This document outlines a lesson plan on community participation. The objectives are to define community participation, list its core features and advantages/disadvantages. It also discusses stages of participation, the community action cycle, and Participatory Rural Appraisal techniques. Community participation is defined as a process where individuals assume responsibility for their own health and development. It allows people to become agents in their own development rather than passive beneficiaries.
The document provides details about a lesson plan for a session on community participation, including the objectives, overview, introduction, definition of key terms, advantages, stages, and techniques like Participatory Rural Appraisal. The introduction discusses the limitations of past development approaches in India that lacked community involvement. It emphasizes that participation is the key to building confidence and empowering people to take ownership of community initiatives.
This document provides an overview of public participation principles and requirements for service excellence in South Africa. It covers:
- Statutory requirements for public participation including the constitution, municipal acts, and policies.
- Defining public participation and its objectives to encourage citizen involvement in decision making.
- The duties of government to engage citizens and identify stakeholders.
- Principles for improving community participation regarding issues like service delivery, consultation, and the integrated development plan.
- The Batho Pele principles of customer-centric service delivery including setting standards, increasing access, and remedying failures.
Methods and Techniques for Community Engagement Dr. John Persico
Some ideas to help foster community engagement in the City of Minneapolis. My partner and I had a contract for two years to help the CIty implement a Community Engagement Process. We developed, tested and deployed a model for CE and also designed some training to support the role out of the model.
Participatory Communication for Social ChangeAnkuran Dutta
1) Participatory communication is an approach based on dialogue that allows for sharing of information, perceptions, and opinions between stakeholders to facilitate empowerment, especially for vulnerable groups.
2) Key elements of participatory communication include identifying community needs and desired outcomes, focusing on horizontal communication and collaborative processes, and integrating social empowerment and capacity building goals.
3) The process of participatory communication involves participatory communication assessment, strategy design, implementation, and monitoring and evaluation to assess impact of communication interventions.
This document provides a governance approach and project plan for the design phase of Project Collaborate, which aims to facilitate collaboration and information sharing among stakeholders in the childhood cancer community. A working team will meet weekly to develop recommendations for an operating model and draft a business plan. An advisory team representing key organizations will provide input and feedback and must sign off on the final plan. The project will involve assessing the current landscape, engaging stakeholders, recommending a collaborative model, and developing a business plan by January 2012 to transition to an implementation phase. The overall goal is to enhance coordination while preserving the identities of individual organizations working to create a world without childhood cancer.
URBiNAT principles of user engagement. 6 recommendations from SLA Architects URBiNAT
Copenhagen-based SLA Architects are members of the H2020-funded URBiNAT Consortium which is committed to the promotion of NBS and the creation of Healthy Corridors in 7 cities across Europe (2018 - 2023)
Stakeholder engagement is the process of involving stakeholders to discuss and direct efforts towards a specific outcome. The level and nature of engagement depends on the project goals. For simple projects, engagement may only require fact sheets and brief meetings, while more complex projects require greater collaboration over time to build relationships. There are different levels of engagement, from simply informing stakeholders to co-deciding with them. Effective stakeholder engagement follows key principles like setting clear goals, defining stakeholders, managing expectations, using group discussion, providing varied information formats, allowing mutual influence, and maintaining feedback.
The document provides details about a lesson plan for a session on community participation, including the objectives, overview, introduction, definition of key terms, advantages, stages, and techniques like Participatory Rural Appraisal. The introduction discusses the limitations of past development approaches in India that lacked community involvement. It emphasizes that participation is the key to building confidence and empowering people to take ownership of community initiatives.
This document provides an overview of public participation principles and requirements for service excellence in South Africa. It covers:
- Statutory requirements for public participation including the constitution, municipal acts, and policies.
- Defining public participation and its objectives to encourage citizen involvement in decision making.
- The duties of government to engage citizens and identify stakeholders.
- Principles for improving community participation regarding issues like service delivery, consultation, and the integrated development plan.
- The Batho Pele principles of customer-centric service delivery including setting standards, increasing access, and remedying failures.
Methods and Techniques for Community Engagement Dr. John Persico
Some ideas to help foster community engagement in the City of Minneapolis. My partner and I had a contract for two years to help the CIty implement a Community Engagement Process. We developed, tested and deployed a model for CE and also designed some training to support the role out of the model.
Participatory Communication for Social ChangeAnkuran Dutta
1) Participatory communication is an approach based on dialogue that allows for sharing of information, perceptions, and opinions between stakeholders to facilitate empowerment, especially for vulnerable groups.
2) Key elements of participatory communication include identifying community needs and desired outcomes, focusing on horizontal communication and collaborative processes, and integrating social empowerment and capacity building goals.
3) The process of participatory communication involves participatory communication assessment, strategy design, implementation, and monitoring and evaluation to assess impact of communication interventions.
This document provides a governance approach and project plan for the design phase of Project Collaborate, which aims to facilitate collaboration and information sharing among stakeholders in the childhood cancer community. A working team will meet weekly to develop recommendations for an operating model and draft a business plan. An advisory team representing key organizations will provide input and feedback and must sign off on the final plan. The project will involve assessing the current landscape, engaging stakeholders, recommending a collaborative model, and developing a business plan by January 2012 to transition to an implementation phase. The overall goal is to enhance coordination while preserving the identities of individual organizations working to create a world without childhood cancer.
URBiNAT principles of user engagement. 6 recommendations from SLA Architects URBiNAT
Copenhagen-based SLA Architects are members of the H2020-funded URBiNAT Consortium which is committed to the promotion of NBS and the creation of Healthy Corridors in 7 cities across Europe (2018 - 2023)
Stakeholder engagement is the process of involving stakeholders to discuss and direct efforts towards a specific outcome. The level and nature of engagement depends on the project goals. For simple projects, engagement may only require fact sheets and brief meetings, while more complex projects require greater collaboration over time to build relationships. There are different levels of engagement, from simply informing stakeholders to co-deciding with them. Effective stakeholder engagement follows key principles like setting clear goals, defining stakeholders, managing expectations, using group discussion, providing varied information formats, allowing mutual influence, and maintaining feedback.
Community participation the arnstein ladderTim Curtis
The document discusses different levels of community participation, from non-participation to citizen control. It presents the "Arnstein ladder" which ranks levels of tokenism and non-participation at the bottom rungs versus citizen power and citizen control at the top. Lower rungs include informing, consultation, placation while higher rungs involve partnerships, delegated power, and citizen control. It also discusses common strategies for participation like citizens' juries and barriers to meaningful participation from both community members and powerholders.
This document outlines general principles of community planning presented by Arch. Michael T. Ang. It discusses principles such as accepting different agendas and levels of commitment from community members, avoiding jargon, being transparent, building local capacity, communicating effectively, and involving all affected parties in the planning process. The overall message is that community planning requires flexibility, local ownership, and maintaining momentum through regular review.
This document provides an overview of community development. It defines community development as a comprehensive process to manage change that involves citizens creating a shared vision for the future. The key aspects of community development include organizing stakeholders, analyzing community conditions, developing a strategic plan through public participation, implementing programs and projects, evaluating outcomes, and sustaining efforts over time. Successful community development focuses on building social capital and developing leadership, economic, and human resources in a balanced, holistic manner.
Participatory approaches to rural developmentSuhail Hussain
Participatory development aims to engage local populations in development projects through local decision making and utilizing local capacities. It seeks to achieve localized capital accumulation based on skills development and resource generation. The key elements of participatory development are process, empowerment, and participation. Variations include manifestations in collaborative planning tools, benefits like sustainability, and criticisms like potential slowness. Case studies show applications in areas like natural resource management, governance, and rural poverty alleviation.
Participatory communication involves sharing information and ideas between all parties in a communication. It is defined as a type of communication where all individuals feel they have equal access to express their viewpoints and experiences. The importance of participatory communication is that it motivates active participation from all sides, allows for understanding of problems from people's perspectives, and promotes quality interaction and equal opportunity for participation between organizers and participants. The process involves giving priority to people's perspectives to identify and analyze their problems and opportunities and improve the situation through self-mobilization.
