Dissertations / Theses: 'Community participation in health'

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Jewkes, Rachel Katherine. "Meanings of 'community' in community participation in health promotion." Thesis, King's College London (University of London), 1994. https://kclpure.kcl.ac.uk/portal/en/theses/meanings-of-community-in-community-participation-in-health-promotion(b6de367c-b093-4d06-a81b-42bb9746d344).html.

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Elsey, Helen. "Encouraging participation in a community health programme." Thesis, University of Southampton, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.427707.

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Casey, Lynda. "Perceptions of Community Health Board members regarding community empowerment and participation." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0008/MQ36347.pdf.

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Welschhoff, Anja. "Community Participation and Primary Health Care in India." Diss., lmu, 2007. http://nbn-resolving.de/urn:nbn:de:bvb:19-69547.

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Llewellyn-Jones, Lorraine M. 1951. "The relationship between health professionals and community participation in health promotion." Monash University, Faculty of Education, 2003. http://arrow.monash.edu.au/hdl/1959.1/7843.

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Roberts, Heather. "Promoting participation in health in the community using a health survey." Thesis, University of Nottingham, 1993. http://eprints.nottingham.ac.uk/12598/.

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Health promotion is an emerging discipline that seeks to enhance positive health and prevent ill health. This thesis is designed to inform practice in health promotion. It is based on an action research project that draws together interdisciplinary concepts of the measurement of health and community participation. In so doing it identifies the use of a survey, the Community Health Promotion Survey (CHPS). The thesis argues that when used creatively in this way a survey may simultaneously serve two purposes: first, measure health-related behaviour and, secondly, promote participation in health within a community. Thus, in this study, the survey process and its impact on the lay community were considered to be as important as the measurements of health-related behaviour obtained. Surveys to measure the health-related behaviour of whole populations have been well tested and standard methods were adopted. In this project two of the three local GP Practices gave permission for their FPC patients' lists to be used as a sampling frame which covered 75% of all Staveley's 13,420 adult patients. Lists were stratified by age and sex. A 20% systematic, random sample of 2,003 patients was drawn. The sample was shown to be representative by age and sex of the whole population. A postal survey of these patients, using two reminders, obtained a response of 59% after exclusions for non-delivery of 8%. Males and the elderly are under-represented in response. Teachers in all 3 local secondary schools agreed to administer the survey to their first and fourth year groups. Response from pupils attending school on the day on which the survey took place was 100%. Self-reported measurements of health-related behaviour were obtained, using reliable questions. For example, 23% of adult respondents were ex-smokers and 26% were daily cigarette smokers. 22% of respondents reported that they never drank alcohol and 18% of males had drunk more than 21 units of alcohol in the previous week. Analyses by chisquare and Mantel-Haenszel showed, generally, that the strongest influences on health-related behaviour were age and social class. For example, parental status was less strongly associated with levels of alcohol consumption than age. Re-administration of the adult survey to a matched sample identified changes in health-related behaviour, for example, there was a reduction in the frequency of egg consumption and younger people were more likely to have increased their frequency of drinking skimmed milk than older groups. The role of a survey in facilitating community participation is less well understood. Two crucial elements were therefore introduced and tested in the survey. These may be seen as early stages of community participation and contained key elements of "radical" survey methodology. First, the feasibility of surveying a range of non-representative "hard to reach" community groups was assessed. Of the 52 groups contacted 50 (96%) agreed to participate, with response being achieved from 47 (94%). Response rates from groups collectively was low (16%) but varied greatly between groups, reaching 86% in one instance. Groups producing the highest responses were social in nature, with a membership of 10 - 100. The study showed that many types of community groups will readily assist in the distribution and collection of questionnaires to group members. Secondly, extensive feedback from and about the survey to lay and professional individuals and groups was tested. Results showed that there was considerable lay interest in feedback. 62% of respondents selected, on average, three of the ten items offered. The summary of survey findings (38%) and healthy eating (36%) were of most interest, making up 40% of all feedback. Those often thought to be least interested in health, such as the unemployed, were just as likely to ask for information as others, although women requested 63% of all feedback. Information requested appeared to relate to the individual's circumstances with, for example, males in the "at risk" age group for heart disease asking for that leaflet. The impact of the CHPS on individual respondents and the lay community was measured. The study showed that awareness of the survey was raised amongst 40% of the community. Women (51%) were more likely to have heard about it than men (33%). The survey's ability to stimulate social networks was assessed. Friendships were shown to be the most important channels of information about the CHPS (37%). The family was of equal importance to posters (16%) in disseminating information about the survey. There was some evidence that, in a few groups, awareness of health issues had been raised and some activity had been generated. This appeared to be greater where contacts with a health promotion officer had been established. A surprising, and tentative, finding is that, in itself, the CHPS may have stimulated some change in a small number of individual respondents. Follow-through by professionals that builds on the surveying process and feedback may lead to more intensive levels of community participation. Practical opportunities for follow-through were identified, for example, systematic feedback about their own patients and school pupils to General Practitioners and teachers and feedback of a group's data to a participating community group. Response from health promotion professionals to follow-through opportunities were examined and found to be generally disappointing. The use of the method by policy makers, planners and practitioners was explored. Their dissemination of findings to other professionals and setting targets for changes in the population's health-related behaviour was similar to that observed elsewhere. However, practitioners' response to the implications of research for practice was negligible. It is recommended that health-related behaviour should continue to be seen as one limited but appropriate intermediate indicator for health promotion. The limitations of postal survey data need be recognised, for example, measurements often under-represent the health-related behaviour of some population groups, such as males and the elderly. Resulting bias in data are important considerations when using data in policy and planning, for example, setting targets for health promotion and monitoring population changes in health-related behaviour. Methods for increasing postal response from those known to be poorer responders are suggested, such as personalisation of postal contacts, telephone reminders and complementary data collection methods, including interviewing the elderly in their usual meeting places. It is recommended that, at a national level, reliable, standardised questions should be developed for use in postal surveys to facilitate comparison of data between populations. In terms of community participation in health it is proposed that, based on the CHPS experience, surveys in small areas to further examine their potential to promote participation in health should be carried out. Such studies should focus on examining ways in which surveys may activate social networks and innovative routes for feedback. Emphasis should be given to the use of data by practitioners and to identifying, carrying out and assessing the impact on the lay community of follow-through activities. It is recommended that training for health promotion staff in both research methods and community participation is required to underpin professional practice in community participation in health. The study demonstrated that a survey to measure health and, at the same time, promote participation in health was a feasible, coherent activity that was acceptable to the community. It may therefore be considered as one strategy by health promotion staff seeking economic and innovative methods for practice.

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Bartholomeaux, Frances Marie 1955. "Variables influencing community cardiopulmonary resuscitation course participation." Thesis, The University of Arizona, 1990. http://hdl.handle.net/10150/277318.

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This study investigated the variables influencing community cardiopulmonary resuscitation (CPR) course participation. Forty-seven adults, male and female, participated in a descriptive study. Three questionnaires were given to participants of two community CPR courses: the Cues to Action questionnaire, the Health Belief Model in Cardiopulmonary Resuscitation questionnaire, and the Health Self-Determinism Index. The results indicated positive relationships between an individual's perceived susceptibility of others and perceived benefits in CPR course participation and utilization, and between cues to action and intrinsic motivations, specifically health judgments. The results also demonstrated an expected negative correlation between perceived benefits and perceived barriers; i.e., the benefits outweighed the barriers to CPR course participation and utilization. The results are all marketable concepts which can be utilized in promoting CPR course utilization and participation.

