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I think it's fair to say that anybody that is looking at addressing a community based issue, whether it's in a local community on a national basis, regionally or globally, that the days of taking these things on by yourself and being a solution provider solely by yourself are gone.
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The use of CAM in the community at large, including children, is not just a clinical or hospital based issue.
The most important ones are village health committees (VHC) dealing with health issues only, village development committees (VDC) dealing with overall developmental (including health) issues, community based organisations (CBO) dealing with HIV and AIDS issues, and home-based care (HBC) groups providing care for persons who are chronically ill.
In April 2005, regulations for a nationwide implementation of community based health insurance were issued after three pilot CHI projects showed promising results [ 16].
Only around a quarter of those with AUDIT scores indicating possible dependency reported being 'in treatment for their drinking', incorporating even fewer having been engaged in ongoing community based work with alcohol issues.
Since an intervention and its associated costs and benefits can be characterised not only by its technological content (e.g. a psychoactive drug) but also by the setting in which it is delivered (e.g. hospital versus community based care), service organisation issues also enter here.
Others have considered some of the issues involved in community based intervention trials with a small number of clusters, but have focused on issues of restricted randomisation and whether the analysis should be at the individual or cluster level [ 20].
These issues are often dismissed as quirky community based phenomena and seldom result in a significant research agenda.
Japanese medical schools have similar issues surrounding community based education [ 11].
In addition, the authors' daily observation about misconceptions or incorrect knowledge about menstrual and reproductive health issues; rarity of community based gynecology and pediatrics research about the study subject; and the results of a recently published article by El-Gilany et al. [ 7] prompted this study.
One way to address the issue of sustainability of community based programme is community partnership and participation strategy [ 30].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com