scholarly journals Perceived Health Impacts of Watershed Development Projects in Southern India: A Qualitative Study

2020 ◽  
Vol 17 (10) ◽  
pp. 3448
Author(s):  
Adithya Pradyumna ◽  
Arima Mishra ◽  
Jürg Utzinger ◽  
Mirko S. Winkler
Keyword(s):  
Qualitative Study ◽  
Water Conservation ◽  
Pesticide Exposure ◽  
Health Workers ◽  
Perceived Health ◽  
Health Impact ◽  
Health Impacts ◽  
Breeding Sites ◽  
Watershed Development ◽  
Local Livelihood

Watershed development (WSD) projects—planned for over 100 million ha in semi-arid areas of India—should enhance soil and water conservation, agricultural productivity and local livelihood, and contribute to better nutrition and health. Yet, little is known about the health impacts of WSD projects, especially on nutrition, vector breeding, water quality and the distribution of impacts. We conducted a qualitative study to deepen the understanding on perceived health impacts of completed WSD projects in four villages of Kolar district, India. Field data collection comprised: (i) focus group discussions with local women (n = 2); (ii) interviews (n = 40; purposive sampling) with farmers and labourers, project employees and health workers; and (iii) transect walks. Our main findings were impacts perceived on nutrition (e.g., food security through better crop survival, higher milk consumption from livestock, alongside increased pesticide exposure with expanded agriculture), potential for mosquito larval breeding (e.g., more breeding sites) and through opportunistic activities (e.g., reduced mental stress due to improved water access). Impacts perceived varied between participant categories (e.g., better nutrition in woman-headed households from livelihood support). Some of these findings, e.g., potential negative health implications, have previously not been reported. Our observations informed a health impact assessment of a planned WSD project, and may encourage implementing agencies to incorporate health considerations to enhance positive and mitigate negative health impacts in future WSD projects.

scholarly journals The perception of training and professional development according to nursing students as health workers during COVID-19: A qualitative study

2021 ◽  
pp. 103072
Author(s):  
Olga Canet-Vélez ◽  
Teresa Botigué ◽  
Ana Lavedán Santamaría ◽  
Olga Masot ◽  
Tània Cemeli Sánchez ◽  
...  
Keyword(s):  
Professional Development ◽  
Nursing Students ◽  
Qualitative Study ◽  
Health Workers

scholarly journals A qualitative evaluation of Southwark Council’s public health response to mitigating the mental health impact of the 2017 London bridge and borough market terror attack

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sandra Jumbe ◽  
Adrienne Milner ◽  
Megan Clinch ◽  
Jonathan Kennedy ◽  
Richard J. Pinder ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Evaluation ◽  
Health Impact ◽  
Health Needs ◽  
Health Impacts ◽  
Terror Attack ◽  
Terror Attacks ◽  
Physical Injuries ◽  
Community Stakeholders ◽  
Health Response

Abstract Background Over recent years there have been several major terror attacks in cities across Europe. These attacks result in deaths, physical injuries, and pose long-term threats to mental health and wellbeing of large populations. Although psychologists have completed important work on mental health responses to disaster exposure including terrorist attacks, the mental health impacts of such attacks have been comparatively less examined in academic literature than the acute health response to physical injuries. This paper reflects on Southwark Council’s pioneering public mental health response to the June 2017 terror attack at London Bridge and Borough Market. It aims to explore perceptions of the mental health impact of the incident by those living and working in the borough. Methods A rapid qualitative evaluation informed by the logic underpinning Southwark Council’s response was conducted. Seven formative interviews were undertaken with individuals involved in the response planning and/or delivery, enabling the evaluation team to establish the response’s theoretical basis. Subsequently, nineteen semi-structured interviews with consenting Council employees, residents, business owners, and workers from the Borough were conducted to understand perceived mental health impacts of the attack and the success of the Council response. Thematic analysis of transcribed interviews was undertaken to evaluate the extent to which the response was implemented successfully. Results Participants reported feeling the attack had a wide-reaching negative impact on the mental health of residents, those working in the borough and visitors who witnessed the attack. Delivering the response was a challenge and response visibility within the community was limited. Participants suggested a comprehensive systematic approach to health needs assessment informed by knowledge and relationships of key Council workers and community stakeholders is imperative when responding to terrorist incidents. Improved communication and working relationships between statutory organisations and community stakeholders would ensure community groups are better supported. Prioritising mental health needs of terror attack responders to mitigate persisting negative impacts was highlighted. Conclusions This article highlights a potential public health approach and need for developing robust practical guidance in the aftermath of terror attacks. This approach has already influenced the response to the Christchurch mosque shooting in 2019.