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Chikonde, Nkandu. "Training clinic health committees: a vehicle for improving community participation in health." Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/27060.

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Objectives: In South Africa, and globally, community participation has become a key feature in the health system. In order for meaningful participation to occur within the health system several mechanisms have been identified as critical and this includes formation of health committees (HCs) at health facility level. Previous research indicates that health committees are imperative in both actualizing community participation and realisation of right to health. However, few studies have been undertaken to understand the impact training health committees has on community participation and right to health. This study sought to evaluate the impact training clinic health committees in community participation, health and human rights has on participation and right to health. The training been evaluated was led by Learning Network on Health and Human Rights and targeted four clinics in Cape Town Metropole of Western Cape, South Africa. The Learning Network is a grouping of five civil society organisations (CSOs) in Western Cape, South Africa at four universities which was launched in 2008 after the recognition of a gap in documented knowledge that CSOs had on health and human rights. The study explored health committees' changes in knowledge, perceived competencies, documented member's understanding of roles and HCs sustainability as well as the trainings impact on relationship between HCs and health service providers. Methods: The study was a multiple case study with multiple qualitative methods for data collection. Narrative data was collected through twelve in-depth interviews with health committee members, one facility manager, two focus group discussions and three physical observations across four health facilities. Health facilities were purposively selected from a list of health facilities trained by the Learning Network in 2014. Inclusion criteria also included English speaking health facilities and those in close proximity to each other. 2 Results: The study revealed that training HCs contributed to improved competencies, awareness and knowledge of community participation and the right to health. After the training, HC members were perceived to be more aware and responsive to their roles and responsibilities at the health facility. It was also noted that the training aided improved HCs perspectives on sustainability and roles, improved interpersonal skills and self-esteem. Conversely, the study revealed that despite the training improving participation and right to health, power imbalances between HC members and facility staff/managers who hold authority has a bearing on when and how participation occurs. Conclusion: The study demonstrates that training health committees contributed to improving the levels of community participation such as planning, consultation and advise [Arnstein, Rifkin and Loewenson] in the realisation of right to health. It is recommended for wider community participation that trainings of such magnitude are conducted together with facility managers/staff.

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Free, Pamela J. Smith. "Exploring Community Participation in Sustainable Williamson." Ohio University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1449057566.

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Al-Issa, Birgitta. "User participation in English and Canadian community mental health services." Thesis, Lancaster University, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.282605.

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Iroz-Elardo, Nicole. "Participation, Information, Values, and Community Interests Within Health Impact Assessments." PDXScholar, 2014. https://pdxscholar.library.pdx.edu/open_access_etds/1846.

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Health impact assessment (HIA) has emerged in the U.S. as one promising process to increase social and environmental justice through addressing health equity issues within planning. HIA practice is guided by values such as democracy and equity and grounded in broad social determinants of health. The most readily applied definition of democracy is problematic because it implies an element of direct, participatory engagement with the public. This is at odds with HIA practice that largely relies on stakeholder engagement strategies. This dissertation critically examines the engagement strategies of three transportation planning HIA cases to more fully understand how the HIA process may or may not promote democratic values and protect community health interests. It employs a multi-case study design that uses qualitative content analysis to trace community health interests through the HIA process, HIA document, and target plan. It finds that while the field is overstating the participatory nature of HIA, commitments to health equity and broad determinants of health protect community health interests with and without robust engagement of community stakeholders.

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Gilfillan, Beth. "CONSUMING A PARTICIPATION POLICY: CAMBODIAN HEALTH COMMITTEES." University of Sydney, 2008. http://hdl.handle.net/2123/6024.

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Doctor of Philosophy (PhD)
Participatory decision making practices were introduced into the Cambodian health sector in the late 1990s by the international development community. These practices were consolidated into a government policy in 2003. The participation policy requires lay citizens and other community representatives to be involved in management committees for health centres. In this thesis I report my research to ascertain if a participation policy results in strong participation. I did an ethnographic study of seven health centres in regional Cambodia. I found that participation levels of all lay citizens and other community representatives in health centre management were very low – the committees were only established where an international NGO supported them. Where the committees were operational, they were not decision making bodies. Community representatives including lay citizens had low levels of participation partly because of poor process design and lack of policy institutionalisation. This context enabled international NGOs to dominate and manipulate the committees. They used committees as a forum to educate community leaders about health, mobilise leaders to promote health centres, and lobby the government for changes in health centre management. By drawing together and extending the work of others, I show how in Cambodia both the participation process used in the study area and the national participation policy became commodities that were consumed in the game of international development. International development actors produced, marketed, and “sold” participation policies and processes and, in return, offered an implicit promise of resources to the government. As a result, lay citizens and other community representatives in Cambodia were short-changed by the consumption of participation policies and processes, being left without meaningful involvement in government decision making.

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Zembe, Yanga. "Community participation in the recruitment of community health workers :a case study of the three community health worker programmes in South Africa." Thesis, University of the Western Cape, 2009. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_7266_1299058637.

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This research investigates the nature and extent of community participation and involvement in the recruitment and selection processes for Community Health Workers (CHWs), primarily through detailed case studies of three CHW programmes, one in the Western Cape, another in KwaZulu-Natal, and a third which operates in the Western Cape and KwaZulu-Natal. The first utilizes CHWs in health education and home-based care in Khayelitsha and Nyanga. The second specializes in the training, management and supervision of home-based care CHWs in the rural areas of KwaZulu-Natal. The third utilizes CHWs in addressing maternal and child health issues in targeted peri-urban and rural areas in the three provinces. The mini-thesis is organized into five chapters: the first chapter provides the introduction and background as well as the methodological design of the mini-thesis
the second chapter focuses on providing a detailed literature review of relevant materials that cover the subject matter
the third chapter provides the descriptive background of the history of CHWs, CHW policies and community participation in South Africa, as well as a description of the three case study organizations
the fourth chapter describes and discusses the findings and the last and fifth chapter provides a summary of the findings as well as recommendations and conclusions.

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Glattstein-Young, Gabriela S. "Community health committees as a vehicle for participation in advancing the right to health." Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/10542.

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Includes bibliographical references.
The principles of Primary Health Care guided health system transformation in South Africa where community health committees represent formal structures for participation in health. While there is evidence to suggest that participation can assist the progressive realization of the right to health, this link is not well established in the literature and Southern African studies underscore a serious deficit in the implementation of meaningful community participation. The present study used multiple methods to explore the relationship between participation and the right to health and to draw lessons on best practice for community participation from three health committees in South Africa's Western Cape Province.

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Hasson, Marion. "Leveraging community participation through health committees to achieve health rights : the role of power." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/20369.

