Enhance Community Participation Research Articles

Village health workers as health diplomats: negotiating health and study participation in a malaria elimination trial in The Gambia

BackgroundAlthough many success stories exist of Village Health Workers (VHWs) improving primary health care, critiques remain about the medicalisation of their roles in disease-specific interventions. VHWs are placed at the bottom of the health system hierarchy as cheap and low-skilled volunteers, irrespective of their highly valued social and political status within communities. In this paper, we shed light on the political role VHWs play and investigate how this shapes their social and medical roles, including their influence on community participation.MethodThe study was carried out within the context of a malaria elimination trial implemented in rural villages in the North Bank of The Gambia between 2016 and 2018. The trial aimed to reduce malaria prevalence by treating malaria index cases and their potentially asymptomatic compound members, in which VHWs took an active role advocating their community and the intervention, mobilising the population, and distributing antimalarial drugs. Mixed-methods research was used to collect and analyse data through qualitative interviews, group discussions, observations, and quantitative surveys.Results and discussionWe explored the emic logic of participation in a malaria elimination trial and found that VHWs played a pivotal role in representing their community and negotiating with the Medical Research Council to bring benefits (e.g. biomedical care service) to the community. We highlight this representative role of VHWs as ‘health diplomats’, valued and appreciated by community members, and potentially increasing community participation in the trial. We argue that VHWs aspire to be politically present and be part of the key decision-makers in the community through their health diplomat role.ConclusionIt is thus likely that in the context of rural Gambia, supporting VHWs beyond medical roles, in their social and political roles, would contribute to the improved performance of VHWs and to enhanced community participation in activities the community perceive as beneficial.

Health system readiness for roll out of the Ayushman Bharat Health and Wellnes Centres - Early experiences from Punjab State.

Background:The Government of India launched the Ayushman Bharat (AB) program in 2018 which aims to transform 150,000 existing Sub Health Centres and Primary Health Centres into Ayushman Bharat Health and Wellness Centres (HWCs). In this study, we assessed health system readiness for establishment of HWCs.Methods:The assessment comprised of a cross sectional facility assessment and a knowledge assessment of community health officers (CHOs) and female multipurpose health workers also known as auxiliary nurse midwives (ANMs), in 26 HWCs in one community development block of Punjab state. HWCs were assessed for key input and process parameters such as a human resource, physical infrastructure, supplies, capacity building etc., and processes including health promotion, community participation, digitization of management information system, and service delivery.Results:It was observed that only 7 of the 26 HWCs had all human resources as per guidelines. The median knowledge score of CHOs and ANMs was 54% and 51% respectively. 11 of the 26 HWCs were co-located with Zila Parishad SHCs. Out of the 15 standalone HWCs, while 9 had independent buildings, 5 were located in buildings of other community level institutions. 50 percent of the HWCs were not able to perform diabetes screening due to lack of glucometers or testing supplies. While services for non-communicable diseases were available, a two-way referral tracking system for patients was missing. The mean job satisfaction rated by the newly appointed CHOs was 3.12 on a scale of 1 to 5, where 5 represented very high job satisfaction.Conclusion:The operationalization of HWCs requires State and local level interventions for strengthening of existing physical infrastructure, ensuring a regular supply of medicines and consumables, development of referral mechanisms for patients and enhancing community participation.

The level of Community-Based Essential Newborn Care utilization and associated factors among rural women in Southern Ethiopia, 2020: Based on the updated Community-Based Essential Newborn Care guideline.