This document discusses participatory communication and its role in development initiatives. It describes participatory communication as a dynamic process that enables people to be engaged in issues impacting their lives and empowering them to make decisions. The key aspects covered include preliminary situation assessments with stakeholders, designing communication strategies collaboratively, developing and pre-testing messages and materials, implementing and evaluating the initiatives, and ensuring participation at all stages of the process. Examples are provided of participatory methods used in different community projects like videos, photo novella, and community research systems that facilitate reflection and action.
Clear Vision is a nonprofit that aims to strengthen local communities through civic engagement. It held an Empowerment Summit with 4 sessions to develop community ideas. The first session set the stage by having participants discuss community values, the history of Clear Vision, and testimonials. Participants then generated ideas to improve the community and the top 10 ideas were selected. The next steps are to develop those ideas into projects over the next 6 months with the help of volunteer coaches. The goal is to empower ordinary citizens to solve community problems.
Public participation is the involvement of people in the creation and management of their built
and natural enviroments.
Its strength is that it cuts across tradition professional boundaries and cultures.
The activity of community particiaption is based on the prinicple that the built and natural
enviromnets work better if citizens are active and involved in its creation and management
instead of being treated as passive concumers
The planning system is meant to reflect the general wishes of the local community and there is
a need on the local authority to consult widely during the formulation of a Local Plan and in the
operation of the development.
The fact that the Council is made up of elected members ensures a certain level of
representation, but wider public consultation is required.
When a planning application is submitted the local authority publishes details in the local
newspaper and, in some circumstances, a notice is displayed adjacent to the site. In cases of
special sensitivity, individual households in an affected area might be asked for their opinions or
there may be a small public exhibition.
However, in most cases, if members of the public wish to find out what is proposed they have to
visit the planning department, request the material that has been submitted and examine
This document outlines the process of community economic development. It discusses identifying stakeholders and getting them involved in the process. It also discusses forming goals and a mission, evaluating the project as it matures, and integrating different organizations and individuals to address comprehensive planning, resource use, human resource development, and other areas. The overall goal is to educate and assist communities in developing assets to address problems and improve quality of life.
Public Engagement Presentation - Jessica CarrollJessica Carroll
This document discusses various approaches to public engagement used by governments. It begins by defining public engagement as a way for governments, stakeholders, communities and citizens to work together to achieve societal goals. Open government data and participatory governance are also defined, outlining their importance in improving public engagement. The document then examines good practices for public engagement used by various cities, including guiding principles, communication strategies, and frameworks. Interactive engagement techniques like voting pads and citizen juries are described. The IAP2 spectrum for public participation is presented, and examples of public engagement in the budgetary process from different cities are provided.
Empowering Communiites through Policy Development-The PMB ModelSulleiman Adediran
The document discusses empowering communities through participatory policy development processes using the Participatory Modified Bottom-Up (PMB) Model. It defines key concepts like community and participation. The PMB Model is a 3-phase process that begins with visioning at the state level followed by community-level visioning and then harmonizing the perspectives to develop a draft policy. Examples from Nigeria show the benefits of this approach, like increased community ownership and sustainability of policies. Community empowerment means building confidence, inclusion, organization, cooperation and influence. The examples demonstrate how communities in Nigeria have been empowered through participation in school governance.
The document summarizes Daniel Fusca's presentation on innovations in public engagement. It discusses trends in public engagement, how engagement is improving, and what public engagement is. It provides examples of new engagement tools like social media, open data, and citizen panels. It outlines the objectives and timeline of a study to explore new engagement models and how to broaden participation. Draft opportunities for change and principles of effective engagement are presented. The next steps of the study are outlined.
Introduction to CommunityMatters Workshop in Newport VermontCommunityMatters
The document outlines an agenda for a community meeting in Newport, Vermont on connecting citizens and activating change. The agenda includes introductions, lunch, sessions on tools and approaches for engagement, and a closing. Ground rules are listed to ensure respectful and productive discussion. The context of changing citizen expectations and the need for civic infrastructure is also discussed.
SustaiN 2013 presentation (Afghanistan/community based development)Yoshiko Ogawa
This document discusses community-based development approaches in Afghanistan. It provides two case studies of projects implemented using the People's Process methodology in Afghanistan.
The first case study describes a community upgrading project in an informal settlement in Jalalabad that strengthened local governance and improved infrastructure over time as trust developed between social organizers and the community. The second case study outlines a road project involving five rural communities that initially stalled due to tensions between two of the communities, but was able to proceed after social organizers facilitated reconciliation discussions. The document emphasizes the importance of social organizers developing trust and understanding community dynamics to effectively facilitate participatory processes.
Restart+ Module 6 Sustaining Success and Future Planningcaniceconsulting
Our final module helps you assess what does community regeneration success look like? And how do you evaluate it?
You will also learn that celebrating success is one of the most important things you can do. You will learn about the importance of reassurance marketing, vital as we emerge from the pandemic of 2020.
We provide our last set of practical templates and exercises which you can use to measure the success and impact of your projects and plan for the future for your community regeneration projects.
NCDD Presentation for CommunityMatters in Newport VermontCommunityMatters
The document discusses strategies for building community through public engagement, dialogue, and deliberation. It outlines challenges such as disconnection and partisan politics, and emphasizes the need for inclusion, shared purpose, and sustained engagement. Asset-based community development and deliberative forums are presented as approaches to identify community strengths, encourage cooperation, and find solutions through respectful exchange of diverse views. Examples from previous community initiatives demonstrate how these principles of public participation can strengthen relationships and foster collaborative action.
Making Austin: public participation in a new comprehensive plangclaxton
This document summarizes a public participation plan for a new comprehensive plan. It outlines the planning process which includes three phases: plan kickoff, vision and plan framework, and the final comprehensive plan. It describes past public workshops, focus groups, and the guiding principles and goals of the participation plan which aims to be open, transparent, and enthusiastic. The plan details strategies for spreading information and garnering public participation through a variety of in-person and online activities and forums. It emphasizes monitoring, feedback, and transparency throughout the process.
This document lists approved priority skills training projects in Sarangani Province for 2014. It provides details of projects in the municipalities of Glan, Malapatan, General Santos City, and Alabel, including physical targets, total costs, and funding sources from national government agencies and local government units. The total budget for all projects is 4.9 million pesos, with 3.9 million requested from national agencies and 942,375 pesos to be contributed by local counterparts.
Community participation the arnstein ladderTim Curtis
The document discusses different levels of community participation, from non-participation to citizen control. It presents the "Arnstein ladder" which ranks levels of tokenism and non-participation at the bottom rungs versus citizen power and citizen control at the top. Lower rungs include informing, consultation, placation while higher rungs involve partnerships, delegated power, and citizen control. It also discusses common strategies for participation like citizens' juries and barriers to meaningful participation from both community members and powerholders.
This document outlines general principles of community planning presented by Arch. Michael T. Ang. It discusses principles such as accepting different agendas and levels of commitment from community members, avoiding jargon, being transparent, building local capacity, communicating effectively, and involving all affected parties in the planning process. The overall message is that community planning requires flexibility, local ownership, and maintaining momentum through regular review.
This document provides an overview of community development. It defines community development as a comprehensive process to manage change that involves citizens creating a shared vision for the future. The key aspects of community development include organizing stakeholders, analyzing community conditions, developing a strategic plan through public participation, implementing programs and projects, evaluating outcomes, and sustaining efforts over time. Successful community development focuses on building social capital and developing leadership, economic, and human resources in a balanced, holistic manner.
Participatory approaches to rural developmentSuhail Hussain
Participatory development aims to engage local populations in development projects through local decision making and utilizing local capacities. It seeks to achieve localized capital accumulation based on skills development and resource generation. The key elements of participatory development are process, empowerment, and participation. Variations include manifestations in collaborative planning tools, benefits like sustainability, and criticisms like potential slowness. Case studies show applications in areas like natural resource management, governance, and rural poverty alleviation.
