Assessing Community Readiness to Reduce Childhood Diarrheal Disease and Improve Food Security in Dioro, Mali

Borresen, Erica C.; Stone, Cordelia; Boré, Abdoulaye; Cissoko, Alima; Maiga, Ababacar; Koïta, Ousmane; Ryan, Elizabeth P.

doi:10.3390/ijerph13060571

Cited by 5 publications

(5 citation statements)

References 7 publications

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“…The CRM has been utilized largely in high-income countries to assess community readiness of a number of different issues in public health, including obesity (Kesten et al, 2013;Kostadinov et al, 2015). Some CRM studies have also been undertaken in Low and Middle Income Countries (LMICs), examining childhood diarrhea in Mali (Borresen et al, 2016), healthy diets among adolescents girls and women Ghana (Pradeilles et al, 2019), and adolescent obesity in South Africa (Pradeilles et al, 2016).…”

Section: Methodsmentioning

confidence: 99%

Assessing the readiness of small cities in Ghana to tackle overweight and obesity

Aberman¹,

Nisbett

Amoafo³

et al. 2022

Food Sec.

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The rapid rise in the prevalence of overweight and obesity, and the associated health problems, is an emerging challenge in Ghana, and for women in particular. This study contributes to the understanding of this emerging phenomenon in Ghana by analyzing it from a community perspective, applying the Community Readiness Model in two small cities in Ghana. A series of Key Informant Interviews were undertaken and analyzed, using the model’s scoring structure and supplementary textual analysis. We find that communities are aware of overweight and obesity as a health issue, but that it is not prioritized or championed. Furthermore, the diet counseling and keep-fit programs put the responsibility on individuals to address, rather than considering the upstream and structural causes and solutions.

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Section: Methodsmentioning

confidence: 99%

Assessing the readiness of small cities in Ghana to tackle overweight and obesity

Aberman¹,

Nisbett

Amoafo³

et al. 2022

Food Sec.

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“…Limited research has been conducted in low- and middle-income countries (LMICs) using the CRM. For example, it has been applied to preventing communicable diseases in Bangladesh [22] and Mali [23], and mental health stigma in Vietnam [24]. Only one study (from South Africa) has assessed community readiness for overweight/obesity prevention in Africa [25].…”

Section: Introductionmentioning

confidence: 99%

How ready are communities to implement actions to improve diets of adolescent girls and women in urban Ghana?

et al. 2019

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Background Ghana has reached an advanced stage of nutrition transition, contributing to an increase in nutrition-related non-communicable diseases, particularly amongst urban women. Community involvement is an important factor in the success of efforts to promote healthy eating. The readiness of populations to accept a range of interventions needs to be understood before appropriate interventions can be implemented. Therefore, this study assessed how ready urban communities are to improve diets of women of reproductive age in Ghana. Methods Using the Community Readiness Model (CRM), in-depth interviews were conducted with 24 key informants from various sectors in low income communities across two cities in Ghana: Accra and Ho. The CRM consists of 36 open questions addressing five readiness dimensions (community knowledge of efforts, leadership, community climate, knowledge of the issue and resources). Interviews were scored using the CRM protocol with a maximum of 9 points per dimension (from 1 = no awareness to 9 = high level of community ownership). Thematic analysis was undertaken to gain insights of community factors that could affect the implementation of interventions to improve diets. Results The mean community readiness scores indicated that both communities were in the “vague awareness stage” (3.35 ± 0.54 (Accra) and 3.94 ± 0.41 (Ho)). CRM scores across the five dimensions ranged from 2.65–4.38/9, ranging from denial/resistance to pre-planning. In both communities, the mean readiness score for ‘knowledge of the issue’ was the highest of all dimensions (4.10 ± 1.61 (Accra); 4.38 ± 1.81 (Ho)), but was still only at the pre-planning phase. The lowest scores were found for community knowledge of efforts (denial/resistance; 2.65 ± 2.49 (Accra)) and resources (vague awareness; 3.35 ± 1.03 (Ho)). The lack of knowledge of the consequences of unhealthy diets, misconceptions of the issue partly from low education, as well as challenges faced from a lack of resources to initiate/sustain programmes explained the low readiness. Conclusions Despite recognising that unhealthy diets are a public health issue in these urban Ghanaian communities, it is not seen as a priority. The low community readiness ratings highlight the need to increase awareness of the issue prior to intervening to improve diets. Electronic supplementary material The online version of this article (10.1186/s12889-019-6989-5) contains supplementary material, which is available to authorized users.

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“…A similar CRM to identify readiness to address childhood diarrheal disease and food security issues in Dioro, Mali was applied. Here, they found that there was community enthusiasm around the incorporation of additional ingredients to traditional foods to improve nutrition and health [20]. Since this initial CRM assessment in Mali, an effective dietary intervention study was held in this community to prevent childhood malnutrition and decrease diarrhea incidence [32].…”

Section: Discussionmentioning

confidence: 99%

“…The CRM is designed to assess a community's degree of readiness to address a specific issue. This tool has been essential in the successful development and implementation of programs related to a wide range of topics [17][18][19][20][21]. The objective of this study was to apply the CRM to assess current awareness and readiness to address the complex issues of childhood malnutrition in a rural region of southwest Guatemala that suffers from high rates of food insecurity and childhood malnutrition [22,23].…”

Section: Introductionmentioning

confidence: 99%

Assessment of community readiness to address malnutrition in rural southwest Guatemala

Weber,

Delgado‐Zapata,

Fineman

et al. 2024

Public Health Challenges

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BackgroundMalnutrition is prevalent throughout southwest Guatemala, where >40% of children suffer from chronic undernutrition. Evidence supports that assessing a community's awareness and readiness to address malnutrition is a critical first step in improving the success of a nutrition intervention program. The objective of this study was to apply the community readiness model (CRM) to assess community readiness to address childhood malnutrition in a rural southwest region of Guatemala.MethodsThirteen key respondents of varied social roles and demographics residing in the region were interviewed. Interview questions related to addressing malnutrition were from the following predefined dimensions: Community Efforts, Community Knowledge of Efforts, Leadership, Community Climate, Community Knowledge, and Resources for Efforts. Interview recordings and notes were analyzed and scored according to the CRM guidelines, and a standardized analysis was conducted.ResultsThe overall community readiness score was 4.26 (preplanning: awareness of the issue). Community Efforts had a total score of 5 (Preparation: preparing to take action on the issue). Community Knowledge of Efforts, Community Climate, Community Knowledge, and Resources for Efforts Dimensions each had a total score of 4 (Preplanning: awareness of the issue). The overall score for the Leadership dimension was 2 (Denial/resistance: belief that the problem does not exist within the community). These scores demonstrate clear recognition for action to address childhood malnutrition as a problem. However, efforts to combat childhood malnutrition are not yet focused nor detailed for community action.ConclusionsThis rural southwest region of Guatemala recognizes that childhood malnutrition is a problem. However, efforts to address malnutrition are not yet focused or detailed enough to have measurable impact in addressing this issue. For the region to advance the stage of community readiness, it is essential to enhance knowledge of dietary strategies aimed at improving nutrition for children and increase engagement from local leadership.

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Assessing Community Readiness to Reduce Childhood Diarrheal Disease and Improve Food Security in Dioro, Mali

Cited by 5 publications

References 7 publications

Assessing the readiness of small cities in Ghana to tackle overweight and obesity

Assessing the readiness of small cities in Ghana to tackle overweight and obesity

How ready are communities to implement actions to improve diets of adolescent girls and women in urban Ghana?

Assessment of community readiness to address malnutrition in rural southwest Guatemala

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