Cardiovascular disease prevention in Ghana: feasibility of a faith-based organizational approach
Identifieur interne : 000838 ( Main/Exploration ); précédent : 000837; suivant : 000839Cardiovascular disease prevention in Ghana: feasibility of a faith-based organizational approach
Auteurs : Patricia Karen A Abanilla ; Keng-Yen Huang [États-Unis] ; Daniel Shinners ; Andrea Levy ; Kojo Ayernor [Ghana] ; Ama De-Graft Aikins [Ghana] ; Olugbenga Ogedegbe [États-Unis]Source :
- Bulletin of the World Health Organization [ 0042-9686 ] ; 2011.
Abstract
To examine the feasibility of using community health workers (CHWs) to implement cardiovascular disease (CVD) prevention programmes within faith-based organizations in Accra, Ghana.
Faith-based organization capacity, human resources, health programme sustainability/barriers and community members’ knowledge were evaluated. Data on these aspects were gathered through a mixed method design consisting of in-depth interviews and focus groups with 25 church leaders and health committee members from five churches, and of a survey of 167 adult congregants from two churches.
The delivery of a CVD prevention programme in faith-based organizations by CHWs is feasible. Many faith-based organizations already provide health programmes for congregants and involve non-health professionals in their health-care activities, and most congregants have a basic knowledge of CVD. Yet despite the feasibility of the proposed approach to CVD prevention through faith-based organizations, sociocultural and health-care barriers such as poverty, limited human and economic resources and limited access to health care could hinder programme implementation.
The barriers to implementation identified in this study need to be considered when defining CVD prevention programme policy and planning.
Url:
DOI: 10.2471/BLT.11.086777
PubMed: 21897485
PubMed Central: 3165978
Affiliations:
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uniqKey="Huang K" first="Keng-Yen" last="Huang">Keng-Yen Huang</name><affiliation wicri:level="1"><nlm:aff id="aff2">New York University School of Medicine, New York City,<country>USA</country>.</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Shinners, Daniel" sort="Shinners, Daniel" uniqKey="Shinners D" first="Daniel" last="Shinners">Daniel Shinners</name><affiliation><nlm:aff id="aff1">Children’s Aid Society, 150 East 45th Street, New York City, NY, 10017, United States of America (USA).</nlm:aff><wicri:noCountry code="subfield">United States of America (USA).</wicri:noCountry></affiliation></author><author><name sortKey="Levy, Andrea" sort="Levy, Andrea" uniqKey="Levy A" first="Andrea" last="Levy">Andrea Levy</name><affiliation><nlm:aff id="aff1">Children’s Aid Society, 150 East 45th Street, New York City, NY, 10017, United States of America (USA).</nlm:aff><wicri:noCountry code="subfield">United States of America (USA).</wicri:noCountry></affiliation></author><author><name sortKey="Ayernor, Kojo" sort="Ayernor, Kojo" uniqKey="Ayernor K" first="Kojo" last="Ayernor">Kojo Ayernor</name><affiliation wicri:level="1"><nlm:aff id="aff3">Regional Institute for Population Studies, University of Ghana, Legon,<country>Ghana</country>.</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="De Graft Aikins, Ama" sort="De Graft Aikins, Ama" uniqKey="De Graft Aikins A" first="Ama" last="De-Graft Aikins">Ama De-Graft Aikins</name><affiliation wicri:level="1"><nlm:aff id="aff3">Regional Institute for Population Studies, University of Ghana, Legon,<country>Ghana</country>.</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Ogedegbe, Olugbenga" sort="Ogedegbe, Olugbenga" uniqKey="Ogedegbe O" first="Olugbenga" last="Ogedegbe">Olugbenga Ogedegbe</name><affiliation wicri:level="1"><nlm:aff id="aff2">New York University School of Medicine, New York City,<country>USA</country>.</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Bulletin of the World Health Organization</title><idno type="ISSN">0042-9686</idno><idno type="eISSN">1564-0604</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>Abstract</title><sec><title>Objective</title><p>To examine the feasibility of using community health workers (CHWs) to implement cardiovascular disease (CVD) prevention programmes within faith-based organizations in Accra, Ghana.</p></sec><sec><title>Methods</title><p>Faith-based organization capacity, human resources, health programme sustainability/barriers and community members’ knowledge were evaluated. Data on these aspects were gathered through a mixed method design consisting of in-depth interviews and focus groups with 25 church leaders and health committee members from five churches, and of a survey of 167 adult congregants from two churches.</p></sec><sec><title>Findings</title><p>The delivery of a CVD prevention programme in faith-based organizations by CHWs is feasible. Many faith-based organizations already provide health programmes for congregants and involve non-health professionals in their health-care activities, and most congregants have a basic knowledge of CVD. Yet despite the feasibility of the proposed approach to CVD prevention through faith-based organizations, sociocultural and health-care barriers such as poverty, limited human and economic resources and limited access to health care could hinder programme implementation.</p></sec><sec><title>Conclusion</title><p>The barriers to implementation identified in this study need to be considered when defining CVD prevention programme policy and planning.</p></sec></div></front></TEI><affiliations><list><country><li>Ghana</li><li>États-Unis</li></country></list><tree><noCountry><name sortKey="A Abanilla, Patricia Karen" sort="A Abanilla, Patricia Karen" uniqKey="A Abanilla P" first="Patricia Karen" last="A Abanilla">Patricia Karen A Abanilla</name><name sortKey="Levy, Andrea" sort="Levy, Andrea" uniqKey="Levy A" first="Andrea" last="Levy">Andrea Levy</name><name sortKey="Shinners, Daniel" sort="Shinners, Daniel" uniqKey="Shinners D" first="Daniel" last="Shinners">Daniel Shinners</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Huang, Keng Yen" sort="Huang, Keng Yen" uniqKey="Huang K" first="Keng-Yen" last="Huang">Keng-Yen Huang</name></noRegion><name sortKey="Ogedegbe, Olugbenga" sort="Ogedegbe, Olugbenga" uniqKey="Ogedegbe O" first="Olugbenga" last="Ogedegbe">Olugbenga Ogedegbe</name></country><country name="Ghana"><noRegion><name sortKey="Ayernor, Kojo" sort="Ayernor, Kojo" uniqKey="Ayernor K" first="Kojo" last="Ayernor">Kojo Ayernor</name></noRegion><name sortKey="De Graft Aikins, Ama" sort="De Graft Aikins, Ama" uniqKey="De Graft Aikins A" first="Ama" last="De-Graft Aikins">Ama De-Graft Aikins</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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