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Community and Health Development

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Community Health and Development Isabelita M. Samaniego MD June 25 2008 Objectives 1. Define and explain terms 2. List and discuss the perspectives in approaching health care delivery influencing a community health development 3. Discuss how communities address their health concerns 4. Discuss community organization and health promotion planning Health - A state of complete physical, mental, and social well being and not merely the absence of disease and infirmity.” World Health Organization -
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  1 of 2 Isabelita M. Samaniego MD June 25 2008 FCM3 First ShiftingElyu, masayahin ako Objectives 1.efine an! e #lain terms2.$ist an! !is%uss the #ers#e%ti&es in a##roa%hing health %are !eli&ery influen%ing a %ommunity health !e&elo#ment3.is%uss ho' %ommunities a!!ress their health %on%erns(.is%uss %ommunity organi)ation an! health #romotion #lanning Health *  + state of %om#lete #hysi%al, mental, an! so%ial 'ell eing an! not merely the asen%e of !isease an! infirmity.- World Health Organization - 1947  *+ !ynami% state or %on!ition 'hi%h is multi!imensional in nature an! results from the a!a#tation to hisher en&ironment. Community */rou# of #eo#le 'ho ha&e %ommon %hara%teristi%s %an e !efine! geogra#hi%ally or a!ministrati&ely Community Health *  he health status of a !efine! grou# of #eo#le an! the a%tions an! %on!itions, oth #ri&ate an! #uli%, to #romote, #rote%t, an! #reser&e their health .Population Health * he health status of #eo#le 'ho are not organi)e! an! ha&e no i!entity as a grou# or lo%ality an! the a%tions an! %on!itions to #romote, #rote%t an! #reser&e their health Public Health * ealth status of a !efine! grou# of #eo#le an! go&ernmental a%tions an! %on!itions to #romote, #rote%t, an! #reser&e the #eo#les health Community Health vs Personal Health * Personal o 4n!i&i!ual a%tions an! !e%ision making that affe%t the health of an in!i&i!ual or their imme!iate family* Community o  +%ti&ities aime! at #rote%ting or im#ro&ing the health of a #o#ulation or %ommunity Development *gro'th in one or more se%tors of so%iety #lus asso%iate! %hanges in attitu!es, so%ial institutions an! kno'le!ge, resulting in !esire! %hanges in #eo#les stan!ar! of li&ing Community Health Development (CHD) *ro%ess of #utting in the han!s of %ommunity memers the #o'er to make effe%ti&e health !e%isions an! to influen%e the management of a&ailale health resour%es so that they %an start to a!!ress their o'n health %on%erns *  +%ti&e #layers6 community leaders, barangay health workers, community volunteer health workers,and eole in the community  Perspectives in Approaching Health Care Delivery 1. ealth is a So%ial henomenon 2.  +ll Si!es of 7eality must e Consi!ere! 3.  he Community shoul! e artners in ealth, not Just enefi%iaries Factors Affecting Community Health *hysi%al6 in!ustrial !e&elo#ment, %ommunity si)e, en&ironment, geogra#hy*So%ialCultural o eliefs, tra!itions an! #re9u!i%es o e%onomy, #oliti%s, religion o so%ioe%onomi% status o so%ial norms*oliti%al o lo%al an! e ternal !e%ision making #ro%ess o #oli%y*making #oli%ies :;< *4n!i&i!ual eha&iour6 takes the %on%erte! effort of many, if not, most to make a %ommunity &olunteer #rogram 'ork All i!es of eality #ust $e Consi!ere! *Strengths6 internal %a#a%ities, #ositi&e traits an! &alues, e #erien%es, #hysi%al an! human resour%es* =eaknesses6 internal to the %ommunity :#rolems, issues<, a%ts as arriers*>##onents6 #ossiilities, generate strength, hel# reali)e health goals*hreats6 e ternal %on!itionssituations affe%t health or effort to im#ro&e health Community houl! $e Partners in Health% not &ust $eneficiaries *utting health in the han!s of the #eo#le*En%ouraging %omunities to assume res#onsiility for their health an! e%ome #artners*ara!igm shift for health #rofessionals Actions that Help Community A!!ress Health Problems' *Community organi)ing*Community moili)ation*E!u%ation an! raining*Estalishing effe%ti&e linkages for the future*Moili)ation of finan%ial, te%hni%al or other resour%es Community Organiing *+ #ro%ess through 'hi%h %ommunities are hel#e! to i!entify %ommon #rolems or goals, moili)e resour%es, an! in other 'ays !e&elo# an! im#lement strategies for rea%hing their goals they ha&e %olle%ti&ely set.