In bringing about behavior change in public health, we often focus on the individual mother, student, or farmer. We should not forget the community structure and norms constrain for encouraging individual health behaviors. This course examines the community context of the changes needed to promote the public’s health. We begin by examining the various definitions of ‘community’ and the processes by which we ‘diagnose’ or seek to understand the structure and characteristics of different types of communities.
An appreciation of community similarities and differences is necessary lest we fall into the trap of designing one-size-fits-all interventions. We need to recognize that no matter that outsiders may view a community as poor or neglected, we can find strengths and capacities for improvement in each community. Identifying community capacities and resources is the first step in facilitating community change. Different practical and philosophical approaches to change and therefore, examined. Specific to the change process is our recognition of the need for communities to participate in the design, implementation and evaluation of any intervention.
We examine the concept of participation in an effort to see how different levels of involvement may affect sustainability of community change efforts. Finally a case study of a community participatory approach to onchocerciasis control in Africa is presented. Community Directed Intervention has subsequently been successfully applied to providing other essential primary health care services by and in the community, such as insecticide treated bednets, malaria treatment, vitamin A distribution, deworming medicines, and pneumonia and diarrhea case management.
Very interesting material with an assignment designed to apply your knowledge to real world situations. I came away feeling like I have a better idea on how to assess a community to help start positive health changes. No, this won't give you all the information you need to go out and change a community by itself, but a big chunk of that is going out and doing it and adjusting from there. It's a five-week online course. It did about as much as you can do towards that under these circumstances. The only issues I have with the class were some logistical ones. For example, completing the complex assignment would have been more accessible and less stressful if it had either been spaced out over the weeks of the class or available earlier instead of only during Thanksgiving week. Great class! I highly recommend it.