factors hindering community participation

OMara-Eves A, Brunton G, McDaid D, Oliver S, Kavanagh J, Jamal F, et al. The identified challenges call for policy makers to revisit the decentralization by devolution policy by ensuring that local governance structures have adequate resources as well as autonomy to participate in planning and managing CCHP in general and health facility plans in particular. In addition to the available evidence on the impact of participation, it is also important to understand which factors influence implementation of community participation interventions for maternal and newborn health. The HFGCs members have partial or no information related to the development and implementation of facility plans and CCHP, which was mainly caused by lack of joint management or planning meetings between the two organs. Members of HFGC reported that after their appointment as members of the committees, they never received any capacity building training concerning management in general and planning in particular. government site. (KI 1: CHMT member). 2021 Jan-Dec;12:21501327211029800. doi: 10.1177/21501327211029800. Article Participatory monitoring and evaluation approaches that influence decision-making: lessons from a maternal and newborn study in Eastern Uganda. The site is secure. The findings across the two interventions were very similar so in this analysis we discuss them together. One CHMT member said: CCHP is an annual activity plan for health sector developed by involving various stakeholders who also participate in its implementation. Community participation is regarded as an important tool for successful health sector development and it has been talked about since the mid-1950s (1, 2). It is advocated for providing a mechanism for potential beneficiaries of health services to participate in the design, implementation, and evaluation of activities, with the aim of increasing responsiveness, sustainability, and efficiency of health services (3, 4). /MediaBox [0 0 612 792] Nobody received any kind of training related to our responsibilities as committee members, and we just work from experience. Through ILS the CHMT is not responsible for ordering medicines for the health facilities, the facilities implement this activity on their own. some of the factors facilitating community participation included community mobilisation of local resources to support chps (communities made significant in kind and cash contributions to support the program), chps integration with pre-existing community structures (existing unit committees, health volunteers and traditional birth As the programme evolved, however, the study authors report that community awareness grew: both about the nature of the challenges and how they could help by working together. Crisp. Factors affecting effective community participation in maternal and newborn health programme planning, implementation and quality of care interventions, https://doi.org/10.1186/s12884-017-1443-0, Health programme planning and implementation, epoc.cochrane.org/sites/epoc.cochrane.org/files/public/uploads/SUREGuides-v2.1/Collectedfiles/sure_guides.html, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/, Factors that affect implementation of health promotion interventions for maternal and newborn health in low- and middle-income countries, bmcpregnancyandchildbirth@biomedcentral.com. The analysis of the factors influencing community participation in the development and implementation of CCHP has generated five main categories, which The responses from district level were almost similar to those provided by HFGC members, that the guidelines on roles and responsibilities of HFGCs have not been disseminated though they have been distributed to some of the health facilities. Geneva: WHO. There is an urgent need for better qualitative data to be collected in future studies to ensure that dynamics and processes are captured to inform future participation programs [4, 7]. Objective: To conduct a %PDF-1.4 <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> No funding or benefits were received from elsewhere to conduct this study. Written consent was obtained from participants after explaining to them about study objectives, methodology, and benefits. (KI 11: member of dispensary GC). However, largely, such plans are prepared at the council level by Council Health Management Team (CHMT). 2008;372(9642):962971. Participation in health planning in a decentralised health system: Experiences from facility governing committees in the Kongwa district of Tanzania. Myeya J. Stavrou V, Psych MC, et al. sharing sensitive information, make sure youre on a federal For instance, in-charges of health facilities, who are also secretaries of HFGC, were partially informed on CCHP and plans of health facilities and most of them had heard about the CCHP through attending certain workshops/training. The authors declare that they have no competing interests. Google Scholar. In short, we do not implement any activities outlined in the CCHP. The CHSBs and CHMTs are responsible organs for receiving and reviewing the annual plans and budget projections from the health facilities (hospital, health centers, and dispensaries). Levels of participation and participatory approaches often changed over the life of programmes as community and