intervention among community organisations and increased referral by GPs. Primary care practitioners valued community information gathering and access to the Improving Access to Mental Health in Primary Care (AMP) psychosocial intervention. We consequently initiated educational, policy and service developments, including a dedicated website.ConclusionsFurther research is needed to test the generalisability of our model. Mental health expertise exists in communities but needs to be nurtured. Primary care is one point of access to high-quality mental health care. Psychosocial interventions can be adapted to meet the needs of underserved groups. A multilevel intervention to increase access to high-quality mental health care in primary care can be greater than the sum of its parts.Study registrationCurrent Controlled Trials ISRCTN68572159.FundingThe National Institute for Health Research Programme Grants for Applied Research programme.
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Nemera, Bedasa, and Hailu Merga. "Exclusive breastfeeding practice and associated factors among rural mothers with 6–12-month-old children in west Oromia, Ethiopia." African Journal of Midwifery and Women's Health 15, no. 2 (April 2, 2021): 1–10. http://dx.doi.org/10.12968/ajmw.2020.0021.
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Background/aims Despite the benefits of exclusive breastfeeding for children, the practice is not widespread in low-income countries, including Ethiopia, especially in rural settings. This study aimed to determine exclusive breastfeeding practice and associated factors among mothers with 6–12-month-old children in west Oromia, Ethiopia. Methods This cross-sectional study was conducted among 391 randomly selected mothers with 6–12-month-old children in Amuru, Ethiopia. Data on breastfeeding practice were collected using a structured questionnaire, adapted from the Ethiopian Health and Demographic Survey. Data were analysed using the Statistical Package for Social Sciences version 21. Factors that were significantly associated with exclusive breastfeeding at univariate analysis were then submitted to binary logistic regression, with P<0.05 considered significant. Results Of the 391 respondents, 48.1% of the mothers reported exclusively breastfeeding their children. Factors associated with exclusive breastfeeding were: mother aged 21–25 years old (adjusted odds ratio=5.1, P<0.0001), husband`s educational status (adjusted odds ratio=2.8, P<0.0001), owning a radio (adjusted odds ratio=2.8, P<0.0001), antenatal care attendance (adjusted odds ratio=9.2, P<0.0001), delivery at a health institution (adjusted odds ratio=4.3, P<0.0001) and initiating breastfeeding within an hour of birth (adjusted odds ratio=4.2, P<0.0001). Conclusions The exclusive breastfeeding rate was low among mothers in this study. Health education should be provided to mothers at the community and health facility level. The quality of maternity services provided at health facilities or in the community needs improvement by providing pre-service and in-service training to health workers. Moreover, facility-based birth and respectful care needs promotion.
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Suhada, Resa Trauna, Silvi Ariyanti, Anggun Vionieta Fajar, and Aam Komalasari. "TRAINING AUTODESK FUSION 360 FOR TEENAGE OF SENIOR HIGH SCHOOL GRADUATES IN IMPROVING ABILITY IN DISASTERS." ICCD 1, no. 1 (December 13, 2018): 285–89. http://dx.doi.org/10.33068/iccd.vol1.iss1.43.
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Autodesk launches Autodesk Fusion 360 - a cloud-based device that combines industrial design and 3D mechanics, collaboration, machinery in one package - the first solution available for purchase on Mac App Store worldwide including Indonesia. The Fusion 360 combines design, collaboration and machine tools into one package and is now available with the security and simplicity of the Mac App Store. With Fusion 360, designers and engineers can create products that have shapes and functions and prepare them for the fabrication process by using a single device. This community service activity is in the form of Autodesk Fusion 360 application training, with a total of 26 participants. Training activities include: introduction, visual demonstration and practice. The training materials are as follows: introduction of Autodesk Fusion 360, drawing 3-dimensional shapes, 3-dimensional drawing modifications, Solid modeling, Plotting. The purpose of this devotional activity is: Introduce and explain the basic theory of drawing using the computer, especially the use of Autodesk Fusion 360 program in the form of three dimensions. The benefits of this devotional activity are the junior high school graduates can recognize and apply computer-based drawing techniques. Improving the skills of high school graduates especially skills in the field of Fusion 360 applications. The results of this activity are the participants can carry out all product design activities and declared to pass and are entitled to receive a certificate issued directly by the company that produces Autodesk Fusion 360 Software.
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Mbatha, Blessing. "DIFFUSION AND ADOPTION OF INFORMATION AND COMMUNICATION TECHNOLOGIES IN SOUTH AFRICAN TELECENTRES: SELECTED TELECENTRES IN KWAZULU-NATAL." Mousaion: South African Journal of Information Studies 33, no. 1 (January 25, 2016): 103–20. http://dx.doi.org/10.25159/0027-2639/845.
