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A model for community involvement in health (CIH) program development

E Hildebrandt1

  • 1University of Illinois College of Nursing, Rock Island 61265.

Social Science & Medicine (1982)
|July 1, 1994
PubMed
Summary

Community involvement in health (CIH) empowers participants by identifying and addressing local health needs. This participatory approach, demonstrated in South Africa, fostered collaboration and successful program implementation.

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Area of Science:

  • Public Health
  • Community Health
  • Health Development

Background:

  • Community involvement in health (CIH) is a key participatory approach in health development.
  • Implementing CIH offers a learning experience for communities, health professionals, and policymakers.
  • CIH operationalization requires understanding local context, needs, and capacities.

Purpose of the Study:

  • To operationalize and evaluate the CIH process in a South African township.
  • To develop a flexible process model for initiating and sustaining community-led health programs.
  • To empower community members and health professionals through participatory health initiatives.

Main Methods:

  • A two-year CIH process was implemented in a South African black township.

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  • Community surveys identified health needs and capacities, particularly for the elderly.
  • A partnership between the researcher and community groups led to needs prioritization and program implementation.

    • Main Results:

    • Four community-based health programs were successfully implemented based on identified needs.
    • A flexible process model guided program initiation and maintenance for diverse participants.
    • The CIH approach empowered participants, moving beyond passive hope for change.

    Conclusions:

    • CIH is an effective strategy for addressing community health needs and fostering empowerment.
    • The developed process model provides a transferable structure for community organizing in health.
    • Participatory approaches enhance the relevance and sustainability of health programs.