Background:A Community-Based Essential Newborn Care is a national initiative that incorporates a newborn care program into the continuum of maternal and child health care through enhancing community participation to reduce child morbidity and mortality and encourage healthy growth and development. This study aimed at assessing the level of Community-Based Essential Newborn Care service uptake and its associated factors among rural women in the Guraghe zone, Southern Ethiopia, 2020.Methods:A community-based cross-sectional study was conducted in the rural districts of Southern Ethiopia, from 1 to 31 May 2020. A multistage sampling technique was applied. Using a systematic random sampling technique, a total of 818 respondents were selected. The data collected by a pretested structured questionnaire were entered into EpiData 3.1 and exported to the Statistical Package for Social Sciences (Version 23) for analysis. To identify significant predictors of Community-Based Essential Newborn Care utilization, a multivariable logistic regression analysis was fitted. Adjusted odds ratios with 95% confidence intervals were used to estimate the strength of associations, and statistical significance was declared at a p value <0.05.Results:One-third, 269 (33.1%) (95% confidence interval = 30.0–36.2), of women and their newborns got the entire packages of the Community-Based Essential Newborn Care program. Desire on the last pregnancy (adjusted odds ratio = 2.66, 95% confidence interval = 1.56–4.51), birth preparedness and complication readiness plan (adjusted odds ratio = 4.82, 95% confidence interval = 3.26–7.12), timing of the postpartum visit (adjusted odds ratio = 3,56, 95% confidence interval = 2.00–6.34), attending monthly pregnant women conference (adjusted odds ratio = 3.01, 95% confidence interval = 1.99–4.57), and being a certified model household (adjusted odds ratio = 1.88, 95% confidence interval = 1.24–2.85) were identified as key predictors of Community-Based Essential Newborn Care utilization.Conclusion:The uptake of the full Community-Based Essential Newborn Care packages in the study area was low. Health care providers at the health institution and community level should give due emphasis to improve contraceptive service delivery. Besides, health extension workers at the community level should work on providing immediate postpartum visits, creating model households, and strengthening pregnant women conferences.

Symbiosis of the Creative and the Developmental: Assessing Community Participation in the 2021 Odolu Theatre for Development (TFD) Project

Community participation is a major propeller in Theatre for Development (TFD) processes. This is given that TFD employs a collective approach to community problem identification, analysis of root causes, and creative formation of findings into performance skits to initiate discussion and social action using participatory drama. The performance aspect of TFD exercises is thus pivotal to the entire process and as such, community participation at this aspect is a catalyst for other aspects. This paper assesses community participation in the performance stage of the 2021 Odolu TFD project and examines its implication on the post-performance stage. Using both qualitative and quantitative designs, data is collected from Participant Observation, Key Informant Interview, and Focus Group Discussions and presented with the use of clustered bar charts, pie charts, and a line graph. Using Simple percentage, findings show that community participation in the performance aspect declined by 84% as the process progressed. Among other reasons, the decline is chiefly as a result of modifications in drama storylines, conflict with domestic activities, indisposition of community members, and inadequate use of folk media. The paper submits that there is a need for TFD practitioners to design strategies that enhance community participation as peculiar to respective communities and re-echoes the significance of harnessing available folk media towards desired results. Keywords: Community, Participation, Theatre, Development, Theatre for Development DOI: 10.7176/RHSS/11-22-07 Publication date: November 30 th 2021

Community-Based Child Protection Systems: Prevalence of Child Abuse in Mukuru Kwa Njenga Informal Settlement in Nairobi, Kenya

Child abuse is a global problem. Globally several policies, strategies, and guidelines have been put in place to deal with the situation. One of the methods proposed to deal with violence against children is the implementation of Community Based Child Protection Systems. The performance of Community Based Child Protection Systems has been riddled with various challenges like poor enforcement of the existing laws, the different subsystems of childcare, justice, law, and order working independently of each other. The study aimed at evaluating the forms and extent of child abuse in Mukuru Kwa Njenga. A mixed methods approach was used. A sample size of 280 participants was selected using both purposive sampling and random sampling techniques. The study found that as high as over 80 per cent had witnessed child mistreatment. The main forms of child maltreatment were child labour, exposure to drugs and liquor, child exploitation, children living in the streets, early marriages, teenage pregnancies as well as FGM/C and giving children away to other people. The study also revealed that new ways had been put in place to avoid different child abuse cases being detected and acted on. The study recommends that the government should strengthen existing policies that advocate for appropriate child protection and enhance community participation to improve the effective implementation of CBCPMs. These findings are important to stakeholders involved with children rights, like policy makers, researchers, and students of devolution theories.