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The concept of health committees has been promoted as an effective mechanism for assisting communities to realize their health rights. These committees tend to be formal structures made up of representatives from local government, health facilities and communities. Much of the attention has focused on identifying strategies and interventions to strengthen health committees as vehicles for achieving the right to health and the focus has been on educating, raising awareness, training and policy advocacy. However, it is important to understand what participation looks like on the ground and to take in to account the day-to-day challenges and obstacles that health committees as a vehicle for community participation; interacting with stakeholders; and getting support from health facility managers and staff. These factors impact on the health committees 'ability to facilitate and support community participation, yet they are driven by power dynamics and human interactions and relationships. Little attention has been paid to these dynamics, which play an important role in meaningful community participation at grassroots. The Power Cube framework was used to explore the multiple dimensions of power that hinder or enable the health committees' ability to support the community to realize their right to health. The Power Cube framework allowed for an investigation of how power dynamics are perceived by a particular group, as well as providing for the comparison of different social, economic and political context. It enabled a comparison with different contexts where there are policies for supporting the community participation in health but implementation has been difficult it in practice.

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Lackey, Douglas Eugene. "Participation in rural health development : a case study in Kenya." Thesis, London School of Economics and Political Science (University of London), 1997. http://etheses.lse.ac.uk/2479/.

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Achieving active participation of community members in community-based health care programmes (CBHC) is a challenging and complex task. It is also a criterion for successful programming and is promoted as a universal truth and requirement for primary health care development. Nevertheless, most CBHC programmes admit that more needs to be done to achieve satisfactory levels of community involvement. Thus, a better understanding is required as to why success in community involvement has been in most part, elusive. The thesis uses a historical perspective to examine the emergence of participation in the period prior to and during the community development era in Africa and the post-independent period in Kenya. The emergence of participation and it's progression as an international health strategy in the 1980's and 1990's within WHO, a leading international organisation promoting community involvement in health is critically examined. At the community level, people's perception and understanding of community participation and an analysis of how they participated in the case study CBHC programme provided an operational assessment of community participation. A particular focus was community contributions as a mechanism of participation. Thus, the primary aim of this thesis was to examine in rural Kenya the socio-economic and institutional support factors which can potentially enhance or limit participation of community members in rural community-based health development programmes. The main socio-economic factors examined were education, income, group membership and domestic factors such as harmony in the household and women's time. The roles of local structures and support personnel such as community health volunteers (CHVs), health committee members (HCMs) and local leaders in promoting participation were also analysed. The method used was interviews with a sample of these respondents. Based on the case study research results, the thesis draws conclusions on the factors that appear to be most significant in relation to community participation. The importance of education, group membership and regular monthly visits by CHVs were identified as particularly significant factors. A more informed understanding of these relationships will enable health planners in designing integrated programme strategies which can help promote broader community participation in health development programmes. An awareness of these factors and their inter-relationships by operational-level health staff will enable them to enhance community participation when developing and implementing community-based health care programmes.

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Ruano, Ana Lorena. "The role of social participation in municipal-level health systems : the case of Palencia, Guatemala." Doctoral thesis, Umeå universitet, Epidemiologi och global hälsa, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-59865.

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Background: Social participation has been recognized as an important public health policy since the declaration of Alma-Ata presented it as one of the pillars of primary health care in 1978. Since then, there have been many adaptations to the original policy recommendations, but participation in health is still seen as a means to make the health system more responsive to local health needs, and as a way to bring the health sector and the community closer together. Aim: To explore the role that social participation has in a municipal-level health system in Guatemala in order to inform future policies and programs. Methods: The fieldwork for this study was carried out over eight months and three field visits between early January of 2009 and late March of 2010. During this time, 38 indepth interviews with provincial and district-level health authorities, municipal authorities, community representatives and community health workers were conducted. Using an overall applied ethnographic approach, the main means of data collection were participant observation, in-depth interviews, group discussions and informal conversations. The data was analyzed in two different rounds. In the first one we used documentary analysis, role-ordered matrices and thematic analsis (see papers I-IV) and in the second round, thematic analysis was utilized. Results: We found four themes that frame what the role of social participation in the municipality of Palencia is. The first theme presents the historical, political and social context that has contributed to shaping the participation policies and practices in Guatemala as a whole. The second theme takes a deeper look at these policies and how they have been received in the municipality of Palencia. The third theme presents data regarding the three situated practices of participation, each occurring at a different level: municipal, community and the individual level. Finally, the last theme presents reflections on what it means to participate to the people that were involved in this study. Conclusion: In the process of social participation there are two different and complementary kinds of power that depend on the amount and the kind of resources available at each level of the participation structure. Stakeholders that have higher levels of power to formulate policies will have better access to financial, human and material resources while stakeholders that have higher levels of power to implement policies will have resources like community legitimacy, knowledge of local culture, values and mores, as well as a deep understanding of local social processes. The coordination of financial, human and material resources is just as important as the legitimacy that comes from having community leaders involved in more steps of the process. True collaboration can only be obtained through the promotion and creation of meaningful partnerships between institutional stakeholders and community leaders and other stakeholders that are working at the community level. For this to happen, more structured support for the participation process in the form of clear policies, funding and capacity building is needed.

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Horsfall, Debbie. "The subalterns speak : a collaborative inquiry into community participation in health care /." View thesis, 1997. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20031126.150235/index.html.

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Horsfall, Debbie, of Western Sydney Hawkesbury University, Faculty of Social Inquiry, and School of Social Ecology. "The subalterns speak: a collaborative inquiry into community participation in health care." THESIS_FSI_SEL_Horsall_D.xml, 1997. http://handle.uws.edu.au:8081/1959.7/636.

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This thesis is about change, community and the health system. It is about women. It is about challenging the status quo and advocating for and with the less powerful. It is about fore grounding previously silenced voices, valuing the subjugated knowledge of people other than those who make the decisions. Many voices are woven together, including those of the author, community health workers, non-government agency workers, people who use community health services, and members of the public. This is a narrative of a group of people researching the issue of community participating in community health, concentrating on the Blue Mountains district of NSW. The inquiry centred on the premise that community participating is both desirable and achievable. The group spoke to over 100 people, and the conclusion was reached that, while community participation is promoted by the NSW Health Department, at present it is an idea that has not been thought through, is ill defined, and lacks support in practice. Debates about health and illness take place within a medical discourse, and there must be a reorientation to viewing health as a social phenomenon if community participation in decision making is to occur
Doctor of Philosophy (PhD)

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Boyce, William F. "Structural dimensions of the community participation process, the health promotion contribution program." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ27607.pdf.

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Anguish, Penny Marie Irene. "The real business of health care reform, community participation or local production?" Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ37391.pdf.

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Shugu, Yolisa. "Strategies and approaches that sustain community health committees in Nelson Mandela Bay Health District." Thesis, Nelson Mandela Metropolitan University, 2013. http://hdl.handle.net/10948/d1021003.

