Community empowerment: The critical base for primary health care

Eng, Eugenia; Salmon, Maria E.; Mullan, Fitzhugh

doi:10.1097/00003727-199204000-00003

Cited by 59 publications

(26 citation statements)

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“…51 As with all community-engaged approaches, this study relied on the importance of an engaged community or ‘buy-in’ to research in order to inform and initiate change. 50,52 An expanded list of environmental priorities from predominately physical environmental factors to include more social factors which may contribute to exposure and health effects from those exposures may be useful and is supported by the focus group discussions and previous studies. 24,25 …”

Section: Discussionmentioning

confidence: 97%

Identifying environmental health priorities in underserved populations: a study of rural versus urban communities

Bernhard

Evans²,

Kent

et al. 2013

Public Health

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Objectives Understanding and effectively addressing persistent health disparities in minority communities requires a clear picture of members’ concerns and priorities. This study was intended to engage residents in urban and rural communities in order to identify environmental health priorities. Specific emphasis was placed on how the communities defined the term environment, their perceptions of environmental exposures as affecting their health, specific priorities in their communities, and differences in urban versus rural populations. Study design A community-engaged approach was used to develop and implement focus groups and compare environmental health priorities in urban versus rural communities. Methods A total of eight focus groups were conducted: four in rural and four in urban communities. Topics included defining the term environment, how the environment may affect health, and environmental priorities within their communities, using both open discussion and a predefined list. Data were analysed both qualitatively and quantitatively to identify patterns and trends. Results There were important areas of overlap in priorities between urban and rural communities; both emphasized the importance of the social environment and shared a concern over air pollution from industrial sources. In contrast, for urban focus groups, abandoned houses and their social and physical sequelae were a high priority while concerns about adequate sewer and water services and road maintenance were high priorities in rural communities. Conclusions This study was able to identify environmental health priorities in urban versus rural minority communities. In contrast to some previous risk perception research, the results of this study suggest prioritization of tangible, known risks in everyday life instead of rare, disaster-related events, even in communities that have recently experienced devastating damage from tornadoes. The findings can help inform future efforts to study, understand and effectively address environmental issues, and are particularly relevant to developing effective community-based strategies in vulnerable populations.

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Section: Discussionmentioning

confidence: 97%

Identifying environmental health priorities in underserved populations: a study of rural versus urban communities

Bernhard

Evans²,

Kent

et al. 2013

Public Health

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“…Leadership skills are indispensable although frequently, top leadership roles are given to activists in the community, whether or not they possess leadership skills, and there seems to be a belief that for the professionals, their education prepares them to assume leadership roles (Eng et al, 1992). Some interviewees indicated that a consultative attitude coupled with the delegation of power is appreciated in partnership efforts:…”

Section: Leadership Skillsmentioning

confidence: 99%

“…However, more encompassing de nitions of PHC re ect the involvement and collaboration between a variety of practitioners, including nurses, nurse practitioners, physician assistants, dentists and managers (Eng et al, 1992). At all levels, there have been calls to end the segregation of the training of health professionals (e.g.…”

Section: Introductionmentioning

confidence: 99%

Partnerships, community participation and intersectoral collaboration in South Africa

Ansari

Phillips

2001

Journal of Interprofessional Care

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Five community partnerships (CP) were initiated in South Africa as demonstration projects aimed at the re-orientation of health professionals' education (HPE) to be more community responsive and interprofessional. A cluster evaluation of these partnerships has demonstrated that, in addition to motivating all stakeholders to forge closer working relationships, it is necessary for partnerships to pay close attention to a variety of structural and operational dimensions, the lack of which could prove to be major constraints to effective partnership functioning. This study critically reviews the challenges to collaborative working as experienced by the South African cluster. Within the context of the post-apartheid restructuring and development, the discussion highlights the insights that partnerships offer to clarify the extent to which potential barriers could affect the stakeholder groups. The paper identifies potential impediments, and makes explicit how they impact on partnership fostering. Evidence is also presented for their early detection and possible solutions are identified. The lessons learnt from these South African cases are that wide representation, commitment and a sense of ownership, sound leadership skills, regular and effective communication, reliable member expertise and capabilities and attention to power issues are crucial elements in the partnership equation. The paper concludes with an invitation to health administrators and partnership executives to devote attention to the array of interacting components that, collectively, could impinge on the effectiveness of the multifaceted nature of interprofessional joint working arrangements.

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“…(p. 9). This third foundational principle of the IMCBE incorporates three key concepts necessary for its successful application: (a) individual and community capacity building, asset assessment, and empowerment (Eng, Salmon, & Mullan, 1992;Gutierrez, GlenMaye, & DeLois, 1992;Kiefer, 1984;Kretzman & McKnight, 1993;Israel et al, 1994;Pinderhughes, 1989;Rappaport, 1984;Solomon, 1976); (b) participatory, action-based and empowerment oriented research and evaluation (Bailey, 1992;Brunner & Guzman, 1989;Cousins & Earl, 1992, 1995Fear et al, 1985;Fetterman, 1996;Kaufman, 1985;Stringer, 1996); and (c) culturally competent evaluation (Fawcett et al, 1996;Grace, 1992;Israel et al, 1994;Orlandi, 1992a;Orlandi, 1992b;Roberts & Evans, 1997;Zimmerman, Israel, Schulz, & Checkoway, 1992).…”

Section: Foundational Principles Of the Imcbementioning

confidence: 99%

Bridging Science and Practice

Telfair

Mulvihill

2000

Journal of Community Practice

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A trend in community-based evaluation studies is to include everyone affected by the work, the community, administrators and participants, in their design and implementation. This concept has been accepted by communities and community evaluators, but a concern persists that the scientific integrity, reliability, and validity of these studies are compromised. To address these concerns we present both the multiconceptual and hands-on practical aspects of the Integrated Model of Community Based Evaluation (IMCBE) and illustrate the utility of the IMCBE with the case example of the Sickle Cell Disease Association of the Piedmont's (Greensboro, North Carolina) Home Health Study (HHS).Joseph Telfair is affiliated with the

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Community empowerment: The critical base for primary health care

Cited by 59 publications

References 0 publications

Identifying environmental health priorities in underserved populations: a study of rural versus urban communities

Identifying environmental health priorities in underserved populations: a study of rural versus urban communities

Partnerships, community participation and intersectoral collaboration in South Africa

Bridging Science and Practice

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