2.50
Hdl Handle:
http://hdl.handle.net/10755/211698
Type:
Research Study
Title:
COMMUNITY BASED HEALTH CARE AND SOCIAL CAPITAL IN PAPUA NEW GUINEA
Abstract:
Purpose:  The purpose of this poster is to describe an ethnographic study that will explore how components of social capital and cultural health beliefs influence the adoption and sustainability of community based health care programs in rural Papua New Guinea (PNG). Rationale: Improving health determinants in developing countries requires an awareness of the cultural context of the community and empowering communities to identify and address health disparities. One aspect to empowering a community involves identification and utilization of the components of social capital (trust, reciprocity, social engagement) in the capacity building process. Social capital has been defined as the possession of benefits associated with group membership. In PNG social capital is associated with kinship ties and traditional practices of reciprocity obligations termed the ‘wantok system’. Background:  Despite a focus on the prevention and management of infectious diseases and improvement of maternal/infant mortality rates, health indicators in PNG have continued to decline over the past two decades.  Issues of inadequate health services in rural areas are magnified by a widespread lack of awareness in the population regarding risk related behaviors and limited involvement by local communities in health promotion programs.  Infectious diseases are endemic in rural village settings and account for approximately 50% of overall mortality.  Community based health care projects have been promoted as a means of improving the health of rural villagers in PNG.  Unfortunately not all community-based projects have been successful primarily due to inadequate resources, communication problems, and limited community participation. Method: This study proposes to use a descriptive, ethnographic approach to explore the influence of cultural health beliefs and social capital on the adoption of community health promotion activities. The primary site for the study will be select rural villages in PNG that have participated in the community based health care program for a minimum of one year. A purposeful sampling strategy will be used to achieve representativeness of the setting by the inclusion of both men and women from the village, health committee members, community health volunteers, and local health workers. In-depth interviews using open ended questions will be the primary data collection method.  Questions will focus on personal beliefs about health and illness, reciprocity obligations, community resources, group decision-making, and participation in village activities.  Field notes gathered during observation of group meetings, transcription of semi-structured interviews and detailed description of settings will be included. Significance: Developing a method to evaluate the effectiveness of the community-based health care program is an important element in determining the positive and negative components of social capital’s influence on individual and group health. This study will add to our understanding of traditional health beliefs in rural PNG and the influence of social capital on the adoption and sustainability of community based health care programs.
Keywords:
Ethnographic study; Papua New Guinea; Community based health care programs
Repository Posting Date:
20-Feb-2012
Date of Publication:
20-Feb-2012
Other Identifiers:
4917
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typeResearch Studyen_GB
dc.titleCOMMUNITY BASED HEALTH CARE AND SOCIAL CAPITAL IN PAPUA NEW GUINEAen_GB
dc.identifier.urihttp://hdl.handle.net/10755/211698-
dc.description.abstractPurpose:  The purpose of this poster is to describe an ethnographic study that will explore how components of social capital and cultural health beliefs influence the adoption and sustainability of community based health care programs in rural Papua New Guinea (PNG). Rationale: Improving health determinants in developing countries requires an awareness of the cultural context of the community and empowering communities to identify and address health disparities. One aspect to empowering a community involves identification and utilization of the components of social capital (trust, reciprocity, social engagement) in the capacity building process. Social capital has been defined as the possession of benefits associated with group membership. In PNG social capital is associated with kinship ties and traditional practices of reciprocity obligations termed the ‘wantok system’. Background:  Despite a focus on the prevention and management of infectious diseases and improvement of maternal/infant mortality rates, health indicators in PNG have continued to decline over the past two decades.  Issues of inadequate health services in rural areas are magnified by a widespread lack of awareness in the population regarding risk related behaviors and limited involvement by local communities in health promotion programs.  Infectious diseases are endemic in rural village settings and account for approximately 50% of overall mortality.  Community based health care projects have been promoted as a means of improving the health of rural villagers in PNG.  Unfortunately not all community-based projects have been successful primarily due to inadequate resources, communication problems, and limited community participation. Method: This study proposes to use a descriptive, ethnographic approach to explore the influence of cultural health beliefs and social capital on the adoption of community health promotion activities. The primary site for the study will be select rural villages in PNG that have participated in the community based health care program for a minimum of one year. A purposeful sampling strategy will be used to achieve representativeness of the setting by the inclusion of both men and women from the village, health committee members, community health volunteers, and local health workers. In-depth interviews using open ended questions will be the primary data collection method.  Questions will focus on personal beliefs about health and illness, reciprocity obligations, community resources, group decision-making, and participation in village activities.  Field notes gathered during observation of group meetings, transcription of semi-structured interviews and detailed description of settings will be included. Significance: Developing a method to evaluate the effectiveness of the community-based health care program is an important element in determining the positive and negative components of social capital’s influence on individual and group health. This study will add to our understanding of traditional health beliefs in rural PNG and the influence of social capital on the adoption and sustainability of community based health care programs.en_GB
dc.subjectEthnographic studyen_GB
dc.subjectPapua New Guineaen_GB
dc.subjectCommunity based health care programsen_GB
dc.date.available2012-02-20T12:09:07Z-
dc.date.issued2012-02-20T12:09:07Z-
dc.date.accessioned2012-02-20T12:09:07Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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