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Primary health care has been the cornerstone of South Africa's health policies since its transition to democracy in 1994. In order to optimise the effectiveness of primary health care, the South African government introduced community health committees hich were intended to facilitate primary health care at the grassroots level through community participation. As statutory bodies outlined in the National Health Act, 61 of 2003, and in provincial legislation, Community Health Committees were to be the liaison between communities and government and assist government in improving health services in communities. Since being re-established in 2010, Community Health Committees in the Nelson Mandela Bay Health District, Eastern Cape Province, South Africa have sought to fulfil this role and have remained sustainable. This research was aimed at investigating the strategies and approaches which sustain Community Health Committees in Nelson Mandela Bay Health District. It focused on eliciting information regarding the factors that sustain Community Health Committees, factors that threaten their sustainability and factors that motivate continued membership in Community Health Committees. Qualitative research methods of key informant interviews, observations and focus groups were used and analysed to identify these factors. The findings indicated that Community Health Committees struggle to remain sustainable because of various threats to their functioning. The major threat identified was the disengagement of the Department of Health in the operations of the Community Health Committees. The Department of Health was not visible; rather it was passive and unresponsive to the reports submitted by Community Health Committees on behalf of their communities and provided no re-imbursement for administration costs. Despite threats to sustainability, these Community Health Committees had commitment, passion and drive to assist with the health improvement of their communities in partnership with health facilities in their communities. Good interpersonal relationships in the Community Health Committees, good professional relationships with the health facility staff and the liaising role played by health facility management are some of the factors that contributed to sustainability. Recommendations were made at the end of the study that may assist the Nelson Mandela Bay Health District and the Department of Health to create a working environment that will be conducive to the sustainability of Community health Committees.

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Quantz, Darryl. "Public participation in health policy, a case study of the Region 4 Aboriginal Community Health Council." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/mq65131.pdf.

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Susanti, Suryane Sulistiana. "Community participation in improving maternal health : a grounded theory study in Aceh, Indonesia." Thesis, University of Manchester, 2014. https://www.research.manchester.ac.uk/portal/en/theses/community-participation-in-improving-maternal-health-a-grounded-theory-study-in-aceh-indonesia(f46ecd7c-bbb8-43b6-9a3f-053770a696fd).html.

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Indonesia has one of the highest rates of maternal mortality in Southeast Asia. Community participation has been known to reduce maternal mortality in some areas in Indonesia. However, in Aceh Province, the prevalence remains higher than the general Indonesian maternal mortality rate. The aim of this research was to gain an understanding of pregnancy and childbirth experiences from multiple perspectives, in relation to the use of maternal health services in Aceh, Indonesia. The conceptual framework was based on the importance of community engagement in improving maternal health. A qualitative study design with a grounded theory approach was utilised. This approach was chosen in order to gain an understanding of the social processes and ways in which experiences of pregnancy and childbirth are related to maternal death incidents. The process inherent in the method enabled the emergence of important theoretical concepts. A theoretical sampling strategy was employed. The data collection used multiple methods that involved a series of in-depth interviews, observations and focus group discussions with women, family members, a village leader and health professionals. The sample size was determined by data saturation (19 women, 15 family members, 7 health professionals, 3 kaders, 4 student midwives and 1 village leader participated). Ethical approval was gained and the research setting was in the two villages of Aceh Besar District, Aceh Province, Indonesia. Data were coded and analysed by following a constant comparison process. The emergent core category, entitled “maternal death: the elephant in the room” explains the views of the community about maternal death incidents in the research setting. The research findings highlighted that despite the maternal mortality rate still being high in the region, maternal death was not focused upon, as a problem within the community. The research findings revealed that maternal mortality was a hidden problem within the community, and was related to inadequate maternity practices in the village. The core category “maternal death: the elephant in the room” was found to consist of four interrelated categories. The categories of the value of midwifery in the community, desicion-making of maternity care, social control of the childbearing and distancing of maternal deaths; explain maternity practices in the community. Understanding of social processes related to maternal health can assist in informing strategies to improve the quality of maternal healthcare in Aceh Indonesia.

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Mntambo, Ishmael Mbuso. "Development of the Public Health model of Community participation in the Kwazulu - Natal primary health care system." University of the Western Cape, 2017. http://hdl.handle.net/11394/5978.

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Philosophiae Doctor - PhD (School of Public Health)
The purpose of this study was to develop the public health model of community participation for the KwaZulu-Natal primary health care system. The model is intended to improve the understanding of community participation and to explore its potential value in strengthening the facilitation of health promotion in the health facilities.

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Kendall, Sally. "An analysis of the health visitor-client interaction : the influence of the health visiting process on client participation." Thesis, King's College London (University of London), 1991. https://kclpure.kcl.ac.uk/portal/en/theses/an-analysis-of-the-health-visitorclient-interaction--the-influence-of-the-health-visiting-process-on-client-participation(f8c15627-cbdf-4c34-a681-b27df3cff770).html.

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Hallström, Xuehong. "Participation of patients with schizophrenia : systematic overview on participation in community and health care decisions of people with schizophrenia." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-36870.

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Terry, Rachel Elizabeth. "The Influence of Sense of Community on the Relationship Between Community Participation and Recovery for Individuals with Serious Mental Illnesses." PDXScholar, 2017. https://pdxscholar.library.pdx.edu/open_access_etds/3679.

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The Community Mental Health Act of 1963 launched the deinstitutionalization movement, whereby individuals with serious mental illnesses were released from psychiatric hospitals and began living and receiving mental health care in the community (Carling, 1995). However, these actions have not necessarily integrated those individuals into all aspects of community life (Dewees, Pulice, & McCormick, 1996). This is unfortunate because people with serious mental illnesses frequently report that community integration is not only important to them, but that it also aids in reducing symptoms and promoting recovery (Townley, 2015). Although past research suggests that receiving mental health care in the community has a positive impact on symptom management, the influence of other community factors (e.g., sense of community, community participation) has yet to be fully explored (Segal, Silverman, & Temkin, 2010). Furthermore, there is lack of understanding as to how these community factors influence other aspects of recovery, such as mental and physical health. As such, the goal of the current study is to better understand the association between community participation and recovery by investigating sense of community as a potential mediating factor between community participation, psychological distress, mental health, and physical health. Data were collected from 300 adults with serious mental illnesses utilizing community mental health services in the United States. Results indicated that sense of community partially mediated the association between community participation and mental health, as well as psychological distress, and fully mediated the association between community participation and physical health. Implications include contributing to the current knowledge base about the role of community factors in recovery and informing future interventions aimed at promoting community integration of adults with serious mental illnesses.

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Cortes, Soraya Maria Vargas. "User participation and reform of the Brazilian health system : the case of Porto Alegre." Thesis, London School of Economics and Political Science (University of London), 1995. http://etheses.lse.ac.uk/2445/.