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This study investigated the usage and types of information and communications technologies (ICTs) accessible to community members in four selected Thusong Service Centres (TSCs or telecentres) in KwaZulu-Natal (KZN). The telecentres that participated in the study were: Nhlazuka, Mbazwane, Dududu and Malangeni. The study was informed by Rogers’ (1995) Diffusion of Innovations (DoI) theory. Through a survey, four TSCs were purposively selected. A questionnaire was used to collect data from community members in the four telecentres involved. The data collected was tabulated under the various headings and presented using tables, frequencies, percentiles and generalisations with the help of the Statistical Package for the Social Sciences (SPSS). The results indicated that a variety of ICT tools have been adopted in the TSCs to provide the local community with the much-needed access to information and improved communication. The government should ensure that adequate varieties and levels of ICT competence are offered to all the citizens. In conclusion, there is a need for sufficient and coherent government policies regulating the training of the local community to use these ICTs effectively.
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Djuwendah, E., T. Karyani, and E. Wulandari. "Potential Development Strategy for Attraction and Community-based Agrotourism in Lebakmuncang Village." E3S Web of Conferences 249 (2021): 01004. http://dx.doi.org/10.1051/e3sconf/202124901004.
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Lebakmuncang is a tourism village in Ciwidey, Bandung, West Java, Indonesia, which has potential for natural and cultural resources supporting agro-tourism development. In recent years there has been a decline in tourist visits. The research objectives were to analyze the agro-tourism potential, to analyze visitor’s perceptions of the attractiveness of agro-tourism and agro-tourism development strategies. The research design used descriptive quantitative. Fifty tourists were selected by accidental sampling, and ten informants were selected purposively. Data analysis technique used Likert scale and SWOT matrix. The results showed Lebakmuncang village has variety agricultural commodities, dairy farming, and coffee processing business that have potential to support agro-tourism development; visitors’ perceptions of attraction and ancillary services was excellent. Visitors’ perception of amenities and accessibility was good. Strategies that can be carried out in developing agro-tourism are: (1) increasing community involvement, (2) adding animal husbandry attractions and coffee processing in tour packages, (3) adding supporting facilities that are not yet available, (4) synchronizing agro-tourism development programs with stakeholders, (5) training human resources in internet technology-based tourism management, (6) partnerships in promotion and marketing with travel agents, (7) improving service quality, (8) creating community-based and sustainable agro-tourism branding, and (9) promotional cooperation with other tourist objects..
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Rahayu, Suci, Nursahara Pasaribu, Elimasni, Emita Sabri, and Denny Supriharti. "Utilization of Google Class Room in improving learning quality for lecturers and students at the USU department of biology FMIPA." ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat 4, no. 2 (December 12, 2019): 319–23. http://dx.doi.org/10.32734/abdimastalenta.v4i2.4086.
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Community service activities titled Transforming Organic Waste into Organic Fertilizer in Namo Bintang Village in May - November 2019. This activity aims to convert organic waste into organic fertilizer that has economic value, and does not endanger the environment. The method used is counseling, lectures and training as well as monitoring and evaluation with the community directly to the field. Utilization of Google Class Room is done in several places in the Biology department with the approval of the Chair of the Department. The activity was carried out by means of counseling and lectures, explaining the theory and techniques of using Google Class Room, which was followed by a group of Lecturers and Students in the Biology department at USU FMIPA.The training was conducted by a group of Lecturers and Students in the Biology department of USU FMIPA separately. All carry out this activity by proactively conducting training to get results in the form of the Google Class Room application. The equipment for using Google Class Room is only a laptop, smartphone and internet package. And finally the monitoring and evaluation of the success of monitoring work in the field will be carried out by going directly to the field together, monitoring by visiting to find out whether lecturers and students have been able to do it themselves. In addition, the relationship will be carried out by telephone to overcome the problems that arise . In general, community service activities have been successfully carried out and seen a good cooperative relationship between the Higher Education, especially the Implementation Team, the village community realizes the importance of saving the environment from at the same time improving life expectancy because it can make its own fertilizer / compost.
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Rawal, Lal B., Chandani Kharel, Uday Narayan Yadav, Kie Kanda, Tuhin Biswas, Corneel Vandelanotte, Sushil Baral, and Abu S. Abdullah. "Community health workers for non-communicable disease prevention and control in Nepal: a qualitative study." BMJ Open 10, no. 12 (December 2020): e040350. http://dx.doi.org/10.1136/bmjopen-2020-040350.
