Developing a diabetes prevention education programme for community health-care workers in Thailand: formative findings

Sranacharoenpong, Kitti; Hanning, Rhona M.

doi:10.1017/s146342361100020x

Cited by 15 publications

(7 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Authors mentioned the importance of having a national CHW policy in studies from several countries: Pakistan [ 51 , 89 , 92 , 93 ], Afghanistan [ 36 , 56 ], Malawi [ 72 , 96 ], India [ 86 ], Ethiopia [ 26 , 80 , 87 ], Iran [ 58 ], and South Africa [ 78 ]. In Thailand and Bolivia, there was no clear policy for community health care workers and manzaneras , respectively [ 88 , 94 ]. This lack of policy led to inadequate support for CHWs (credits and payments for trainings) [ 94 ] and to CHWs not being recognized by health authorities, which limited their ability to operate in the community [ 88 ].…”

Section: Resultsmentioning

confidence: 99%

“…In Thailand and Bolivia, there was no clear policy for community health care workers and manzaneras , respectively [ 88 , 94 ]. This lack of policy led to inadequate support for CHWs (credits and payments for trainings) [ 94 ] and to CHWs not being recognized by health authorities, which limited their ability to operate in the community [ 88 ]. In South Africa, although a national CHW policy framework was adopted, most CHWs are not employed by the government and challenges regarding support to and management of CHWs still exist [ 78 ].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

How does context influence performance of community health workers in low- and middle-income countries? Evidence from the literature

Kok

Kane

Tulloch

et al. 2015

Health Res Policy Sys

251

213

View full text Add to dashboard Cite

BackgroundCommunity health workers (CHWs) are increasingly recognized as an integral component of the health workforce needed to achieve public health goals in low- and middle-income countries (LMICs). Many factors intersect to influence CHW performance. A systematic review with a narrative analysis was conducted to identify contextual factors influencing performance of CHWs.MethodsWe searched six databases for quantitative, qualitative, and mixed-methods studies that included CHWs working in promotional, preventive or curative primary health care services in LMICs. We differentiated CHW performance outcome measures at two levels: CHW level and end-user level. Ninety-four studies met the inclusion criteria and were double read to extract data relevant to the context of CHW programmes. Thematic coding was conducted and evidence on five main categories of contextual factors influencing CHW performance was synthesized.ResultsFew studies had the influence of contextual factors on CHW performance as their primary research focus. Contextual factors related to community (most prominently), economy, environment, and health system policy and practice were found to influence CHW performance. Socio-cultural factors (including gender norms and values and disease related stigma), safety and security and education and knowledge level of the target group were community factors that influenced CHW performance. Existence of a CHW policy, human resource policy legislation related to CHWs and political commitment were found to be influencing factors within the health system policy context. Health system practice factors included health service functionality, human resources provisions, level of decision-making, costs of health services, and the governance and coordination structure. All contextual factors can interact to shape CHW performance and affect the performance of CHW interventions or programmes.ConclusionsResearch on CHW programmes often does not capture or explicitly discuss the context in which CHW interventions take place. This synthesis situates and discusses the influence of context on CHW and programme performance. Future health policy and systems research should better address the complexity of contextual influences on programmes. This insight can help policy makers and programme managers to develop CHW interventions that adequately address and respond to context to optimise performance.Electronic supplementary materialThe online version of this article (doi:10.1186/s12961-015-0001-3) contains supplementary material, which is available to authorized users.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

How does context influence performance of community health workers in low- and middle-income countries? Evidence from the literature

Kok

Kane

Tulloch

et al. 2015

Health Res Policy Sys

251

213

View full text Add to dashboard Cite

show abstract

“…Although most African countries have insufficient nutrition capacity, countries like Nigeria and Ghana have an abundance of graduates, but they are not employed in nutrition programmes. Elsewhere countries like Thailand and Indonesia, which successfully eliminated severe malnutrition using community-based nutrition programmes, are now threatened by escalating problems of overweight/obesity linked with diabetes and high blood pressure albeit with little or no primary health-care response capacity ( 31 , 32 ) . Recent decentralisation of governance to district level in Indonesia caused problems because nutrition professionals capable of developing local nutrition plans are rarely employed in the health service at that level ( 33 ) .…”

Section: Building On Earlier Approaches To Developing Nutrition Capacitymentioning

confidence: 99%

Nutrition capacity development: a practice framework

Shrimpton

Hughes

Recine

et al. 2013

Public Health Nutr.