Participatory communication involves sharing information and ideas between all parties in a communication. It is defined as a type of communication where all individuals feel they have equal access to express their viewpoints and experiences. The importance of participatory communication is that it motivates active participation from all sides, allows for understanding of problems from people's perspectives, and promotes quality interaction and equal opportunity for participation between organizers and participants. The process involves giving priority to people's perspectives to identify and analyze their problems and opportunities and improve the situation through self-mobilization.
This document discusses participatory communication and its role in development initiatives. It describes participatory communication as a dynamic process that enables people to be engaged in issues impacting their lives and empowering them to make decisions. The key aspects covered include preliminary situation assessments with stakeholders, designing communication strategies collaboratively, developing and pre-testing messages and materials, implementing and evaluating the initiatives, and ensuring participation at all stages of the process. Examples are provided of participatory methods used in different community projects like videos, photo novella, and community research systems that facilitate reflection and action.
Clear Vision is a nonprofit that aims to strengthen local communities through civic engagement. It held an Empowerment Summit with 4 sessions to develop community ideas. The first session set the stage by having participants discuss community values, the history of Clear Vision, and testimonials. Participants then generated ideas to improve the community and the top 10 ideas were selected. The next steps are to develop those ideas into projects over the next 6 months with the help of volunteer coaches. The goal is to empower ordinary citizens to solve community problems.
Public participation is the involvement of people in the creation and management of their built
and natural enviroments.
Its strength is that it cuts across tradition professional boundaries and cultures.
The activity of community particiaption is based on the prinicple that the built and natural
enviromnets work better if citizens are active and involved in its creation and management
instead of being treated as passive concumers
The planning system is meant to reflect the general wishes of the local community and there is
a need on the local authority to consult widely during the formulation of a Local Plan and in the
operation of the development.
The fact that the Council is made up of elected members ensures a certain level of
representation, but wider public consultation is required.
When a planning application is submitted the local authority publishes details in the local
newspaper and, in some circumstances, a notice is displayed adjacent to the site. In cases of
special sensitivity, individual households in an affected area might be asked for their opinions or
there may be a small public exhibition.
However, in most cases, if members of the public wish to find out what is proposed they have to
visit the planning department, request the material that has been submitted and examine
This document outlines the process of community economic development. It discusses identifying stakeholders and getting them involved in the process. It also discusses forming goals and a mission, evaluating the project as it matures, and integrating different organizations and individuals to address comprehensive planning, resource use, human resource development, and other areas. The overall goal is to educate and assist communities in developing assets to address problems and improve quality of life.
Public Engagement Presentation - Jessica CarrollJessica Carroll
This document discusses various approaches to public engagement used by governments. It begins by defining public engagement as a way for governments, stakeholders, communities and citizens to work together to achieve societal goals. Open government data and participatory governance are also defined, outlining their importance in improving public engagement. The document then examines good practices for public engagement used by various cities, including guiding principles, communication strategies, and frameworks. Interactive engagement techniques like voting pads and citizen juries are described. The IAP2 spectrum for public participation is presented, and examples of public engagement in the budgetary process from different cities are provided.
Empowering Communiites through Policy Development-The PMB ModelSulleiman Adediran
The document discusses empowering communities through participatory policy development processes using the Participatory Modified Bottom-Up (PMB) Model. It defines key concepts like community and participation. The PMB Model is a 3-phase process that begins with visioning at the state level followed by community-level visioning and then harmonizing the perspectives to develop a draft policy. Examples from Nigeria show the benefits of this approach, like increased community ownership and sustainability of policies. Community empowerment means building confidence, inclusion, organization, cooperation and influence. The examples demonstrate how communities in Nigeria have been empowered through participation in school governance.
The document summarizes Daniel Fusca's presentation on innovations in public engagement. It discusses trends in public engagement, how engagement is improving, and what public engagement is. It provides examples of new engagement tools like social media, open data, and citizen panels. It outlines the objectives and timeline of a study to explore new engagement models and how to broaden participation. Draft opportunities for change and principles of effective engagement are presented. The next steps of the study are outlined.
Introduction to CommunityMatters Workshop in Newport VermontCommunityMatters
The document outlines an agenda for a community meeting in Newport, Vermont on connecting citizens and activating change. The agenda includes introductions, lunch, sessions on tools and approaches for engagement, and a closing. Ground rules are listed to ensure respectful and productive discussion. The context of changing citizen expectations and the need for civic infrastructure is also discussed.
SustaiN 2013 presentation (Afghanistan/community based development)Yoshiko Ogawa
This document discusses community-based development approaches in Afghanistan. It provides two case studies of projects implemented using the People's Process methodology in Afghanistan.
The first case study describes a community upgrading project in an informal settlement in Jalalabad that strengthened local governance and improved infrastructure over time as trust developed between social organizers and the community. The second case study outlines a road project involving five rural communities that initially stalled due to tensions between two of the communities, but was able to proceed after social organizers facilitated reconciliation discussions. The document emphasizes the importance of social organizers developing trust and understanding community dynamics to effectively facilitate participatory processes.
Restart+ Module 6 Sustaining Success and Future Planningcaniceconsulting
Our final module helps you assess what does community regeneration success look like? And how do you evaluate it?
You will also learn that celebrating success is one of the most important things you can do. You will learn about the importance of reassurance marketing, vital as we emerge from the pandemic of 2020.
We provide our last set of practical templates and exercises which you can use to measure the success and impact of your projects and plan for the future for your community regeneration projects.
NCDD Presentation for CommunityMatters in Newport VermontCommunityMatters
The document discusses strategies for building community through public engagement, dialogue, and deliberation. It outlines challenges such as disconnection and partisan politics, and emphasizes the need for inclusion, shared purpose, and sustained engagement. Asset-based community development and deliberative forums are presented as approaches to identify community strengths, encourage cooperation, and find solutions through respectful exchange of diverse views. Examples from previous community initiatives demonstrate how these principles of public participation can strengthen relationships and foster collaborative action.
Making Austin: public participation in a new comprehensive plangclaxton
This document summarizes a public participation plan for a new comprehensive plan. It outlines the planning process which includes three phases: plan kickoff, vision and plan framework, and the final comprehensive plan. It describes past public workshops, focus groups, and the guiding principles and goals of the participation plan which aims to be open, transparent, and enthusiastic. The plan details strategies for spreading information and garnering public participation through a variety of in-person and online activities and forums. It emphasizes monitoring, feedback, and transparency throughout the process.
This document lists approved priority skills training projects in Sarangani Province for 2014. It provides details of projects in the municipalities of Glan, Malapatan, General Santos City, and Alabel, including physical targets, total costs, and funding sources from national government agencies and local government units. The total budget for all projects is 4.9 million pesos, with 3.9 million requested from national agencies and 942,375 pesos to be contributed by local counterparts.
Community Health Workers_Sarah Shannon_5.8.14CORE Group
The document discusses several case studies and programs involving community health workers (CHWs) addressing non-communicable diseases (NCDs):
1) The Latino Health Access program in Santa Ana, California uses promotoras-led diabetes programs, community classes, and organizing that has led to better health outcomes than nearby hospitals.
2) Last Mile Health in Liberia uses frontline health workers in rural areas for a heart disease prevention program through education, screening, and medication adherence support.
3) The document discusses developing new NCD content for CHWs globally to help identify, refer, manage, and prevent NCD cases through a revised version of the book "Where There Is No Doctor."
This community assessment of Alabel, Sarangani Province in the Philippines identifies key information about the area. It describes the population of over 71,000 people across 12 barangays. The economy is based on agriculture and animal husbandry. Each barangay has a health center that provides services like maternal care, immunizations, and dental care. Common diseases include respiratory infections, iron deficiencies in pregnant women, and cardiovascular issues. The report also examines environmental sanitation, housing and peacekeeping in the community. It concludes with recommendations such as increasing health budgets and focusing on medical services in remote areas.