health services capacity to interact developed. (KI 8: in-charge of dispensary). The study employed a thematic approach in analyzing data. endobj This is because currently they are planning and managing everything for us. 2009;87(9):7249. World Health Organization. Given the limited resources and time, two wards were purposively selected for this study. The dataset supporting the conclusions of this article is included within the article and its additional file. Community involvement in health development: a review of the concept and practice. Heal Soc Care Community. s\1plI3M4wC&,1u &Bt{L?c>A]g]5Akp;_@UvGcNu0)Sej~Q!oBn$>nY$1&$Dq!dULa'TTMo}Tyw~v Some programmes were designed with this aim in mind; for example, the youth participation programme in Nepal and the Gender and Health Equity Network in China helped groups of socially marginalised people learn how to influence decision-making on health policy making and practice [20, 21, 27]. Health Policy Plan. Authors provided very little information on the process of participation, what motivated different community members to participate, and how their participation contributed to successful outcomes. Other studies (1923) reported that a high level of education among key actors in health systems increased confidence and influenced participation in decision making in health activities and intervention. Murewanhema G, Musuka G, Gwanzura C, Makurumidze R, Chitungo I, Chimene M, Tungwarara N, Dzinamarira T, Madziyire MG. Int J Environ Res Public Health. Thus, relevant aspects are analysed regarding the community bonding that shapes young peoples transition to adulthood and the influence the protection system, These concepts were further analyzed based on the research objectives to categorize their similarities and differences as well as identifying the main emerging themes. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. /F5 18 0 R Unable to load your collection due to an error, Unable to load your delegates due to an error. To learn about our use of cookies and how you can manage your cookie settings, please see our Cookie Policy. Lack of budget negatively affects the implementation of HFGC activities as narrated by one of the respondents: Lack of transport allowance for attending meeting has significantly affected the functioning of our committee as people tend to escape HFGC scheduled regular meetings for this reason. This situation led to establishment of structures with no real mandate. Can you imagine HFGC is not responsible for managing financial resources at the facility level? Rifkin SB. 2022 Apr 7;21(Suppl 1):46. doi: 10.1186/s12939-022-01643-2. Community involvement in health: assessing the first steps in Mpumalanga and the Western Cape, Community voice and role in district health systems in East and Southern Africa: a literature review, Community involvement in health development: challenging health services, Health development structures: an untapped resource, Discussion paper 19: effectiveness of district health boards in interceding for the community. Furthermore, HFGC members mentioned that despite the fact that they were not aware as to how often the committee should meet, they lack budget to organize meetings to discuss challenges facing health facilities and find solutions. Frumence G, Nyamhanga T, Mwangu M, Hurtig AK. They reported of never hearing or having been introduced to CCHP and its processes before. (KI 3: member of health center GC). Similarly, in India husbands were reluctant to participate in maternal health interventions, describing maternal health as a womens issue. Study authors reported, It was clear that efforts to make husbands more supportive questioned deep-rooted norms and beliefs, and met with considerable resistance; consequently, husbands were slow to change their views. [27]. Bookshelf % This district was selected because it is one of the districts in Singida region which, according to the regional CCHP Assessment Report (14), has low involvement of lower level health facilities in planning processes of developing CCHP compared to other districts in the Region. 1998;13(1):112. (KI 3: member of CHSB). We extracted data from 16 studies that could shed light on factors influencing implementation using an adapted SURE (Supporting the Use of Research Evidence) framework [12]. In addition, increased empowerment of young people in Nepal sometimes led to conflict when it challenged existing social norms [20, 21]. The evidence show further that after the intervention of improving the sharing of information between trained health staff and community members, there was improvement of community members in making decisions about their health needs as well as monitoring the way service providers deliver services (24). Matindo AY, Kalolo A, Kengia JT, Kapologwe NA, Munisi DZ. Such involvement occurred because the implementation of the projects had a requirement that facility committees must endorse the implementation of such activities as explained by one of the HFGC chairperson: Yeah to tell the truth, we cannot say that we are implementing CCHP activities but in 2008 we were involved only in rehabilitation of our dispensary. , Unable to load your delegates due to an error dataset supporting the conclusions of this article is within! 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