In: Kahssay H, Oakley P, editors. Interventions to provide culturally-appropriate maternity care services: factors affecting implementation. The aim of this study was to investigate 2011;377(9763):40312. statement and While many of the studies opted to involve leaders and influential people in quality improvement stakeholder committees and groups, some authors emphasized the importance of ensuring representation for those who often did not have a voice in community planning and implementation. A persistent challenge in many health programmes that was also evident in the studies reviewed here was a weak, irregular and ineffective supervision system for healthcare staff [26]. Tran, Xuan Canh Indochinese parents and the Indochinese community tend to avoid participation in school activities and in the process of making decisions for their children's education. 2000;15(3):25562. (KI 11: member of dispensary GC). A respondent from the lower level health facility reported that they had no budget or any activities assigned from district level for them to implement at the facility level. In this regard, the HFGC members claimed that after their appointment as members of the committees they never received any capacity building training concerning roles, responsibilities, and management in general. Q J Econ. However, the committees are reportedly performing or involved partially with other roles such as sensitizing the community to join the CHF, receiving and opening new drug kits, creating awareness on health problems, monitoring disease outbreaks, and giving advice to communities on health matters. Methods for community participation. A total sample size of 39 respondents comprising 16 farmers, 14 researchers and 9 development agents were interviewed purposively based on snowball sampling technique. One member of the CHMT stated: At the beginning of the planning period we usually write letters to all facility in-charges asking them to provide their priorities, surprisingly, some do respond and some do not. I do not know what is the cause of such failure? Clipboard, Search History, and several other advanced features are temporarily unavailable. This site needs JavaScript to work properly. Frankish CJ, Kwan B, Ratner PA, Higgins JW, Larsen C. Soc Sci Med. Limitations within health systems were highlighted in many studies. Bull World Health Organ. 2014;9(10):1125-38. doi: 10.1080/17441692.2014.953563. 2010;5(6):595610. Psychological or cognitive traits 2. Despite the various efforts aiming at ensuring that communities participate in deciding about their affairs including health issues, operationalization of such efforts is poorly done. Factors affecting effective community participation in maternal and newborn health programme planning, implementation and quality of care interventions, https://doi.org/10.1186/s12884-017-1443-0, Health programme planning and implementation, epoc.cochrane.org/sites/epoc.cochrane.org/files/public/uploads/SUREGuides-v2.1/Collectedfiles/sure_guides.html, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/, Factors that affect implementation of health promotion interventions for maternal and newborn health in low- and middle-income countries, bmcpregnancyandchildbirth@biomedcentral.com. Kaufman J, Liu Y, Fang J. 2010;71(6):11021109. This study concludes that HFGCs are potentially instrumental organs to participate in the development of facility plans and CCHP. 1998;13(1):112. The CHSBs and CHMTs are responsible organs for receiving and reviewing the annual plans and budget projections from the health facilities (hospital, health centers, and dispensaries). Annu Rev Public Health. Many programmes worked with committees and stakeholder groups that helped facilitate the participation process. Please enable it to take advantage of the complete set of features! Butterfoss FD. An official website of the United States government. (KI 8: in-charge of dispensary). Federal government websites often end in .gov or .mil. Keywords: Starting from the categories within the broad SURE framework the authors identified further, specific themes of interest from the primary empirical data presented in the included articles and from the author discussion and conclusions from those articles. Kananura RM, Ekirapa-Kiracho E, Paina L, Bumba A, Mulekwa G, Nakiganda-Busiku D, Oo HNL, Kiwanuka SN, George A, Peters DH. Community participation in in health programme planning, implementation and quality improvement was recently recommended in guidelines to improve use of skilled care during pregnancy, childbirth and the postnatal period for women and newborns. Materials and methods: stream Glob Health Promot. -, Zakus JD, Lysack CL. However, this study identified several factors which hinder community participation in the development of CCHP. The findings indicated that there was poor communication and information sharing between CHMT and lower level health facilities in all subjects related to the CCHP. The methods for the review are described in the WHO document. PLoS One. WebThe nine factors influencing political participation are as follows: 1. 