{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T22:33:50Z","timestamp":1767652430508},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2007,7,10]],"date-time":"2007-07-10T00:00:00Z","timestamp":1184025600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Equity Health"],"published-print":{"date-parts":[[2007,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Communities of extreme poverty suffer disproportionately from a wide range of adverse outcomes, but are often neglected or underserved by organized services and research attention. In order to target the first Millennium Development Goal of eradicating extreme poverty, thereby reducing health inequalities, participatory research in these communities is needed. Therefore, the purpose of this study was to determine the priority problems and respective potential cost-effective interventions in Belen, a community of extreme poverty in the Peruvian Amazon, using a multidisciplinary and participatory focus.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>Two multidisciplinary and participatory workshops were conducted with important stakeholders from government, non-government and community organizations, national institutes and academic institutions. In Workshop 1, participants prioritized the main health and health-related problems in the community of Belen. Problem trees were developed to show perceived causes and effects for the top six problems. In Workshop 2, following presentations describing data from recently completed field research in school and household populations of Belen, participants listed potential interventions for the priority problems, including associated barriers, enabling factors, costs and benefits.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The top ten priority problems in Belen were identified as: 1) infant malnutrition; 2) adolescent pregnancy; 3) diarrhoea; 4) anaemia; 5) parasites; 6) lack of basic sanitation; 7) low level of education; 8) sexually transmitted diseases; 9) domestic violence; and 10) delayed school entry. Causes and effects for the top six problems, proposed interventions, and factors relating to the implementation of interventions were multidisciplinary in nature and included health, nutrition, education, social and environmental issues.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>The two workshops provided valuable insight into the main health and health-related problems facing the community of Belen. The participatory focus of the workshops ensured the active involvement of important stakeholders from Belen. Based on the results of the workshops, effective and essential interventions are now being planned which will contribute to reducing health inequalities in the community.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1475-9276-6-6","type":"journal-article","created":{"date-parts":[[2007,7,10]],"date-time":"2007-07-10T18:18:41Z","timestamp":1184091521000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Multidisciplinary and participatory workshops with stakeholders in a community of extreme poverty in the Peruvian Amazon: Development of priority concerns and potential health, nutrition and education interventions"],"prefix":"10.1186","volume":"6","author":[{"given":"Martin","family":"Casapia","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serene A","family":"Joseph","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theresa W","family":"Gyorkos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2007,7,10]]},"reference":[{"key":"60_CR1","unstructured":"UNICEF: The State of the World's Children 2007: Women and Children \u2013 The double dividend of gender equality. [http:\/\/www.unicef.org\/publications\/files\/The_State_of_the_Worlds__Children__2007_e.pdf]"},{"key":"60_CR2","volume-title":"United Nations Millennium Declaration","author":"UN","year":"2000","unstructured":"UN: United Nations Millennium Declaration. 2000, [http:\/\/www.un.org\/millennium\/declaration\/ares552e.pdf]"},{"key":"60_CR3","first-page":"210","volume":"83","author":"S Nandy","year":"2005","unstructured":"Nandy S, Irving M, Gordon D, Subramanian SV, Davey Smith G: Poverty, child undernutrition and morbidity: new evidence from India. Bull World Health Organ. 2005, 83: 210-216.","journal-title":"Bull World Health Organ"},{"key":"60_CR4","doi-asserted-by":"publisher","DOI":"10.1596\/0-8213-5468-X","volume-title":"World Development Report 2004: Making services work for poor people","author":"World Bank","year":"2003","unstructured":"World Bank: World Development Report 2004: Making services work for poor people. 2003, Washington DC: World Bank"},{"key":"60_CR5","volume-title":"A practical plan to achieve the MDGs","author":"United Nations Development Program","year":"2005","unstructured":"United Nations Development Program: A practical plan to achieve the MDGs. 2005, [http:\/\/www.unmillenniumproject.org\/reports\/fullreport.htm]"},{"key":"60_CR6","volume-title":"Millennium Indicators Database","author":"UN Department of Economic and Social Affairs. Statistics Division","year":"2004","unstructured":"UN Department of Economic and Social Affairs. Statistics Division: Millennium Indicators Database. 