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    Working With Communities

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    Mayom Mabuong
    This document discusses community participation in improving health. It defines a community and explains that community participation is a process that increases a community's ability to identify and solve their own health problems. It discusses moving from a top-down expert-led approach to a bottom-up approach where community members make their own decisions. The document outlines elements needed for effective community participation, such as health knowledge, planning skills, and collaborative leadership from both community members and health workers. It also discusses desired outcomes and different levels of community participation, as well as constraints and steps to facilitate the process.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    Working With Communities

    Uploaded by

    Mayom Mabuong
    556 views14 pages
    This document discusses community participation in improving health. It defines a community and explains that community participation is a process that increases a community's ability to identify and solve their own health problems. It discusses moving from a top-down expert-led approach to a bottom-up approach where community members make their own decisions. The document outlines elements needed for effective community participation, such as health knowledge, planning skills, and collaborative leadership from both community members and health workers. It also discusses desired outcomes and different levels of community participation, as well as constraints and steps to facilitate the process.

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    This document discusses community participation in improving health. It defines a community and explains that community participation is a process that increases a community's ability to identify and solve their own health problems. It discusses moving from a top-down expert-led approach to a bottom-up approach where community members make their own decisions. The document outlines elements needed for effective community participation, such as health knowledge, planning skills, and collaborative leadership from both community members and health workers. It also discusses desired outcomes and different levels of community participation, as well as constraints and steps to facilitate the process.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    556 views14 pages

    Working With Communities

    Uploaded by

    Mayom Mabuong
    This document discusses community participation in improving health. It defines a community and explains that community participation is a process that increases a community's ability to identify and solve their own health problems. It discusses moving from a top-down expert-led approach to a bottom-up approach where community members make their own decisions. The document outlines elements needed for effective community participation, such as health knowledge, planning skills, and collaborative leadership from both community members and health workers. It also discusses desired outcomes and different levels of community participation, as well as constraints and steps to facilitate the process.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 14

    Working with communities to

    improve health
    Liliane Luwaga

    Introduction
    What is a community?
    A group of people that may or may not be
    spatially connected, but who share common
    interests, concerns or identities.
    Communities may be local, national or
    international or even global in nature and may
    have either specific or broad interests
    (Laverack, 2007)

    Community participation
    A process that increases a communitys
    capacity to identify and solve problems. Such
    participation can lead to equitable and
    sustainable improvements in health.
    Active involvement in planning,
    implementation, monitoring, evaluation and
    decision making on matters related to their
    health and development

    Community participation
    Change from Top down planning approaches
    expert makes the decisions (indoctrination the
    process of telling people what to do)
    Community participation: Bottom up approach
    members of the community make the decisions
    Self help programs e.g. Community contributing
    labour
    Calling people for a community meeting does not
    mean that community participation has taken
    place!

    Elements of Community Participation


    The Community Possesses:
    Health Knowledgebasic technical information
    on causes, prevention, and treatment of health
    problems.
    Planning and Management Skillsanalysis of
    assets and problems, understanding views of
    different community groups, gender analysis,
    problem solving, action planning, coordination,
    evaluation, information access, and resource
    mobilization.

    Facilitative Leadership and Communication


    Skillsresponsive leadership, representation
    of diverse interests, equitable approaches to
    including disenfranchised groups, group
    facilitation, conflict resolution, and
    participatory learning methods.
    A Commitment to Collaborationadvocacy,
    negotiation, partnership cultivation, and
    journalist/media relations.

    Health Workers Possess:


    Health Knowledgecredibility as a provider
    of advice and service.
    Knowledge of the Community
    understanding community perspectives on
    health, and identification of community
    resources and strengths; and respecting
    community members regardless of wealth
    and/or education.

    Planning, Communication, and Collaboration


    Skillsdialogue facilitation, participatory
    analysis and planning, mutual respect and
    learning, cultural competence, consensusbuilding, problem solving, advocacy, and crosssector collaboration.
    Facilitation and Mentoring Skillsworking in
    partnership, acting as a catalyst by stimulating
    analysis of assumptions held in the community.

    Desired outcomes

    Responsibility sharing
    A sense of ownership
    Self reliance
    Acquisition of skills and competences
    Efficiency and effectiveness in implementation
    Equitable distribution of resources

    Levels of Community Participation


    Participation in use of services provided
    Community involvement in a pre planned
    programme
    Community involvement based on local needs
    assessment and decision of community
    Community empowerment to increase control
    over events that determine their lives

    Constraints to CP
    Inappropriate attitudes and beliefs
    Focus of training institutions on curative
    services with little emphasis on preventive
    and promotive services
    Inadequate communication and feedback
    between health structures and communities

    Steps to facilitate CP

    Baseline survey
    Awareness creation
    Training
    Facilitate the community to start own
    initiative
    Monitoring
    Evaluation
    Re-planning

    Overlapping Concepts
    Community Participation- actively and genuinely
    involved in the process e.g. defining issues of
    concern to them, making decisions, planning, etc
    Community Involvement being included as a
    necessary part of something
    Community empowerment control, (gain
    confidence, self esteem, understanding and
    power necessary to articulate their concerns,
    ensue that action is taken to address them)

    Thank you

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