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All the various interventions were implemented with the aim of improving early case detection/diagnosis, treatment/management and ensure treatment completion through enhanced community involvement and support by increasing access to health care services for BU patients.
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To enhance community involvement in water management, Water User Associations (WUAs) are being established and, in areas with growing upstream downstream conflicts, apex bodies of all users along the stressed river stretch.
The synthesis did not indicate any means of enhancing community involvement.
In addition, health volunteers recruited from local communities play important support, prevention and early detection roles, thereby enhancing community involvement.
The DHMT moreover tried to enhance community involvement in PS processes by encouraging regular meetings between the newly established committees and the community structures.
Decentralisation involved the establishment of 'health centres' and 'health posts' in settlements and, in 1991, 'health advisory committees' and 'neighbourhood committees' to enhance community involvement.
In as much as the preliminary study findings have described a number of encouraging aspects of community involvement, and the potential to enhance community involvement in health-related activities, further empirical research is vital to understand which tasks performed by these community support initiatives, and peer support activities in particular, contribute to achieving durable ART success.
Key factors to remedy this include international genomic medicine research collaborations, dedicated research funding for the establishment of large-scale genetic epidemiology studies in underrepresented groups, enhanced community engagement, physician education and involvement, and improving access through changes in health policy and reimbursement.
Participation of Yorubas or any underserved population in genetic studies can be enhanced by community involvement from inception of the study as well as by regular feedback [ 30], especially when the study design involves participation of family members from several generations.
The identification of high-risk groups provides motivation to enhance community awareness and its involvement in preventive efforts; as well as re-orient oral health services towards oral health promotion and prevention [ 16].
The involvement of community leaders has the potential to enhance community embeddedness, buy-in from community members, and community accountability.
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