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Municipal health commissions have been key elements in the reform of the Brazilian health system over the past thirteen years. The reform made publicly financed health care, in principle, universally accessible, while the system became better integrated as well as decentralised. Municipal health commissions have become a widespread institutional feature of the health system. They have gradually increased their planning and supervisory roles over health services located within their territorial jurisdiction. The participatory schemes of municipal health commissions can achieve better results in areas where they have the support of strong social and trade union movements. This is the case in the southern region of Brazil and, in particular, in Porto Alegre. This study analyses the ways in which users were involved in the municipal health commission of Porto Alegre, between 1985 and 1991, verifying which institutional-political factors have most influenced their involvement. The study develops a "methodology" for the assessment of user participation in statutory fora. The attendance lists and minutes of meetings, interviews with regular participants in the forum, and other sources of information, were used to build up indicators of user involvement and of the factors that could influence the participatory process. Two main sets of variables are identified. The first set of indicators is concerned with the ways in which users participated in the commission. Two indicator-variables were created to assess this participation: the attendance of users at weekly plenary meetings of the commission (the decision-making division of the forum) and the types of involvement of user representatives in the decision-making process. The second set of indicator-variables refers to institutional- political factors that could have most influenced the participation of users. Among these are; (a) major policy changes in the institutional framework of the Brazilian health system, (b) changes in the organisation of urban social movements in Porto Alegre (since trade unions had not regularly participated in the work of the commission), (c) changes in the relationship between public health professionals and leaders of urban social movements, (d) the types of interest which municipal, state and federal health authorities had in promoting the participation of user representatives in the decision-making process, and, finally, (e) the types of issues discussed in the majority of plenary meetings. Relationships were then established between both sets of variables to verify which factors most influence this involvement. The study concludes that, between 1985 and 1991, variations in the attendance of users at plenary meetings, as well as variations in the type of involvement user representatives had in the decision-making process of the forum, were strongly associated with important changes: (1) in the institutional framework of the Brazilian health system, (2) in the organisation of urban social movements in Porto Alegre and (3) in the relationship between public health professionals and leaders of urban social movements. The position of municipal health authorities on user participation has also influenced user involvement in the commission. The other factors, however, had apparently determined only short term changes in user involvement. The study also highlights the role of Brazilian health system reformers as promoters or stimulators of these changes. This policy community had a central role in attracting urban social movement activists to become involved in these formalised fora. They can be regarded as policy formulators as well as an active part of an alliance established between them and urban social movement activists. In the case of Porto Alegre, it is possible to affirm that social organisations, particularly those representing shantytown populations, sustained consistent involvement of their representatives in the overt political spaces of the local and municipal health commissions. These commissions had limited power over health services in the city, mostly due to delays in placing these services under municipality control. However, the case examined indicates the gradual formation of an alternative type of political relationship in the health sector in Porto Alegre, in which the interests of the urban shantytown residents are represented formally and publicly. In this sense, the consolidation of participatory fora can assist in the democratisation of Brazilian institutions, giving voice to social sectors traditionally excluded from the political system. Through their involvement in the commission, these representatives were also increasing the responsiveness of publicly financed health services to the needs of users who, individually, lacked the political power to sustain their demands.

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Arowoiya, Ayorinde Ibukun. "Participation restrictions of stroke patients living in the community at selected community health centres in the Metropole Districts in the Western Cape, South Africa." University of the Western Cape, 2014. http://hdl.handle.net/11394/4680.

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Magister Scientiae (Physiotherapy) - MSc(Physio)
Stroke is the second leading cause of death globally and the consequences on human and economic health are of major concern. The aim of this study was to determine and explore the participation restrictions experienced by stroke patients. The study populations were stroke patients living within the community in Western Cape, South Africa. A mixed methods approach was used to collect data in this study which consisted of two phases. For the first phase, the descriptive, observational cross sectional design was used to determine the participation restrictions of stroke patients living within the community and the factors associated with community with respect to integration. In this phase, an interviewer- administered questionnaire was used to collect data; the instrument for this study is the standard World Health Disability Assessment Schedule 2.0 (WHODAS 2.0) for disability assessment which includes the International Classification of Functioning Health and Disability (ICF) concept in disability assessment which has been tested and found to be reliable and valid, to determine various participation restrictions among stroke patients living in the society. While in the second phase of this study, two focus group discussions were conducted at the selected community health centre; these participants were conveniently selected from those who participated in the first phase of the study. This was conducted to retrieve in-depth information on difficulties encountered in participating in daily life situations. The Statistical Package for Social Sciences (SPSS) was used for descriptive and inferential statistics. Chi square and Anova t-test was used to determine the association between the demographics statistic and participation restrictions. Alpha level was set at 0.05. For qualitative findings, audiotaped interviews and note taken were transcribed and translated into English; the expressed ideas were coded and reduced into subthemes, themes and categories. Ethical clearance and permission to conduct study was sought, consents from participants were sought, clearly stating the right to participate and withdraw from the study was respected and anonymity and confidentiality has been ensured. The result of the study showed that participants encountered difficulty with cognition, (23.3% of participants reported severe difficulty in learning a new task; 20% reported severe difficulty analyzing and finding solution to day to day activities), mobility (34% acknowledged difficulty walking a long distance like one kilometer after stroke), self-care ( 44% indicated difficulty staying alone for few days after stroke, while the majority, 61% complaints of difficulty with getting dressed by self), getting along with people with the majority of the difficulties (36%) are sexual activities, household activities with major complaints (46.6% and 31.4%, for severity and exemption respectively) in getting needed household work done, severe difficulty (51.7%) reported in relaxation and pleasure after stroke, 50.8% been financially restrained after stroke, 40% with difficulty in joining in the community activities, 39.2% severely affected by people perception towards them and 25.8% of the participants indicated extreme time spent on health; all difficulties investigated within the society 30 days after the incidence of stroke. However, the result of the qualitative phase reported the participation restrictions experienced by the participants. Difficulty in cognition was reported, which promotes indiscipline among family members. Limitation in activity level such as in mobility (walking for a long distance, standing from a sitting position), in self-care (washing the whole body, eating, staying alone after stroke), in getting along (maintaining friendship, sexual activities), in household activities and work activities was reported. Participants experienced difficulty in joining in community activities, emotional fluctuations, poor perception of attitudes of others after stroke, excessive use of time on health conditions, increased financial impact of health condition and burden impact on family was reported. Environmental barriers such as transportation and toilet facilities were reported. The current study findings suggest appropriate and specific programmes should be aimed at improving participation among stroke survivors in the community.

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Kloseck, Marita. "Building a self-sustaining community system of health support for the elderly, determinants of individual participation in voluntary community action." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/NQ51205.pdf.

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Wild, Andrea Jane. "Community participation in health improvement programmes : a case study of tensions between policy and practice." Thesis, University of Warwick, 2003. http://wrap.warwick.ac.uk/2669/.

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This thesis explores the tensions between policy and practice in community participation in Health Improvement Programmes (HImPs). The HImP is used as a vehicle through which partnership working and public participation is health planning in the ‘new NHS’ may be explained, The literature review discusses key theories and models of community participation, power and policy implementation which informed the development of my key research questions and strategy. A review of the global, national and local influences upon a community participation in health planning is supplemented with primary research in the form of a detailed case study of one locality’s response to the national requirement to involve the public in the development of their HImP. A multi-method case study was employed using the following methods of data collection: observation, interviews, questionnaires and documentary analysis. The research presented identifies a number of issues as significant in affecting a locality’s approach to public participation, including: power; the organisational cultures(s) within the HImP partnership; the attitudes and capacity of those charged with developing participatory activities; and the impact of national priorities on local flexibility to respond to community identified priorities. The application of Alford’s (1975) structural interests theory to the findings provides a useful framework for assessing power relations and understanding why the HImP fails to represent community interests in the way that had been hoped. A number of recommendations are made to facilitate participation in health planning in the future, including: the need to address the national culture of risk avoidance; the need for better training in public participation skills for personnel charged with developing participatory opportunities; and the need for a mandatory performance framework related to community participation as a mechanism to ensure that participation issues are given the same attention as other nationally monitored issues.

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Abdelgadir, Muzamil H. "Testing of a new approach to community participation at the Sudanese village level." Thesis, University of Salford, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.305832.

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Young, Janelle Margaret. "A pilot investigation of the volunteer work participation of mental health consumers." Curtin University of Technology, School of Occupational Therapy, 2008. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=18537.

