Building community-based surge capacity through a public health and academic collaboration: the role of community health centers.
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Boston↗
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Results for “Capacity Building”
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
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A community-based participatory health information needs assessment to help eliminate diabetes information disparities.
This article describes the participatory research process, results, action plan, and implications of the community health information needs assessment conducted within the African American community in two South Carolina counties. The REACH 2010: Charleston and Georgetown Diabetes Coalition library program is a partnership among community organizations, public and health sciences libraries, and lay community health advisors. A planning committee studied digital divide issues related to health information, designed and implemented a survey, held focus groups, analyzed data, identified needs and assets, and formulated an action plan to increase the dissemination of diabetes information. Key survey findings show that older (older than 60) and less educated (fewer than 12 years of education) African Americans in Charleston and Georgetown counties lack skills to access Internet and library services and suffer disparities in health information. Based on assessment evidence, the community plans to increase Internet access points and provide a train-the-trainer program to teach people skills for using Internet and library resources to get high-quality information about diabetes and its complications. This process taps community resources, builds local capacities and technical skills, educates about health, and empowers participants as active partners in their own health and their community's health.
Adult↗
Getting to social action: the Youth Empowerment Strategies (YES!) project.
This article describes the social action component of the Youth Empowerment Strategies (YES!) project funded by the Centers for Disease Control and Prevention through its community-based prevention research (CBPR) initiative. YES! is designed to promote problem-solving skills, social action, and civic participation among underserved elementary and middle school youth. The after-school program focuses on identifying and building youths' capacities and strengths as a means of ultimately decreasing rates of alcohol, tobacco, and other drug use and other risky behaviors. The article discusses the conceptual models of risk and intervention and factors contributing to successful social action work, including group dynamics, intragroup leadership, facilitator skills, and school-community contexts. Attention is focused on how the nature of the projects themselves played a key role in determining the likelihood of experiencing success. Implications and recommendations for other youth-focused empowerment education projects are discussed, including the effective use of Photovoice in such projects.
Adolescent↗
Promoting health and innovative health promotion practice through a community arts centre.
The salubrious effects of participation in and exposure to the arts are well documented. This paper describes the development of a unique arts centre established in a disadvantaged urban school setting as part of a larger community-based health promotion research project. The discussion highlights how community-based arts programming may impact health not only through positive effects on "upstream" non-medical health determinants, particularly aspects of social support, but also through its ability to facilitate the more traditional health-promotion initiatives of the larger parent project. Also discussed is this centre's potential to act as a catalyst to achieve the overarching project goal of enhanced community health by building constitutive capacity around positive aspects of the community, rather than focusing on capacity only as an instrumental resource to solve social or health problems. Greater incorporation of the arts within health-promotion projects offers potential to enhance both health promotion practice and outcomes.
Art↗
China's factory floors: an industrial hygienist's view.
Determinants of workplace health and safety in China, including work organization, composition of the workforce, production regimens, lack of independent worker representation, and the status of government regulatory enforcement, are described and analyzed. The findings of reports of nongovernmental organizations and media articles are summarized. Key markers of working conditions in export-sector factories, i.e., accident and safety program compliance rates, chemical and noise exposures, and machine guarding issues, are analyzed. Four factors for improving workplace health and safety are proposed: 1) employer commitment and implementation of effective health and safety programs on a plant level; 2) Chinese government enforcement of regulations; 3) meaningful involvement of workers in plant health and safety programs; and 4) continued involvement of international professionals and "civil society" both to pressure multinational corporations and the Chinese government and to provide technical assistance and resources for building the capacity of employers, workers, and government agencies to improve factory working conditions in the world's fastest growing economy.
China↗
Re-examining the paradox of structure: a child health network perspective.
In their lead paper, Huerta, Casebeer and VanderPlaat argue that there are several key forces driving the development of health services delivery (HSD) networks, and propose a series of paradoxes and propositions to initiate this timely and essential dialogue. Ultimately, they submit that networks are likely to remain within the healthcare system to build system capacity and drive integration. Given this, they challenge us to further the dialogue and investigate these networks. While this peer commentary shares many of the lead author's perspectives, the generic nature of the discussion does not bring us to the relative complexities revealed in some HSD network practices. A Canadian child health network lens is used to re-examine the lead paper's conceptualization of network typologies and the proposed paradox of structure. We combine network practice and academic expertise to highlight the structural, governance and leadership tensions between traditional hierarchical public service organizations and the non-hierarchical nature of inter-organizational networks. Child health network leaders and members must examine and work with the challenges associated with importing traditional organizational cultures into an inter-organizationally networked context, while simultaneously maintaining these dual (or duelling) cultures.
