The Influence of Urban Community Health System on the Emergence of Douala, Cameroon

Inhaltsverzeichnis (Table of Contents)

• CHAPTER ONE - GENERAL INTRODUCTION
• 1.0 - Introduction
• 1.1- Justification and pertinence of the research
• 1.2 - The gengeral FRQWH[WRIWKHVWXG\
• 1.3. DelLPLWDWLRQRIWKHUHVHDUFK
• 1.3.1. EpistemoloJLFDOGHOLPLWDWLRQ
• 1.3.2. ThematLFGHOLPLWDWLRQ
• 1.3.3. Spatial dHOLPLWDWLRQ
• 1.4- Scientific context
• 1.5- The research problem
• 1.6- Research TXHVWLRQ
• 1.6.1. The Main question
• 1.6.2. Specific questions
• 1.7. Research objective
• 1.7.1. Main objective
• 1.7.2. Specific objectives
• 1.8 5HVHDUFKK\SRWKHVHV
• 1.8 0DLQK\SRWKHVHV
• 1.8.2. SpecifiFK\SRWKHVHV
• 1.9- The structure of WKHZRUN
• 1.10- Difficulties encountered and LimitaWLRQVRIWKHUHVHDUFK
• CHAPTER TWO:LITERATURE REVIEW AND CONCEPTUAL FRAMEWORK
• 2.0. ,QWURGXFWLRQ
• 2.1- /LWHUDWXUHUHYLHZ
• 2.2. The conceptual fUDPHZRUN
• 2.2.1. The concept of comPXQLW\KHDOWK
• 2.2.2. The concept of public health
• 2.2.3. The concept of local development
• 2.2.4. The concept of urban emergence
• 2.2.5. The concept oI8UEDQV\VWHP
• 2.3. Theoretical frameworNRIWKHUHVHDUFK
• 2.3.1- Possibilism theory
• 2.3.2- BehaYLRULVP
• 2.3.3- 7KHWKHRU\RIGHPDQGDQGVXSSO\RIKHDOWKVHUYLFHV
• 2.4. Conclusion
• CHAPTER THREE: THE RESEARCH METHODOLOGY
• 3.0. IntrodXFWLRQ
• 3.1- General methodological framework
• 3.1.1- Epistemological positioning in the building of scientific knowledge
• 3.1.2. The epistemological posture adopted in the building of scientific knowledge
• 3.1.3- The general methodology of the research
• 3.2. Methods and techniques of data collectLRQ
• 3.2.0-Sampling of investigDWLRQVLWHV
• 3.2.1-Method and techniques of collecting TXDQWLWDWLYHGDWD
• 3.2.2-Method and techniques of collectiQJTXDOLWDWLYHGDWD
• 3.3-Method and techQLTXHRIGDWDDQDO\VLVDQGWUHDWPHQW
• 3.3.1- Method and techniques of analyzing TXDQWLWDWLYHGDWD
• 3.3.2-Method and techniques of analyzinJTXDOLWDWLYHGDWD
• 3.3.3-0HWKRGVRIFRQMHFWXUHRIDQDO\]LQJGDWD
• 3.4- 3UHVHQWDWLRQRIWKH$3$PRGHO
• 3.5- The determination of the research SHULRGPDWUL[
• 3.6. Conclusion
• CHAPTER FOUR: THE FRAMEWORK OF COMMUNITY HEALTH IN DOUALA
• 4.0- Introduction
• 4.1- AGPLQLVWUDWLYHRUJDQL]DWLRQRIKHDOWKV\VWHPVRI'RXDOD
• 4.1.1- Spatial GLVWULEXWLRQRIKHDOWKIDFLOLWLHV
• 4.1.2- Relative distribution of health personnel
• 4.1.3- Administrative organization of health structures and units in Douala
• 4.1.4- Accessibility to basic health facilities DQGXQLWV
• 4.1.5- The contribution of Mutual HHDOWK2UJDQL]DWLRQ
• 4.2- Regulatory framework of health facilities
• 4.2.1- Decentralization law and public KHDOWKLPSOLFDWLRQV
• 4.2.2- Stakeholders involvement and participation LQSXEOLFKHDOWK
• 4.2.3- Formal private sector faciliWLHV
• 4.2.4- Informal private sector facilities
• 4.2.5- Execution of health community projects
• 4.3- Funding VWUXFWXUHVRIKHDOWKLQVWLWXWLRQV
• 4.3.1- Health service financing SROLF\LQ'RXDOD
• 4.3.2- Subventions of Douala KHDOWKVWUXFWXUHV
• 4.3.3- Resources of funding of the Douala KHDOWKVHFWRUV
• 4.3.4- Availability in health funding LQ'RXDODFLW\
• 4.3.5- Douala city +HDOWKIXQGPDQDJHPHQW
• 4.4- Managerial structure DQGSUDFWLFHV
• 4.4.1- Implementation of National policy on the management of biomedical waste in Douala
• 4.4.2- Evaluation of duties among the Douala PHGLFDOSHUVRQQHO
• 4.4.3- 7KHZHOIDUHRIKHDOWKSHUVRQQHO
• 4.4.4- Organizational system in the management of health YLFWLPV
• 4.4.5- Management of Douala health facilities
• 4.5- Institutional organization of community health and urban emergence
