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But the effectiveness of community services is often undermined by two problems.
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Some systematic reviews of the effectiveness of community health services delivered by non-traditional health workers show that integration of community health volunteers can lead to significant benefits for maternal and child health, the management of infectious diseases and in increasing immunisation uptake.
Those hours of community service really help.
Two types of relationship services (couple counselling and relationship education) have demonstrated efficacy in many controlled studies but evidence of the effectiveness of community-based relationship services has lagged behind.
Health-related quality of life (HRQL) represents an important construct in understanding the health status and outcomes of older home care clients [ 1] and ultimately, the cost-effectiveness of community-based services and interventions [ 2].
Coalitions are argued as central to the effectiveness of community action in the broader community development field [ 16, 18] and their potential utility to CP Coordinators working within a health service to achieve change should not be discounted.
In the current couple counselling research literature, there is an imbalance in favour of efficacy studies, with little evidence available for effectiveness of services in community-based settings [ 33].
Accurate estimation of the range of allied health and community services is essential in determining the cost-effectiveness of intervention and prevention programmes.
Analyses of the cost effectiveness of an array of interventions across categories ranging from community services to high intensity clinical services offers insights that in some cases contradict the conventional wisdom on value for money within broad categories of interventions.
Again, cultural competence training for health staff, particularly related to intercultural communication, is an essential strategy for improving engagement and effectiveness of services in Aboriginal communities.
Moving the bulk of the behaviour change intervention to community services outside of an existing consultation may improve its effectiveness [ 79- 83].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com