Noncommunicable Diseases as the Focus for a Diagonal Approach to Strengthenin...Albert Domingo
This is an overview of the work-based placement I had at the World Health Organization Regional Office for the Western Pacific, in Manila, the Philippines. My research topic has been about noncommunicable diseases or NCDs as the focus for a diagonal approach to strengthening health systems.
The state in global health (focus on LICs/MICs)Albert Domingo
A report/presentation on the changing dynamics of the power of the state viz. external actors in formulating health policy, particularly in low income countries and middle income countries.
A 101 (or 100.5) on Systems Approaches to Capacity Building for Community Hea...CORE Group
This document provides an agenda for a workshop on systems approaches to capacity building for community health. The agenda includes introducing concepts of systems thinking related to capacity building, hearing participant experiences with systems thinking, group exercises on networks and causal loop analysis, and a case study. It also discusses how community health systems display different levels of complexity based on context and intervention using the Cynefin framework. The conclusion emphasizes that systems thinking is already used in community health development work, and that new tools and approaches from systems thinking can help further understanding, study, and achievement of goals in this area.
Community Health Workers_Christy Gavitt_5.8.14CORE Group
The document describes an outreach toolkit created by the International Federation of Red Cross and Red Crescent Societies called CBHFA. It targets Red Cross volunteers and covers 18 health topics through facilitator guides, volunteer manuals, and community toolkits. It is currently being piloted in over 8 countries and involves a 3-day training for volunteers who then educate community members. The toolkit focuses on non-communicable diseases like cancer, heart disease, lung disease, and diabetes through risk factor education, self-assessments, and helping community members develop health goals and plans.
Empowerment and Ownership: AChecklist to Sustain Community Health WorkersElvira Beracochea
This document outlines a program to empower and support community health workers in Nigeria. It proposes developing checklists to standardize care delivery and measuring outcomes. Community health workers would be trained to design, implement, and evaluate programs using simple checklists. Their performance would be tracked using weekly scorecards measuring public health metrics. The goal is to professionalize community health work and improve health outcomes in Nigeria.
Spatial Data for Health: What’s Changed in Terms of Availability and Quality?MEASURE Evaluation
This document summarizes changes in the availability and quality of spatial data for health analysis. It notes that spatial data is now available from various sources, including governments, volunteers, and academics. There is increased availability of open data due to new policies promoting transparency. Tools now allow more sophisticated analysis by linking spatial and attribute data. Future trends may include greater use of crowd-sourced mapping and real-time digital disease surveillance using social media data.
Policy Implications of Healthcare Associated InfectionsAlbert Domingo
On February 19, 2014 at the Ateneo School of Medicine and Public Health in Pasig City, Dr. Albert Domingo presented an introduction to the economic impact of healthcare associated infections (HAIs) as well as related concepts in health policy and management. The speaker discussed common approaches taken to ascertain the economic impact of HAIs, followed by factors/considerations in Philippine health policy and management that must be understood and adjusted in order to minimize HAIs.
Best Practices: Community Health Workers and Positive Impact on Community Changeruralxchange
This document discusses the roles and benefits of Community Health Workers (CHWs) and Promotoras. It outlines that CHWs and Promotoras are trusted community members who serve as liaisons between communities and health services. They provide education, social support, and help people access needed services. Research shows CHW outreach reduces emergency room visits and medical costs. The Affordable Care Act requires health insurance marketplaces to have navigators, including non-profits, to help people enroll. Navigators and certified application counselors will assist with enrollment.
Integrating Community-Based Strategies into Existing Health Systems_Judy Lewi...CORE Group
This document discusses information sharing to change policy for child pneumonia treatment in Haiti. It summarizes:
1) In 2000, 40,000 Haitian children under 5 were diagnosed with pneumonia and almost 3,000 died, showing pneumonia was a leading cause of child death.
2) Beginning in the 1980s, the Haitian Health Foundation implemented a community-based primary health care program that treated over 17,000 pneumonia cases in its first 3 years, reducing child pneumonia mortality.
3) Based on the Foundation's data and advocacy, the Haitian government adopted community-based treatment of pneumonia as national policy in 2005.
The document summarizes bamboo revegetation initiatives in the province of South Cotabato, Philippines from 2007-2010. It provides details of planting activities in various municipalities, including the number of bamboo seedlings planted, stretch of riverbanks covered, and partner organizations involved. The initiatives aim to stabilize eroding riverbanks and reduce flooding through natural revegetation of riparian zones. Most plantings achieved survival rates between 30-70% with some areas experiencing higher mortality due to natural disasters or stray animals.
The document provides an overview of illness in communities and the role of medical students. It defines key terms like community, disease, and illness. It describes how soil-transmitted helminthiasis, malnutrition, and maternal mortality disproportionately impact poor communities. An ill community is unable to fulfill its health role and the cycle of illness in communities leading to ill communities is discussed. Issues with the Philippine health system in perpetuating inequities are analyzed. The primary health care approach and medical students' ability to break the cycle by adopting a community-based approach are presented as ways forward.
Version révisée de la présentation de Mme Diane Miller-Bourdon de la Great West Life lors du colloque La santé en entreprise...c'est payant à Rouyn-Noranda et Val-d'Or les 12 et 13 novembre 2013
Community Health Workers_Christy Gavitt_5.8.14CORE Group
Over two-thirds of the 57 million deaths that occurred globally in 2008 were due to non-communicable diseases like cancer, cardiovascular disease, chronic lung disease, and diabetes. Nearly 80% of deaths from non-communicable diseases occur in low- and middle-income countries. About a quarter of deaths from non-communicable diseases are in people under 60 years old, and these younger people live with diminished quality of life for decades. The number of deaths from non-communicable diseases is estimated to increase 17% over the next decade, especially in low- and middle-income countries.
The document discusses participatory development, which aims to improve people's participation in development processes to promote social justice and self-reliance. It defines participatory development and outlines two perspectives: the social movement perspective, which aims to eliminate unjust hierarchies through primary stakeholder involvement, and the institutional perspective, which uses stakeholder inputs as a tool to achieve pre-established goals. The document also discusses characteristics of participatory development like inclusion of popular knowledge and empowerment. It outlines features from passive to empowerment participation and how participatory exercises build trust and consensus within communities.
BME 3 - GROUP 3 - Community Development.pdfssuser504dda
This document discusses community participation in development projects. It defines community participation as active involvement of community members to influence decisions that affect their lives. There are different types of participation, ranging from self-mobilization where communities take initiatives independently, to participation by consultation where external agents control information gathering and decision-making. For projects to be effective, participation should occur at all stages - from community mobilization and planning, to implementation, monitoring and evaluation. A people-centered approach to development empowers communities, builds their capacity for self-reliance, and leads to more sustainable projects. However, community participation also has disadvantages like being time-consuming and projects potentially losing community interest.
Community mobilization aims to engage community members to address a shared cause by raising awareness, assisting in delivering resources, and strengthening participation. It empowers communities to initiate their own development. The key steps are forming an action group to understand the situation, consulting the community to find needed information, developing action plans, presenting plans to the community, implementing plans using a toolkit, and reflecting on actions. A community mobilizer's roles include assisting with activities, designing methodologies, implementing plans, monitoring progress, and reporting. Community mobilization is important before a project to help communities understand goals and participate smoothly.
Participatory development seeks to engage local populations in development projects and programs to make them more sustainable and successful. It emerged in the 1970s as part of the basic needs approach to development. Participatory development is characterized as an alternative to top-down development and emphasizes empowering marginalized groups through involvement in the development process. The key objectives of participatory approaches are empowerment through more equitable power sharing, building local capacity by allowing people to plan and manage their own affairs, and increasing effectiveness and efficiency by giving communities a stake in projects.
A guide for DepEd ALS Implementers of Cluster IV (Maydolong, Balangkayan, Llorente, Hernani, Gen.MacArthur Districts) of Eastern Samar Division on how to effectively and sustain-ably manage ALS-Community Learning Centers.
unit 7:participatory project management concept and case of NepalRoshan Pant
With regard to rural development....participation includes people’s involvement in decision-With regard to rural development....participation includes people’s involvement in decision-making process, in implementing programmes, sharing the benefits of development programmes and their involvement in the efforts to evaluate such pro-grammes.
This document discusses the key aspects of community development practice. It begins by defining community development and noting that it aims to involve all citizens in community improvement and change. It then outlines the core values and principles of community development, including participation, representation, consensus-building, and self-help. Finally, it details the typical steps involved in a community development process, such as establishing an organizing group, collecting information, creating a vision/plan, and implementing/reviewing the plan.
This document contains an assignment for a community nursing science module at the North West University Mafikeng Campus. It includes 6 questions about defining and describing project management, community development principles, project planning, and benefits of community involvement in development initiatives. The student is asked to address concepts like complexity, planning horizons, stakeholder involvement, uncontrollable factors, human orientation, ownership, participation, empowerment, sustainability, and building self-reliant communities.
Community participation involves local communities playing a role in projects that affect them. It is a planned process where communities clarify and express their own needs and take collective action to meet them. There are different types of participation, ranging from passive participation where people are just informed, to active participation where people independently initiate actions. For community participation to be successful, it is important to consider factors like the level of involvement, who initiates and controls the process, balancing various stakeholders' interests, building partnerships and commitment, and ensuring communities have the confidence and capabilities to participate.
1. Participatory development is defined as a process that involves citizens actively participating in and making decisions that influence their lives.
2. There are four levels of participation: passive participation, increasing involvement, active participation, and ownership/empowerment.
3. The most important outcome of participatory development is that local people are involved in decision-making, project design, implementation, and evaluation, giving them a sense of control over their lives.
This document discusses community participation and defines key terms. It describes a community as a set of people living together with common interests, values, beliefs, etc. Participation is defined as having a share or taking part. Community participation involves shaping planning, mobilizing and training community members, implementing programs, and evaluating and monitoring outcomes. Barriers to participation include physical limits, cultural restrictions, language barriers, misunderstandings, and time constraints. Maximizing community involvement is important for developing self-reliance, critical awareness, and problem-solving skills.
people centric development is one of the rarely discussed concept but is highly important topic in the present day advanced world. this presentation gives idea about different concepts like peoples participation, capacity building, facilitation of extension personnels, multistakeholder interactions, brokering in extension, innovation platforms etc. it gives a basic idea about all these concepts
Community Action (Community Engagement, Solidarity and Citizenhip.pptxRoldanCawalo2
This document discusses community action and engagement. It defines community action as collective efforts directed at addressing social problems to achieve well-being. Community engagement refers to developing partnerships between community organizations and individuals to apply a shared vision to benefit the community. The core principles of community engagement include careful planning, inclusion, collaboration, openness to new ideas, transparency, potential for impact, and sustaining long-term engagement.
This document discusses key aspects of implementing rural development programs and projects. It covers people's participation, emphasizing the importance of involving citizens in decision making. It also discusses administrative capability and the crucial role of rural leaders in managing programs efficiently. Finally, it addresses resource mobilization, defining it as activities to secure new resources and better utilize existing ones, which is critical for organizational sustainability and improvement.
The document discusses community action and engagement. It defines key concepts like resilience, vigilance, and accountability. It outlines a 5-point community initiative model of engagement, planning, implementation, development, and sustainability. The purposes of community action are described as addressing issues facing marginalized groups, and involving youth. Competencies around solidarity and contribution to community development are also presented.
This document defines key concepts related to community participation. It begins by defining a community and community participation. The objectives of community participation are to develop self-reliance, critical awareness, and problem-solving skills. There are different types and levels of participation, from passive to active involvement. Factors like education, resources, and leadership can influence participation. The bottom-up approach with community involvement in all stages from planning to evaluation is most effective. Benefits include programs being locally relevant, communities gaining self-reliance, and better community-health worker relationships.
This document discusses participatory approaches to infrastructure development in rural areas of developing countries. It covers several topics:
1. Traditional development approaches like state-led, market-led, NGO-led, and community-led models and their characteristics.
2. Modern participatory approaches that emphasize cooperation between states/developers and communities. This includes concepts like benefit sharing.
3. Elements of effective participation, including different levels (e.g. local, elite, policymakers) and stages (e.g. planning, implementation).
4. Guidelines for ensuring participation is effective, such as demonstrating awareness as outsiders and promoting co-decision making.
The document outlines the basic steps of the community organization process:
1) Integration and community study to understand community issues and identify potential leaders.
2) Issue identification and analysis to select the most important problems to address.
3) Core group formation by bringing together change-seeking individuals and leaders.
4) Ground work like raising awareness and building consensus through meetings and discussions.
5) Capacity building through skills training, role playing, and developing leadership.
6) Mobilization and collective action to confront problems and advocate for solutions.
7) Evaluation and reflection after actions to learn lessons and improve future efforts.
8) Formalization of a community-based organization once objectives are achieved.
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Community participaion community participation1
1. 1. Community participaion Community participation1/5/2012 community participation 1
2. LESSON PLANSpeaker: Dr. S.SudharshiniTopic: COMMUNITY PARTICIPATIONDate: 27– 09 –
2011Day: TuesdayTime: 02.00 p.m.Duration: 75 minutesMethod: Socratic Method of
LectureAudience: Post Graduates And Faculty, Institute Of Community Medicine,MMC, Chennai.A-
V-Aids: LCD projectorEvaluation: Concurrent and Terminal1/5/2012 2
3. OBJECTIVES• At the end of the session the audience should be able to: – Define community
participation – List the core features of community participation – List the advantages and
disadvantages of community participation. – List the stages of community participation. – List and
describe the steps involved in community participation. – List and describe Participatory Rural
Appraisal1/5/2012 technique. community participation 3
4. Session overviewSUB HEADINGS Time break up (in minutes)Introduction 8Definition 8CORE
FEATURES 4ADVANTAGES OF COMMUNITY PARTICIPATION. 4STAGES,DEGREE &LADDER
OF COMMUNITY PARTICIPATION. 6DISADVANTAGES OF COMMUNITY PARTICIPATION.
2COMMUNITY ACTION CYCLE 12PRA AND ITS TECHNIQUES 15Community participation in
health 1/5/2012 community participation 15 4
5. MALARIA INCIDENCE IN INDIA NMCP 1953-56 NMEP-1958 UMS MPO-PFCP EMCP-RBM
NVBDCPSource: NVBDCP, New Delhi, India
6. Introduction• Development intervention approaches in INDIA over the past 60 years have been very
much a ‘supply oriented one way traffic’.• The limitations of the approaches which we had been
following include: • A top down approach • Target oriented • Non involvement of the people •
Vertically controlled sectoral approach without any horizontal coordination at the micro level. • The
dominant development thinking oriented towards greater inputs (supply) than what people
demanded. • Near total absence of self confidence and even self respect. • Lack of appreciation and
promotion of indigenous technical knowledge and resources. • The ever growing recipient
attitude.1/5/2012 community participation 6
7. THE MAIN CHALLENGE• Dislodge the strong dependency culture.• Help them regain their self
image and self respect• Create in them a strong sense of public consciousness to care about and to
stand as the sentinel on the community infrastructure.• Prepare and transform them to realize the
need for community led initiatives.1/5/2012 community participation 7
8. Key to the challenge• The basic logic for the success of any intervention in development and work
depends on the confidence built and the power given to people to decide and take community
initiatives. Consensus is its key.• The primary factor for promoting consensus and instilling
confidence is participation.1/5/2012 community participation 8
9. What is a Community A Community is a set of people living together with common interest” We all
live in a community. There are different things that bind us together. Let us try to identify them.
Occupation Language Territory Beliefs Values Religion Culture1/5/2012 community
participation 9
10. What is participation?•Oxford dictionary defines participation as “to have a share in ” or “ to take part
in”.1/5/2012 community participation 10
11. Definition of community participation• A process by which individuals and families assume
responsibility of their own health and develop their capacity to contribute to development .• Enables
them to become agents for their own development instead of being passive beneficiaries of
development aid.