درجة مساهمة الاداره المدرسية في تعزيز المسؤوليه المجتمعية لدى معلمى التربية الاجتماعيه في لواء بنى کنانة

هدفت هذه الدراسة إلى التعرف إلى درجة مساهمة الإدارة المدرسية في تعزيز المسؤولية المجتمعية لدى معلمي التربية الاجتماعية في لواء بني کنانة، وقد تم استخدام المنهج الوصفي، وتکونت عينة الدراسة من (150) معلما ومعلمة من معلمي التربية الاجتماعية، ولتحقيق هدف الدراسة أعدت الباحثة استبانة تکونت من (22) فقرة موزعة على ثلاثة مجالات للمسؤولية المجتمعية. وتوصلت نتائج الدراسة إلى وجود درجة متوسطة لمساهمة الإدارة المدرسية في تعزيز المسؤولية المجتمعية لدى معلمي التربية الاجتماعية في لواء بني کنانة. وأوصت الدراسة بضرورة عقد ندوات ودورات تدريبية في المدارس تسهم في تعزيز المشارکة المجتمعية والمسؤولية الاجتماعية لدى المعلمين.This study aimed to identify the degree of the school administration’s contribution to promoting social responsibility among social education teachers in the Bani Kenana district. The descriptive approach was used, and the study sample consisted of (150) social education teachers. of (22) paragraphs distributed into three areas of social responsibility. The results of the study concluded that there is a medium degree of the school administration's contribution to strengthening the social responsibility of social education teachers in the Bani Kenana district. The study recommended the necessity of holding seminars and training courses in schools that contribute to enhancing community participation and social responsibility among teachers.

Critical Analysis of Corruption in Iran's Health Care System and Its Control Strategies

Context: according to the corruption perceptions index (CPI) 2018, Iran ranked 148 among 183 countries. This position shows the crucial importance of considering corruption and its negative effect on Iran and its health care system. In this review, we aimed to shed the light on corrupt practices in Iran’s health care system and recommend some practical strategies to combat them. Evidence Acquisition: This is a narrative review based on Vian's conceptual model of corruption in the health sector to evaluate and analyze corruption in Iran's health system. Review of the literature and documents without any time limitation were conducted in several databases including PubMed, Scopus, Web of Science, Google Scholar, and Farsi sources including Iran Medex, scientific information database )SID(, and Magiran, and also the official websites of the Ministry of Health and news agencies. Results: Unfortunately, to the best of our review, there is less published evidence about the extent and types of corruption in Iran's health system. Based on Vian’s model, reviewed literature revealed that Iran's health system is prone to corruption. This system is monopolistic and self-authorized, low transparent and accountable, and required law enforcement in many areas. Evidence to clarify the situation of citizen voice was not found. Conclusions: Based on this study, evidence shows corruption in financing, service provision, and resource generation of Iran's health system. It could affect not only performance of this system but also its responsiveness and effectiveness. To combat, Iran should apply multiple strategies such as; improving good governance, strengthening legal system over the health system, reducing monopoly and discretion stepwise and manageable, enhancing community participation, and finally updating ethics codes in the health system.

Cohesive Diverse Suburbs in Australia: A Case Study of Policy Processes and Social Media in Footscray

ABSTRACT Melbourne’s population is culturally superdiverse yet there is little focus on inclusiveness in diverse communities. This article will present a case study of Footscray, Melbourne, Australia, examining the following questions: How do government, service providers and civic organisations in Footscray work to build a more cohesive community? How does a local Facebook group work to create a more culturally cohesive community? The findings are based on fieldwork in a multicultural gentrifying inner suburb of Melbourne, and show that inclusion has a clear spatial component, while place-based social media can reinforce and enhance community participation of culturally diverse groups.