- Community #obiliation *el#ing the %ommunity to re%ogni)e that health is a %ommunity %on%ern, an! not 9ust the %on%ern of the me!i%al #rofession or the go&ernment, an! moti&ating %ommunity   Community Health an! Development  2 of 2 FC# FC#  Community Health an! Development Elyu, masayahin ako memers to take sustaine! a%tion to a!!ress health %on%erns in their o'n arangay Assumptions of Community Organiing 1.Can !e&elo# the %a#a%ity to !eal 'ith their o'n #rolems2.eo#le 'ant to %hange an! %an %hange3.eo#le %an #arti%i#ate in making, a!9usting or %ontrolling ma9or %hanges(.Changes in %ommunity li&ing, 'hi%h are self*im#ose! or self*!e&elo#e! ha&e a meaning an! #ermanen%e5.+ ?holisti% a##roa%h- %an !eal su%%essfully 'ith #rolems@.emo%ra%y reAuires %oo#erati&e #arti%i#ation an! a%tion in the affairs of the %ommunity an! #eo#le must learn the skillsB.FreAuently, %ommunity of #eo#le nee! hel# in organi)ing to !eal 'ith their nee!s, not as many in!i&i!uals reAuiring hel# 'ith in!i&i!ual #rolems *!ucation an! +raining *isseminating kno'le!ge an!or information nee!e! to enale #eo#le to a%t together for arangay health !e&elo#ment o #*to*!ate kno'le!ge on health issues o 4nformation on lea!ershi# o Community !iagnosis te%hniAues o Strategies for %ommunity*ase! health #romotion *stablishing *ffective ,in-ages for the Future *Ensuring that the %ommunity has a%%ess to information that %an enale them to make informe! %hoi%es Actions to a!!ress Health Concerns in Policies *raining in asi% a!&o%a%y skills an! in ho' health system 'orks o E 6 oli%ies affe%ting a&ailaility of !rugs at the arangay ealth station o Ensuring re#resentation on a##ro#riate s#e%ial o!ies o E 6 #eo#les organi)ation to ha&e a seat on istri%t ealth oar!s*Formation of allian%es o  +llian%es 'ith agen%ies to su##ort %ertain %auses*Formation of a muni%i#al or #ro&in%ial o!y o a s#e%ial o!y 'ith re#resentati&es from %ommunities, D/>s an! go&ernment agen%ies, %an e nominate! or estalishe! to ha&e !ire%t res#onsiility for ta##ing the %on%erns of lo%al %ommunities ystem for Putting Health in the Han!s of the People *el#ing %ommunities a!!ress their health #rolems 'here these %an e a!!resse! o Fa%ilitating a #ara!igm %hange on the #art of the health 'orkers o Community organi)ation, !iagnosis, training an! estalishing linkages as #art of C inter&ention o Community*ase! health #romotion*el#ing %ommunities ha&e a &oi%e in health issues 'hi%h %annot e resol&e! at the %ommunity le&el o arti%i#ation of re#resentati&es of the %ommunity in !e%ision*making o  +!&o%a%yloying for %hange in health %are !eli&ery y either %ommunity memers or y a o!y estalishe! to gi&e the %ommunity a &oi%e ta-ehol!ers in the Process *Community*4nitiating agen%y o may e from %ommunity, $/, D/>, e ternal fun!ing agen%y*Fa%ilitating agen%y o may e the initiating agen%y or some other agen%y*Su##orting agen%ies o agen%ies that %an hel# 'ith loying or a!&o%a%y Process for Organiing a Community :#resente! in a flo'%hart form<1.7e%ogni)e the #rolem2.Making entry in the %ommunity3.>rgani)e the #eo#le(.+ssessing the Community5.etermine #riorities an! setting goals@.Sele%ting a solution to the rolem +he Final  tepstu!ent Activity  Community + 6 felt nee! is the high #re&alen%e of hy#ertension in their arangay6 es%rie ho' you 'ill organi)e the %ommunity to !e&elo# a health #ro9e%t fo%using on hy#ertension.  Community  6 igh #re&alen%e of .  Community C 6 igh 4n%i!en%e of engue  Community  6 igh re&alen%e of M EvaluatingMaintainingImplementingLooping Back
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