Local tips, global impact: community-driven measures as avenues of promoting inclusion in the control of neglected tropical diseases: a case study in Kenya

作     者：Elizabeth A.Ochola Diana M.S.Karanja Susan J.Elliott Elizabeth A. Ochola;Diana M. S. Karanja;Susan J. Elliott

作者机构：Department of Geography and Environmental ManagementUniversity ofWaterlooWaterlooONCanada 

出 版 物：《Infectious Diseases of Poverty》 (贫困所致传染病（英文）)

年 卷 期：2022年第11卷第4期

页      面：81-90页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：The authors acknowledge the financial support of Queen Elizabeth Scholarships and the University of Waterloo’s David Johnston International Experience Awards.The funders had no role in the design of the study in the collection,analyses,or interpretation of data in the writing of the manuscript,or in the decision to publish the results 

主　　题：Neglected tropical diseases Control Community-driven measure Local solution Global impact Inclusion Kenya 

摘      要：Background:Neglected tropical diseases(NTDs)affect poor populations with little or no’’political voice’to influence control *** most NTDs have interventions that work,the biggest challenge remains in delivering targeted interventions to affected populations residing in areas experiencing weak health *** the upward development trends in most countries of sub-Saharan Africa(SSA),the healthcare worker to population ratio remains exceptionally low,with some areas not served at all;thus,there is a need to involve other personnel for school and community-based healthcare ***,the current community-based programs suffer from inconsistent community participation due to a lack of coordinated response,and an expanded intervention agenda that lacks context-specific solutions applicable to rural,urban,and marginalized ***:This research investigated the capacity of local communities to address the burden of *** by the social theory of human capability,the research collected primary qualitative data by conducting key informant interviews and focus group discussions of people infected or affected by *** interview data were collected and transcribed verbatim for thematic analysis using Nvivo version ***:Our findings reveal,first,a need for intersectoral collaboration between governments and affected populations for inclusive and sustainable NTD ***,a’’bottom-up’approach that enhances capacity building,sensitization,and behaviour change for improved uptake of NTD ***,the enforcement of Public Health Legislative Acts that mandates the reporting and treatment of NTDs such as ***,the establishment of support groups and counseling services to assist persons suffering from debilitating and permanent effects of ***:Our research demonstrates the importance of human agency in encouraging new forms of participation leading to the co-production of inclusive and susta