View full text Add to dashboard Cite

Objective: To outline a framework and a process for assessing the needs for capacity development to achieve nutrition objectives, particularly those targeting maternal and child undernutrition. Design: Commentary and conceptual framework. Setting: Low-and middle-income countries. Result: A global movement to invest in a package of essential nutrition interventions to reduce maternal and child undernutrition in low-and middle-income countries is building momentum. Capacity to act in nutrition is known to be minimal in most low-and middle-income countries, and there is a need for conceptual clarity about capacity development as a strategic construct and the processes required to realise the ability to achieve population nutrition and health objectives. The framework for nutrition capacity development proposed recognises capacity to be determined by a range of factors across at least four levels, including system, organisational, workforce and community levels. This framework provides a scaffolding to guide systematic assessment of capacity development needs which serves to inform strategic planning for capacity development. Conclusions: Capacity development is a critical prerequisite for achieving nutrition and health objectives, but is currently constrained by ambiguous and superficial conceptualisations of what capacity development involves and how it can be realised. The current paper provides a framework to assist this conceptualisation, encourage debate and ongoing refinement, and progress capacity development efforts.

show abstract

“…42 Although Thailand has a shortage of community health nurses to support the self-management of T2DM, 43 some evidence has addressed the effectiveness of the programs conducted by community healthcare workers in Thailand. [44][45][46] In this study site, the patients diagnosed with T2DM received prescription and treatment, lifestyle education, including behavioral therapy from doctor-led diabetes clinics at the district hospitals and subsequently they receive monthly follow-ups at nurse-led primary healthcare services at PCU and several community based activities for PA promotion and a healthy lifestyle. Sanpatong District Hospital supervised around 20 PCUs.…”

mentioning

confidence: 99%

Association Between Physical Activity and Type 2 Diabetes Using the International Physical Activity Questionnaires: A Case-Control Study at a Health Promoting Hospital in Chiang Mai, Northern Thailand

Sodeno¹,

Aung²,

Yuasa³

et al. 2022

DMSO

View full text Add to dashboard Cite

Background: Health education and promotion is active in Thailand where diabetes is prevalent at 11.6% of the general adult population in 2021.Purpose: This study aimed to describe and compare the levels of physical activity between patients with newly diagnosed diabetes and non-diabetic controls in northern Thailand. Methods: This observational case-control study included participants aged between 25 and 74 years in Chiang Mai. We recruited 150 patients with type 2 diabetes mellitus (T2DM) at Sanpatong District Hospital and 150 control participants (non-T2DM) in the community. Interviews were conducted using the International Physical Activity Questionnaires-Short Form. Anthropometric measurements and social demographic information were collected from both patients and controls in 2019. Results:The mean age of the participants was 58.8 ± 8.4 years in the T2DM group and 56.5 ± 9.9 years in the non-T2DM group. Compared to controls, patients with T2DM had received significantly more physical activity education (P < 0.001, Fisher's test). Most cases (93.3%) had received such education at a hospital or health center. The median total metabolic equivalents (METs) minutes per week (min/week) for participants in the T2DM group were higher than those in the non-T2DM group (2726 vs 1140 METs min/week) (P < 0.001, Mann-Whitney test). Comparing the case and control groups in the category of PA level, we found that the case group had a higher proportion of high-level physical activity (P < 0.001, chi-square test). Conclusion: Diabetes patients attending a community hospital exhibited high levels of physical activity. The majority of them received education related physical activity from a primary health care service.

show abstract

Developing a diabetes prevention education programme for community health-care workers in Thailand: formative findings

Cited by 15 publications

References 24 publications

How does context influence performance of community health workers in low- and middle-income countries? Evidence from the literature

How does context influence performance of community health workers in low- and middle-income countries? Evidence from the literature

Nutrition capacity development: a practice framework

Association Between Physical Activity and Type 2 Diabetes Using the International Physical Activity Questionnaires: A Case-Control Study at a Health Promoting Hospital in Chiang Mai, Northern Thailand

Contact Info

Product

Resources

About