درجة مساهمة الإدارة المدرسية في تعزيز المسؤولية المجتمعية لدى معلمي التربية الاجتماعية في لواء بني کنانة

هدفت هذه الدراسة إلى التعرف إلى درجة مساهمة الإدارة المدرسية في تعزيز المسؤولية المجتمعية لدى معلمي التربية الاجتماعية في لواء بني کنانة، وقد تم استخدام المنهج الوصفي، وتکونت عينة الدراسة من (150) معلما ومعلمة من معلمي التربية الاجتماعية، ولتحقيق هدف الدراسة أعدت الباحثة استبانة تکونت من (22) فقرة موزعة على ثلاثة مجالات للمسؤولية المجتمعية. وتوصلت نتائج الدراسة إلى وجود درجة متوسطة لمساهمة الإدارة المدرسية في تعزيز المسؤولية المجتمعية لدى معلمي التربية الاجتماعية في لواء بني کنانة. وأوصت الدراسة بضرورة عقد ندوات ودورات تدريبية في المدارس تسهم في تعزيز المشارکة المجتمعية والمسؤولية الاجتماعية لدى المعلمين. This study aimed to identify the degree of the school administration’s contribution to promoting social responsibility among social education teachers in the Bani Kenana district. The descriptive approach was used, and the study sample consisted of (150) social education teachers. of (22) paragraphs distributed into three areas of social responsibility. The results of the study concluded that there is a medium degree of the school administration's contribution to strengthening the social responsibility of social education teachers in the Bani Kenana district. The study recommended the necessity of holding seminars and training courses in schools that contribute to enhancing community participation and social responsibility among teachers.

Community Participation by People with Chronic Obstructive Pulmonary Disease

Little is known regarding community participation in individuals with chronic obstructive pulmonary disease (COPD). The aim of this study was to explore community participation in individuals with COPD and to determine whether there is an association between community participation and activity-related outcome variables commonly collected during pulmonary rehabilitation assessment. We also sought to investigate which of these variables might influence community participation in people with COPD. Ninety-nine individuals with COPD were enrolled (67 ± 9 years, FEV1: 55 ± 22% predicted). We assessed community participation (Community Participation Indicator (CPI) and European Social Survey (ESS) for formal and informal community participation), daily physical activity levels (activity monitor), exercise capacity (6-minute walk test), breathlessness (Modified Medical Research Council, MMRC scale), self-efficacy (Pulmonary Rehabilitation Adapted Index of Self-Efficacy) and anxiety and depression (Hospital Anxiety and Depression Scale). Higher levels of community participation on the CPI were associated with older age and greater levels of physical activity (total, light and moderate-to-vigorous) (all rs = 0.30, p < 0.05). Older age and more moderate-to-vigorous physical activity independently predicted greater community participation measured by CPI. Higher levels of depression symptoms were associated with less formal and informal community participation on ESS (rs = –0.25). More formal community participation on ESS was weakly (rs = 0.2–0.3) associated with older age, better lung function, exercise capacity and self-efficacy, and less breathlessness. Self-efficacy, exercise capacity, and age independently predicted formal community participation in individuals with COPD. Strategies to optimize self-efficacy and improve exercise capacity may be useful to enhance community participation in people with COPD.

The Role of Social Capital on Rural Enterprises Economic Performance: A Case Study in Indonesia Villages

Following the nationwide implementation of the Village Funds, the government attempted to accelerate rural economic growth through rural enterprises ( Badan Usaha Milik Desa/BUMDes). This study aimed to analyze how social capital affects village-owned enterprise management to accelerate rural economy. This study was conducted in 2018 and applied a qualitative approach and case study design with a content analysis method derived from interviews, observations, and legal documents. The analysis shows that stakeholders’ development visions to initiate the establishment are critical to determining the management and cooperation of rural enterprises, especially regarding the common direction of development. This study’s results show that, presently, rural enterprises have a low impact on rural economic growth. This study also argues for policy implications by highlighting the importance of social capital and village local assets to determine BUMDes development in Indonesia. Specifically, local policies should also aim to enhance community participation and improve BUMDes’ human capital on management and marketing.