• 4.5.1- Territorial organization and urban emergence
• 4.5.2- 5HJXODWRU\IUDPHZRUNDQGXUEDQHPHUJHQFH
• 4.5.3- 0DQDJHULDOPDOSUDFWLFHVDQGXUEDQHPHUJHQFH
• 4.5.4- (WKLFDO&RQVLGHUDWLRQVRI3XEOLF+HDOWK
• CHAPTER FIVE: SYSTEM OF MANAGEMENT FOR WATER AND FOOD SECURITY
• 5.0- ,QWURGXFWLRQ
• 5.1- The State management of urban health security
• 5.1.1- The distribution of portable water implications
• 5.1.2- The alternative urban water supply systems
• 5.1.3- 0DQDJHPHQWRIWKHZDWHUVHFWRU
• 5.1.4- Assessment system of urban SRUWDEOHZDWHU
• 5.1.5- 0DQDJHPHQWRIWKHIRRGVHFWRU
• 5.2- Decentralized stakeholders of water management
• 5.2.1- Governance of the water sector at the Regional level
• 5.2.2- &UHDWLRQRIVDOHVSRLQWVDQGSDUNV
• 5.2.3- 0DQDJHPHQWRIWKHIRRGVHFWRUV
• 5.3- The local population involvement in water provision and food security
• 5.3.1- Water sources management and food security
• 5.3.2- Safety methods used to treat water and food in market places
• 5.3.3- 7KHFRQVXPSWLRQRIIUXLWVDQGEDODQFHGGLHW
• 5.3.4- 7KHTXDOLWLHVRIIUXLWFRQVXPH
• 5.3.5- Believe and customs in the consumption of portable water
• 5.4- The civil society and water provision
• 5.4.1-Conception and implementation of community health SURMHFWV
• 5.4.2- 3URYLVLRQRISRUWDEOHZDWHU
• 5.4.3- Water sensitization campaigns
• 5.4.4- Impact of subsidizing urban water supply
• 5.5- The international partners and urban water provision..
• 5.5.1- Provision of portable water strategies
• CHAPTER SIX: THE MANAGEMENT OF URBAN HYGIENE AND SANITATION
• 6.0- ,QWURGXFWLRQ
• 6.1- Urban disease Vector management
• 6.1.1- Vectors and vectors-borne disease correlationship in Douala
• 6.1.2- Urban environmental milieus of vector concentration
• 6.1.3- Mitigation attempts for vector-ERUQHGLVHDVHV
• 6.1.4- Institutional strategies against vectors and vector-ERUQHGLVHDVHV
• 6.2- Urban Sewage disposal system management
• 6.2.1- Evacuation system of sewage
• 6.2.2- Management system of sewage in thHFRPPXQLW\
• 6.2.3- Management system of sewage in the HosSLWDOPLOLHXV
• 6.3- Implementation of urban hygiene and sanitation
• 6.3.1- Instituting urban hygiene and sanitation days
• 6.3.2- The clean-XSFDPSDLJQV
• 6.3.3- Restructuring of the urban milieu by the urban council
• 6.3.4- Administrative management of urban public space
• 6.3.5- The XVHRISXEOLFVSDFHV
• 6.4- Urban KHDOWKSULYDWHVSDFHV
• 6.4.1- Stakeholder literacy disparity and its incidence on space management in Douala
• 6.4.2- Urban livestock rearing DQGSRXOWU\IDUPLQJ
• 6.4.3- Demographic variables and incidHQFHRQVSDFHPDQDJHPHQW
• 6.4.4- The settlement pattern as constraint to urban emergence
• 6.5-Management of training institutions
• 6.5.1- )LUVWDLGNQRZOHGJHLQWKHDGPLQLVWUDWLRQ
• 6.5.2- )LUVWDLGWUHDWPHQWVLQWKHWUDLQLQJLQVWLWXWLRQV
• 6.5.3- Availability of hHDOWKIDFLOLWLHV
• CHAPTER SEVEN: MANAGEMENT OF URBAN EPIDEMICS
• 7.0- ,QWURGXFWLRQ
• 7.1-Food and water borne disHDVHPDQDJHPHQW
• 7.1.1- Typhoid fever
• 7.1.2- Diarrhea
• 7.1.3- Cholera
• 7.1.4- Poliomyelitis
• 7.2-Vector borne diseases management
• 7.2.1- Malaria
• 7.2.2- Yellow fever
• 7.3- Air borne diseases management
• 73.1- Influenza
• 7.3.2- Tuberculosis
• 7.3.3- Measles
• 7.3.4- Asthma
• 7.4- Management of other diseases
• 7.4.1- Fungal infectionV
• 7.5-Drug supply and evaluation as per WHO of urban responses to epidemics
• 7.5.1- Evaluation of health-KXPDQUHVRXUFHVDVSHU:+2VWDQGDUGV
• 7.5.2- (YDOXDWLRQRIWKHHYROXWLRQRILQIUDVWUXFWXUHVDQGVSDFH
• 7.5.3- (YDOXDWLRQRI9DFFLQDWLRQFDPSDLJQV
• CHAPTER EIGHT: SUMMARY OF FINDINGS, GENERAL CONCLUSION AND RECOMME1'$7,216

