Acta Trop. 1996 Apr;61(2):79-92.

Paradigms lost: toward a new understanding of community participation in health programmes.

Source

Human Nutrition Unit, London School of Hygiene and Tropical Medicine, UK.

Abstract

Community participation has been a critical part of health programmes, particularly since the acceptance of primary health care as the health policy of the member states of the World Health Organisation. However, it has rarely met the expectations of health planners/professionals. This paper argues that the reason for this failure is that community participation has been conceived in a paradigm which views community participation as a magic bullet to solve problems rooted both in health and political power. For this reason, it is necessary to use a different paradigm which views community participation as an iterative learning process allowing for a more eclectic approach to be taken. Viewing community participation in this way will enable more realistic expectations to be made. Community participation in disease control programmes focusing on community health workers is used as an example to show the limitations of the old paradigm. Participatory rapid appraisal is used to illustrate the new.

PMID:: 8740887; [PubMed - indexed for MEDLINE]

Publication Types, MeSH Terms

Publication Types

MeSH Terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

COS Scholar Universe

Libraries

LinkOut Holdings

Supplemental Content

Related citations

Review Ten best readings on community participation and health. [Afr Health Sci. 2001]
Review Ten best readings on community participation and health.
Rifkin SB. Afr Health Sci. 2001 Aug; 1(1):42-5.
Review Cultural and structural influences in the creation of and participation in community health programmes. [Soc Sci Med. 1992]
Review Cultural and structural influences in the creation of and participation in community health programmes.
Woelk GB. Soc Sci Med. 1992 Aug; 35(4):419-24.
The integrated project: a promising promotional strategy for primary health care. [JOICFP Rev. 1985]
The integrated project: a promising promotional strategy for primary health care.
Daniel C, Mora B. JOICFP Rev. 1985 Oct; 10:20-7.
Resource dependency and community participation in primary health care. [Soc Sci Med. 1998]
Resource dependency and community participation in primary health care.
Zakus JD. Soc Sci Med. 1998 Feb-Mar; 46(4-5):475-94.
[Evaluating quality and effectiveness in the promotion of health: approaches and methods of public health and social sciences]. [Promot Educ. 1997]
[Evaluating quality and effectiveness in the promotion of health: approaches and methods of public health and social sciences].
Deccache A. Promot Educ. 1997 Jun; 4(2):10-5.

See reviews... See all...

Cited by 17 PubMed Central articles

Community-owned resource persons for malaria vector control: enabling factors and challenges in an operational programme in Dar es Salaam, United Republic of Tanzania. [Hum Resour Health. 2011]
Community-owned resource persons for malaria vector control: enabling factors and challenges in an operational programme in Dar es Salaam, United Republic of Tanzania.
Chaki PP, Dongus S, Fillinger U, Kelly A, Killeen GF. Hum Resour Health. 2011 Sep 28; 9:21. Epub 2011 Sep 28.
Review The architecture and effect of participation: a systematic review of community participation for communicable disease control and elimination. Implications for malaria elimination. [Malar J. 2011]
Review The architecture and effect of participation: a systematic review of community participation for communicable disease control and elimination. Implications for malaria elimination.
Atkinson JA, Vallely A, Fitzgerald L, Whittaker M, Tanner M. Malar J. 2011 Aug 4; 10:225. Epub 2011 Aug 4.
Review Community participation in Chagas disease vector surveillance: systematic review. [PLoS Negl Trop Dis. 2011]
Review Community participation in Chagas disease vector surveillance: systematic review.
Abad-Franch F, Vega MC, Rolón MS, Santos WS, Rojas de Arias A. PLoS Negl Trop Dis. 2011 Jun; 5(6):e1207. Epub 2011 Jun 21.

See all...

Related information

Related Citations
Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first.
Cited in PMC
Full-text articles in the PubMed Central Database that cite the current articles.

Recent activity

Clear Turn Off Turn On

Paradigms lost: toward a new understanding of community participation in health ...
Paradigms lost: toward a new understanding of community participation in health programmes.
Acta Trop. 1996 Apr ;61(2):79-92.

PubMed
The age of a neutral mutant persisting in a finite population.
The age of a neutral mutant persisting in a finite population.
Genetics. 1973 Sep ;75(1):199-212.

PubMed
Detection of very low level Plasmodium falciparum infections using the nested po...
Detection of very low level Plasmodium falciparum infections using the nested polymerase chain reaction and a reassessment of the epidemiology of unstable malaria in Sudan.
Am J Trop Med Hyg. 1996 Apr ;54(4):325-31.

PubMed
Consumption of chloroquine phosphate provided for treatment of malaria by volunt...
Consumption of chloroquine phosphate provided for treatment of malaria by volunteer village health workers in Saradidi, Kenya.
Ann Trop Med Parasitol. 1987 Apr ;81 Suppl 1:116-23.

PubMed
Malaria in urban and rural Kinshasa: the entomological input.
Malaria in urban and rural Kinshasa: the entomological input.
Med Vet Entomol. 1993 Apr ;7(2):127-37.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Display Settings:

Send to: