Effective Community Communication is key to successful Community Partnership. Open, positive and respectful communication helps build commitment and trust in a community, leading to increased interest, support and involvement in community life. It is usually very difficult for community members to get involved when they do not know what’s going on. Whether it is at the community level or one to one, communication is most effective when it is two way; At the community level, this involves giving information and asking for feedback. Once information is exchanged, citizen involvement in local activities will increase and resources will be developed. A clearly established communication network is key to successful partnership.
RATIONALE OF COMMUNITY PARTNERSHIP IN HEALTH CARE
o The partial success of some models of health care to offer the basic health services to the poor.
o In Successful scaling up of the interventions related to health needs identifying ways in which services can be added to the already existing services
o Shifting successfully to community based and patient centered (Individual) – paradigms of care for the proper management of chronic diseases that include HIV/AIDS and cancer has given way to interventions that necessitate community partnership.
o To preserve health in conflict and post conflict areas so as promote health of the marginalized, the hard to reach and to address the unmet needs.
o To promote health of the vulnerable eg the children, the women, people with disabilities (PWDs), the elderly, the adolescents, and the incarcerated.
o Other special groups of people like the prostitutes, substance and drug abusers, the sexually abused, the mentally ill and those with other risky behaviors / behavioral disorders
o Deploying towards a continuum of care - One of the core competencies for long term care is partnering. .
o Provision of community mental health services relies heavily on effective educational outreach programmes .
o Studies show that there is an ever inceasing decline in the total resources towards the health sector in most of the low developed countries that include the human resource for health care services (C.H Wood et al,2001).
o Shortage of health workers as a constraint to achieving the three health related MDGs , that is , reducing childhood illnesses, improving maternal health and combating HIV/AIDS and other diseases such as Tuberculosis and Malaria.
o Simplification and delegation of tasks to less skilled colleagues, this was done in the global polio eradication initiaves and is still being well implemented in promoting oral rehydration therapy and home based management of malaria.( The World Health Report,2006)
o The gap between the haves and the have nots is becoming wider within countries where leadership is lacking at certain levels to support the rights of the underprivileged and if at all it is supported it is not with similar strength as compared to the support given to the beneficiaries of privatization.
o The problem is not the know how because lists of human resource for health are being released and the number of graduates in the medical fields would be just enough, the problem is the number of patients accessing services is increasing as compared to the resources to meet their needs.
o Health care eventually returns to the community with reference to clinics or hospitals when necessary.
o Although there has been increasing technology and new drugs , the concern is on the extent to which health services provide coverage to the communities they serve. Still the poor are not reached and even when health services are accessed individuals, families and communities should are seen as just consumers but not active partners in all matters related to their health needs and concerns.
o Questionnaire surveys, action research, extractive research are being superseded by investigation and analysis by local people themselves. Methods and approaches to research are not only used for the local people to inform outsiders, but also for peoples own analysis of their own health needs, conditions, and concerns (Chambers, R. ,PRA Methods and Tools,1992).
o The determinants of health, eg poverty ,gender inequality, social capital, income inequalities, cultural values, employment/working conditions etc, have been seen as having great influence to the well being of individuals, families and communities. Recent findings and analysis of emerging issues brings to light of the concern that goes beyond mere biomedical and behavioural risks ( The Ottawa charter for health promotion,1996)
o As health progresses from traditional to scientific, it must combine the best features from both in a radical community based model.
o The emerging public health concerns and that infectious diseases are spreading faster geographically ( WHO report,2007) , making all populations vulnerable.
o At Local level, communities have responded to disasters faster before government interventions.
o PLWHAs have proved to be a valuable educational resource to support the training of health workers.
o Adressing diversity and socio – cultural and demographic characteristics of populations.
Irrespective of receiving daily oral or future injectable depot therapies, these require health care visits for medication and monitoring of safety and response. If patients are treated early enough, before a lot of immune system damage has occurred, life expectancy is close to normal, as long as they remain on successful treatment. However, when patients stop therapy, virus rebounds to high levels in most patients, sometimes associated with severe illness because i have gone through this and even an increased risk of death. The aim of “cure”is ongoing but i still do believe my government made millions of ARV drugs instead of finding a cure. for ongoing therapy and monitoring. ARV alone cannot cure HIV as among the cells that are infected are very long-living CD4 memory cells and possibly other cells that act as long-term reservoirs. HIV can hide in these cells without being detected by the body’s immune system. Therefore even when ART completely blocks subsequent rounds of infection of cells, reservoirs that have been infected before therapy initiation persist and from these reservoirs HIV rebounds if therapy is stopped. “Cure” could either mean an eradication cure, which means to completely rid the body of reservoir virus or a functional HIV cure, where HIV may remain in reservoir cells but rebound to high levels is prevented after therapy interruption.Dr Itua Herbal Medicine makes me believes there is a hope for people suffering from,Parkinson's disease,Schizophrenia,Cancer,Scoliosis,Fibromyalgia,Fluoroquinolone Toxicity
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