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Mental illness is often associated with social isolation, unemployment and limited community participation. Mental health rehabilitation services aim to decrease these psychosocial effects of illness and encourage better community integration for mental health consumers. Volunteer work is one avenue in which consumers can become actively involved with their local communities. However whilst often supported clinically, limited empirical evidence exists which supports the use of volunteer work as a potential mode of rehabilitation for consumers. The overall aim of this study was to document consumer perceptions and experiences with volunteer work and to identify if participation in volunteer work has a positive impact on their mental health. Phase one of this study involved in-depth interviews with nine consumers currently volunteering. Themes identified from these interviews supported the notion that volunteer work is a meaningful occupation for consumers and one which promotes community integration and supports consumer recovery. Findings from the interviews also guided the development of a volunteer scale for later use within the study. Phase two involved the development and pilot testing of a volunteering questionnaire which measured consumer attitudes and experiences with volunteer work. This scale was combined with other standardised tests which measured the mental health variables of personal empowerment and quality of life. Phase three involved the administration of the questionnaire battery developed in phase two. The battery was distributed and completed by thirty consumers, including both those who were and were not volunteering. Analysis conducted identified that overall consumers held a positive view of volunteer work, believing it was a way of developing work skills, friendships and promoting positive mental health.
Analysis comparing the volunteering to the non volunteering group indicated that those volunteering experienced better quality of life, specifically within the psychological health, social relationships and personal environment domains. This provides support for the hypothesis that participation in volunteer work promotes consumer recovery. However, age was identified as a potential confounding variable and so the significant results should be viewed with caution. Cost, stigma and becoming unwell during volunteering were identified as barriers to consumer participation. It is argued that mental health services are in a good position to support consumers not only to access but also to maintain ongoing volunteer participation. To date minimal evidence has existed that supported this intervention. This study has begun to fill this research void, however, small study numbers and the cross-sectional, descriptive design make establishing a cause and effect relationship impossible. It would thus be beneficial to conduct a larger study investigating the impact further, including measuring the influence of any interventions that promote consumer participation in volunteer work, such as supported volunteering.

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Lavoie, Josée G. (Josée Gabrielle). "Public health politics in Nunavik health care : shared concepts, divergent meanings." Thesis, McGill University, 1993. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=69633.

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In Nunavik, the question of self-determination in health care is becoming increasingly embedded in the community health discourse, which is used by both health planners and Inuit alike to negotiate diverging positions. While health planners envision northern health care as a subset of the Quebec system, Inuit perceive it as a vehicle to ends that transcend conventional health issues. This thesis will provide an overview of the development of Nunavik health services since the James Bay agreement, focusing on how the use of the community health discourse serves to promote, but also shapes and limits regional and community self-determination.

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Meyer, Julienne Elizabeth. "Lay participation in care in a hospital setting : an action research study." Thesis, King's College London (University of London), 1995. https://kclpure.kcl.ac.uk/portal/en/theses/lay-participation-in-care-in-a-hospital-setting--an-action-research-study(e6309043-5c3d-45df-8939-375351712445).html.

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Yenn, Roumany Nate Hongkrailert. "Participation of village health volunteers in nutritional activities program, Muang district , Sakeo province, Thailand /." Abstract, 2006. http://mulinet3.li.mahidol.ac.th/thesis/2549/cd387/4837992.pdf.

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Morris, Chad Tyler. "ASSESSING FACTORS INFLUENCING PARTICIPATION AND DISSEMINATION IN COMMUNITY-BASED PUBLIC HEALTH COALITIONS: AN EXPLORATION OF SOCIAL CHANGE." UKnowledge, 2009. http://uknowledge.uky.edu/gradschool_diss/720.

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The community-based public health coalition has proliferated in public health practice since the 1970‘s as a favored means of achieving community participation in public health promotion. There is concern, however, that many contemporary coalitions are not particularly inclusive, and that population health indicators fail to demonstrate significant improvement in health outcomes resultant from coalition practice. This dissertation research was designed to critically examine participation and dissemination of coalition-derived ideas through ethnographic study of five community-based participatory public health coalitions in the United States. The research answers calls from public health scholars to improve upon the coalition theory base and to contribute a useful theory of dissemination of public health interventions. At the same time, the research contributes to anthropological calls for better understanding of mechanisms that discourage the participation of all stakeholders. The research uses a theoretical model – Habermas‘ Theory of Communicative Action – that sees participation and dissemination as linked phenomena. The research was designed to contribute to an existing theory of coalition function, Butterfoss and Kegler‘s Community Coalition Action Theory. Qualitative evidence of communicative action was gathered through participant observation of coalition meetings and semistructured interviews with a purposive sample of members of each study coalition. Data were compared across coalitions and across respondent categories to determine variation in diversity of coalition participation and forms of coalition-derived communicative action; as well as indicators associated with motivation for coalition participation, barriers to participation, and dissemination of ideas both in coalition meetings and to broader discourse communities outside the coalition. The results of this applied research include the creation of a typology of diversity of coalition participation, improved understanding of differences in motivation for coalition participation between members in- and outside of the social services sector, the identification of collateral idea exchange as a key coalition outcome, and means of overcoming barriers to participation and dissemination. In addition to representing contributions to theory within anthropology and public health, these results have been shared with leaders of each of the study coalitions.

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Tembo, Attracta C. "Exploring community participation in a diarrhoea prevention program in Kanyama, Lusaka, Zambia." Thesis, University of the Western Cape, 2007. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_5117_1257946425.

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The program that was studied is part of the Child Health Program devised and supported by CARE International and implemented in Kanyama, a high density and low cost community found on the outskirts of Lusaka, Zambia. Diarrhoea was identified as one of the three most common diseases affecting the children under the age of five years. Through community participation, the program was implemented by the Kanyama residents to reduce the cases of diarrhoea, malaria and pneumonia among children aged five years and under. The main aim of this study was to explore the perceptions of the impact of community participation by the community leaders and community members in the diarrhoea prevention program and to establish constraints affecting participation.

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Arnadottir, Solveig. "Physical activity, participation and self-rated health among older community-dwelling Icelanders : a population-based study." Doctoral thesis, Umeå universitet, Sjukgymnastik, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-35823.