Canada↗
Improving family planning program performance through management training: the 3Cs paradigm.
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Asia↗
Assessing management training needs: a study in the Punjab health services, Pakistan.
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Asia↗
Old-age homes and services: old and new approaches to aged care.
Although generational co-residence continues to be the dominant form of housing and care for Indian elders and only 1% live in old-age homes, the numbers and types of these homes are growing. This article describes a recent study of 48 old-age homes in different parts of India, approximately 12%-15% of all homes. They included the more traditional free homes for the aged poor who have no family to care for them and the more recent for-pay homes for the middle-class. A small number of day-care centers, also a new phenomenon, were investigated. Two- to three-hour structured interviews were conducted with managers, supervisors, and trustees, augmented by a checklist of environmental and neighborhood features. Most homes house small numbers of residents, have common spaces for dining, TV and prayer, have access to medical care and transportation, provide meals and some assistance with activities of daily living, and are open to all castes. All are run by non-governmental organizations (NGOs), only one-third with any government assistance. Free homes tend to be bigger and older, serve nonaged clients, have less privacy and emphasize occupational therapy and income-generating activities, and are more like board-and-care homes. For-pay homes have more privacy and western-style amenities, focus on local community outreach and provide fewer meals. The gradual increase of all old-age homes has given rise to debates about their appropriate roles in Indian society and about their quality. Government grants to NGOs for homes and day-care centers (often considered more appropriate support for elders) are limited. With the National Policy on Older Persons looking to NGOs and village councils to be the primary sources of non-familial aged care, several ways to build their capacity are suggested.
Aged↗
Medication therapy management services: a critical review.
OBJECTIVE: To identify and examine medication therapy management (MTM) practice and compensation models currently being used by public and private sector programs, develop a model for payers to consider in compensating pharmacists for the provision of MTM services, and review how a relative value-based payment system based upon Current Procedural Terminology (CPT) codes might apply to MTM services. DATA SOURCES: Peer-reviewed literature; study of existing MTM practice and compensation models; interviews with pharmacists, pharmacy benefit providers, health plans, and policy makers; structured discussions with industry experts. SUMMARY: Implementation of MTM represents an opportunity for pharmacists to provide public and private payers with examples of service packages and business models that improve patient therapeutic outcomes. MTM services can lead to overall cost reductions and improved health outcomes. Recommendations for pharmacists, health plans, and Medicare Part D prescription drug plan sponsors are provided. Pharmacists should standardize and package MTM services at varying levels of intensity; determine work values for MTM CPT codes, use standards for billing and service delivery, build supply capacity to meet demand for MTM services, and cultivate patient and provider support for pharmacist-provided MTM services. Plans and sponsors should develop mechanisms for measuring MTM impact on overall health care costs and develop payment systems to cover costs as well as sustain and provide for growth in the number of providers. CONCLUSION: The essential components of MTM business and payment models, as outlined in this article, can be effectively mapped to relative value-based CPT codes for pharmacist-provided MTM services. Pharmacy providers, after considering various factors and conditions in their own environment, can develop an optimal MTM service package and business model based on this information.
Drug Therapy↗
Community services, issues, and service gaps for individuals with developmental disabilities who exhibit inappropriate sexual behaviors.
Inappropriate sexual behaviors represent the most challenging behaviors for community service providers. A national survey of 243 community agencies was conducted to describe services provided for individuals with developmental disabilities who exhibit high-risk sexual behaviors and to identify issues and service gaps. The most common types of offenses were sexual behavior (a) in public situations, (b) that inappropriately involved others, and (c) involved minors. Community agencies used multifaceted approaches to serve these individuals. The major issues and problems were systemic, specifically staff issues and service gaps, followed by funding. Implications of this study are that increased knowledge and skills related to sexuality and inappropriate sexual behavior and mental health resources are needed to build community capacity to serve this population.
Adolescent↗
Addressing disparities through coalition building: Alabama REACH 2010 lessons learned.
Community-based coalitions have become accepted vehicles for addressing complex health problems. Few articles have described the challenges and lessons learned from such a process. The purpose of this paper is two-fold: 1) to describe the processes involved in building and maintaining the REACH 2010 Alabama Breast and Cervical Cancer Control Coalition (ABCCCC) and 2) to highlight the lessons learned from this venture. Principles from community-based participatory research were used 1) to establish and maintain the ABCCCC, 2) to build coalition capacity, and 3) to develop breast and cervical cancer interventions. Over 95% of our coalition has been maintained over a 7-year period. The ABCCCC received a total of 17 breast and cervical cancer mini-grants. Adherence to ground rules such as exhibiting respect and trust and practicing open communication helped to solidify our partnership. Lessons learned from the ABCCCC can provide others with an in-depth exploration of the processes involved in coalition formation and maintenance.
