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Community participation in disease control

Author

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  • Bermejo, Alvaro
  • Bekui, Amenuve

Abstract

The main determinants of community participation in disease control programmes are identified and a framework with eleven variables is developed. Attention is drawn to the political background, community characteristics, the managerial capacity of the provider and the epidemiology of the disease. The framework is designed to guide health professionals in the systematic assessment and monitoring of participation in disease control programmes. Analysis of the Ghanaian Guinea Worm Eradication Programme and the Nicaraguan Tubercolosis Control Programme are presented as case studies. They show that political support does not guarantee community participation in disease control programmes and stress the importance of other determinants such as commitment to PHC, intersectoral coordination, the project approach and human resources. The relevance of the epidemiology of the disease in determining what degree of community participation will be most effective is highlighted by the case studies.

Suggested Citation

  • Bermejo, Alvaro & Bekui, Amenuve, 1993. "Community participation in disease control," Social Science & Medicine, Elsevier, vol. 36(9), pages 1145-1150, May.
  • Handle: RePEc:eee:socmed:v:36:y:1993:i:9:p:1145-1150
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    Cited by:

    1. Okeke, Theodora A. & Okeibunor, Joseph C., 2010. "Rural-urban differences in health-seeking for the treatment of childhood malaria in south-east Nigeria," Health Policy, Elsevier, vol. 95(1), pages 62-68, April.
    2. Niranjala Hulugalla & Kyohei Yamada & Makoto Kakinaka, 2021. "Personal social capital and voluntary participation in the Village Development Programme in rural Sri Lanka," Journal of International Development, John Wiley & Sons, Ltd., vol. 33(5), pages 803-825, July.
    3. Montgomery, Catherine M. & Munguambe, Khátia & Pool, Robert, 2010. "Group-based citizenship in the acceptance of indoor residual spraying (IRS) for malaria control in Mozambique," Social Science & Medicine, Elsevier, vol. 70(10), pages 1648-1655, May.

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