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Background: The main objective of this study was to investigate older people’s physical activity, their participation in various life situations, and their perceptions of their own health. This included an exploration of potential influences of urban versus rural residency on these outcomes, an evaluation of the measurement properties of a balance confidence scale, and an examination of the proposed usefulness of the International Classification of Functioning, Disability and Health (ICF) as a conceptual framework to facilitate analysis and understanding of selected outcomes. Methods: The study design was cross-sectional, population-based, with random selection from the national register of one urban and two rural municipalities in Northern Iceland. There were 186 participants, all community-dwelling, aged 65 to 88 years (mean = 73.8), and 48% of the group were women. The participation rate was 79%. Data was collected in 2004, in face-to-face interviews and through various standardized assessments. The main outcomes were total physical activity; leisure-time, household, and work-related physical activity; participation frequency and perceived participation restrictions; and self-rated health. Other assessments represented aspects of the ICF body functions, activities, environmental factors and personal factors. Moreover, Rasch analysis methods were applied to examine and modify the Activities-specific Balance Confidence (ABC) scale and the ICF used as a conceptual framework throughout the study. Results: The total physical activity score was the same for urban and rural people and the largest proportion of the total physical activity behavior was derived from the household domain. Rural females received the highest scores of all in household physical activity and rural males were more physically active than the others in the work-related domain. However, leisure-time physical activity was more common in urban than rural communities. A physically active lifestyle, urban living, a higher level of cognition, younger age, and fewer depressive symptoms were all associated with more frequent participation. Rural living and depressive symptoms were associated with perceived participation restrictions. Moreover, perceived participation restrictions were associated with not being employed and limitations in advanced lower extremity capacity. Both fewer depressive symptoms and advanced lower extremity capacity also increased the likelihood of better self-rated health, as did capacity in upper extremities, older age, and household physical activity. Rasch rating scale analysis indicated a need to modify the ABC to improve its psychometric properties. The modified ABC was then used to measure balance confidence which, however, was found not to play a major role in explaining participation or self-rated health. Finally, the ICF was useful as a conceptual framework for mapping various components of functioning and health and to facilitate analyses of their relationships. Conclusions: The results highlighted the commonalities and differences in factors associated with participation frequency, perceived participation restrictions, and self-rated health in old age. Some of these factors, such as advanced lower extremity capacity, depressive symptoms, and physical activity pattern should be of particular interest for geriatric physical therapy due to their potential for interventions. While the associations between depressive symptoms, participation, and self-rated health are well known, research is needed on the effects of advanced lower extremity capacity on participation and self-rated health in old age. The environment (urban versus rural) also presented itself as an important contextual variable to be aware of when working with older people’s participation and physically active life-style. Greater emphasis should be placed on using Rasch measurement methods for improving the availability of quality scientific measures to evaluate various aspects of functioning and health among older adults. Finally, a coordinated implementation of a conceptual framework such as ICF may further advance interdisciplinary and international studies on aging, functioning, and health.

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Tsoabisi, Sello. "Investigating the extent and efficiency of community participation in primary health care in Khayelitsha, Cape Town." Thesis, Cape Technikon, 2004. http://hdl.handle.net/20.500.11838/1669.

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Thesis (MTech (Public management))--Cape Technikon, Cape Town, 2004
The evolution of the South African health system has been characterised by inequities, imbalances as well as fragmentation. The unification of South Africa in 1910 did not consolidate public health administration, which was characterised by increasing institutionalisation, professionalism and organisation. This was the status-quo up until after 1990, whereby there were marked efforts and endeavours to effect defragmentation. In the context of the dramatic political changes that the country has seen over recent years, many aspects of local health care have been upgraded. Issues such as policy making and planning, the development of human resources and training for health care and the establishment of health systems and structures requires a different approach from the previous. Effective human resources development and management in consultation with communities, can contribute towards improvement of service delivery around health issues. Personnel matters and skills development should be considered in the exercise to boost employee morale and job satisfaction. The challenge facing South Africa has been to design a comprehensive programme to redress social and economic injustices, to eradicate poverty, increase efficiency and reduce waste. In the health sector this has been ongoing to involve the complete transformation of the national health care delivery system and the relevant institutions. Health care workers jointly, require the right skills, knowledge and expertise with attitude in their duties and obligation to serve the community.

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Gumbi, Nkhosivile M. "To evaluate the roles and functioning of community health committees within the Nelson Mandela Bay Municipality." Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/d1020389.

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Community participation is a concept that has been advocated for by bodies such as the World Health Organization (WHO) for over two decades. In South Africa, community participation was included in the National Health Act (61 of 2003). Clinic and Community health facility committees were legislated as a method of involving communities in promoting health and improving health outcomes. During the year 2010, a process was initiated by the Nelson Mandela Bay Municipality (NMBM) to establish and train health committees at all health facilities. The purpose of this research report was to evaluate the effectiveness of community health committees within the Nelson Mandela Bay Municipality, since 2010. Guidelines given in the Policy on the Establishment and Functioning of Clinic and Community Health Centre Committee (2009) were utilized as a point of reference for this study. The results showed that the community health committees trained in 2010 were functioning effectively as a result of the policy guidelines given. There still needs to be an improvement in the involvement of ward councilors, as stipulated in the National Health Act (61 of 2003), as well as in the implementation of the fundraising role, as set out in the Health Departments policy guidelines for health committees to implement.

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Law, Kristi Lohmeier. "An exploration of the quality of citizen participation| Consumer majority boards of community health centers in Iowa." Thesis, The University of Iowa, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3566678.

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Quality citizen participation in processes of policy development is crucial to a democracy interested in equity of voice for all its citizens. Citizens with less political power, however, are often absent from policy development for a variety of reasons, despite legislative and advocacy efforts for inclusion. In policy development processes, community representatives are a mechanism for traditionally marginalized or disadvantaged citizens to have a voice; yet the question remains how to effectively utilize that voice. This question stems from research demonstrating an increase in quantity citizen participation but not in quality citizen participation, which is more interested in the process of policy development as opposed to a final product. To understand quality citizen participation, a critical ethnography guided by a socio-ecological perspective allowing for the investigation of contextual as well as individual factors impacting policy development processes was conducted to assist in advancing knowledge about the best practices necessary to facilitate quality citizen participation in policy development. The policy development process explored in this qualitative study was the context provided by three CHCs in a Midwestern state. Information was gathered about these three CHC boards from multiple sources to best represent the context surrounding participation on the boards and that participation experience from the perspective of board members. The data analyzed included: descriptive statistics of seven counties which comprised the patient community of the three CHCs participating in the study, descriptive statistics of the patient communities of those three CHCs, interviews with national and state policy experts, the clinic directors and board chairs of the three CHCs and interviews with 16 board members of the three CHCs. Analysis of these data identified individual, relational, organizational, community and public policy level factors which impacted the participation of board members of three CHCs. For example, the education and background experiences of board members (individual) as well as relationships between board members and the management teams of the clinics (relational) facilitated the quality of their participation on the boards. Contextual knowledge of economic, political, and cultural factors were discovered for each of the three clinics, and proved important to understanding the quality of participation of board members.

Social work educators and practitioners will benefit from the advancement of knowledge about what factors facilitate the quality of citizen participation in policy development processes. The results of this study suggest that practitioners interested in empowering consumers to have a role in the provision of services need to understand what facilitates the quality of citizen participation to ensure that consumers have a legitimate voice in policy development and implementation processes. The results of this study also inform our understanding of citizen participation in multiple policy development processes. For example, because legislators will benefit when barriers to the quality of citizen participation are identified, educators teaching social work students about macro practice will have concrete lessons to draw from; practitioners who work with non-elected members of boards will benefit from barrier identification allowing them to assist in the empowerment of future board members engaged in policy development on a wide variety of boards; and finally actual board members, especially those representing traditionally disadvantaged or marginalized communities, will benefit from knowledge gleaned from similar experiences, and educators teaching social work students about the benefits of advocacy and empowerment could assist to make their participation more effective.

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Harvey, Gwen. "Health and wellbeing impacts associated with active participation in community gardens, in the context of sustainable development." Thesis, University of Exeter, 2015. http://hdl.handle.net/10871/18032.