Pro-Poor tourism strategies in local communities in Uganda: A case study of lake Bunyonyi in Kabale district

The study examined the effectiveness of pro-poor tourism strategies on local communities in Uganda taking a case study of the Lake Bunyonyi tourist area. Using a descriptive research design, data was collected from a total of 120 community members with the aid of questionnaires. Interviews were also conducted on 10 key informants. The study found that pro-poor tourism strategies that are aimed at enhancing economic benefits to the poor are generally moderately effective as established by the composite mean. This is because the tourism enterprises have employed locals within their ranks, created opportunities for the informal sector and small businesses, boosted household income through home projects such as poultry rearing, bee keeping and fish farming. However, this has been undermined by failure by the enterprises to increased access to market opportunities indirectly to tourism enterprises and to increase community access to investment funds, loans, and micro credit schemes. The study also found that pro-poor tourism strategies that are aimed at enhancing non-financial benefits to the poor are generally moderately effective The strategies have really not succeeded as such in enhancing other non-economic livelihood benefits like; increasing access to health care, health care education for example reproductive health, HIV and malaria prevention; increasing local access to infrastructure and services for example roads, running water, internet, and telephones and improving environmental support. The study found that pro-poor tourism strategies that are aimed at enhancing community participation and partnership are generally moderately effective. The strategies have not fully succeeded in enhancing the participation and involvement of the poor in tourist activities. The study concluded that the pro-poor tourism strategies are only moderately effective in improving the economic benefits to the community, in enhancing non-economic benefits and enhancing of community participation and partnership of the poor in tourist activities.

A clinical and cost-effectiveness trial of a parent group intervention to manage challenging restricted and repetitive behaviours in young children with autism spectrum disorder: study protocol for a randomised controlled trial

BackgroundRestricted and repetitive behaviours vary greatly across the autism spectrum, and although not all are problematic some can cause distress and interfere with learning and social opportunities. We have, alongside parents, developed a parent group based intervention for families of young children with autism, which aims to offer support to parents and carers; helping them to recognise, understand and learn how to respond to their child’s challenging restricted repetitive behaviours.MethodsThe study is a clinical and cost-effectiveness, multi-site randomised controlled trial of the Managing Repetitive Behaviours (MRB) parent group intervention versus a psychoeducation parent group Learning About Autism (LAA) (n = 250; 125 intervention/125 psychoeducation; ~ 83/site) for parents of young children aged 3–9 years 11 months with a diagnosis of autism.All analyses will be done under intention-to-treat principle. The primary outcome at 24 weeks will use generalised estimating equation (GEE) to compare proportion of children with improved RRB between the MRB group and the LAA group. The GEE model will account for the clustering of children by parent groups using exchangeable working correlation. All secondary outcomes will be analysed in a similar way using appropriate distribution and link function.The economic evaluation will be conducted from the perspective of both NHS costs and family access to local community services. A ‘within trial’ cost-effectiveness analysis with results reported as the incremental cost per additional child achieving at least the target improvement in CGI-I scale at 24 weeks.DiscussionThis is an efficacy trial to investigate the clinical and cost-effectiveness of a parent group based intervention designed to help parents understand and manage their child’s challenging RRB. If found to be effective, this intervention has the potential to improve the well-being of children and their families, reduce parental stress, greatly enhance community participation and potential for learning, and improve longer-term outcomes.Trial registrationTrial ID: ISRCTN15550611 Date registered: 07/08/2018. Sponsor and Monitor: Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust R&D Manager Lyndsey Dixon, Address: St Nicholas Hospital, Jubliee Road, Gosforth, Newcastle upon Tyne NE3 3XT, lyndsey.dixon@cntw.nhs.uk, Tel: 0191 246 7222