2. 12. Definition• a process by which people are enabled to become actively and genuinely involved in
defining the issues of concern to them, in making decisions about factors that affect their lives, in
formulating and implementing policies, in planning, developing and delivering services and in taking
action to achieve change’ (WHO, 2002, p.10).1/5/2012 community participation 12
13. A more detailed definition of community participation Evaluati Mobilisi Implem ng andShaping
Planning ng and monitor enting training ing 1/5/2012 community participation 13
14. CORE FEATURES OF PARTICIPATION• It is a voluntary involvement of the people• The people
who participate influence and share control over development initiatives, decisions and resources.• It
is a process of involvement of people in different stages of the programme.• The ultimate aim is to
improve the well being of the people who participate.1/5/2012 community participation 14
15. Participatory development and participation in developmentParticipatory development Participation
in developmentA top down participation in the Bottom up participation in thesense that the
management of sense that the local people havethe project defines where, full control over the
processeswhen and how much the and the project provides forpeople can participate. necessary
flexibility.It1/5/2012 is introduced within the Entails genuine efforts to engage community
participation 15
16. PARTICIPATION AS A MEAN AND AS AN END Participation as a mean Participation as an endIt
implies use of participation to It attempts to empower people toachieve some predetermined goal or
participate in their ownobjective development more meaningfully.An attempt to utilise the existing An
attempt to ensure increased roleresource to achieve the objective of of people in development
initiative.programmes or projectEmphasis is on achieving the objective The focus is on improving the
abilityand not on the act of participation of the people to participate.itself. 1/5/2012 community
participation 16
17. WHY COMMUNITYPARTICIPATION ISIMPORTANT?1/5/2012 community participation 17
18. “As an individual I could do nothing. As a group we couldfind a way to solve each other’s problems”.
1/5/2012 community participation 18
19. WHY PARTICIPATION MATTERS???• Providing an open forum for the community to discuss its
problems and find indigenous solutions which may be efficient and economical.• Making people
aware of their needs.• Results in better decisions• People are more likely to implement the decisions
that they made themselves rather than the decisions imposed on them.• Motivation is frequently
enhanced by setting up of goals during the participatory decision making process.
20. WHY PARTICIPATION MATTERS???• Participation improves communication and cooperation.•
Identification and development of the local resources, thereby generating self reliance among the
community.• To develop local leaders who can further educate and mobilise the people in the area.•
People may learn new skills through participation; leadership potential may be identified and
developed.• Higher achievement at a lower cost.1/5/2012 community participation 20
21. Stages of participation • Community receives benefits from the service butLevel I. contributes
nothing • Some personnel, financial or material contribution from theLevel II community ,but not
involved in decision making. • Community participates in lower level decision makingLevel III •
Participation goes beyond lower level decision making toLevel IV monitoring and policy making •
program is entirely run by the community ,except for someLevel V external financial and technical
assistance. 1/5/2012 community participation 22
22. DEGREES OF COMMUNITY PARTICIPATION Collective action Co-learning Cooperation
Consultation Compliance Co-option1/5/2012 community participation 23
3. 23. DEGREES OF COMMUNITY PARTICIPATION• Co-option • Token involvement of local people •
Representatives are chosen, but have no real input or power• Compliance • Tasks are assigned,
with INCENTIVES • Outsiders decide agenda and direct the process• Consultation • Local opinions
are asked • Outsiders analyze and decide on a course of action.1/5/2012 community participation 24
24. • Cooperation • Local people work together with outsiders to determine priorities • Responsibility
remains with outsiders for directing the process• Co-learning • Local people and outsiders share their
knowledge to create new understanding • Local people and outsiders work together to form action
plans with outsiders facilitation1/5/2012 community participation 25
25. Original Arnsteins Citizen control ladder of participation Delegated power Degree of partnership
citizen power placation consultation Degree of tokenism informing therapy Non manipulation
participation1/5/2012 community participation 26
26. DISADVANTAGES OF COMMUNITY PARTICIPATION• Participation does not occur automatically.
It is a process. It involves time. Hence it may lead to delayed start of a project.• In a bottom-up
participation process, we have to move along the path decided by the local people. This entails an
increased requirement of material as well as human resources.• Participation leads to
decentralization of power. People at the top should be ready and willing to share power with the
people.• Participation sometimes develop dependency syndrome.• Participation can result in shifting
of the burden into the poor.1/5/2012 community participation 30
27. Community Action Cycle Explore the common issue & Set prioritiesPrepare to mobilize Organize the
community Plan together For action Prepare to scale up Evaluate together Act together
28. How can you build community participation community mobilization• A process whereby a group of
people become aware of a shared concern or common need and decide to take action in order to
create shared benefits. (Joint United Nations Programmed on HIV/AIDS)
29. Role of Community Mobiliser A mobiliser is a person who mobilizes, i.e. gets things moving. Social
animator. A Catalyst• Bringing People Together• Building Trust• Encouraging Participation•
Facilitating Discussion and Decision-making• Helping Things to Run Smoothly .• Facilitation in
community mobilization process 1/5/2012 community participation 33
30. Some Qualities• Good communication skills• Good facilitation skills• Good listener• Committed•
Decision maker• Active• Negotiation skills• Honest• Known to culture and values of society• Well
dressed• Catalyst• Conflict resolution.• Management skills
31. Community diagnosis• What are the main problems?• What are the underlying causes?• What are
the resources available?• Focus is identification of basic health needs or health problems of the
community (felt need) and the factors contributing to it.
32. Action plan• Steps taken to meet the health needs of the community based on the resources
available and the wishes of the people (felt need).
33. Participatory Rural Appraisal• PRA is “a family of approaches and methods to enable local (rural or
urban) people to express, share, enhance, and analyze their knowledge of life and conditions, to
plan and to act.” (Mascarenhas et al., 1991)
34. PRA• Participatory Rural Appraisal is a methodology for interacting with villagers/community,
understanding them and learning from them.• It shifts the initiative from outsider to villager.• PRA
seeks to empower. It empowers the weak, the powerless and the marginalised, by enabling them to
anlyse, discuss and deliberate on their condition.• Believes in flexibility in choosing methods.•
Reversal of learning.
4. 35. PRA Techniques / Tools• Village mapping• Transect walks• Mobility mapping• Seasonal Diagram•
Matrix scoring and ranking• Trend analysis• Venn Diagram• Daily activity Chart• Force Field
Analysis• Causal Impact Diagram• All undertaken by local people.
36. Participatory mapping/modelling• using local materials, villagers draw or model current or historical
conditions. This technique is used to show water sheds, forests, farms, houses, hospital or
dispensary distance, wealth ranking, household assets, land use patterns, health and welfare
conditions and distribution of various resources.1/5/2012 community participation 41
37. 1/5/2012 community participation 42
38. Transect Walks/Group Walk• The researcher and key informant conduct a walking tour through the
areas of interest to observe, to listen, to identify different zones or conditions, ask relevant questions
to identify solutions1/5/2012 community participation 43
39. MOBILITY MAPPING• A map drawn by the people to explore the movement pattern of an
individual,a group or a community.1/5/2012 community participation 44
40. 1/5/2012 community participation 45
41. Seasonal calendar• Diagram drawn by villagers with locally available materials• Depicting Local
language months, seasons• Festivals/ social events, crops grown• Occupation / income generation•
Periods of plenty/ scarcity• Common diseases
42. Seasonal calendar
43. Daily Activity chart• Daily Activity Clock illustrates the different kinds of activities carried out in one
day.• Time management - Effective utilisation of time• To look at relative work-loads in different
groups.• How is his or her time spent?• Whether the leisure time is spent usefully ?• Period of
relaxation, recreation, physical activity, Personal care, rest.• Income generation, productive work,
community work• Whether women spend more time in collecting water and firewood?