Zielsetzung und Themenschwerpunkte (Objectives and Key Themes)

This research focuses on the influence of the urban community health system on the emergence of Douala, Cameroon. It aims to assess the contribution of community health to Douala's emergence by analyzing the organizational mechanisms, management strategies, and practices of various stakeholders involved in urban water and food security, hygiene and sanitation, and disease prevention.

• Community Health System Organization and Functioning
• Management of Potable Water and Food Security
• Urban Hygiene and Sanitation Practices
• Urban Epidemic Prevention and Control

Zusammenfassung der Kapitel (Chapter Summaries)

Chapter 1 provides an introduction to the research, outlining its justification, context, and objectives. It explores the concept of community health and its influence on urban emergence. Chapter 2 presents a literature review and conceptual framework, examining key terms like community health, public health, local development, and urban emergence. Chapter 3 delves into the research methodology, detailing the approach, data collection techniques, and data analysis methods used.

Chapter 4 focuses on the framework of community health in Douala. It analyzes the administrative organization of health systems, the regulatory framework, funding structures, and managerial practices. Chapter 5 examines the stakeholders involved in managing urban potable water and food security, including the state, decentralized authorities, local populations, civil society, and international partners. Chapter 6 scrutinizes the management of urban hygiene and sanitation, addressing vector control, sewage disposal systems, and the role of urban stakeholders.

Chapter 7 explores the management of urban epidemics, examining food and waterborne diseases, vector-borne diseases, airborne diseases, and drug supply and evaluation systems. Chapter 8 summarizes the key findings, draws general conclusions, and provides recommendations for improving the urban community health system of Douala.

Schlüsselwörter (Keywords)

This study examines the keywords: community health, public health, urban emergence, local development, urban system, water and food security, hygiene and sanitation, disease control, and socio-sanitary advocacy. It explores how these concepts interact within the context of Douala, Cameroon, and their role in achieving urban emergence.