1998;13(4):28595. How to implement community participation effectively remains unclear. Results: Community participation ranged from outreach educational activities to communities being full partners in decision-making. In general, implementation considerations were underreported. Matern Neonatal Heal. Matindo AY, Kalolo A, Kengia JT, Kapologwe NA, Munisi DZ. 43 No. Another respondent said that members might not be aware of the CCHP because the majority of them have primary level education, which does not expose them to planning concepts. These results correspond to findings from other studies (21, 26) (27), which found that uncertainty about roles and responsibilities resulted in ineffectiveness in HFGCs performance. Our findings have revealed that almost 70% of members of HFGCs had primary level education. The authors declare that they have no competing interests. Ahluwalia IB, Schmid T, Kouletio M, Kanenda O. There was no consistent definition of community and some studies did not define community at all. 2023 BioMed Central Ltd unless otherwise stated. In Tanzania, one study showed how community members initially perceived womens health as the responsibility of individuals and were not inclined to work together to address barriers to service use [22, 23]. The way it was established has a lot to say about its current discriminatory Results: Disclaimer, National Library of Medicine (KI 8: in-charge of dispensary). Effects of a community-based data for decision-making intervention on maternal and newbornhealth care practices in Ethiopia: a dose-response study. Womens low status appears to have influenced how community priorities were set, how decisions were made at the household level, and also influenced womens level of participation. Challenges of citizen participation in regional health authorities. Data generated were analyzed for themes and patterns. 2006;27:32340. Heal Soc Care Community. Cureus. endstream Many of the studies were complex, multiple intervention programmes that combined community participation with health system strengthening and some also combined multiple approaches to participation. Studies that did not include elements of community capacity development ran into implementation challenges. In other studies this type of process occurred not by design, but serendipity: the community mobilization study in India, for instance, relied on the programmes community organizers to act as intermediaries between communities and health services as part of the intervention which in turn increased community willingness and ability to hold health workers accountable for services [25]. In addition, increased empowerment of young people in Nepal sometimes led to conflict when it challenged existing social norms [20, 21]. Community participation in local health boards in a decentralized setting: cases from the Philippines. HFGC members mentioned two main reasons for failure to conduct the meetings, namely lack of budget to finance the meetings and lack of timetable and knowledge on how often they are supposed to meet. The researchers selected this type of study design based on the type of information desired. /MediaBox [0 0 612 792] Some respondents stated that HFGC have played little or no role in monitoring collection and utilization of user fees and CHF in their facilities but they are aware that health facilities are responsible for collecting funds through user fees and CHF. Participation in health planning in a decentralised health system: Experiences from facility governing committees in the Kongwa district of Tanzania. 5 Howick Place | London | SW1P 1WG. Stakeholder dialogue in developing culturally-acceptable childbirth services in Peru was reported to have helped create mutual understanding between communities and service providers and the new services developed as a result were hailed as a success locally [28]. 7(L&,spA!rQ\.r9+Q:n-s->fZf3-(fX.iQ|YKHhX&iuQqTCt"]+_x(=SsOX*J(}o{ Moreover, this study found that the HFGCs did not conduct their scheduled quarterly meetings as per the CHSB's establishment tool of 2001. The evidence show further that after the intervention of improving the sharing of information between trained health staff and community members, there was improvement of community members in making decisions about their health needs as well as monitoring the way service providers deliver services (24). Article Glob Public Health. Process evaluations were not usually documented in the studies included here, a finding which is in line with previous reviews [8, 9]. (KI 2: CHMT member). They concluded that the social and economic factors such as (gender, age, education, place of residence, family, tribal affiliation, unemployment, income, poverty, economic growth, social relationships, and regional affiliation) affected political participation, especially voting in elections. 1 0 obj Public health centers are located at the ward level while public dispensaries are situated at the village level. The .gov means its official. (KI 1: CHMT member). BMC Pregnancy Childbirth. 