Multifaceted community health education programs as powerful tools to mitigate snakebite-induced deaths, disabilities, and socioeconomic burden
Authors
Sakthivel Vaiyapuri
aSchool of Pharmacy, University of Reading, Reading, RG6 6UB, UK
Priyanka Kadam
bSnakebite Healing & Education Society, Mumbai, India
Gnaneswar Chandrasekharuni
cMadras Crocodile Bank Trust, Mamallapuram, Tamil Nadu, India
Isadora Oliveira
dDepartment of Biomolecular Sciences, School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
Subramanian Senthilkumaran
eManian Medical Centre, Erode, Tamil Nadu, India
Anika Salim
aSchool of Pharmacy, University of Reading, Reading, RG6 6UB, UK
Ketan Patel
fSchool of Biological Sciences, University of Reading, Reading, RG6 6UB, UK
Jacqueline Sachett
gNurse School, State University of Amazonas, Manaus, Amazonas, Brazil
Manuela Pucca
hMedical School, Federal University of Roraima, Boa Vista, Brazil
Keywords:
Snakebite envenoming, Community health education, Socioeconomic impact, Public awareness, Rural communities, Healthcare professionals, health policies
Abstract
Snakebite envenoming (SBE) predominantly affects rural impoverished communities that have limited access to immediate healthcare. These communities often hold numerous myths/misbeliefs about snakes and SBE. Moreover, healthcare professionals who practice in rural regions often work in unstable situations with limited medical infrastructure and therefore, lack sufficient knowledge/experience and confidence in the clinical management of SBE. Due to the lack of reliable statistics on the true burden of SBE, developing health policies for this condition by relevant authorities may be difficult. Hence, it is critical to improve awareness about SBE among rural communities, healthcare professionals and health authorities using robust multifaceted community health education approaches. Here, we describe the design, development, implementation, and impact of distinctive community health education approaches that we used in India and Brazil. A wide range of educational tools including information leaflets, posters, pocket guides, learning materials for healthcare professionals and short/long video documentaries were developed in local languages and used to engage with target communities through direct assemblies as well as mass/traditional and social media. Notably, we used diverse methods to determine the impact of our programs in improving awareness, treatment-seeking behaviour, and clinical practice. The people-centred approaches that we used were inclusive and highly impactful in instigating fundamental changes in the management of SBE among rural communities. The resources and approaches presented in this article can be easily adapted for wider use in other countries in order to collectively reduce SBE-induced deaths, disabilities and socioeconomic ramifications.
Keywords: Snakebite envenoming, Community health education, Socioeconomic impact, Public awareness, Rural communities, Healthcare professionals, health policies
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