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Sociocultural explanations for delays in careseeking for pneumonia

CENTRE FOR HEALTH AND POPULATION RESEARCH
December 2003

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This article is printed in the Health and Science Bulletin produced by the Centre for Health and Population Research, based in Bangladesh. It outlines research conducted among parents in Matlab, Bangladesh, revealing how their beliefs affect household treatment of childhood pneumonia and influence delays in seeking care from trained providers. Many indigenous beliefs and social factors prevent primary care providers, particularly mothers, of pneumonia cases from obtaining prompt and appropriate help. For example, in fear of being blamed for poor caring practices, mothers are reluctant to share information about the illness with other family members. Intervention strategies designed to reduce child mortality associated with pneumonia need to address the cultural beliefs and challenges. Efforts should focus on involving family members such as the child's father or grandmother in early recognition of pneumonia cases. It also suggests that health workers use local terminology and cultural knowledge to communicate the need for prompt treatment with a trained provider

A framework linking community empowerment and health equity : it is a matter of CHOICE

RIFKIN, Susan B
September 2003

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"This paper presents a framework to explore the relationship between health equity and community empowerment. It traces the progression of the concept of participation to the present term of empowerment and the links among empowerment, equity and health outcomes. It argues that the relationship can best be described by using the acronym CHOICE (Capacity-building, Human rights, Organisational sustainability, Institutional accountability, Contribution, and Enabling environment)...In conclusion, it suggests that these factors might form the basis of a tool to assess the relationship between equity and empowerment and its impact on health outcomes"

Global equity gauge alliance : reflections on early experiences

McCOY, David
et al
September 2003

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"This paper traces the evolution and working of the Global Equity Gauge Alliance (GEGA) and its efforts to promote health equity...[It] provides examples of strategies for promoting pro-equity policy and social change and reviews experiences and lessons, both in terms of technical success of interventions and in relation to the conceptual development and refinement of the Equity Gauge Strategy..."

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