Research Article | | Peer-Reviewed

Strategic Evaluation of Community Health Activities: Case of the Parakou/N’Dali Health District

Received: 20 August 2024     Accepted: 9 September 2024     Published: 26 September 2024
Views:       Downloads:
Abstract

Community health is based on primary health care and all countries must respect these principles of actions community-based health. Objective is to assess the relevance of community health activities in the Parakou / N'Dali Health District (PNHD) in 2020. Method: It was an evaluative observational cross-sectional study with an analytical aim carried out from August to September 2020. It focused on the community volunteer, qualified community health workers, local elected officials and health professionals of PNHD. Assessment of the relevance of activities at the community were in three dimensions: the relevance of the activities, the adequacy of the profile of agents committed to this task and respect for the principles of community action. Overall relevancy assessment ruled according to the Varkevisser rating scale. Results: The relevance of community health activities in the PNHD is poor (69.0%). Community volunteer does not have an adequate profile to carry out community health activities in basis of Primary Health Care (76.6%) and the basic principles of community action were not respect for 43.0%. Associated factors with the relevance of the activities observed are age between 40 and 60 (p˂.01), the gender of actors (p=.035). Conclusion: The community health activities carried out in the PNHD are globally not relevant as challenges persisted and required a great effort on human resources.

Published in Central African Journal of Public Health (Volume 10, Issue 5)
DOI 10.11648/j.cajph.20241005.11
Page(s) 196-202
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Strategic Evaluation, Public Health Activities, Community Health, Community Relay, Benin

References
[1] OMS. Première Conférence internationale pour la Promotion de la Santé : Vers une nouvelle santé publique. In: Charte d’Ottawa [Internet]. Genève, Ottawa, Canada: Organisation mondiale de la Santé,; 1986 [cité 1 oct 2020]. p. 6. Disponible sur:
[2] Ministère de la santé. Politique nationale de santé communautaire au Bénin. Cotonou; 2015. 39 p.
[3] Owolabi MO, Thrift AG, Mahal A, Ishida M, Martins S, Johnson WD, et al. Primary stroke prevention worldwide: translating evidence into action. Lancet Public Health. 29 oct 2021; 7(1): e74-85.
[4] Barron GC, Laryea-Adjei G, Vike-Freiberga V, Abubakar I, Dakkak H, Devakumar D, et al. Safeguarding people living in vulnerable conditions in the COVID-19 era through universal health coverage and social protection. The Lancet Public Health. 1 janv 2022; 7(1): e86-92.
[5] Malou Adom PV, Makoutodé CP, Ouendo EM, Makoutodé M. Modèle d’intégration des agents de santé communautaire dans le système de santé (Bénin, Togo). Santé Publique. 2019; 31(2): 315-26.
[6] Mafuta E. Comité de santé et relais communautaires : des défis pour un meilleur rôle d’interface. Cas de la République Démocratique du Congo (RDC) [Internet] [Master en Santé communautaire]. [Kinshasa, RDC]: Université de Khinshasa; 2016 [cité 6 juin 2021]. Disponible sur:
[7] Varkevisser C, Pathmanathan I, Brownlee A, World Health Organization. Programme on Health Systems Research and Development, International Development Research Centre (Canada). Elaboration et mise en oeuvre des programmes de recherche sur les systèmes de santé. 1ère partie, Formulation et mise à l’essaie d’une proposition. [Internet]. microfiche. Genève, (Suisse), Ottawa, Ont (Canada): Ottawa, Ont. : CRDI; 1993. xviii-378 p. (IDRC ; 287f.1-2; vol. 2). Disponible sur:
[8] Olaniran A, Smith H, Unkels R, Bar-Zeev S, van den Broek N. Who is a community health worker? – a systematic review of definitions. Glob Health Action [Internet]. 27 janv 2017 [cité 8 juin 2021]; 10(1). Disponible sur:
[9] Allen JD, Pérez JE, Tom L, Leyva B, Diaz D, Torres MI. A Pilot Test of a Church-Based Intervention to Promote Multiple Cancer-Screening Behaviors among Latinas. J Cancer Educ. mars 2014; 29(1): 136-43.
[10] Kowitt SD, Emmerling D, Fisher EB, Tanasugarn C. Community Health Workers as Agents of Health Promotion: Analyzing Thailand’s Village Health Volunteer Program. J Community Health. août 2015; 40(4): 780-8.
[11] Baum F, Lawless A, Delany T, Macdougall C, Williams C, Broderick D, et al. Evaluation of Health in All Policies: concept, theory and application. Health Promotion International. 1 juin 2014; 29(suppl_1): i130-42.
[12] Houéto D, d’Hoore W, Deccache A. Perceptions de la participation des parents par les professionnels de santé à la lutte contre le paludisme de l’enfant au Bénin. Sante Publique. 7 mars 2008; 20(1): 19-28.
[13] Houéto S, Agonnoude T Maurice. Why Public Health Interventions Need a Multidisciplinary Approach to Understand and Address Behaviours Effectively? Preventive Medecine, Epidemiology and Public Health. 2021; 2(4): 1-5.
Cite This Article
  • APA Style

