Timely Access To Maternal, Neonatal And Child Healthcare For Rural Communities In Rwanda: The Role Of Community Health Workers, Jean Bosco Bigirimana

Electronic Thesis and Dissertation Repository

Abstract

Introduction: In Rwanda, although there has been some progress in health care delivery as expressed in the reduction in maternal and child mortality, rates are still high and geographically variable. Improving equitable access to quality healthcare services for maternal, neonatal and child healthcare (MNCH), community-based maternal, neonatal and child healthcare (CBMNCH) depends upon using “community health workers” (CHWs). Yet CHWs program faces difficulties that upset delivery of the quality of the comprehensive package of services. Unfortunately, little is known about CHWs` performance and job satisfaction in the provision of CBMNCH.

Goal: The study aimed to provide insight into …

Using The Re-Aim Framework To Evaluate The Feasibility Of A Parent-Focused Pilot Intervention Targeting Childhood Obesity, Daniel Briatico

Electronic Thesis and Dissertation Repository

Background: Childhood obesity is a major public health concern. Community-based childhood obesity treatment interventions have the potential to improve health behaviours and outcomes, but require effective evaluation to facilitate translation of research into practice. The purpose of the current study was to determine the feasibility of a parent-focused pilot intervention (“C.H.A.M.P. Families”) targeting childhood obesity using the RE-AIM framework, an evaluation tool for community-based health interventions.

Methods: A single-centre, single-group, non-randomized, repeated measure feasibility study was conducted over the course of 10 months. Participants (n = 16 parents/caregivers representing 11 children with obesity) completed a 13-week parent-focused education intervention. …

The Association Between Social Cohesion And Physical Activity In Communities Across Canada: A Multilevel Analysis, Calvin Yip

Electronic Thesis and Dissertation Repository

Background: In Canada, only 15% of adults meet physical activity guidelines for optimal health. Previous research has suggested that social cohesion may promote physical activity.

Objective: To assess the association between social cohesion and physical activity among adults aged 18 to 64 years in Canada.

Methods: Data from the 2009-2010, 2011-2012, and 2013-2014 cycles (N=245,150) of the Canadian Community Health Survey were used. Physical activity level was operationalized using average daily energy expenditure, social cohesion was determined by self-rated sense of belonging to the local community, and communities were represented by Canada’s Forward Sortation Areas. Multilevel regression models were used …