Pilot peer health education for noncommunicable disease prevention in Bangladesh, Ethiopia, and Palau

Gebremariam, Lemlem Weldegerima; Hirakawa, Yoshihisa; Rayna, Shahrin Emdad; Khan, Fahim Halim; Chiang, Chifa; He, Yupeng; Temengil, Everlynn J; Madraisau, Sherilynn; Khalequzzaman, -; Choudhury, Sohel Reza; Yatsuya, Hiroshi; Aoyama, Atsuko

doi:10.29392/joghr.2.e2018039

Cited by 5 publications

(4 citation statements)

References 27 publications

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“… 56 , 57 Furthermore, education and training at the interpersonal level are essential for improving the intrinsic abilities of a person to avoid health-risk behaviors. 59 On the other way, a pilot study on peer health education for NCD prevention in Bangladesh, Ethiopia, and Palau showed that peer health education is an effective strategy for preventing NCDs in resource-limited settings; 60 however, in this study, the method was not common in dealing with NCDs.…”

Section: Discussionmentioning

confidence: 66%

A Study on Communication Practices in Reducing Non-Communicable Diseases in Bahir Dar City, Ethiopia

Tefera,

Ali,

Woldearegay

2024

RMHP

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Background Non-communicable diseases (NCDs) pose special challenges in developing countries In Ethiopia, the growing NCD burden has raised a public health concern with significant social, economic, and developmental effects. Thus, the study sought to examine health communication practices in addressing the NCDs in Bahir Dar City of the Amhara Region of Ethiopia. Methods A qualitative case study was conducted from January to April 2023. The study employed in-depth interviews, focus group discussions, and observations to gather data from health extension workers, NCD experts, and NCD focal persons about their experiences and perspectives regarding NCD prevention and control. The participants were purposively selected, and a thematic analysis technique was employed to analyze the data. Results The study found that several health communication strategies, such as health promotion, training and creating model households, screening, referrals, follow-ups, rehabilitation services, and activities reporting were employed. Nevertheless, there was a lack of consistent, reliable, and long-lasting and professional health communication regarding NCD prevention and management. Some of the challenges contributing to such deficient practices were overloading HEWs with various tasks, allocating many households to a single HEW, shortage of screening tools, shortage of financial and human resources, weak interdisciplinary collaboration, COVID-19, and recurrent conflicts in the city and the region. Above all, lack of health communication skills affected the health interventions. Concerning communication methods, one-to-one communication was frequently employed, while mass media and social media were rare. Generally, NCD communication, in particular, and health communication, in general, did not receive priority as other health-related activities in the city. Conclusion The study found that there were poor health communication practices in preventing and controlling NCDs. Thus, professional practice of health communication about NCDs must be prioritized, and emphasis should be given to inter-sectoral collaborations. Prioritizing financial and human resources is also essential for effective NCD communication.

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Section: Discussionmentioning

confidence: 66%

A Study on Communication Practices in Reducing Non-Communicable Diseases in Bahir Dar City, Ethiopia

Tefera,

Ali,

Woldearegay

2024

RMHP

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“…The findings of the current study could be a basis for hypertension control programmes in northern Ethiopia, which we piloted previously. 38 The limitation of this study is that due to the nature of a cross-sectional study, causal relationships could not be identified. Another limitation is that there might be interobserver errors in measuring waist circumference and hip circumference.…”

Section: Discussionmentioning

confidence: 94%

Association of anthropometric indices of obesity with hypertension among public employees in northern Ethiopia: findings from a cross-sectional survey

et al. 2021

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ObjectivesThe burden of hypertension is increasing in low-income countries, including Ethiopia. Obesity is widely known to be associated with hypertension, but different anthropometric indices of obesity might differ in association with hypertension, which is largely unknown in northern Ethiopia.DesignData from our previous cross-sectional epidemiological survey were statistically analysed.SettingPublic employees in the regional capital city in northern Ethiopia.ParticipantsThe data of 1380 participants (823 men and 557 non-pregnant women) aged 25 and 64 years were analysed.Outcome measuresThe presence of hypertension was the outcome measure and multivariable-adjusted logistic regression analyses were used to investigate the association of body mass index (BMI), waist circumference, and waist–hip ratio in men and women separately. The area under the curve (AUC) for three anthropometric indices for discriminating hypertension was also obtained. Separate analyses were conducted for waist circumference and waist–hip ratio analyses further adjusted for BMI.ResultsBMI was linearly associated with hypertension in men (OR for 1 SD increase in BMI 1.45, p=0.001) and women (OR for 1 SD increase in BMI 1.41, p=0.01). The association of waist circumference was independent of BMI both in men (OR for 1 SD increase in waist circumference: 1.74, p=0.002) and women (OR for 1 SD increase in waist circumference: 1.57, p=0.029). The association of waist–hip ratio with hypertension adjusted for BMI was significant in men (OR for 1 SD increase in the waist–hip ratio: 1.46, p<0.001), but was weak and non-significant in women. The AUC for BMI was 0.64 in men and 0.67 in women, while AUC for waist circumference was 0.69 both in men and women.ConclusionsWaist circumference was associated with hypertension independent of BMI among public employees in northern Ethiopia.

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“…As proposed by De Rosis et al [ 78 ], when designing health promotion initiatives following the peer-to-peer approach, the groups of adolescents characterized by healthy behaviors could be trained, activated, and engaged as positive testimonials and facilitators of positive lifestyles towards their peers, thus promoting healthier communities. Nevertheless, peer-to-peer initiatives are not a priori successful [ 109 , 110 , 111 , 112 ]. To this respect, it is worth pointing out that the findings of this DCE clearly highlight that, in general, adolescents do not prefer alternatives of travel that encompass friends, neither parents.…”

Section: Discussionmentioning

confidence: 99%

Physical Activity in the Daily Life of Adolescents: Factors Affecting Healthy Choices from a Discrete Choice Experiment

Rosis

Corazza

Pennucci

2020

IJERPH

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Physical activity improves peoples’ well-being and can help in preventing weight gain, obesity, and related non-communicable diseases. Promoting healthy behaviors in the daily travels and transport choices of adolescents is very important in early establishing healthy habits that imply routine physical activity. For designing and developing effective strategies, it is relevant to study adolescents’ preferences for physical activity and what factors in the social and environmental contexts affect their preferences. The paper investigates these aspects by means of a discrete choice experiment, using data from more than 4300 16–17 year-old adolescents in Italy. The results show that adolescents generally prefer walking for long time alone. However, females prefer cycling, while adolescents from lower educated families prefer motorized means of transport. Environmental factors affect the adolescents’ preferences: living nearby a green area is associated with more active and healthier choices in their short daily travels. Conversely, adolescents living closer to an industrial or high traffic area prefer to use motorized vehicles. Such findings have been discussed and policy implications presented, in order to support policymakers in designing cross-sectoral policies to promote healthy choices related to physical activity in adolescence.

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Pilot peer health education for noncommunicable disease prevention in Bangladesh, Ethiopia, and Palau

Cited by 5 publications

References 27 publications

A Study on Communication Practices in Reducing Non-Communicable Diseases in Bahir Dar City, Ethiopia

A Study on Communication Practices in Reducing Non-Communicable Diseases in Bahir Dar City, Ethiopia

Association of anthropometric indices of obesity with hypertension among public employees in northern Ethiopia: findings from a cross-sectional survey

Physical Activity in the Daily Life of Adolescents: Factors Affecting Healthy Choices from a Discrete Choice Experiment

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