“We will never give up”: A qualitative study of ethical challenges Syrian health workers face in situations of extreme violence

Disasters ◽  
2021 ◽  
Author(s):  
Namrita S. Singh ◽  
Brittany Redman ◽  
Grant Broussard ◽  
Matthew DeCamp ◽  
Diana Rayes ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health Workers ◽  
Ethical Challenges ◽  
Extreme Violence

scholarly journals Community health worker models in South Africa: a qualitative study on policy implementation of the 2018/19 revised framework

2020 ◽  
Author(s):  
Joshua P Murphy ◽  
Aneesa Moolla ◽  
Sharon Kgowedi ◽  
Constance Mongwenyana ◽  
Sithabile Mngadi ◽  
...  
Keyword(s):  
South Africa ◽  
Qualitative Study ◽  
Policy Implementation ◽  
Community Health ◽  
Resource Constraints ◽  
Health Workers ◽  
Healthcare Providers ◽  
Successful Implementation ◽  
Programme Implementation ◽  
Healthcare Facilities

Abstract South Africa has a long history of community health workers (CHWs). It has been a journey that has required balancing constrained resources and competing priorities. CHWs form a bridge between communities and healthcare service provision within health facilities and act as the cornerstone of South Africa’s Ward-Based Primary Healthcare Outreach Teams. This study aimed to document the CHW policy implementation landscape across six provinces in South Africa and explore the reasons for local adaptation of CHW models and to identify potential barriers and facilitators to implementation of the revised framework to help guide and inform future planning. We conducted a qualitative study among a sample of Department of Health Managers at the National, Provincial and District level, healthcare providers, implementing partners [including non-governmental organizations (NGOs) who worked with CHWs] and CHWs themselves. Data were collected between April 2018 and December 2018. We conducted 65 in-depth interviews (IDIs) with healthcare providers, managers and experts familiar with CHW work and nine focus group discussions (FGDs) with 101 CHWs. We present (i) current models of CHW policy implementation across South Africa, (ii) facilitators, (iii) barriers to CHW programme implementation and (iv) respondents’ recommendations on how the CHW programme can be improved. We chronicled the differences in NGO involvement, the common facilitators of purpose and passion in the CHWs’ work and the multitude of barriers and resource limitations CHWs must work under. We found that models of implementation vary greatly and that adaptability is an important aspect of successful implementation under resource constraints. Our findings largely aligned to existing research but included an evaluation of districts/provinces that had not previously been explored together. CHWs continue to promote health and link their communities to healthcare facilities, in spite of lack of permanent employment, limited resources, such as uniforms, and low wages.

scholarly journals A qualitative study of HPV vaccine acceptability among health workers, teachers, parents, female pupils, and religious leaders in northwest Tanzania

Vaccine ◽  
2012 ◽  
Vol 30 (36) ◽  
pp. 5363-5367 ◽  
Author(s):  
Pieter Remes ◽  
Veronica Selestine ◽  
John Changalucha ◽  
David A. Ross ◽  
Daniel Wight ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Hpv Vaccine ◽  
Health Workers ◽  
Religious Leaders ◽  
Vaccine Acceptability ◽  
Hpv Vaccine Acceptability

Organizational conditions that influence work engagement and burnout: A qualitative study of mental health workers.

2021 ◽  
Author(s):  
Angela L. Rollins ◽  
Johanne Eliacin ◽  
Alissa L. Russ-Jara ◽  
Maria Monroe-Devita ◽  
Sally Wasmuth ◽  
...  
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Work Engagement ◽  
Health Workers ◽  
Mental Health Workers ◽  
Organizational Conditions
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