THE PRINCIPALS’ EFFORTS IN FACILITATING THE FREEDOM TO LEARN BY ENHANCING COMMUNITY PARTICIPATION IN INDONESIA

The latest ‘freedom to learn’ policy, issued by the Minister of Education and Culture of the Republic of Indonesia, must be implemented by educational institutions at various levels. The principals played significant roles such as community empowerment to utilize all resources in the schools to support the policy. The research aimed to describe the principals’ efforts in improving community participation in the school and to describe the social involvement in facilitating the freedom to learn at schools. This study employed a qualitative approach with a multi-case research design, and it was conducted in Indonesia, particularly in Tana Tidung Regency in North Kalimantan, Bondowoso Regency in East Java, and Malang City in East Java. The data collection techniques included in-depth interviews and document studies, and to validate the data used a credibility technique. The data validation through the credibility technique was carried out by conducting triangulation, checking members, and improving the persistence and adequacy of reference materials. The cross-case data analysis in this study applied a constant comparative method. The analysis was conducted in all three cases resulted in the provisional findings, continued by data comparison that would later be found by the three cases. The results of this research were the principals’ efforts in enhancing community participation through cooperation with several related parties. The principals were regarded as role models in supporting the ‘freedom to learn’ policy and building cooperation with related partners. The kind of community participation varied based on the uniqueness of each region.

Ancient town tourism and the community supported entrance fee avoidance – Xitang Ancient Town of China

ABSTRACT Ancient towns, embedded with traditional architecture, culture and life style, are popular tourism attractions worldwide. Tourism use often transforms residents’ living spaces into shared multi-functional spaces for residents and tourists, which imposes impacts to residents and complicates community and tourism relationships. Entrance fees are widely used as an economic strategy for destination management and benefit re-distribution, triggering changes in relationships with profound implications socially and culturally. A framework is proposed to map relationships between stakeholders and flows of tourism impacts among key stakeholders in ancient town tourism. Readily accessible to a large urban population in the eastern developed area of China, Xitang Ancient Town in Jiaxing City of Zhejiang Province is one of the most famous tourism ancient towns in China. A mixed-methods approach involving both onsite and offsite data collections is used to explore and explain the enduring community support for the avoidance of entrance fee payments by tourists at Xitang Ancient Town. Limited access to tourism benefits for residents adjacent to the ticketing area is identified as the underlying reason for this. Practical suggestions are made to enhance community participation and ensure equitable access to tourism benefits for Xitang and ancient towns in China and elsewhere.

Contemporary flood risk perceptions in England: Implications for flood risk management foresight

Although England has been experiencing major floods dating back thousands of years, the hazard is increasing in frequency and intensity, exacerbated by climate risks with potentially serious consequences. Despite attempts to mitigate climate risks (manifested via recurrent flooding) in line with international disaster risk reduction agendas, the impacts/effects of floods continue to increase in England. This is partly due to negligence in inculcating contemporary flood risk perceptions (FRP) into climate risk management (CRM) strategies. This research aims to investigate contemporary FRM in England through a qualitative case study approach in Wainfleet All Saints in Lincolnshire County that experienced unprecedented floods in June 2019. Empirical investigation was conducted with the flood-affected community members and flood managers with oversight of CRM in the region. Key findings reveal the June 2019 floods had both tangible and intangible impacts for the affected community with dreadful effects. Challenges to CRM revealed issues around limited funding; climate changes’ potential to increase flood risk and low community perception of their own risks reflected in poor/none-preparedness for contemporary floods. The multi-agency response to the June 2019 floods was found to be positive, albeit with a few concerns. Based on the analysis of the findings, a series of policy recommendations are proffered with the aim to spur organisational/institutional resilience to CRM. This article underscores the relevance to continuously include contemporary FRP into CRM strategies especially to enhance community participation and involvement in mitigating their own risks.

