Search

This article reviews some of the literature devoted to the "Québec community movement" (QCM) through a two-tiered reading. For the first tier, we propose a generic definition according to which the community movement is a heterogeneous set of mobilizations aimed at challenging the state's claim to a monopoly on the collective treatment of social reproduction. Then, for the second tier, we begin by questioning the objective of QCM as such in order to draw attention to the plurality that it covers. We then turn to Québec community studies, to highlight the gap between practical and theoretical approaches as well as an intellectual isolation that bears some similarities to the study of urban social movements. [ABSTRACT FROM AUTHOR]

Increasingly, there have been proposals for grammar writers to take into account the realities and needs of the community in order to produce grammars that can serve the interests of the native speakers (e.g. Kadanya 2006, Rehg 2014). Obviously, a grammar of an endangered language should, among other things, lead to the maintenance and/or revitalization of the language. However, grammars that are comprehensive and clear (Noonan 2007, Payne 2014, Rice 2006), and yet focus on and meet the needs of the target community, are still rare. This paper provides a reflection, from a community linguist’s perspective, on how a community-based grammar could be conceived and written in the African context. It is based on an exploration of grammars written by native and non-native speakers, as well as on the feedback from native speakers. The paper points out some practical challenges involved (e.g. with data collection, and actual use of the grammars), and upholds that a grammar that is based on community mobilization, sensitization, and training requires a greater involvement and follow-up by the grammar writer, especially after publication.

INTRODUCTION: Diarrhoea remains a public health problem globally with majority of diarrhoea morbidity and mortality occurring in low resource settings. This study assessed the prevalence of diarrhoea and factors associated with diarrhoea in a rural community in Enugu, South East Nigeria. METHODS: a community-based cross-sectional survey was conducted between May and June, 2017. Information on socio-demographic characteristics, water, sanitation, hand washing practices and diarrhoea history was obtained from 534 community residents using a structured interviewer administered questionnaire. Data were analyzed using descriptive statistics, Chi-square and logistic regression tests at 5% level of significance. RESULTS: prevalence of diarrhoea in the two weeks preceding the study was 7.47% and 10.77% among all ages and children younger than five years respectively. Of 469 residents aged five years and above, 206 (43.92%) accessed source of drinking water within 30 minutes round trip walking distance from their households, 275 (58.64%) practiced open defecation while 456 (97.23%) and 455 (97.01%) reported washing hands with soap or ash and water before eating and after using the toilet respectively. Two or more households sharing a toilet facility [AOR = 4.78 (95% CI 2.03-11.24)] was a risk factor for diarrhoea while washing hands with soap or ash and water before eating [AOR = 0.23 (95% CI 0.06-0.90)] and after using the toilet [0.16 (95% CI 0.04-0.55)] protected against diarrhoea. CONCLUSION: increasing access to improved sanitary sewage disposal methods and promoting hand washing with soap and water at critical moments would improve diarrhoeal disease control.

Background Chronic pain is one of the most widely recognized, disabling, and expensive health problems in Canada. Interdisciplinary multimodal pain management is effective in helping chronic pain patients lessen symptoms and reclaim functionality, but most patients lack access to such treatments. Aim The aim of this study was to describe the development and implementation of a publicly funded and patient-centered model of care in the community. Methods The study was set in the Pain & Wellness Centre (PWC) in Vaughan, the only community-based chronic pain clinic in Ontario funded by the Ontario Ministry of Health and Long-Term Care (MOHLTC) as a demonstration project of a template for similar future community clinics. The study is descriptive, including a brief review of the Ontario comprehensive pain strategy framework and an overview of the PWC and the process involved in the development of an interdisciplinary pain program (IDP), based on the biopsychosocial model of chronic pain management. Results During a 2.5-year period, the PWC has offered 1055 new patient medical consultations and 1921 follow-up visits and admitted 242 patients in the IDP program (demonstrating significant success in patient outcomes at the 3-month exit from the program). It established robust outcomes research, organized educational programs for pain trainees, and cultivated a collaborative relationship with the Toronto Academic Pain Medicine (TAPMI) network and the community at large. Conclusions This demonstration program has shown the feasibility and applicability of the principles of the MOHLTC comprehensive pain strategy, providing an effective, evidence-based, and accountable approach to chronic pain diagnosis and management in the community.