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Background/objectiveThe increasing burden of non-communicable diseases (NCDs) in Nepal underscores the importance of strengthening primary healthcare systems to deliver efficient care. In this study, we examined the barriers and facilitators to engaging community health workers (CHWs) for NCDs prevention and control in Nepal.DesignWe used multiple approaches including (a) review of relevant literature, (b) key personnel and stakeholders’ consultation meetings and (c) qualitative data collection using semistructured interviews. A grounded theory approach was used for qualitative data collection and the data were analysed thematically.SettingData were collected from health facilities across four districts in Nepal and two stakeholder consultative meetings were conducted at central level.ParticipantsWe conducted in-depth interviews with CHWs (Health Assistants, Auxiliary Health Workers, Auxiliary Nurse Midwife) (n=5); key informant interviews with health policymakers/managers (n=3) and focus group discussions (FGDs) with CHWs (four FGDs; total n=27). Participants in two stakeholder consultative meetings included members from the government (n=8), non-government organisations (n=7), private sector (n=3) and universities (n=6).ResultsThe CHWs were engaged in a wide range of public health programmes and they also deliver NCDs specific programmes such as common NCDs screening, provisional diagnosis, primary care, health education and counselling, basic medication and referral and so on. These NCD prevention and control services are concentrated in those districts, where the WHO, Package for prevention and control of NCDs) program is being implemented. Some challenges and barriers were identified, including inadequate NCD training, high workload, poor system-level support, inadequate remuneration, inadequate supply of logistics and drugs. The facilitating factors included government priority, formation of NCD-related policies, community support systems, social prestige and staff motivation.ConclusionEngaging CHWs has been considered as key driver to delivering NCDs related services in Nepal. Effective integration of CHWs within the primary care system is essential for CHW’s capacity buildings, necessary supervisory arrangements, supply of logistics and medications and setting up effective recording and reporting systems for prevention and control of NCDs in Nepal.
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Marsh, Pauline, Amelie Fuller, and Judith Anderson. "Can a Home Care Package deliver a meaningful life? Challenges for rural home care delivery." Journal of Hospital Administration 10, no. 2 (April 2, 2021): 12. http://dx.doi.org/10.5430/jha.v10n2p12.
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Objective: To explore the capacity and responsiveness of the Home Care Package (HCP) Program to deliver the promise of a meaningful life for rural residents.Methods: In-depth interviews utilising appreciative enquiry in two local government areas in rural/outer regional Tasmania (MM2-6). Participants: Rural staff and residents who were either receiving, seeking or delivering support through the HCP Program.Results: Interviews revealed that positive impacts of being assisted to stay at home resulted when staff were able to provide support that was appropriate to need, and enabled the continuation of rural community engagement, individual autonomy and control. When the HCP did not provide these, or even hindered them, there were negative consequences, and feelings of confusion, mistrust, and disappointment for staff and residents. The rural context creates specific challenges for the HCP Program in its current form, related to service availability and choice, staff recruitment, training and availability, and client/provider needs mismatch.Conclusions: Older rural people are variously impacted upon by the HCP Program. Factors of rurality, including workforce issues, hamper the Program’s potential to positively contribute to a meaningful life. As demand grows, changes are needed. There is a need to examine the Program design for urban-centrisms, and gain a greater awareness of older rural people’s needs and rural service challenges.
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Ifejika, Philip I. "Assessment of Fisherfolk Information Seeking Behaviour with Mobile Phone for Improve Extension and Advisory Services." Journal of Agricultural Science 8, no. 11 (October 11, 2016): 170. http://dx.doi.org/10.5539/jas.v8n11p170.
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<p>The study assessed information seeking behaviour of fisherfolk with mobile phone in fishing communities around Kainji Lake basin, Nigeria. Primary data was generated through interview schedule from 165 respondents and analysed with descriptive and factor analysis. Result revealed that mobile phone improved information seeking behaviour of fisherfolk with associates in the fishing communities than with outsiders in government establishment. Kinds of information sought with mobile phone cut across economic, social and health issues in fish market, social gathering, fish catch/gear, health, weather and security related matters. Pattern of information seeking revealed regular use of close associates than extension workers. Close associates mostly contacted with mobile phone for information were fellow fisherfolk (64.2%), family members (64.8%) and community members (55.8%) but weak with fisheries institute (4.8%) and extension agents (0.6%). Fisherfolk rated voice call as the most effective medium in information seeking over flashing, SMS, voice message, video and pictures. Result of factor analysis categorised the challenges into poor financial status, inadequate knowledge and skill, poor network services and lack of energy to recharge mobile phone batteries. It is recommended that extension providers should use the established effective medium and pattern of information behaviour to package and disseminate messages to meet needs of fisherfolk in the lake basin. Interim measure is to provide tool free mobile lines to improve contact and trust to strengthen rapport. Also, mobile network operators should reduce tariff, improve quality of services as well as incorporate training in their social responsibility and promotion strategies for fishing communities to benefit.</p>
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Bracher, Mike, Jane Murphy, Katherine Steward, Kathy Wallis, and Carl R. May. "What factors promote or inhibit implementation of a new procedure for screening and treatment of malnutrition in community settings? A prospective process evaluation of theImplementing Nutrition Screening in Community Care for Older People(INSCCOPe) project (UK)." BMJ Open 9, no. 2 (February 2019): e023362. http://dx.doi.org/10.1136/bmjopen-2018-023362.