Alabama↗
Stroke Belt initiative: the Tennessee experience.
African Americans have a higher rate of stroke than other U.S. population groups. As part of the 11-state "Stroke Belt" region, Tennessee has the fifth highest death rate from stroke in the country. In 1993, a two-year community-based project was initiated to reduce the incidence of stroke and its associated risk factors among African Americans. Three counties, Shelby (Memphis), Davidson (Nashville), and Hamilton (Chattanooga), were selected as project sites because of their large African American populations. Specific objectives of the project were to promote risk factor awareness in African Americans, assist African American churches and community groups in developing and implementing intervention programs, and build the capacity for intervention programs within African American communities by collaborating with a variety of community organizations. This article describes the program's approach, which included using both adults and youth as mentors. In addition, it presents major accomplishments and lessons learned in project implementation.
Adolescent↗
Conducting HIV interventions for Asian Pacific Islander men who have sex with men: challenges and compromises in community collaborative research.
This article describes the process of implementing a community collaborative HIV prevention intervention research project targeting Asian and Pacific Islander (API) men who have sex with men (MSM). This article traces the genesis of the project--which linked university researchers with an API--focused community based organization--starting from its original concept and study design to the actual implementation and evaluation. This project provides a case study for analyzing the challenges and barriers encountered in community collaborative HIV intervention. Strategies and best practices for building community capacity in evaluation research are provided, and theoretical considerations for conducting community-based health interventions are raised.
Adolescent↗
On faith, hope, and possibility.
The idea of faith invites us into treacherous territory, as we try to negotiate the lines between hope and fear, possibility and madness. Our faith can open up untold possibilities or, alternatively, can leave us at the mercy of forces of destruction. In psychoanalysis, we need to be able to make our way through this difficult terrain, which necessitates fine-tuning our capacities to build the requisite ground on which hope might become possibility. Both Bion and Lacan have attempted to articulate the importance of being able to move beyond whatever is ostensibly known in order to be able to consider and to envision new possibilities. I would contend further that faith, at times, creates the possibility of profound growth and transformation. Several vignettes are presented by way of exploring the potentially transformative quality of faith.
Adult↗
[The "Participatory" Movement: a contribution to the history of Brazilian nursing].
This study outlines the beginnings and principles of the "Participatory" Movement (MP), which was created in opposition to the policies developed by the administration of the Brazilian Association of Nursing (ABEn). It starts in the 1980's, and criticizes ABEn for: a) reproducing the official policies and the medical industry's interest; b) being a centralizing and authoritarian organization; c) focusing mainly on the scientific and cultural development of nurses, while minimizing the importance of political-professional reflection, as well as the role of the profession and professional associations in the social-historical context; d) not participating in the formulation of public health policies. The "Participatory" Movement wins the elections of ABEn and takes over the association in 1986. The results of this new practice are still under construction. The achievements and withdrawals of ABEn will depend on our capacity of building a profession that is technically competent, critical, creative and, above all, socially acknowledged as an ally in the defense of the right to health.
Brazil↗
The community action model: a community-driven model designed to address disparities in health.
The community action model is a 5-step, community-driven model designed to build communities' capacity to address health disparities through mobilization. Fundamental to the model is a critical analysis identifying the underlying social, economic, and environmental forces that create health and social inequities in a community. The goal is to provide communities with the framework necessary to acquire the skills and resources to plan, implement, and evaluate health-related actions and policies. The model was developed in the context of tobacco-related health disparities. Concrete policy outcomes demonstrate the model's potential application to a wide variety of grassroots policy development efforts.
California↗
Growing the field of health impact assessment in the United States: an agenda for research and practice.
Health impact assessment (HIA) methods are used to evaluate the impact on health of policies and projects in community design, transportation planning, and other areas outside traditional public health concerns. At an October 2004 workshop, domestic and international experts explored issues associated with advancing the use of HIA methods by local health departments, planning commissions, and other decisionmakers in the United States. Workshop participants recommended conducting pilot tests of existing HIA tools, developing a database of health impacts of common projects and policies, developing resources for HIA use, building workforce capacity to conduct HIAs, and evaluating HIAs. HIA methods can influence decisionmakers to adjust policies and projects to maximize benefits and minimize harm to the public's health.
Community Health Planning↗