2004, [http:\/\/millenniumindicators.un.org\/unsid\/mi\/mi_goals.asp]"},{"key":"60_CR7","unstructured":"Google Earth. 2007, [http:\/\/earth.google.com]"},{"key":"60_CR8","volume-title":"Iquitos: Fundaci\u00f3n para el desarrollo sostenible de la Amazon\u00eda Baja del Per\u00fa","author":"UNAP","year":"2001","unstructured":"UNAP: La UNAP en su contexto. Iquitos: Fundaci\u00f3n para el desarrollo sostenible de la Amazon\u00eda Baja del Per\u00fa. 2001, Universidad Nacional de la Amazon\u00eda Peruana"},{"key":"60_CR9","volume-title":"Censos Nacionales: X de Poblaci\u00f3n y V de Vivienda (Resultados Definidos)","author":"Instituto Nacional de Estad\u00edstica e Inform\u00e1tica","year":"2005","unstructured":"Instituto Nacional de Estad\u00edstica e Inform\u00e1tica: Censos Nacionales: X de Poblaci\u00f3n y V de Vivienda (Resultados Definidos). 2005, [http:\/\/iinei.inei.gob.pe\/iinei\/RedatamCpv2005.asp?ori=C]"},{"key":"60_CR10","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1016\/j.ijpara.2006.03.004","volume":"36","author":"M Casap\u00eda","year":"2006","unstructured":"Casap\u00eda M, Joseph SA, N\u00fa\u00f1ez C, Rahme E, Gyorkos TW: Parasite risk factors for stunting in grade 5 students in a community of extreme poverty in Peru. Int J Parasitol. 2006, 36: 741-747. 10.1016\/j.ijpara.2006.03.004.","journal-title":"Int J Parasitol"},{"key":"60_CR11","volume-title":"Br J Nutr","author":"M Casap\u00eda","year":"2007","unstructured":"Casap\u00eda M, Joseph SA, N\u00fa\u00f1ez C, Rahme E, Gyorkos TW: Parasite and maternal risk factors for malnutrition in preschool-age children in Belen, Peru using the new WHO Growth Standards. Br J Nutr. 2007,"},{"key":"60_CR12","volume-title":"ZOPP Objectives-oriented Project Planning","author":"Gesellschaft fur Technische Zusammenarbeit","year":"1988","unstructured":"Gesellschaft fur Technische Zusammenarbeit: ZOPP Objectives-oriented Project Planning. 1988, Eschborn, Germany"},{"key":"60_CR13","doi-asserted-by":"publisher","first-page":"1863","DOI":"10.1016\/S0140-6736(05)66426-4","volume":"365","author":"ME Penny","year":"2005","unstructured":"Penny ME, Creed-Kanashiro HM, Robert RC, Rocio Narro M, Caulfield LE, Black RE: Effectiveness of an educational intervention delivered through the health services to improve nutrition in young children: a cluster-randomised controlled trial. Lancet. 2005, 365: 1863-1872. 10.1016\/S0140-6736(05)66426-4.","journal-title":"Lancet"},{"key":"60_CR14","volume-title":"The World Bank Participation Sourcebook","author":"World Bank","year":"1996","unstructured":"World Bank: The World Bank Participation Sourcebook. 1996, [http:\/\/www.worldbank.org\/wbi\/sourcebook\/sbhome.htm]"},{"key":"60_CR15","volume-title":"The PHAST Initiative: Participatory Hygiene and Sanitation Transformation: A new approach to working with communities","author":"WHO","year":"1997","unstructured":"WHO: The PHAST Initiative: Participatory Hygiene and Sanitation Transformation: A new approach to working with communities. 1997, Geneva: World Health Organization, WHO\/EOS\/96.11."},{"key":"60_CR16","volume-title":"Estrategias y Metodolog\u00eda para la Capacitaci\u00f3n Local. Programa de Administraci\u00f3n de Acuerdo de Gesti\u00f3n. Programa Salud B\u00e1sica para Todos","author":"Ministerio de Salud de Per\u00fa","year":"1999","unstructured":"Ministerio de Salud de Per\u00fa: Estrategias y Metodolog\u00eda para la Capacitaci\u00f3n Local. Programa de Administraci\u00f3n de Acuerdo de Gesti\u00f3n. Programa Salud B\u00e1sica para Todos. 1999, Lima: Unidad de Capacitaci\u00f3n. Ministerio de Salud"}],"container-title":["International Journal for Equity in Health"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1475-9276-6-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1475-9276-6-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1475-9276-6-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T00:03:57Z","timestamp":1630454637000},"score":1,"resource":{"primary":{"URL":"https:\/\/equityhealthj.biomedcentral.com\/articles\/10.1186\/1475-9276-6-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,7,10]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2007,12]]}},"alternative-id":["60"],"URL":"https:\/\/doi.org\/10.1186\/1475-9276-6-6","relation":{},"ISSN":["1475-9276"],"issn-type":[{"value":"1475-9276","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,7,10]]},"assertion":[{"value":"26 January 2007","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 July 2007","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 July 2007","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"6"}}