A community health worker examines a patient in Kita, Mali Photo credit: ICH is designed to strengthen the role of community health approaches to reduce barriers to health coverage and support national policies and implementation plans. Bangladesh Save the Children:
The breadth of studies covered in this review article, combined with the prominence the Journal is giving to the subject in this issue, suggests how far the field has come in its understanding of the links between public health and communities. The authors summarize many of the community-based studies since and draw useful conclusions for strengthening community-based efforts at improving the health of the US population.
Moreover, by drawing from the lessons learned from human immunodeficiency virus HIV prevention programs, they provide significant recommendations for improving the potential of community-based strategies. The term community-based has a wide range of meanings.
In this editorial we focus on 4 categories of community-based projects based on implicit constructions of community employed by investigators: As setting, the community is primarily defined geographically and is the location in which interventions are implemented.
Such interventions may be citywide, using mass media or other approaches, or may take place within community institutions, such as neighborhoods, schools, churches, work sites, voluntary agencies, or other organizations.
Various levels of intervention may be employed, including educational or other strategies that involve individuals, families, social networks, organizations, and public policy.
These community-based interventions may also engage community input through advisory committees or community coalitions that assist in tailoring interventions to specific target groups or to adapt programs to community characteristics.
As a result, the target of change may be populations, but population change is defined as the aggregate of individual changes.
The term community-based may also have a very different meaning, that of the community serving as the target of change. The community as target refers to the goal of creating healthy community environments through broad systemic changes in public policy and community-wide institutions and services.
In this model, health status characteristics of the community are the targets of interventions, and community changes, particularly changes thought to be related to health, are the desired outcomes. Several significant public health initiatives have adopted this model.
For example, community indicators projects use data as a catalytic tool to go beyond using individual behaviors as primary outcomes. This model is commonly applied in community-based health promotion because of the widely endorsed belief that a high degree of community ownership and participation is essential for sustained success in population-level health outcomes.
Whether a categorical health issue is predetermined or whether the community selects, perhaps within certain parameters, its own priorities, these kinds of interventions involve external resources and some degree of actors external to the community that aim to achieve health outcomes by working through a wide array of community institutions and resources.
Although closely linked to the model just described, the emphasis in this model is on respecting and reinforcing the natural adaptive, supportive, and developmental capacities of communities.
In the language of Guy Steuart, 8 communities provide resources for meeting our day-to-day needs. These resources are provided through community institutions including families, informal social networks, neighborhoods, schools, the workplace, businesses, voluntary agencies, and political structures.
These naturally occurring units of solution meet the needs of many, if not most, community members without the benefit of direct professional intervention. However, communities are defined as much by whom they exclude as whom they include, and the network of relationships that defines communities may be under stress.
The goal of community-based programs in this model is to carefully work with these naturally occurring units of solution as our units of practice, or where and how we choose to intervene.
This necessitates a careful assessment of community structures and processes, in advance, of any intervention. Thus the aim is to strengthen these units of solution to better meet the needs of community members.Strategic Goal 1: Reform, Strengthen, and Modernize the Nation’s Healthcare System Strategic Objective Promote affordable healthcare, while balancing spending on premiums, deductibles, and out-of-pocket costs.
This five year Community Health Strategic Plan lays ‘To Achieve Excellence in Healthcare for All’. Community Health actions to achieve the District goals w Developing a marketing strategy to heighten the profile of Community Health both within the LHD and the community.
With this goes the development. Washington Association of Community & Migrant Health Centers promotes health and human services for the underserved people of Washington ensuring that all Washingtonians have access to primary health care, regardless of geographic location, nationality, income level or insurance status.
Personal fire safety training to reduce risks for the leading causes of fire injuries and deaths. People at greater risk for home fires include older adults, families with young children, people with disabilities, and people in low-income communities.
Brazil's national health system has developed and rapidly scaled up an approach to primary care that relies on lay community health agents and interdisciplinary care teams to provide universal.
COMMUNITY A Strategy for the Delivery of LEVEL ONE SERVICES Ministry of Health June Reversing the trends The Second NATIONAL HEALTH SECTOR Republic of Kenya Strategic Plan of Kenya. ii Taking KEPH to the Community THIS PUBLICATION is one of a series that the Ministry of Health will produce to.