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Biomedical subjects

Masamine Jimba

Publications and source records attributed to Masamine Jimba.

At least 19 recordsLinked to original sources
PubMed2005

Retention and effectiveness of HIV/AIDS training of traditional healers in far western Nepal.

OBJECTIVE: To evaluate HIV/AIDS training for traditional healers (THs) in far western Nepal. METHODS: We collected data using a structured questionnaire and assessed THs' knowledge of HIV transmission, misconceptions and preventive measures immediately prior to the initial training conducted from June to December 1999, and then 9-12 months after the training in 2000. We also conducted six focus group discussions (FGD) and assessed THs' performances after the training. We interviewed 12 key informants about their perceptions towards the trained THs. RESULTS: THs significantly improved their knowledge of HIV transmission, misconceptions and preventive measures after the training. The FGD and key informant interview results showed that the trained THs provided culturally acceptable HIV/AIDS education to the local people, distributed condoms and played a role in reducing the HIV/AIDS-related stigma. CONCLUSIONS: THs have a potential to work as key players in HIV/AIDS programmes in Nepal.

Acquired Immunodeficiency Syndrome↗
PubMed2005

School health in rural Nepal: why and how?

School health has been regarded as a high priority intervention in developing countries from the perspective of donor organizations. This paper aims to show why school health is important from the community perspective as well, and how school health programs should be implemented based on a case study by the School and Community Health Project (SCHP) in Nepal. SCHP conducted a needs assessment using a participatory rural appraisal in 28 rural communities (mean household number: 51; mean population: 352) in rural Nepal. As a result, SCHP found 70% of the target communities regarded schools as the most important institutions in their communities. Then, SCHP initiated two school health programs to meet their needs, a Supportive Healthy Environment Program and Child Initiative Program. The community members welcomed them, and all the schools successfully built toilets and water supply systems, and initiated child club activities, even though the school teachers' commitment was limited.

Adolescent↗
PubMed2004

Migrants' risky sexual behaviours in India and at home in far western Nepal.

OBJECTIVE: To examine Nepali migrants' vulnerability to HIV/sexually transmitted infections (STIs) and their possible role in causing the epidemic in far western Nepal. METHODS: From August to October 2000, we conducted six focus group discussions among 53 returned migrants from India, mainly from Mumbai. Data were analysed by interpretative thematic analysis. RESULTS: Migrants commonly had multiple sexual encounters, changed partners, and used condoms infrequently both in India and at home. Several factors influenced them to practice high-risk sexual behaviours. In India, these included peer norms and pressures, cheaper sex, lack of family restraint, drinking alcohol, and low perceived vulnerability to HIV/STIs. In Nepal, these factors included the migrants' new status, frequent local festivals, and low perceived vulnerability to HIV/STIs. Participants displayed substantial deficits in their knowledge of HIV/STIs. CONCLUSIONS: This study revealed Nepali migrants' high-risk sexual behaviours both abroad and at home. Understanding these realities will assist in the development of culturally appropriate HIV/STI interventions necessary to halt the spread of HIV/STIs in Nepal.

Adolescent↗
PubMed2004

Community perception and readiness for anti-helminth programmes in rural Nepal.

We report on the community perception of helminth infection and readiness to participate in and pay for a community-based anti-helminth programme in rural Nepal. For data collection, 28 focus group discussions (FGDs) were conducted in 28 communities. The FGD results revealed that community members were lacking in scientific knowledge about helminth infection. They also had an unusual perception about it--they believed that a 'mul juka' (vital worm) should reside in every person's stomach from birth, and must never be killed. Nonetheless, the results showed that the community members were willing to participate in and were ready to contribute their resources to the anti-helminth programmes as long as modern medicine would not kill the 'mul juka'. Such community readiness provides us with hope for developing a sustainable anti-helminth programme at the community level through effective health education.

Anthelmintics↗