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Interest in the concept of 'wellbeing' is gaining prominence among academic researchers, policy makers and planning bodies within the UK and internationally. This emerging agenda is often in the context of efforts to promote sustainable communities through environmental initiatives, such as community gardening, which aim to link communal activities with individualised lifestyle preferences and behaviours. This thesis explores the ways in which health, wellbeing and social development are intricately implicated in sustainable living initiatives, and how such initiatives can be applied to enhance health, wellbeing and social development at both individual and community levels through exposure to greenspace in the form of community gardens. This thesis takes an ethnographic approach into the study of community gardens in areas of social disadvantage in Plymouth. Findings provide empirical evidence showing that active participation in the community gardens result in health, wellbeing and social development impacts for individual participants directly involved within the garden. Findings at the community level were more mixed, providing insights into barriers to exclusion and inequalities in and across communities within the study area. The results of this thesis provide a greater appreciation of how sustainable living initiatives can provide social and economic opportunities which can promote health and wellbeing for individuals and communities and contribute towards sustainable design of urban areas with the use of green infrastructure. Stemming from these results is the call for increased collaboration between public health officials and spatial planners to incorporate and utilise green space community initiatives in urban areas to enable health and wellbeing impacts to become realised and sustained at an individual and community level.

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Holliday, Christopher Scott. "Understanding Member Engagement through Participation and Commitment in a Community-Based Health Coalition, 1994-2008: A Mixed-Methodological Study." unrestricted, 2008. http://etd.gsu.edu/theses/available/etd-07182008-165543/.

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Thesis (Ph. D.)--Georgia State University, 2008.
Title from file title page. James Emshoff, committee chair; Bethann Cottrell, Marci Culley, John Peterson, Sarah Cook, committee members. Electronic text (202 p. : ill. (some col.)) : digital, PDF file. Description based on contents viewed Nov. 19, 2008. Includes bibliographical references (p. 153-165).

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Lamont, Sharon Saint. "We're the last in everything : participation in two community health projects in the north east of England." Thesis, University of Newcastle Upon Tyne, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.324791.

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Morris, Chad Tyler. "Assessing factors influencing participation and dissemination in community-based public health coalition an exploration of social change /." Lexington, Ky. : [University of Kentucky Libraries], 2009. http://hdl.handle.net/10225/1053.

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Thesis (Ph. D.)--University of Kentucky, 2009.
Title from document title page (viewed on September 17, 2009). Document formatted into pages; contains: ix, 224 p. : ill. Includes abstract and vita. Includes bibliographical references (p. 210-222).

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Madyibi, Nwabisa. "The sustainability of health committees in the Nelson Mandela Bay health district." Thesis, Nelson Mandela Metropolitan University, 2013.

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Purpose of this treatise- This Paper aims to investigate the Sustainability of Health Facility Committees in the Nelson Mandela Bay Health District. Design/methodology/approach – This study consists of a literature review and a pilot study. Qualitative research approach was used in order to obtain descriptive data from the targeted group. The primary sources of data collection the researcher used were from the members of the committee, health facility manager, chairperson and the health promoter who are members of the health committees. Focus group discussions with health committees were conducted to provide rich in-depth data. Literature and journal articles were also used to provide secondary data to corroborate findings. Research limitations- A major limitation to this study is that due to the nature of the nature of the research report it was not possible to assess the sustainability of health Facility Committees from other areas in the Nelson Mandela Bay Health District. Findings-The study has revealed that Community Health committees are sustained by the commitment and passion members have for the work done in the facilities and health committees. The study also revealed that social cohesion plays a major part in the sustainability of Community Health Committees (CHC). Lack of involvement by ward councilors, support from the Health Department, uncertainty of responsibilities by the health committees and limited skills were indicated as major setbacks threatening the sustainability of Community Health Committees. It can thus be concluded that these limitations must be properly addressed in order to enable and uphold the sustainability of Community Health Committees. Original/value -So far, there has been limited research which has been undertaken with regards to the subject of Sustainability of Health Facility Committees in Nelson Mandela Bay Health District. This study will aid in enabling a better understanding of what sustains Community Health Committees and the Challenges facing such communities in order to enable individuals and the parties involved to better formulate solutions to overcome these challenges in Nelson Mandela Bay.

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Quin, Matt Jordan. "Student Perceptions of the Impact of Participation in Community College Mental Health Counseling on Retention, Graduation, and Transfer." Thesis, Mississippi State University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10642649.

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This dissertation examined community college transfer students’ perceptions of how mental health concerns interfere with academics, the ability to stay in school, graduate, and transfer to a 4-year university. The study also examined if community college transfer students perceive that mental health counseling improves their ability to stay in college, graduate from community college, and overcome barriers that interfere with the ability to transfer to a 4-year university. The study employed descriptive statistics and one-way between subjects ANOVAs to examine the effects of demographic characteristics and presenting mental health concerns on the ability to remain in community college, graduate from community college, and transfer to a 4-year university. Eta squared post hoc test revealed medium to large effect sizes. The participants were 65 transfer students consisting largely of white, female community college graduates between the ages of eighteen and twenty-four from a mid-sized, southeastern United States university. Significant findings for differences in perceptions were found based on students’ presenting concerns for counseling and demographics.

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Abraham, Warren. "Community participation in health: Home/community-based care as an alternative strategy to institutional care – a case study of Dunoon home-based caregivers." University of the Western Cape, 2011. http://hdl.handle.net/11394/5223.

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Magister Artium (Development Studies) - MA(DVS)
In South Africa, since 2000, an increase of awareness in community involvement has become apparent, owing to the response from people to the need to be more engaged in decisions pertaining to their community. This positive move echoes an increasing acknowledgement by those in authority that community participation is essential to the main demands of renewing democracy, expanding service provision and constructing robust communities. The development of innovative patterns of participation development means that local communities should be empowered to participate in decision making, whilst government establishments need to have the determination and ability to respond to various community needs. The Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) pandemic has placed an enormous responsibility on public health services, such as South African hospitals, which are already functioning with limited resources. This has shifted the load of nursing to family members and communities as public health services are often stretched beyond their limits. Several community or home-based care programmes and facilities have materialised in reply to this necessity. In the context of participation of communities, the duty of community involvement in health plays a vital role in the future of public health in South Africa. Accordingly, this research was conducted to explore the nature and extent of community participation within the HIV/AIDS context in the Dunoon suburb in the Western Cape. An empirical research design, which consisted of qualitative methods, was used in this exploratory study to investigate the nature and extent of home-based care as an alternative strategy to institutional care. The research population was comprised of community members at the Dunoon informal settlement, the home-based workers employed at Heavenly Promise NGO, as well as staff and management of the Caltex/Chevron Refinery, members of Project Management 4 Africa (PM4A) and representatives of the Department of Social Development (DSD), which together constitute the partnership that is dedicated to combating the spread of HIV/AIDS in Dunoon. In general, the research findings demonstrate that home-based caregivers displayed strong levels of participation right from the outset of the project. The findings also established that participation among the community members was a combination of passive, weak and non-participatory, whereas home-based carers displayed a level of active participation. Furthermore, home-based care staff played a key role in decision making, while carers essentially undertook the work in the community. Hence, home-based care and communities participating in health matters are considered to be substantial as home care focuses primarily on palliative care of the patient at home, with the support of the family and the immediate community. Consequently, it is hoped that this research will prove significant and will enhance the existing knowledge of the potential benefits of home-based care as an alternative strategy to institutional care.

Dissertations / Theses on the topic 'Community participation in health'

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