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IntroductionMalnutrition remains underdetected, undertreated and often overlooked by those working with older people in primary care in the UK. A new procedure for screening and treatment of malnutrition is currently being implemented by a large National Health Service (NHS) trust in England, incorporating a programme of training for staff working within Integrated Community Teams and Older People’s Mental Health teams. Running in parallel, the Implementing Nutrition Screening in Community Care for Older People process evaluation study explores factors that may promote or inhibit its implementation and longer term embedding in routine care, with the aim of optimising sustainability and scalability.Methods and analysisImplementation will be assessed through observation of staff within a single area of the trust, in addition to the procedure development and delivery group (PDDG). Data collection will occur at three observation points: prior to implementation of training, baseline (T0); 2 months following training (T1); and 8 months following training (T2). Observation points will consist of a survey and follow-up semistructured telephone interview with staff. Investigation of the PDDG will involve: observations of discussions around development of the procedure; semistructured telephone interviews prior to implementation, and at 6 months following implementation. Quantitative data will be described using frequency tables reporting by team type, healthcare provider role group, and total study sample (Wilcoxon rank-sum and Wilcoxon signed-rank tests may also be conducted if appropriate. Audio and transcription data will be analysed using Nomarlization Process Theory as a framework for deductive thematic analysis (using the NVIVO CAQDAS software package).Ethics and disseminationEthical approval for the study has been granted through institutional ethical review (Bournemouth University); NHS Research Ethics committee approval was not required. Dissemination will occur through presentations to academic and practitioner audiences and publication results in peer-reviewed academic journals.
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Tessema, Masresha, Aregash Samuel, Tsehai Assef, Tesfaye Hailu, Desalegn Kuche, and Aweke Kebede. "Quality of Community Based Nutrition of Integrated Refresher Training Provided for Health Extension Workers in Amhara Region, Northwest Ethiopia." Current Research in Nutrition and Food Science Journal 1, no. 2 (December 10, 2013): 157–67. http://dx.doi.org/10.12944/crnfsj.1.2.07.
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Improving nutrition contributes to productivity, economic development, and poverty reduction by getting better cognitive development, school performance, physical work capacity, and maintaining health status by reducing morbidity and mortality. Poor nutrition perpetuate the cycle of poverty. Community-Based Nutrition (CBN) is an important component of the National Nutrition Program, designed to build upon the Health Extension Program packages to improve nutritional status of under-five children and pregnant and lactating women. As part of this program shift, CBN training modules have been shortened and incorporated into the Integrated Refresher Training (IRT). The nutrition components of Integrated Refresher Training have not been assessed so far. This study aims to assess the quality of CBN component of integrated refresher training, stakeholder perceptions on the quality of training and change in the knowledge of HEWs. Institutional based cross-sectional study with both qualitative and quantitative data collection methods was used. Four Woredas were chosen purposively from a listing of all woredas receiving IRT module II in Amhararegion from June-July 2012. Many MTs and trainees mentioned difficulty of delivering the training as designed due to shortage of time allocated. This was alsoobserved in IRT sessions where MTs used additional than allocated time. Even though most trainees said the training on CBN component was adequate to give services to the community and significant knowledge change (p<0.05) was seen by participants after the training, it was observed that they failed to give all the appropriate advice related to CBN component during the field practice. Most of the HEWs reported that there was no supportive supervision for the last four months. In conclusion; the training that were given in four selected woredas of Amhara region were not quality wise and as designed. The IRT of nutrition component lack reporting and monitoring format. In all nutrition components of IRT and the allocated time for training is too short. The IRT of nutrition component is also not adequate for health extension workers to accomplish community based nutrition program. Thus, there should be additional training for the health extension workers.