Copyright of Bulletin de la Société de Pathologie Exotique is the property of John Libbey Eurotext Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Low socio-economic status, high exposure to health risk and poor access to basic treatment are the main determinants of high child mortality in sub-Saharan African rural regions. 50 to 80% of child deaths are caused by a triptych of infectious diseases. Early 2000's Inter Aide made the postulate that it was possible to act on under-five mortality through a strategy combining raising under five mothers awareness on major diseases, spreading of prevention means and local access to basic care. An operational model was thus defined, contributing in a few years to a frank, rapid and lasting reduction of under five mortality in all areas where the methodology could be applied. The importance of community-based care in relation to an institutional health system unable to provide early management of diarrhoea and malaria cases is fundamental. [ABSTRACT FROM AUTHOR]

BACKGROUND: High Tuberculosis treatment default rate (17%) and sub-optimal treatment completion rates (45%) has burdened Kampala. Nevertheless, there are observable increase in the number of patients on TB DOT; from 6% to 29% in two consecutive annual reports. The main objective was to determine the association of TB patient attitudes towards community-based observers on the TB drug adherence on directly observed treatment for TB in Kampala. METHODS: A cross-sectional study was carried out in Lubaga division, Kampala. A total of 201 patients in continuation phase of treatment for Pulmonary TB (i.e. 8 to 20 weeks of TB treatment) were included in the study. Patient attitudes were measured using a 4-point Likert scale aggregated into a binary outcome with ''agree'' and ''disagree'' responses. Poisson regression model using a forward fitting approach in STATA v12 was used to determine the association between patient attitude towards CB-DOTs observers and adherence to TB treatment. RESULTS: Among the 201 patients, 66% reported their treatment was being observed by someone. Relatives were the commonest (82%) treatment observers, 26% were non adherent to their TB treatment. Perceiving ''no need for a treatment observer and ''people rejecting TB patients'' were predictors of non-adherence to TB treatment (IRR=1.6,95%CI 1.00-2.57;p=0.048) and (IRR=0.6, 95%CI 0.35-0.95; p=0.019) respectively. CONCLUSION: Patient's perceived attitude and stigma towards treatment observers contribute to non-adherence on TB treatment. For improved local TB control, more emphasis is needed to build a friendly environment between treatment supporters and patients during the course of TB treatment.

The Climate Change and Health Adaptation Program (CCHAP) is a program within the First Nations Inuit Health Branch of Indigenous Services Canada (which was previously under the responsibility of Health Canada). The CCHAP supports Inuit and First Nation communities in mitigating and adapting to the health impacts of climate change. The impacts of climate change on Indigenous health can be observed in multiple areas including, but not limited to, food security, cultural medicines, mental health and landbased practices. This program seeks to address the needs of climate change and health in First Nation and Inuit communities to support resiliency and adaptation to a changing climate both now and in the future through its emphasis on youth and capacity building. The commentary is based on the Program's eleven years of experience working with and for Indigenous communities and provides an overview of the CCHAP model and the work it has and continues to support. This paper demonstrates three examples of community-based projects to mitigate and adapt to the health impacts of climate change to demonstrate climate change resiliency within Indigenous communities., Competing Interests: The authors declare no conflicts of interest.

In the Basse-Casamance region (Senegal), a community-based tourism project was initiated in the early 1970s. Called “integrated rural tourism”, it led to the emergence of village touristic camps created and managed by and for villagers. The main aim of creating these camps was to encourage local development and to stem the rural exodus. Nonetheless, if village camps still exist in this region today, they have, since the launch of this project, been confronted with a protean crisis context. So, fifty years after the opening of the very first village camp, what assessment can be made? After describing the emergence of integrated rural tourism in Basse-Casamance, the article will focus on the crises faced by the region before showing how the original role of village camps is now partly being hijacked. Our discussion will be based primarily on qualitative research (interviews and observation) begun in February 2023.