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The role of community participation for sustainable integrated neglected tropical diseases and water, sanitation and hygiene intervention programs: A pilot project in Tanzania

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  • Madon, Shirin
  • Malecela, Mwele Ntuli
  • Mashoto, Kijakazi
  • Donohue, Rose
  • Mubyazi, Godfrey
  • Michael, Edwin

Abstract

Strategies aimed at reducing the prevalence of neglected tropical diseases (NTDs) in Tanzania including those attributed to water, sanitation and hygiene (WASH) problems have been largely top-down in nature. They have focused on strengthening the governance of NTD-WASH programs by integrating different vertical disease programs and improving the efficiency of report-generation. In this paper, we argue for community participation as an effective strategy for developing sustainable village health governance. We present the results of a pilot undertaken between November 2015 and April 2016 in which we adopted a mixed methods case study approach to implement an Enhanced Development Governance (EDG) model using existing village governance structures. Our results show that the EDG model was associated with a statistically significant reduction in the prevalence of schistosomiasis and diarrhoea, and has led to an increase in awareness of WASH interventions for sustaining gains in NTD control. We identify five key social processes enacted by the EDG model that have led to improved health benefits related to frequency of meetings and attendance, promotion of health and sanitation awareness, income-generating activities, self-organising capabilities, and interaction between village bodies. These findings hold important implications for conceptualising the role of community participation in sustaining NTD-WASH intervention programs and for sensitising institutional and policy reform.

Suggested Citation

  • Madon, Shirin & Malecela, Mwele Ntuli & Mashoto, Kijakazi & Donohue, Rose & Mubyazi, Godfrey & Michael, Edwin, 2018. "The role of community participation for sustainable integrated neglected tropical diseases and water, sanitation and hygiene intervention programs: A pilot project in Tanzania," Social Science & Medicine, Elsevier, vol. 202(C), pages 28-37.
    • Handle: RePEc:eee:socmed:v:202:y:2018:i:c:p:28-37
    DOI: 10.1016/j.socscimed.2018.02.016
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    1. Asha S George & Vrinda Mehra & Kerry Scott & Veena Sriram, 2015. "Community Participation in Health Systems Research: A Systematic Review Assessing the State of Research, the Nature of Interventions Involved and the Features of Engagement with Communities," PLOS ONE, Public Library of Science, vol. 10(10), pages 1-25, October.
    2. Pluye, Pierre & Potvin, Louise & Denis, Jean-Louis, 2004. "Making public health programs last: conceptualizing sustainability," Evaluation and Program Planning, Elsevier, vol. 27(2), pages 121-133, May.
    3. Rifkin, Susan B. & Muller, Frits & Bichmann, Wolfgang, 1988. "Primary health care: on measuring participation," Social Science & Medicine, Elsevier, vol. 26(9), pages 931-940, January.
    4. Madon, Shirin & Amaguru, Jackline Olanya & Malecela, Mwele Ntuli & Michael, Edwin, 2014. "Can mobile phones help control neglected tropical diseases? Experiences from Tanzania," Social Science & Medicine, Elsevier, vol. 102(C), pages 103-110.
    5. Scheirer, M.A. & Dearing, J.W., 2011. "An agenda for research on the sustainability of Public Health Programs," American Journal of Public Health, American Public Health Association, vol. 101(11), pages 2059-2067.
    6. George, Asha & Scott, Kerry & Garimella, Surekha & Mondal, Shinjini & Ved, Rajani & Sheikh, Kabir, 2015. "Anchoring contextual analysis in health policy and systems research: A narrative review of contextual factors influencing health committees in low and middle income countries," Social Science & Medicine, Elsevier, vol. 133(C), pages 159-167.
    7. Stephen Oswald Maluka & Godfrey Bukagile, 2016. "Community participation in the decentralised district health systems in Tanzania: why do some health committees perform better than others?," International Journal of Health Planning and Management, Wiley Blackwell, vol. 31(2), pages 86-104, April.
    8. Shirin Madon & S. Krishna, 2017. "Challenges of accountability in resource-poor contexts: lessons about invited spaces from Karnataka’s village health committees," Oxford Development Studies, Taylor & Francis Journals, vol. 45(4), pages 522-541, October.
    9. Shirin Madon & Jackline Olanya Amaguru & Mwele Ntuli Malecela & Edwin Michael, 2014. "Can mobile phones help control neglected tropical diseases?: experiences from Tanzania," LSE Research Online Documents on Economics 56058, London School of Economics and Political Science, LSE Library.
    10. Draper, Alizon Katharine & Hewitt, Gillian & Rifkin, Susan, 2010. "Chasing the dragon: Developing indicators for the assessment of community participation in health programmes," Social Science & Medicine, Elsevier, vol. 71(6), pages 1102-1109, September.
    11. Toledo Romani, Maria E. & Vanlerberghe, Veerle & Perez, Dennis & Lefevre, Pierre & Ceballos, Enrique & Bandera, Digna & Baly Gil, Alberto & Van der Stuyft, Patrick, 2007. "Achieving sustainability of community-based dengue control in Santiago de Cuba," Social Science & Medicine, Elsevier, vol. 64(4), pages 976-988, February.
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    Cited by:

    1. Mketo, Ally Rajab & Ringo, Cliford J. & Nuhu, Said & Mpambije, Chakupewa Joseph, 2022. "Enhancing community participation for environmental health improvement in rural Tanzania: Evidence from Bukombe district," Evaluation and Program Planning, Elsevier, vol. 94(C).
    2. Sawpheeyah Nima* & Virasakdi Chongsuvivatwong & Pongthep Suteerawut, 2019. "The Effects of Special Economic Zone on Community Health Awareness in Sadao District Songkhla Province, Thailand," The Journal of Social Sciences Research, Academic Research Publishing Group, pages 1-7:1.
    3. Kaki Tsang & Gilles de Wildt & Upendo Mwingira & Tara B Mtuy, 2021. "Implementing trachoma control programmes in marginalised populations in Tanzania: A qualitative study exploring the experiences and perspectives of key stakeholders," PLOS Neglected Tropical Diseases, Public Library of Science, vol. 15(9), pages 1-20, September.
    4. Andrea Pronti, 2020. "The bottom-up approach is teetering. When sustainability does not match public participation: The case of an urban re-greening project in a small town in Northern Italy," RIVISTA DI STUDI SULLA SOSTENIBILITA', FrancoAngeli Editore, vol. 0(1), pages 129-157.

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