Publications by authors named "P J Valentine"

Background: Participation and inclusion of service users in health governance impact the quality of care and citizen well-being. In developing countries, such as Kosovo, disadvantaged groups are particularly important due to deep exclusionary structures and multiple systemic barriers to participation and care provision.

Purpose: To investigate the effects of three interventions on social participation in decision-making in several primary healthcare sites among the population and particularly vulnerable groups, i.

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Article Synopsis
  • Nigeria had the highest child mortality rate globally in 2019, prompting a study to address this issue using a whole-systems approach in the Kiyawa area of Jigawa state.
  • A community-based controlled trial was conducted, randomly assigning health care clusters to either an intervention or a control group, targeting mothers and children in participating households.
  • The intervention included participatory learning and action groups, a partnership-defined quality scorecard, and training for healthcare workers, aiming to reduce child mortality rates over a specified period.
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Community-facility linkage interventions are gaining popularity as a way to improve community health in low-income settings. Their aim is to create/strengthen a relationship between community members and local healthcare providers. Representatives from both groups can address health issues together, overcome trust problems, potentially leading to participants' empowerment to be responsible for their own health.

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Objectives: In this study, we used the information generated by community members during an intervention design process to understand the features needed for a successful community participatory intervention to improve child health.

Design: We conducted a concurrent mixed-methods study (November 2019-March 2020) to inform the design and evaluation of a community-facility linkage participatory intervention.

Setting: Kiyawa Local Government Area (Jigawa State, Nigeria)-population of 230 000 (n=425 villages).

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Background: Between 2013 and 2022, Nigeria did not meet globally defined targets for pneumonia control, despite some scale-up of vaccinations, oxygen and antibiotics. A deliberate focus on community-based programs is needed to improve coverage of protective, preventive and treatment interventions. We therefore aimed to describe caregiver knowledge and care seeking behaviour for childhood pneumonia, in a high child mortality setting in Nigeria, to inform the development of effective community-based interventions for pneumonia control.

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