Monday,
14 January 2019
Submitted by Maryam Ahmadian
Affiliate Faculty
George Mason University
IACD&CDS Board Member and Director
Affiliate Faculty
George Mason University
IACD&CDS Board Member and Director
Community
participation does not only represent taking part in an action planned by
health care professionals in a top-down approach. The concepts of health
promotion, self-care and community participation also developed during in 1970s
in the developed countries.
The purpose of this short blog is to review
community participation models in health proposed by Rifkin and to prompt the
role of individual’s participation in the decision-making process towards
preventive behaviors. It is not applied to formulate a single model to embody
community participation in health programs. Furthermore, the previous models
didn’t explicate other relevant factors (e.g. cultural, social, behavioral,
economic, or structural) affecting community participation in health programs
especially the power of self-care.
Another
challenging issue is the boundary between participation and activity which is
not measured in the quality of community participation in health programs.
Rifkin (1991) stated that there are five levels of public participation in
health programs as follows:(1) Health benefits (2) Program activities (3)
Implementation (4) Monitor and evaluation (5) Planning. These approaches also
restate the three models of community participation in health: compliance,
contribution, and community control by Rifkin (1986). Conceptualizations of the
models and levels of community participation in health programs are seldom
scrutinized in previous studies, nevertheless community participation in health
programs increasingly documented as a key factor to improve and maintain health
interventions and its outcomes.
To
understand the importance of self-care within community participation levels
and models in health programs, this short blog places an emphasis on health
benefits and compliance which underline on individual’s participation in health
programs and people’s decision-making power which could be inclined to a
partnership between health care professionals and individuals. In fact,
self-care would provide the whole community with the capacity to cause
sustainable changes at all levels, individual and community to achieve and
maintain optimal health. It could benefit those especially who tolerate the
greatest burden of chronic disease such as cancer diseases.
Self-care,
community participation in preventive programs, health empowerment and
sustainability of health developments in preventive behaviors would alter this
discussion further. Self-care has the potential to increase the intentions of
individuals to perform preventive behaviors, which can promote early detection
of cancer diseases.
Future research
should evaluate targeted communication interventions for addressing self-care
and seeking health benefits, patient’s compliance to health promotion
recommendations for at-risk communities. Without any doubt, self-care as a
first level or model of community participation in health makes individuals and
the community engage in health activities to maintain their health and
well-being.
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