44. Daily Activity chart
45. Venn diagram• To know the individual and institutional linkages and relationships with the
community.• Visual depiction of key institutions, organisations and individuals active in the
community, responsible for taking decisions.• Degree of contact between them in decision-making•
Size of circle – importance• Degree of overlap – Degree of contact
46. Venn diagram
47. Venn diagram
48. FLOW DIAGRAMS CAUSAL AND IMPACT DIAGRAMS• To identify the causal factors of health
problems• The various impacts of diseases, as perceived by the villagers.• This also acts a planning
and evaluation tool.1/5/2012 community participation 53
49. 1/5/2012 community participation 54
50. Trend analysis• Attempts to study people’s account of the past of how things that were closer to
them have changed at different points of time.• A useful tool for monitoring and evaluating a
project.1/5/2012 community participation 55
51. 1/5/2012 community participation 56
5. 52. Pair wise ranking • Compares pairs of elements, such as the preference for needs, problems, etc. •
Leads to analysis of the decision making rationale.item A B C D score rankA _ A C A 2 2B _ C B 1
3C _ C 3 1D 1/5/2012 _ community participation 0 4 57
53. Impact / Matrix ranking and scoring • To rank the problems in the community based on the intensity,
the need for immediate or late action. • Helps to prioritise the problems and needs. Effectiv Easy
Trust Friendly Timely Total rank e accessibili approach help score service tyPanchaya 35 35 30 45
15 160 1tSchool 20 30 30 10 30 120 2
54. Force field analysis• Developed by Kurt Lewin Kurt Lewin• Technique to visually identify and analyse
forces affecting a problem situation so as to plan a positive change.
55. Interviewing and dialogues• Semi structured interview• Focus group discussion• Direct
observation1/5/2012 community participation 60
56. PROCESS OF COMMUNITY PARTICIPATION IN HEALTH PROGRAMMESAnalysis of the needs
and requirements of the peoplein the community Designing the primary health program to meet the
needs of the people with the involvement of the people. Educating the people through formal and
informal channels to make them aware of the program and utilizing the resources available with
them Kindling and generating interest among people to keep up the momentum through the
provision of resources not available locally. Leaving the program to the care of the people with aided
guidance
57. Providing aided guidance to handoverthe programme to the people Occasional follow up to sort out
any problem Birth of a permanent community managed PHC Birth of a healthy society
58. QUALITATIVE ANALYSIS OF COMMUNITY PARTICIPATION• How much does the community
know about theprogramme?• How much do they know about the organization carrying outthe
programme?• How often do they come face to face with the programmepersonnel?• What
responsibilities do they carry out on behalf of theprogramme?• What kinds of difficulties do they find
in undertaking theseresponsibilities?
59. QUALITATIVE ANALYSIS OF COMMUNITY PARTICIPATION• How satisfied are they with the
involvement in the programme and why?• Do they have any suggestions to improve their
participation in the programme?• Are all sections of the community equally involved in the
programme?• If there is a differential advantage to some group, why does it happen and who gets
the preferential advantage?1/5/2012 community participation 64
60. OBSTACLES TO COMMUNITY PARTICIPATION• Absence of confidence and ability of people in
the machinery of health administration.• Unequal domination of power relations in favour of rich and
to the disadvantage of the poorer sections of the society.• Inaccessible services in right quantity and
quality• Rigid bureacratic set up impeding the people to participate.• Legal hurdles
61. OBSTACLES TO COMMUNITY PARTICIPATION• Inadequate understanding of local talent, abilities
and resources.• Absence of identity with the community among people.• People’s dependence on
GOVERNMENT and not on their self• Heterogenity of interests• Resistance to empower people•
Resistance on the part of certain segment of population to participate• Sustained efforts
missing1/5/2012 community participation 66
62. Guiding principles to resolve the obstacles• Channelizing the NGO’s to promote health plans•
Effective training of Health personnel in Appropriate technology• Responsive administration •
Openness in the sense of having wide contact with the people • A sense of justice, fair play and
impartiality in dealing with men and matters. • Sensitivity and responsiveness to the urges, feeling
6. and aspirations of the common man. • Securing the honour and dignity of the human being ,however
humble s/he might be. • easy accessibilty. • Honesty and integrity in thought and action.
63. Guiding principles to resolve the obstacles• Effective public relations • Spread of awareness about
the health activities of the government with the expectations and aspirations of the people. • Speedy
redressal of public grievances through a systematic and well thought out mechanism.• Sound health
system• Empowerment of the poor• Developing social networks1/5/2012 community participation 68
64. The Primary Health Care Movement towards Health for All by 2000AD Alma Ata, 1977 The
International Conference on Primary Health Care calls for urgent action by all governments, all
health and development workers, and the world community to protect and promote the health of all
the people of1/5/2012world by the year 2000. community participation the 69
65. Alma atta declaration• The Alma Ata Declaration defined PHC as “essential health care based on
practical, scientifically sound, and socially acceptable methods and technology• made universally
accessible to individuals and families in the community• through their full participation and• at a cost
that the community and country can afford to maintain at every stage of their development• in the
spirit of self-reliance and self-determination” (WHO, Alma Ata Declaration VI, 1978, p.1).1/5/2012
community participation 70
66. • Emphasis from “Health care for the people” “Health care by the people” concept of primary health
care1/5/2012 community participation 71
67. COMMUNITY PARTICIPATION IN INDIA• The establishment of primary health units at the village
level to bring the service as close to the people as possible, cooperation of the people in the health
programme, and adequate medical care for all individuals, irrespective of their ability to pay for it,
were included in the Bhore Report.1/5/2012 community participation 72
68. COMMUNITY PARTICIPATION IN INDIA• the Community Development Programme launched in
1952, the setting up of one Primary Health Centre (PHC) per Block was accepted by the Central
Council of Health in 1953 .1/5/2012 community participation 73
69. THE SHRIVASTAVA COMMITTEE: The employment of paraprofessional or semi- professional
workers from the community itself as a link between the Sub-Centers and the community to provide
simple services was one proposal.they opted for the Community Health Worker scheme to meet the
insufficiency of doctors.1/5/2012 community participation 74
70. • The state of National Emergency under Congress rule from 1975 to 1977 with its forcible campaign
to control population growth was shortly replaced by community- oriented approaches of the
Bharatiya Janata Party (BJP) government.1/5/2012 community participation 75
71. THE COMMUNITY HEALTH VOLUNTEER SCHEMETHE NATIONAL PLANNING COMMITTEE
1946. It was planned to train young men from the villages for 9 month in simple curative care and
hygiene for primary health service at the village level.Program was withdrawn in 1951 .voluntary
agencies which picked up the idea in the 1960ies and 1970ies, and used auxiliary personnel for the
delivery of primary health care.Successes from the voluntary sector in India received international
recognition and together with the China example of “barefoot” doctors served as role models for the
Indian government1/5/2012 community participation 76
72. THE COMMUNITY HEALTH VOLUNTEER SCHEME• the Bharatiya Janata Party (BJP) government
came to power in 1977, it adopted the approach but changed the length of training to 3 month.
Additionally, it was planned to add one doctor per Primary Health Centre for training purposes.• The
implementation progress was slow and further delayed by the reelection of Congress in 1980• The
7. new government renamed the programme in Community Health Volunteers (CHV)1/5/2012
community participation 77
73. SELECTION OF CHV• The community used to select one of its own members as the community
health volunteer or the VHW.• The most common procedure adopted for selection of VHGs was that
Village Panchayats (village self-government councils) recommended two or three names to the
primary health centre .• A final decision made by a committee consisting of Medical Officer, Block
Development Officer and the elected chairperson of the Block Panchayat Committee.• Although the
selection was to be made in an open meeting of the total village council, in practice, most often, only
a few important village leaders were involved in the selection.1/5/2012 community participation 78
74. PROBLEMS ENCOUNTERED BY CHVS• in 1981, the central government had decided to reduce its
contribution from 100 to 50 percent of the costs of the scheme and asked the State Government to
meet the remainder.• Later, following the conviction that women should be employed as VHGs, the
central government decided to fund the scheme fully once again.• All this led to employment
considerations becoming more important to VHGs than social service and ultimately they were
demanding for higher remuneration.• One of the main issues enveloping the VHGs was their
medicalization.Trained for three months, they focused on providing curative services, to the neglect
of preventive and promotive tasks.• The VHGs began to perceive themselves as village medical
practitioners, often even demanding further training for this purpose.• Poor role definition1/5/2012
community participation 79
75. THE INTEGRATED CHILD DEVELOPMENT SERVICE SCHEME,1975The programme is
community-based.A local woman is selected and trained for three month to become the Anganwadi
worker.She then works in the village covering a population of 1000.In the Anganwadi centre
(childcare centre) she prepares and distributes food, maintains growth charts, weighs children and
gives non-formal education to the beneficiaries.The Anganwadi also cooperates with the Primary
Health Centre staff for health check up, immunization and referral.
