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Effects of a community-based salt reduction program in a regional Australian population.

ABSTRACT: Salt reduction is a public health priority but there are few studies testing the efficacy of plausible salt reduction programs.A multi-faceted, community-based salt reduction program using the Communication for Behavioral Impact framework was implemented in Lithgow, Australia. Single 24-h urine samples were obtained from 419 individuals at baseline (2011) and from 572 at follow-up (2014). Information about knowledge and behaviors relating to salt was also collected.Survey participants were on average 56 years old and 58 % female. Mean salt intake estimated from 24-h urine samples fell from 8.8 g/day (SD?=?3.6 g/day) in 2011 to 8.0 (3.6) g/day in 2014 (-0.80, 95 % confidence interval -1.2 to -0.3;p?

SUBMITTER: Land MA

PROVIDER: S-EPMC4864903 | biostudies-literature | 2016 May

REPOSITORIES: biostudies-literature

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Effects of a community-based salt reduction program in a regional Australian population.

Land Mary-Anne MA Wu Jason H Y JH Selwyn Adriana A Crino Michelle M Woodward Mark M Chalmers John J Webster Jacqui J Nowson Caryl C Jeffery Paul P Smith Wayne W Flood Victoria V Neal Bruce B

BMC public health 20160511

<h4>Background</h4>Salt reduction is a public health priority but there are few studies testing the efficacy of plausible salt reduction programs.<h4>Methods</h4>A multi-faceted, community-based salt reduction program using the Communication for Behavioral Impact framework was implemented in Lithgow, Australia. Single 24-h urine samples were obtained from 419 individuals at baseline (2011) and from 572 at follow-up (2014). Information about knowledge and behaviors relating to salt was also colle ...[more]

PMID: 27169380

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Project description:BACKGROUND:Community-based programs in rural low-and middle-income country settings are well-placed to conduct gender transformative activities that aid program sustainability and catalyse wider social change, such as reducing gender inequities that in turn improve health outcomes. The Anchal program is a drowning prevention intervention for children aged 1-5 years old in rural Bangladesh. It provides community crèche-based supervision delivered by local trained paid-female volunteers. We aimed to identify the influence of the Anchal program on gender norms and behaviours in the community context, and the effects these had on program delivery and men and women's outcomes. METHODS:Qualitative in-depth interviews, focus group discussions and observations were conducted with program beneficiaries and providers. Gender outcomes were analysed using FHI 360's Gender Integration Framework. RESULTS:The Anchal program was found to be a gender accommodating program as it catered for communities' gender-based roles and constraints but did not actively seek to change underlying beliefs, perceptions and norms that led to these. The program in some cases enhanced the independence and status of female community staff. This changed perceptions of communities towards acceptable levels of physical mobility and community involvement for women. Conversely, gender affected program delivery by reducing the ability of female supervisory staff to engage with male community leaders. The double burden of wage and household labour carried by local female staff also limited performance and progression. Gender-based constraints on staff performance, attrition and community engagement affected efficiency of program delivery and sustainability. CONCLUSIONS:The Anchal program both adapted to and shaped community gender norms and roles. The program has well-established relationships in the community and can be leveraged to implement gender transformative activities to improve gender-based equity. Health programs can broaden their impacts and target social determinants of health like gender equity to increase program sustainability and promote equitable health outcomes.

Dataset Information

Effects of a community-based salt reduction program in a regional Australian population.

Publications

Effects of a community-based salt reduction program in a regional Australian population.

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