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Participatory Health Promotion & Community Organizing - Coggle…
Participatory Health Promotion
&
Community Organizing
Community is the expert of their own life.
Empower the community by letting community organizing identify their problems or change targets from an INSIDER view.
Health promotion's role is to cooperate and support the community's existing process to foster change.
According to Alinsky tradition, the health practitioner's role is that of an OUTSIDER who agitates, listens to people's concerns and then mobilizes them to act on them.
Solutogenic/Holistic model should be used when engaging with the community.
Health practitioners should not just focus on fixing problems, like discouraging smoking or promoting healthy eating.
Health practitioners should conduct a cyclical process of reflection and action that is designed to uncover and address the condition that undermines health in the community, for example, barriers for immigrant women to access the medical system.
The rubric of participatory health promotion includes storytelling, dialogue and critical reflection (Freirian model).
Storytelling can be conducted through different forms of art, like drawing, music, drama and dance. It helps to capture the life experience of the community members and reveal the problem in the community.
Dialogue creates a platform for meaningful communication between the community and health practitioners to build rapport and reveal the structural oppression in the community.
Critical reflection allows health practitioners and community members to collectively question taken-for-granted assumptions that are noticed in the process of dialogue based on the story.
Neoliberalism is one of the challenges in participatory health promotion.
Neoliberalism emphasis individual competition instead of collective wellbeing in society.
Neoliberalism prevents reflection because it focuses on short-term outcomes.
Neoliberalism does not acknowledge the time and work spent on community engagement because no outcome can be seen in a short period of time which is a big challenge of community studies.
Both Alinsky tradition and Freirian approaches to community organizing are not perfect. Understanding the strengths and limitations of each model may help health practitioners to create a stronger model.
Alinsky's model is good at campaigns which mobilize popular support for action, like the health care reform bill in 2010.
Freirain's model is good at addressing complex problems where no single problem source exists through leadership training and political education.
The marriage of the two models: political education creates the reflection and growth opportunities that motivate action, and action provides the expression of newly clarified values.