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COMMUNITY PARTICIPATION
- Recognizes people as the center of any development effort. It is a process by which
members of the community:
Develop the capability to assume greater responsibility for assessing their health needs
and problems;
Plan and act to implement their solutions;
Create and maintain organization in support of these efforts; and
Evaluate the effects and bring about necessary adjustments in goals and collective action.
Sustainable community health development utilize three important approaches:
Community-based approach which empowers the people to address their health needs
and problems
Integrated approach which considers various dimensions of health and development such
as changing lifestyle, changing environment and reorienting health
care systems
Comprehensive approach which strikes at the root of the problem and addresses the social
determinants of health
COMMUNITY ORGANIZING
- A process whereby the community members develop the capability to assess their health
needs and problem, plan and implement actions to solve these problems, put up and sustain
organizational structures which will support and monitor implementation of health initiatives by
the people.
A. PREPARATORY PHASE. - The activities in the preparatory phase include area selection,
community profiling, entry in the community and integration with the people.
1. Area Selection
To guide the nurse in choosing and prioritizing areas for community health development, the
following questions must be answered:
Is the community in need of assistance?
Do the community members feel the need to work together to overcome a specific health
problem?
Are there concerned groups and organizations that the nurse can possibly work with?
What will be the counterpart of the community in terms of community support, commitment
and human resources?
2. Community Profiling
Once the area is selected, a community member who is known and accepted by the people
will be chosen to act as the contact person.
Provides an overview of demographic characteristics, community and health related
services and facilities.
Serves as an initial database of the community and provide the basis for planning and
programming organizing activities.
Helps determine the appropriate approach and methods of organizing specific to the
population group or sectors that will be organized.
3. Entry in the community and Integration with the people
Basic information about the area in relation to the cultural practices and lifestyle of the
people must be known.
Establishing rapport
Living with the people
Understanding their hardships, problems
Sharing their hopes and aspirations
The nurse must plan to establish and maintain valuable working relationships with health
organizations, educational institutions, local govt units, financial institutions, religious groups,
sectoral groups and the like.
1. NETWORKING consists of exchanging information about each others goals and objectives,
services or facilities.
2. COORDINATION modify their activities in order to provide better service to the target
beneficiary.
3. COOPERATION - organizations share information and resources
Make adjustments in ones own agenda to accommodate the other organizations agenda.
4. COLLABORATION
Help each other enhance their capacities in performing their tasks as well as in the
provision of services.
People become partners rather than competitors
5. COALITION OR MULTI-SECTOR COLLABORATION
Organizations and citizens form a partnership.
Parties give priority to the good of the community
Requires great investment in terms of effort, time, trust and the will to make a change