Non-communicable diseases (NCDs) account for 63% of mortalities. Approximately 80% of these NCD-related deaths occur in LMICs. A quasi-experimental study utilizing a non-equivalent pre-and post-test was conducted from...Non-communicable diseases (NCDs) account for 63% of mortalities. Approximately 80% of these NCD-related deaths occur in LMICs. A quasi-experimental study utilizing a non-equivalent pre-and post-test was conducted from May 2022 to March 2023 with 370 study participants. Multistage cluster and random sampling were used to select ten community units, and therefore, 150 CHVs were chosen for the control unit, and 150 were used to form the interventional group. Data was collected from the KOBO app. Six (6) homogenous FGDs comprised ten members, and 10 KII were conducted across study sites. Quantitative data was analyzed using SPSS version 28.0, and qualitative data was audio-recorded, transcribed, and analyzed via N-Vivo 12. The study shows that 59.3% of respondents have minimal information, and 92.7% (n = 139) have no clear understanding of NCDs, with a pre-intervention capacity of 48.8%. Independent sample t-test showed a significant difference in capacity from a pre-intervention average of 48.75 (SD ± 5.7)%, which increased to 68.28 (SD ± 7.6)%, p < 0.001. A well-designed community interventional model plays a pivotal role in grassroots healthcare delivery but requires optimization for NCD management.展开更多
Community volunteers occupy a unique position,being at the margins of institutional systems but central to public life in communities.They play a crucial role in forming and maintaining primary-level social order.Thro...Community volunteers occupy a unique position,being at the margins of institutional systems but central to public life in communities.They play a crucial role in forming and maintaining primary-level social order.Through life history interviews that explore the spiritual world of community volunteers,this study proposes a typology of community actors:enthusiasts,devotees,the dissatisfied,and neutrals.The first two types broadly constitute what can be termed"community volunteers."Analyzing the multiple cultural origins that give rise to proactive community actors reveals that the interplay of familial,individual,and danwei(work unit)consciousness is the fundamental driving force behind their engagement in public life.Actors carry the cultural weight of multiple contexts through their life practice,with community an intermediary structure between family and state.This exploration provides a new framework for understanding contemporary Chinese urban community volunteers and community governance,uncovering the consciousness and emotional structures embedded in individual actors by macro-social transformation and highlighting a historical path of primary-level governance modernization in China that is distinct from that of the West.展开更多
文摘Non-communicable diseases (NCDs) account for 63% of mortalities. Approximately 80% of these NCD-related deaths occur in LMICs. A quasi-experimental study utilizing a non-equivalent pre-and post-test was conducted from May 2022 to March 2023 with 370 study participants. Multistage cluster and random sampling were used to select ten community units, and therefore, 150 CHVs were chosen for the control unit, and 150 were used to form the interventional group. Data was collected from the KOBO app. Six (6) homogenous FGDs comprised ten members, and 10 KII were conducted across study sites. Quantitative data was analyzed using SPSS version 28.0, and qualitative data was audio-recorded, transcribed, and analyzed via N-Vivo 12. The study shows that 59.3% of respondents have minimal information, and 92.7% (n = 139) have no clear understanding of NCDs, with a pre-intervention capacity of 48.8%. Independent sample t-test showed a significant difference in capacity from a pre-intervention average of 48.75 (SD ± 5.7)%, which increased to 68.28 (SD ± 7.6)%, p < 0.001. A well-designed community interventional model plays a pivotal role in grassroots healthcare delivery but requires optimization for NCD management.
文摘Community volunteers occupy a unique position,being at the margins of institutional systems but central to public life in communities.They play a crucial role in forming and maintaining primary-level social order.Through life history interviews that explore the spiritual world of community volunteers,this study proposes a typology of community actors:enthusiasts,devotees,the dissatisfied,and neutrals.The first two types broadly constitute what can be termed"community volunteers."Analyzing the multiple cultural origins that give rise to proactive community actors reveals that the interplay of familial,individual,and danwei(work unit)consciousness is the fundamental driving force behind their engagement in public life.Actors carry the cultural weight of multiple contexts through their life practice,with community an intermediary structure between family and state.This exploration provides a new framework for understanding contemporary Chinese urban community volunteers and community governance,uncovering the consciousness and emotional structures embedded in individual actors by macro-social transformation and highlighting a historical path of primary-level governance modernization in China that is distinct from that of the West.