76. THE PROBLEMS ENCOUNTERED BY ICDS• Communication with the health staff of Primary
Health Centres was weak.• The programme was more perceived as a feeding scheme by the
communities and demand for health services did not increase.• The educational efforts fell short to
increase health knowledge of mothers, thus, prevention of malnourishment was not achieved.
77. COMMUNITY PARTICIPATION IN NATIONAL FAMILY WELFARE PROGRAM- MAHILA
SWASTHYA SANGHS• CONSTITUTED IN 1990-1991• CONSISTS OF 15 WOMEN , 10
representing the varied social segments in the community• five functionaries involved in womens
welfare activities at village level such as the Adult Education Instructor, Anganwadi Worker, Primary
School Teacher, Mahila Mukhya Sevika and the Dai. Auxiliary Nurse Midwife(ANM) is the Member-
Convenor. 1/5/2012 community participation 83
78. COMMUNITY PARTICIPATION IN NRHM1/5/2012 community participation 84
79. VILLAGE HEALTH AND SANITATION COMMITTEE (VHSC)This committee would be formed at the
level of therevenue village (more than one such villages may comeunder a single Gram Panchayat).•
COMPOSITIONThe Village Health Committee would consist of: » Gram Panchayat members from
the village » ASHA, Anganwadi Sevika, ANM » SHG leader, village representative of any
Community based organisation working in the village, user group representative• CHAIRPERSON
the Panchayat member (preferably woman or SC or ST candidate.)• CONVENOR ASHA if not
Anganwadi Sevika• TRAINING The members would be given orientation training toequip them to
provide leadership as well as plan andmonitor the health activities at the village level.
80. SOME ROLES OF THE VHSC Create Public Awareness about the essentials of health
programmes, with focus on People’s knowledge of entitlements to enable their involvement in the
8. monitoring Discuss and develop a Village Health Plan based on an assessment of the village
situation and priorities identified by the village community. Analyze key issues and problems
related to village level health and nutrition activities, give feedback on these to relevant functionaries
and officials. Present an annual health report of the village in the Gram Sabha. Participatory Rapid
Assessment to ascertain the major health problems and health related issues in the village. Mapping
will be done through participatory methods with involvement of all strata of people. The health
mapping exercise shall provide quantitative and qualitative data to understand the health profile of
the village.
81. ROLES OF VHSC Maintenance of a village health register and health information board/calendar:
The health register and board will have information about mandated services, along with services
actually rendered to all pregnant women, new born and infants, people suffering from chronic
diseases etc. Similarly dates of visit and activities expected to be performed during each visits by
health functionaries may be displayed and monitored by means of a Village health calendar Ensure
that the ANM and MPW visit the village on the fixed days and perform the stipulated activity;oversee
the work of village health and nutrition functionaries like ANM, MPW and AWW
82. PHC Monitoring and Planning Committee• This Committee monitors the functioning of Sub-centres
operating under jurisdiction of the PHC and develops PHC health plan after consolidating the village
health plans.Composition• 30% members from PRI (from the PHC coverage area;2 or more
sarpanchs of which at least one is a woman)• 20% members non-official representatives from
VHSC, (under the jurisdiction of the PHC, with annual rotation to enable representation from all the
villages)• 20% members representatives from NGOs / CBOs and People’s organizations working on
Community health and health rights in the area covered by the PHC• 30% members representatives
of the Health and Nutrition Care providers, including the Medical Officer – Primary Health Centre and
at least one ANM working in the PHC area• CHAIRPERSON: Panchayat Samiti member,•
EXECUTIVE CHAIRPERSON: Medical officer of the PHC,
83. BLOCK MONITORING AND PLANNING COMMITTEE• This Committee monitors the progress
made at the PHC level health facilities in the block, including CHC and develops annual action plan
for the Block after consolidating PHS level health plans.• COMPOSITION• 30% - representatives of
the Block Panchayat Samiti (Adhyaksha/Adhyakshika or members with at least one woman)• 20% -
non-official representatives from the PHC health committees in the block, with annual rotation to
enable representation from all PHCs over time• 20% - from NGOs/CBOs and People’s organizations
working on Community health and health rights in the block, and involved in facilitating monitoring of
health services• 20% - officials such as the BMO, the BDO, selected MO’s from PHCs of the block•
10% - CHC level Rogi Kalyan Samiti• CHAIRPERSON: Block Panchayat Samiti representative,•
EXECUTIVE CHAIRPERSON: Block medical officer,• SECRETARY: NGO / CBO representatives
84. ROGI KALYAN SAMITI (RKS) /PATIENT WELFARE COMMITTEE/HOSPITAL MANAGEMENT
COMMITTEE (HMC) . This initiative is taken to bring in the community ownership in running of rural
hospitals and health centres, which will in turn make them accountable and responsible.• BROAD
OBJECTIVES OF RKS • Ensure compliance to minimal standard for facility and hospital care •
Ensure accountability of the public health providers to the community • Upgrade and modernize the
health services provided by the hospital • Supervise the implementation of National Health Program •
Set up a Grievance Mechanism System • at PHC and CHC will have the mandate to undertake and
supervise improvement and maintenance of physical infrastructure. RKS would also develop annual
plans to reach the IPHS standards.*
85. • RKS would be a registered society.• It may consists of following members Group of users i.e.
people from community Panchayati Raj representatives NGOs Health professionals• According
to IPHS, it is mandatory for every CHC to have “Rogi Kalyan Samiti” to ensure accountability.
9. 86. MICROFILARIA RATE IN INDIA NFCP 1955 NHP ELIMINATION-2015 NVBDCP MDASource:
NVBDCP, New Delhi, India
87. INDIA’S COMMUNITY PARTICIPATION LAW: THE MODEL NAGARA RAJ BILL, 2008• The Model
Nagara Raj Bill, 2008 (hereinafter ‘the Bill’) is India’s first community participation legislation and
creates a new tier of decision making in each municipality called the Area Sabha.• The Bill is a
mandatory reform under the Jawaharlal Nehru National Urban Renewal Mission (JNNURM), which
means that the various states in India must enact a community participation law to be eligible for
funds under the JNNURM program.• This is crucial because the Bill has the potential to empower
people by ensuring regular citizen participation in decision-making that affects the conditions of their
lives.
88. 1/5/2012 community participation 100
89. REFERENCES1. Participatory rural appraisal ,principles, methods and application
,N.Narayanaswamy,2002. Primary health care management,chapter 3, community participation ,pg
76-101.3. Community participation in local health and sustainable development Approaches and
techniques European Sustainable Development and Health Series: 44. Training Manual On
Community Participation, Ms. Bismita Dass5. Community Participation, How People Power Brings
Sustainable Benefits to Communities J. Norman Reid USDA Rural Development Office of
Community Development June 20006. Developing a Good Practice Guide to Community
Participation, Community Participation Project ,March 2008, Inner City Organisations Network/North
West Inner City Network7. National Rural Health Mission, A Promise of Better Healthcare Service for
the Poor, A summary of Community Entitlements and Mechanisms for Community Participation and
Ownership For Community Leaders Prepared for Community Monitoring of NRHM - First Phase8.
E:community participationcommunity participationIndia’s Community Participation Law The Model
Nagara Raj Bill, 2008 Critical Twenties.htm1/5/2012 community participation 101
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