Commentary: in search of innovative approaches to international health.

Kark, Sidney L.; Kark, E; Abramson, J. H.

doi:10.2105/ajph.83.11.1533

Cited by 30 publications

(4 citation statements)

References 12 publications

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“…The identification of sickle cell hemoglobin was performed by screening with isoelectric focusing, then confirmed by citrate agar electrophoresis, and quantified by cellulose acetate electrophoresis with scanning densitometry.The criteria for the diagnosis of S O (heterozygous HbS state) were the following: more than 50 % HbAA, less than 50% HbAS, and a normal percentage of HbA, (20,36). Patients with sickle cell disease (homozygous HbS state) were excluded from the study.…”

Section: Sc7 Diagnosismentioning

confidence: 99%

Anaerobic Exercise Components During the Force-Velocity Test in Sickle Cell Trait

Bilé

Gallais²,

Mercier³

et al. 1996

Int J Sports Med

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Section: Sc7 Diagnosismentioning

confidence: 99%

Anaerobic Exercise Components During the Force-Velocity Test in Sickle Cell Trait

Bilé

Gallais²,

Mercier³

et al. 1996

Int J Sports Med

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“…11,12 Most research focuses on community medicine as a factor in medical training, retention of rural physicians, and the evolution of community-oriented primary care. [13][14][15][16][17] Questions regarding the types and volume of volunteer community work; effects of practice location and organizational involvement; or the physician's family structure, life stage, or previous influences have received little attention.…”

mentioning

confidence: 99%

Community Service by North Carolina Family Physicians

Goldstein¹,

Calleson²,

Curtis³

et al. 2005

The Journal of the American Board of Family Medicine

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Background: Community service is an integral part of American society. Although Family Medicine advocates community service through community medicine, few data exist on family physicians' involvement in voluntary community service activities or roles as community advocates.Methods: A questionnaire was mailed to 489 North Carolina family physicians, including a 20% random sample of those in community practice and all statewide faculty physicians. The survey assessed types and amount of volunteer activity, attitudes toward volunteer work, and factors that support or inhibit participation in community service.Results: The overall response rate was 54%. Most respondents reported strong interests in community service before medical school and residency, yet few reported any relevant training during medical education. More than 85% of faculty and community practice family physicians reported participating in volunteer service in the previous year (70.8 mean hours for faculty vs 45.5 mean hours for community practice; P ‫؍‬ .06). Family physicians also reported a wide variety of lifetime volunteer activities (mean number of different faculty physician activities 20.8 vs mean number of different community practice physician activities 16.7, P ‫؍‬ .00). Less than 50% of both physician groups reported that their practice or program publicly supports those performing community service.Conclusions :

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“…Early efforts toward community involvement in health took place in South Africa in the 1940s and in the United States' health centers of the 1960s and 1970s (Kark, Kark, & Abramson, 1993;Yack & Tollman, 1993). However, practice still lags far behind theory in creating empowered, competent communities.…”

mentioning

confidence: 99%

“…The literature is replete with descriptions of successful projects in underdeveloped communities that disappear when outside experts leave and funding ends. In many instances, recipients are * * merely passive beneficiaries instead of active participants (Gagnon, 1991;Kark et al, 1993;Tumwine, 1989). Such data suggest that professionals involved in demonstration projects are not always successful in developing the necessary community involvement and do not transfer the information needed to empower the citizens of a community to start, maintain, or change programs.…”

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confidence: 99%

Building Community Participation in Health Care: A Model and Example from South Africa

Hildebrandt

1996

Image: the Journal of Nursing Scholarship

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A conceptual model was developed for a community-based intervention study in a Black township in South Africa. The model shows a useful way to structure the complex role public health nurses play as they meet community health needs using a community's priorities and building toward community involvement in health and self-care. The model was applied over a 2-year period in an under-developed community of 100,00 people where the unemployment rate was over 50%, fewer than 10% of the homes had electricity, and only one-third had access to the sewage removal system. Over half of older adults interviewed were illiterate. The residents, in collaboration with the nurse researcher, gathered data, prioritized needs, and chose projects to produce solutions. The model guided activities for community empowerment through a deliberate transfer of information and expertise from the nurse to members of the community. Conceptual models or paradigms are useful to focus nursing strategies, to guide professional nursing practice, and to support interdisciplinary goals for cooperative efforts. The principles are also applicable in the United States and other developed countries as more effective ways to achieve health goals are sought.

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Commentary: in search of innovative approaches to international health.

Cited by 30 publications

References 12 publications

Anaerobic Exercise Components During the Force-Velocity Test in Sickle Cell Trait

Anaerobic Exercise Components During the Force-Velocity Test in Sickle Cell Trait

Community Service by North Carolina Family Physicians

Building Community Participation in Health Care: A Model and Example from South Africa

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