The Kasongo Project: A Case Study in Community Participation

Balen, H Van

doi:10.1177/004947559402400106

Cited by 8 publications

(6 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4,14 The disease continued to be present at a low prevalence until the mid 1990s ( Figure 2B ), a finding that is consistent with observations of former ITM physicians at the Kasongo Reference Hospital, who confirmed they had treated cases between the 1970s and the early 19990s. 20,24,25,38,39 Finally, we observed a distinct increase in the number of reported cases after 1994 ( Figure 2B ). Analyzing this apparent emergence more in detail, we discovered a first peak in the number of cases (8) in 1997, followed by a decrease the next two years and a second peak (10) in 2000, followed by a more steady decrease.…”

Section: 1731-33mentioning

confidence: 73%

“…[20][21][22] Study villages were selected on the basis of historical reports of BU incidence; anecdotal information from former physicians of the Institute of Tropical Medicine (ITM), Antwerp, Belgium, based at Kasongo Reference Hospital; and recent presumptive data from officers of the rural health zones and Coordination Provinciale Lèpre-Tuberculose-Ulcère de Buruli, Maniema Province. 3,4,24,25 Nine health centers and a mobile health post, covering an average of five villages each and all located within a radius of less than 35 km and 55 km from the Congo River and Kasongo City, respectively, were selected ( Figure 1 ).…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Persistence of Mycobacterium ulcerans Disease (Buruli Ulcer) in the Historical Focus of Kasongo Territory, the Democratic Republic of Congo

Suykerbuyk¹,

Wambacq²,

Phanzu³

et al. 2009

The American Journal of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

Abstract. Fifty years after the last report of Mycobacterium ulcerans infections (Buruli ulcer [BU]) in Kasongo Territory, Maniema Province, Democratic Republic of Congo (DRC), we conducted a small-scale cross-sectional survey to assess if this historical BU focus was still active and if so to explore the disease epidemiology. Seventy-five active and inactive BU cases were identified on clinical grounds of which two of 28 BU active cases were laboratory confirmed. We used a modified BU02 form to reconstruct the local disease dynamics and we believe that the horrific conflict in eastern DRC and exceptional flooding were the most likely causes of the re-emergence of the disease. There is a need in the DRC to decentralize and integrate surveillance and control activities at local level to increase the effectiveness of patient management.

show abstract

Section: 1731-33mentioning

confidence: 73%

Section: Methodsmentioning

confidence: 99%

Persistence of Mycobacterium ulcerans Disease (Buruli Ulcer) in the Historical Focus of Kasongo Territory, the Democratic Republic of Congo

Suykerbuyk¹,

Wambacq²,

Phanzu³

et al. 2009

The American Journal of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

show abstract

“…In spite of the curriculum existing in Spain for professional skills for intervention in emergencies by family physicians, some authors such as Escobar 18 criticize this organization and argue for a clearer division between family physicians and emergency physicians. On the other hand, the PHC physician has two important social characteristics: the autonomy and the participation, both crucial for achieving an acceptable level of health, 19 , 20 and it thus creates a positive synergy between professionals and citizens that can benefit all parties involved 21 22 The geographic characteristics of the system of PHC physicians in Asturias are different in some respects when different areas of health are analyzed.…”

Section: Discussionmentioning

confidence: 99%

Self-Perception of Theoretical Knowledge and Practical Skills by Primary Health Care Physicians in Life-Threatening Emergencies

Martínez

Delgado

Fernández

et al. 2018

Prehosp. Disaster med.

View full text Add to dashboard Cite

ObjectivesThe goal of this study was to find out the training received in Urgent and Emergency Medicine (UEM) by the Primary Health Care (PHC) physicians of Asturias (Spain), as well as their perception of their own theoretical knowledge and practical skills in a series of procedures employed in life-threatening emergencies (LTEs), and also to analyze the differences according to the geographical area of their work.MethodsThis was a cross-sectional survey of PHC physicians using an ad hoc survey of a sample of 213 physicians in Asturias regarding their self-perception of theoretical knowledge and practical skills in techniques used in LTEs by areas of work (rural, suburban, and urban). The interview was conducted by mail from April through May 2017. The data processing has used absolute and relative frequencies, as well as central tendency parameters and dispersion parameters. The estimates for the entire population have been made using confidence intervals for the mean of 95%. In the comparison of parameters, the differences between parameters with a probability of error less than five percent (P<.05) have been considered significant. For the comparison of means between the different techniques in the different areas of work, ANOVA was used.ResultsWith respect to the training of physicians, in general, for managing emergencies, both at the regional level and by areas of work (rural, suburban, and urban), none of the sets analyzed attained five points. By areas of work, it was the suburban region where there was a greater average general level of knowledge. There were significant differences in the average theoretical knowledge and the average practical skills in the procedures studied according to the different areas of work. The greater number of significant differences was between the urban and suburban regions and within the urban area.Conclusions:It’s necessary to ensure an adequate homogeneity of the levels of theoretical knowledge and practical skills of PHC physicians in order to guarantee the equity of provision of health care in emergencies in different geographical areas.Cernuda MartínezJA, Castro DelgadoR, Ferrero FernándezE, Arcos GonzálezP. Self-perception of theoretical knowledges and practical skills by primary health care physicians in life-threatening emergencies. Prehosp Disaster Med. 2018;33(5):508–518.

show abstract

“…Moreover, they should generate an interface, a channel of communication, for interaction with the individual users, their family and representative groups of the population it serves. Such an interface makes it possible to take into account the demand and the know how of the people and to negotiate their contribution as well to the solution of their problem as to a better functioning of the health centre (Van Balen 1990, 1994).…”

Section: The Place Of Disease Control In Phc‐inspired Health Systemsmentioning

confidence: 99%

Disease control in primary health care: a historical perspective

Balen

2004

Tropical Med Int Health

View full text Add to dashboard Cite

Summary The effectiveness of disease control by mobile teams decreased when countries became independent. Early case‐finding and continuity of care require permanently accessible health care facilities where rationalization by professionals and participation of the users are well balanced. The Primary Health Care concept, a plea for this equilibrium, has been discredited by different types of misapplication. Correctly functioning and accessible first line health services, completed by a referral level, are a precondition for effective participation of the users. Where ‘ideal health districts’ cannot be realized, a form of steady exchanges between generalists and the specialists of the referral level has lead to diverse ‘functional districts’.

show abstract

The Kasongo Project: A Case Study in Community Participation

Cited by 8 publications

References 1 publication

Persistence of Mycobacterium ulcerans Disease (Buruli Ulcer) in the Historical Focus of Kasongo Territory, the Democratic Republic of Congo

Persistence of Mycobacterium ulcerans Disease (Buruli Ulcer) in the Historical Focus of Kasongo Territory, the Democratic Republic of Congo

Self-Perception of Theoretical Knowledge and Practical Skills by Primary Health Care Physicians in Life-Threatening Emergencies

Disease control in primary health care: a historical perspective

Contact Info

Product

Resources

About