ABSTRACT
Diabètes is a major heaith issue worldwide. This study evaluâtes whether a community-based participatory program may improve diabètes care in adult in west area of Yasouj. A community based participatory research was designed. A local leading group was established consisted of academie researchers, local leaders, heaith providers and public representatives. Ail the 30-65 years old residents of designated area [2569 persons] were screened for detecting diabètes; anthropometrie measurements and biochemical tests were measured. Educational interventions about improving the diet and physical activities were performed for high risk individuels through a 3-months period. Out of 2569 individuels, 1336 were at high risk. Approximately 228 persons [17%] identified having diabètes. After the intervention, the mean FBS, HbAlC, TG and cholesterol of participant significantly decreased [p<0.05], decreasing in systolic and dîastolic blood pressure and body mass index were seen however this was not statistically significant. The mean physical activity and exercise increased and consumption of frying foods, saturated oil decreased significantly. Community-Based Participatory cares could be a feasible model for control of diabètes and its risk factors
ABSTRACT
Overcoming social problems requires a participatory approach. This study was performed in order to determine the effect of community based educational prevention program of drug abuse in reduction of high risk behavior. This study was a community based participatory research. According to planned approach to community health model, "the health companion group" was established with participation of public representatives of villages, researchers, and managers of health sectors. Need assessment and priority setting of health problems was done. Drug abuse was selected as the topmost priority of health problems. By interviewing 10 year olds and older members of households, the questionnaires were completed. By conducting workshops, distributing educational pamphlets and face to face training for six months, the educational program was carried out. After this period, the study population was interviewed again. Data was analyzed by SPSS software, X2, and T tests. The mean score of drug abuse related high risk behavior was 26.8 +/- 2.05 before educational program and 25.2 +/- 2.3 after the program. The mean score of psychological health was 26.2 +/- 5.8 before educational program and 26.4 +/- 5.7 after the program. The rate of negative drug abusing related behavior decreased and positive behavior increased after the educational program. The community based participatory research with participation of the public can be a proper pattern to prevent drug abuse and related high risk behaviors and as a result reduce costs and complications of this problem