Successes and Challenges Related to Community Participation in Primary Health Care and Health Programs in the IGAD Region: A Scoping Review

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Published Feb 1, 2025
https://doi.org/10.62438/tunismed.v103i2.5426
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Vol. 103 No. 2 (2025): Tunis Med Feb 2025

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Farhan Houssein Ali
Mohammed VI International School of Public Health, Mohammed VI University of Sciences and Health, Casablanca. Public health and health management, Mohammed VI Center for Research and Innovation, Rabat, Morocco.
Mansour Njah
Farhat Hached University Hospital, University of Sousse, Sousse, Tunisia
David-Martin Milot
Scientific Co-Director, Interdisciplinary Centre for International Health Development, Specialist in public health and preventive medicine, CISSS de la Montérégie-Centre
Kenza Hassouni
Mohammed VI International School of Public Health, Mohammed VI University of Sciences and Health, Casablanca. Public health and health management, Mohammed VI Center for Research and Innovation, Rabat, Morocco.

Abstract

For decades, community participation (CP) in primary health care (PHC) and health programs (HP) has played a crucial role in improving health services and their sustainability. This article examines the successes and challenges of CP in the Intergovernmental Authority on Development (IGAD) region, which includes Djibouti, Ethiopia, Eritrea, Kenya, Somalia, Sudan, South Sudan, and Uganda, focusing on the factors influencing and levels of community engagement. This study employs a scoping review based on the Arksey and O'Malley framework and the IAP2 public participation spectrum. A comprehensive search was conducted in PubMed, Scopus, Web of Science, and Google Scholar for studies published up to April 2024. Relevant articles on CP mechanisms in PHC and HP in the IGAD region were selected. In total, 64 articles were included in this scoping review. The studies highlighted various forms and mechanisms of CP, such as the establishment of community health committees and the mobilization of volunteers. Successes included improvements in disease prevention, crisis management, community resilience, and access to maternal and child health services. However, challenges remain, such as communication gaps, resource limitations, cultural barriers, and political instability. Community participation is essential for the success of health programs in the IGAD region. Although significant progress has been made, persistent challenges must be addressed to optimize the impact and sustainability of CP initiatives.

Keywords:

Community participation, Primary health care, Health People Programs, East African People, Resilience, Psychological

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Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Author Biography

David-Martin Milot, Scientific Co-Director, Interdisciplinary Centre for International Health Development, Specialist in public health and preventive medicine, CISSS de la Montérégie-Centre

David-Martin Milot Professeur agrégé, Université de Sherbrooke Co-directeur scientifique, Centre interdisciplinaire de développement international en santé Médecin spécialiste en santé publique et médecine préventive, CISSS de la Montérégie-Centre

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