    Maurice, A. T., Tatiana, A. G., David, H. S. (2024). Strategic Evaluation of Community Health Activities: Case of the Parakou/N’Dali Health District. Central African Journal of Public Health, 10(5), 196-202. https://doi.org/10.11648/j.cajph.20241005.11

    Copy | Download

    ACS Style

    Maurice, A. T.; Tatiana, A. G.; David, H. S. Strategic Evaluation of Community Health Activities: Case of the Parakou/N’Dali Health District. Cent. Afr. J. Public Health 2024, 10(5), 196-202. doi: 10.11648/j.cajph.20241005.11

    Copy | Download

    AMA Style

    Maurice AT, Tatiana AG, David HS. Strategic Evaluation of Community Health Activities: Case of the Parakou/N’Dali Health District. Cent Afr J Public Health. 2024;10(5):196-202. doi: 10.11648/j.cajph.20241005.11

    Copy | Download

  • @article{10.11648/j.cajph.20241005.11,
      author = {Agonnoudé Togbédji Maurice and Amoussou-Guenou Gwladys Tatiana and Houéto Sègbegnon David},
      title = {Strategic Evaluation of Community Health Activities: Case of the Parakou/N’Dali Health District
    },
      journal = {Central African Journal of Public Health},
      volume = {10},
      number = {5},
      pages = {196-202},
      doi = {10.11648/j.cajph.20241005.11},
      url = {https://doi.org/10.11648/j.cajph.20241005.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cajph.20241005.11},
      abstract = {Community health is based on primary health care and all countries must respect these principles of actions community-based health. Objective is to assess the relevance of community health activities in the Parakou / N'Dali Health District (PNHD) in 2020. Method: It was an evaluative observational cross-sectional study with an analytical aim carried out from August to September 2020. It focused on the community volunteer, qualified community health workers, local elected officials and health professionals of PNHD. Assessment of the relevance of activities at the community were in three dimensions: the relevance of the activities, the adequacy of the profile of agents committed to this task and respect for the principles of community action. Overall relevancy assessment ruled according to the Varkevisser rating scale. Results: The relevance of community health activities in the PNHD is poor (69.0%). Community volunteer does not have an adequate profile to carry out community health activities in basis of Primary Health Care (76.6%) and the basic principles of community action were not respect for 43.0%. Associated factors with the relevance of the activities observed are age between 40 and 60 (p˂.01), the gender of actors (p=.035). Conclusion: The community health activities carried out in the PNHD are globally not relevant as challenges persisted and required a great effort on human resources.
    },
     year = {2024}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Strategic Evaluation of Community Health Activities: Case of the Parakou/N’Dali Health District
    
    AU  - Agonnoudé Togbédji Maurice
    AU  - Amoussou-Guenou Gwladys Tatiana
    AU  - Houéto Sègbegnon David
    Y1  - 2024/09/26
    PY  - 2024
    N1  - https://doi.org/10.11648/j.cajph.20241005.11
    DO  - 10.11648/j.cajph.20241005.11
    T2  - Central African Journal of Public Health
    JF  - Central African Journal of Public Health
    JO  - Central African Journal of Public Health
    SP  - 196
    EP  - 202
    PB  - Science Publishing Group
    SN  - 2575-5781
    UR  - https://doi.org/10.11648/j.cajph.20241005.11
    AB  - Community health is based on primary health care and all countries must respect these principles of actions community-based health. Objective is to assess the relevance of community health activities in the Parakou / N'Dali Health District (PNHD) in 2020. Method: It was an evaluative observational cross-sectional study with an analytical aim carried out from August to September 2020. It focused on the community volunteer, qualified community health workers, local elected officials and health professionals of PNHD. Assessment of the relevance of activities at the community were in three dimensions: the relevance of the activities, the adequacy of the profile of agents committed to this task and respect for the principles of community action. Overall relevancy assessment ruled according to the Varkevisser rating scale. Results: The relevance of community health activities in the PNHD is poor (69.0%). Community volunteer does not have an adequate profile to carry out community health activities in basis of Primary Health Care (76.6%) and the basic principles of community action were not respect for 43.0%. Associated factors with the relevance of the activities observed are age between 40 and 60 (p˂.01), the gender of actors (p=.035). Conclusion: The community health activities carried out in the PNHD are globally not relevant as challenges persisted and required a great effort on human resources.
    
    VL  - 10
    IS  - 5
    ER  - 

    Copy | Download

Author Information
  • Sections