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Sydney, Australia

Nathan S.,University of New South Wales | Johnston L.,Community Participation Unit | Braithwaite J.,University of New South Wales
Health Expectations | Year: 2011

Objective This paper examines staff views about legitimacy of different roles for community representatives sitting on health service committees as part of a formal Community Participation Program (CPP) in an Area Health Service (AHS) in Australia. Design A cross-sectional survey using a self-completed questionnaire by staff on committees with community representation in the AHS in 2008. Setting The study site has a population of approximately 1.4 million and covers 6000km2. The population is ethnically and socio-economically diverse. Results There are generally positive staff attitudes at this AHS for community participation as part of the CPP with positive impacts identified, including on service delivery and the conduct of health service meetings. Most saw community representatives having legitimate roles in representing the community, improving communication between the health service and the community and providing constructive feedback. However, staff expectations about the community's role on committees do not match the reality they say they observe and less than half the staff thought the community and health service agree on the role of community representatives. Conclusions As well as reviewing and enhancing training and support for representatives and staff as part of the CPP, there is a need to question staff expectations about community members who sit on health service committees and whether these expectations are shared by other key stakeholders, most notably the community representatives themselves. These expectations have implications for the CPP and for similar programs designed to engage community members on committees and working groups with health professionals. © 2010 Blackwell Publishing Ltd.

Mehrotra A.,UNICEF | Mishra A.,University of Lucknow | Tripathi R.M.,Community Participation Unit | Shukla N.,UNICEF
Geomatics, Natural Hazards and Risk | Year: 2013

Arsenic testing work has been carried out in Uttar Pradesh by UP Jal Nigam during the period 2005-2008. During this period, arsenic testing was performed using field test kits for 150,000 sources employing screening and blanket testing approach. The current paper describes the work of geographical information system (GIS) mapping in Bahraich district. The district has two physiographic units - Uprahar and Tarhar to depict highland and lowland Quarternary alluvial plains. Out of 30,216 India Mark II hand pumps in the district, arsenic testing was performed, by UP Jal Nigam for 13,812 hand pumps, out of which 7190 (52.06%) tested sources show arsenic value > 0 μg/L. Further segregation of data shows that 56.66% of affected sources fall in 10-40 μg/L category and 10.86% sources fall in >50 μg/L category. Village level mapping of affected sources at GIS platform shows arsenic concentration is more in Huzoorpur and Tajwapur blocks which lie in lowland physiographic unit. © 2013 © 2013 Taylor & Francis.

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