Traditional and distance training programs to develop female community animal health workers in Nepal

Author(s):  
Conner Mullally ◽  
Sarah Janzen ◽  
Nicholas Magnan
PLoS ONE ◽  
2017 ◽  
Vol 12 (6) ◽  
pp. e0179110 ◽  
Author(s):  
James Bugeza ◽  
Clovice Kankya ◽  
James Muleme ◽  
Ann Akandinda ◽  
Joseph Sserugga ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Samuel Lumborg ◽  
Samuel Tefera ◽  
Barry Munslow ◽  
Siobhan M. Mor

AbstractThis study explores the perceived influence of climate change on the health of Hamer pastoralists and their livestock in south-western Ethiopia. A combination of focus group discussions and key informant interviews were conducted with Hamer communities as well as local health workers, animal health workers and non-governmental organisation (NGO) staff. Thematic framework analysis was used to analyse the data. Reductions in rangeland, erratic rainfall, recurrent droughts and loss of seasonality were perceived to be the biggest climate challenges influencing the health and livelihoods of the Hamer. Communities were travelling greater distances to access sufficient grazing lands, and this was leading to livestock deaths and increases in ethnic violence. Reductions in suitable rangeland were also precipitating disease outbreaks in animals due to increased mixing of different herds. Negative health impacts in the community stemmed indirectly from decreases in livestock production, uncertain crop harvests and increased water scarcity. The remoteness of grazing lands has resulted in decreased availability of animal milk, contributing to malnutrition in vulnerable groups, including children. Water scarcity in the region has led to utilisation of unsafe water sources resulting in diarrhoeal illnesses. Further, seasonal shifts in climate-sensitive diseases such as malaria were also acknowledged. Poorly resourced healthcare facilities with limited accessibility combined with an absence of health education has amplified the community’s vulnerability to health challenges. The resilience and ambition for livelihood diversification amongst the Hamer was evident. The introduction of camels, increase in permanent settlements and new commercial ideas were transforming their livelihood strategies. However, the Hamer lack a voice to express their perspectives, challenges and ambitions. There needs to be collaborative dynamic dialogue between pastoral communities and the policy-makers to drive sustainable development in the area without compromising the values, traditions and knowledge of the pastoralists.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Sanghamitra Das ◽  
Samhita Das

Media reports of the COVID-19 pandemic in India have highlighted the important role that India’s female community health workers, the Accredited Social Health Activists (ASHAs), have played in managing COVID infections in India. This paper explores the epistemic basis of ASHA work to understand the significance of their role. Through a discourse analysis of textual media articles, we show that the ASHAs’ routine and COVID-related caregiving practices are a form of embodied, intimate labor rooted in their situated, community-oriented knowledge. This labor is devalued as emotional and feminized care work, which denies the ASHAs professional status in the public healthcare system of India and, in turn, reflects a hierarchy among health practitioners that stems from the status of objectivity/disembodiment in biomedicine. We find that, despite their low status in the public health system, ASHA workers develop a self-concept that enables them to self-identify as healthcare professionals, motivating them to continue providing essential healthcare services during the pandemic. We argue that an official recognition of the epistemic value of ASHA work would help to overcome the age-old nature/culture dichotomy that informs what counts as valuable, legitimate, formal medical knowledge. Furthermore, our analysis provides a critique of the gendered devaluation of care work within a political economy of health increasingly dictated by a neoliberal logic.


Author(s):  
Said Sajjad Ali Shah ◽  
Adnan Khan

One health is a collective term used to address human and animal health issues under one platform. More than half of the diseases of humans are directly or indirectly related to animal health and spread from animals to humans or vice versa. Etiological agents of zoonotic diseases may be bacterial, viral, or parasitic in origin. Among them, parasitic agents are very important because they are either directly involved as etiological agents or as vectors of other pathogenic organisms. Parasitic zoonoses are transmitted to humans through vectors, food, or drinking water, and thus categorized as vector borne, food borne, and water borne parasitic zoonoses. Food borne and water borne parasitic zoonoses include all those parasitic diseases which are transmitted to humans by consuming contaminated food and water. An extensive alliance is necessary amongst physicians, veterinarians, and public health workers for timely response and approach to guarantee the prevention and management of infections.


Author(s):  
K. Hüttner ◽  
K. Leidl ◽  
F.B.D. Jere ◽  
D.U. Pfeiffer

Fourty-two village animal health workers called keymen (KM) and 84 veterinary assistants (VA) involved in a Basic Animal Health Service (BAHS) Programme in northern Malawi were interviewed during 1998. The general characteristics and perceptions of both groups were analysed using uni- and multivariate techniques. Detailed sales and treatment patterns of six KMand 12 VAwere evaluated for the period September 1996 to August 1997. Results indicated an overall job-satisfaction for 82 % of KM and 83 % of VA. Estimated weekly involvement in livestock service delivery, particularly of KM, was 3.7 days on average. Total annual drug sales of KM and VA between 1996 and 1997 on average were equivalent to US$ 124 and US$ 218 respectively. Most livestock remedies were issued for treatment of calves, followed by adult cattle, chickens and small ruminants. The changes suggested by VA and KM in order to improve field performance focused on regular refresher training by the BAHS programme.


2013 ◽  
Vol 35 (3) ◽  
pp. 33-37 ◽  
Author(s):  
Kerstin Reinschmidt ◽  
Jenny Chong ◽  
Mark Nichter

Chronically ill patients commonly suffer from comorbid depression that negatively influences disease trajectories, reduces patients' quality of life, and renders them less able to cope with the challenges of daily living. Among Hispanic primary care patients, depression is often not detected until severe. According to promotoras (de salud), who are female community health workers working with Mexican American patients with diabetes in Southern Arizona, depression is commonly undiagnosed in their communities.


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