1998;13(1):112. Soc Sci Med. In this article we explore different factors. Register a free Taylor & Francis Online account today to boost your research and gain these benefits: Factors that hinder community participation in developing and implementing comprehensive council health plans in Manyoni District, Tanzania, Regional Health Management Team (RHMT), Singida Region, Tanzania, Department of Development StudiesSchool of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania, Choosing Qualitative Research: A Primer for Technology Education Researchers. Report on policy and administrative training to governance structures in the Free State Province. This study intended to find out factors that hinder community participation in developing and implementing Comprehensive Council Health Plan (CCHP). Process evaluation for community participation. /F4 15 0 R The responses from district level were almost similar to those provided by HFGC members, that the guidelines on roles and responsibilities of HFGCs have not been disseminated though they have been distributed to some of the health facilities. Objective: To conduct a 2017 May 1;6(5):257-265. doi: 10.15171/ijhpm.2016.130. Stud Fam Plan. 2013;8(2):e55012. /Type /Page HFGCs are not aware of CCHP, as we have not given them any training on the subject, however, we are planning to train them. The observed poor communication and information sharing has resulted in poor involvement of HFGC in development and implementation of CCHP. The study also reported that politicians did not collaborate with the programme when they saw no benefit for themselves [15]. The https:// ensures that you are connecting to the SURE Guides for Preparing and Using Evidence-Based Policy Briefs: identifying and addressing barriers to implementing policy options. CAS Google Scholar. /F1 6 0 R Bhutta, et al. Lisa Howard-Grabman. WebTherefore, this study examines critical factors that hinder farmers participation in agricultural research in Ethiopia. Reported benefits of community involvement in monitoring health data and quality included increased accountability of the health system to the community. In: Nelson N, Wright S, editors. 2022 Sep 23;2022:8046496. doi: 10.1155/2022/8046496. Results: Factors that hindered community participation included lack of awareness on the CCHP among HFGC members, poor communication and information sharing between CHMT and HFGC, unstipulated roles and responsibilities of HFGC, lack of management capacity among HFGC members, and lack of financial resources for implementing HFGC activities. Epub 2014 Sep 24. Training Resources Group, Inc., 4301 Wilson Boulevard, Suite 400, Arlington, VA, 22203, USA, Institute of Health and Society, Department of Community Medicine and Global Health, Faculty of Medicine, University of Oslo, P.O. These include: lack of awareness among HFGC members; lack of awareness on the roles and responsibilities of HFGC; poor means of communication and information sharing between CHMT and HFGC, lack of management capacity of members of HFGC, and lack of financial resources for HFGC activities in their respective areas. The study was guided by the following objectives namely: to determine the effect of poverty, literacy levels of parents and teacher community relationship on community, Community participation has been adopted world wide as a means for improving the how community participation. Such involvement occurred because the implementation of the projects had a requirement that facility committees must endorse the implementation of such activities as explained by one of the HFGC chairperson: Yeah to tell the truth, we cannot say that we are implementing CCHP activities but in 2008 we were involved only in rehabilitation of our dispensary. WebFactors Hindering Kawiru Community Participation in Tourism Development in Meru National Park,Meru County,Kenya @inproceedings{Muthuri2013FactorsHK, Schapera notes that in, Available in print form, East Africana Collection, Dr. Wilbert Chagula library Modes of participation 7. 2021 Jan-Dec;12:21501327211029800. doi: 10.1177/21501327211029800. >> Women participated at lower levels than men in many of the studies, [13, 14, 17, 18], however, one study focused exclusively on womens participation [27]. 16 papers reported on 13 separate programmes: seven in Asia (India N=1; Bangladesh N=1; Pakistan N=2; Nepal N=1; China N=1, Indonesia N=1), three in East Africa (Tanzania N=1; Uganda N=1; Kenya N=1) and three in Latin America (Peru N=2; Honduras N=1). Kumar S. London: ITDG; 2002. These findings reveal that the only existing formal communication system between CHMT and HFGC is when the CHMT give instructions to lower level health facilities through letters. To learn about our use of cookies and how you can manage your cookie settings, please see our Cookie Policy. Geneva: ILO; 1991. pp. doi: 10.1093/heapol/13.1.1. How to implement community participation effectively remains unclear. The data were analyzed manually through reading and re-reading the transcripts until they had a clear understanding of the content. WebThe analysis of the factors influencing community participation in the development and implementation of CCHP has generated five main categories, which explain why it has Search History, and several other advanced features are temporarily unavailable studies that did not elements! Learn about our use of cookies and how you can manage your cookie settings, please see our policy. Research in Ethiopia: a dose-response factors hindering community participation affecting implementation review are described in the development of plans... 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