Enhancing Community Participation in Ecotourism through a Local Community Participation Improvement Model

This study aimed to explore the model that can be used to improve local community participation in ecotourism development processes. The study was conducted at the communities adjoining the Oribi Gorge Nature Reserve in KwaZulu-Natal, South Africa. A mixed methods design was adopted by the study during collection and analysis of data. A total of 384 respondents were sampled through convenience sampling technique. Questionnaires were used to collect data through face-to-face surveys. The study found that local communities had not been actively participating in ecotourism development processes, especially those undertaken within the rural setting as a result of different socio-economic factors including lacking necessary skills. This study asserts that this gap could be mitigated through implementation of local community participation improvement model (LCPIM) based on its potential for influencing enactment and/or amendment of policies on ecotourism development

Enhancing Community Participation in Research for Under-five Children Living in an Urban Slum in Mumbai

Engaging community in paediatric research is quite challenging, as it also involves parents and families. This paper is based on the experiences of researchers conducting a community-based study for assessing the vitamin D status of children between 1–5 years. While multiple reasons emerged for non-participation during the first phase, strategic community friendly approaches to engage parents and community improved the participation rate to 62.7 percent in the second phase. There is a critical need to enhance efforts for community engagement in paediatric research.

РОЗВИТОК СОЦІАЛЬНОГО КАПІТАЛУ ТЕРИТОРІАЛЬНИХ ГРОМАД В УКРАЇНІ

Актуальність завдань, пов’язаних з розвитком соціального капіталу як одного з нематеріальних активів територіальних громад, зумовлюється необхідністю зростання їх фінансової спроможності та організаційно-економічної самодостатності на етапі об’єднання й пошуку шляхів забезпечення ефективної самоорганізації. Виявлено особливості розвитку соціального капіталу територіальних громад в Україні, розглянуто основні джерела та практики його формування, окреслено нові можливості його зміцнення на засадах громадівської активності. Встановлено, що переваги основних джерел і практик розвитку соціального капіталу територіальних громад, які ґрунтуються на партнерських відносинах у сфері міжмуніципального співробітництва, публічно-приватного партнерства та запровадження інституту старост, поєднуються з вагомими обмеженнями, насамперед –– з відсутністю досвіду самоорганізації населення та формування регіональних і місцевих лідерів, створення атмосфери довіри і відповідальності між взаємодіючими суб’єктами. Істотну регіональну асиметрію в практиці їх застосування зумовлено відмінностями в пріоритетах реалізації завдань децентралізації управління, потенціалах розвитку самих громад, рівнях їх активності. У перспективі розвиток соціального капіталу територіальних громад України має ґрунтуватися на пріоритетах концепції сталого інклюзивного зростання, спрямованої на активізацію участі громад у процесах місцевої соціально-економічної розбудови на основі підвищення зайнятості та розвитку локальних ринків праці. Це сприятиме посиленню територіальної єдності та зміцненню соціального капіталу громад. Стратегічно значущою є модель відкритого соціального капіталу, орієнтована на досягнення балансу індивідуальних, громадівських і національних інтересів за пріоритетності розвитку партнерських відносин між владою, бізнесом і населенням. За досвідом інших країн важливо розвивати принципово нові форми партнерства з широким представництвом структур соціального сектору для виконання завдань, пов’язаних із стимулюванням місцевого розвитку. Такі перспективні моделі партнерства відкривають нові можливості соціальної капіталізації з огляду на нагальні потреби місцевого населення.

Enhancing community participation for stroke survivors with cognitive impairment: study protocol for a randomised controlled trial in Taiwan

IntroductionStroke can lead to life-long disability and constitutes a huge financial burden on the family and society. Stroke survivors with cognitive impairment often experience considerable challenges in the process of...