Micro macro integration: Reframing primary healthcare practice and community development in health

Legge, David; Gleeson, Deborah; Wilson, Gerard J.; Wright, Maria da Glória Miotto; McBride, Tony; Butler, Paul; Stagoll, Onella

doi:10.1080/09581590601045196

Cited by 5 publications

(4 citation statements)

References 17 publications

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“…For example, 'consumer orientation' and 'mutually beneficial exchange' are seen as highly compatible with the community development principles of 'starting where the people are' (Lindsey et al, 2001). Equally the notion of addressing 'competition' in the form of structures and policies which are undermining of health -In Edinburgh, such issues included local retail practices and poor green space provision -sits comfortably with community development's concern with increasing disadvantaged communities' control over resources and services (Legge et al, 2007).…”

Section: The Challenge Of Explanatory Completenessmentioning

confidence: 99%

“…Unease about imposing project objectives may reflect wider conflicts in community development, such as the potential irreconcilability of community needs and funding agency expectations (Legge et al, 2007). In Edinburgh for Council's framework for evaluating complex interventions, see Craig et al, (2008), which place the emphasis on assessing feasibility and engagement where interventions are exploratory or unpredictable, rather than on measuring behaviour change (the latter only applies where an intervention has been fully tested and tightly specified and rolled out on large scale).…”

Section: The Challenge Of Explanatory Completenessmentioning

confidence: 99%

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Value co-creation in social marketing: functional or fanciful?

Domegan

Collins

Stead

et al. 2013

Journal of Social Marketing

136

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Purpose – Value co-creation thinking is reshaping the understanding of markets and marketing and presents a significant opportunity to develop the theory and practice of social marketing. However, whilst value co-creation offers thought-provoking new directions for the field, applying this theory and its core concepts in social marketing is not without significant challenges. The paper aims to discuss these issues. Design/methodology/approach – This is a conceptual paper that seeks to integrate lessons from social marketing practice with the value co-creation discourse from commercial marketing. Drawing upon two projects that have applied principles of collaboration and co-design, the paper provides a critical perspective on the adoption of value co-creation in social marketing. Findings – The collaborative and emancipatory ambitions of co-creation seem highly compatible with social marketing. However, the paper notes some significant conceptual, ethical and practical obstacles in the path of a workable theory of value co-creation for social marketing. Originality/value – While representation of value co-creation and other collaborative approaches is increasing in the social marketing literature, this is the first attempt to provide an integrated and critical review of their compatibility with social marketing at a conceptual, ethical and theoretical level. The analysis shows that value co-creation theory can simultaneously offer opportunities and present obstacles for social marketing.

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Section: The Challenge Of Explanatory Completenessmentioning

confidence: 99%

Section: The Challenge Of Explanatory Completenessmentioning

confidence: 99%

Value co-creation in social marketing: functional or fanciful?

Domegan

Collins

Stead

et al. 2013

Journal of Social Marketing

136

View full text Add to dashboard Cite

show abstract

“…There is a tension in many community development programs between the philosophical emphasis on communities being empowered to determine their own priorities and the imposition of preexisting goals determined by external funding streams or political agendas (El-Askari et al, 1998; Legge et al, 2007). This was the case with these two projects, whose funding specified a focus on obesity prevention through activities designed to increase children and families’ levels of physical activity and healthy eating.…”

Section: Discussionmentioning

confidence: 99%

Healthy Heroes, Magic Meals, and a Visiting Alien

Stead

Arnott²,

Dempsey³

2013

Social Marketing Quarterly

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Although social marketing emphasizes consumer orientation, it is only in recent years that consumers and communities have been at the center of program development and implementation. This article illustrates how, on a modest budget, social marketing and community development approaches were combined in two innovative and creative community-led projects in Edinburgh, Scotland. Community residents were integrally involved, not just as participants in research and as project beneficiaries, but as decision makers, creators, and implementers. The projects illustrate how communities have skills and assets within themselves which they can bring to bear in a social marketing framework, making it possible to apply social marketing on modest budgets, and how interventions which originate within communities and are owned by them may be more engaging and may lead to more positive health outcomes. Approaches which genuinely involve communities in development and implementation make financial, practical, and philosophical sense.

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“…As argued by the activists and a previous study of community health activism [42], the local and global are intrinsically connected in the current globalised era and thus, despite the challenges of globalisation, the struggle for health equity must work at all levels of society.…”

Section: Working At the Global While Representing The Localmentioning

confidence: 97%

Global health activists’ lessons on building social movements for Health for All

Musolino

Baum

Freeman

et al. 2020

Int J Equity Health

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Background: The People's Health Movement (PHM) was formed in 2000 and drew inspiration from the Alma Ata Declaration on Primary Health Care's 'Health for All' (1978). Since then PHM has been an active part of a global counter-hegemonic social movement. This study aimed to gain insights on social movement building, drawing on the successes and failures reported by activists over their experiences of working in the Health for All social movement to improve health, justice and equity. Methods: Qualitative research methods were employed in this study to capture complex and historical narratives of individual activists, through semi-structured interviews and subsequent thematic analysis of transcripts. The research design and analysis were informed by social movement theory and literature on health activism as a pathway for social change. In this study we examine the semi-structured interviews of 15 health activists who are part of the PHM, with the aim of deriving lessons for strengthening movements for Health for All. Results: This study locates the activists' narratives within a socio-political analysis of the global trends of late modern individualism and capitalist neoliberalism. This highlights the challenges faced by civil society groups mobilising collective action and building social movements for Health for All. The study found that within the constraints of the neoliberal socio-political and economic conditions which have caused the rise in social and health inequities, this group of long-term health activists have been nurturing alternative approaches to structuring society and building collective agency to improve health. Conclusion: The practical long-term experiences of the PHM activists examined in this study contribute to a better understanding of the processes and motivations that lead to and sustain health activism, and the dilemmas, strategies, impacts and achievements of such activism.

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Micro macro integration: Reframing primary healthcare practice and community development in health

Cited by 5 publications

References 17 publications

Value co-creation in social marketing: functional or fanciful?

Value co-creation in social marketing: functional or fanciful?

Healthy Heroes, Magic Meals, and a Visiting Alien

Global health activists’ lessons on building social movements for Health for All

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