![[ Visit Client Website ]](images/banner.gif)
Tuesday, 13 July 2010
Learning Objective 1: 1. The complex and challenging approach to improving the lives of all people
Learning Objective 2: 3. Critically examine these experiences and distil the important points for future programme development.
Purpose: A case of Primary Health Care (PHC) program at Baba Island conducted during 1989-1999 is used to analyze the concepts of participatory approach. The method of Spidergram Model by Rifkin et. al (1988) is employed in the analysis. The inferences have been made from the observations gained during planning, implementation and evaluation of PHC at the level of community health nurse in the selected community. The project was launched in order to develop a sustainable PHC prototype and to strive towards the attainment of Health for all.
The PHC program was started in collaboration with Fisherman Welfare Association (FWA) of the community, philanthropist and Aga Khan University department of Community Health Sciences (AKU-CHS), Karachi , Pakistan .
Methods: Initially, the objective of the program was to develop the capacity of young men and women on needs assessment, leadership, organization, resource mobilization and management. The services at the community level were planned using selective PHC approach through the youth of community such as vaccination program.
Results: The PHC elements were incorporated gradually and the selection of PHC elements was based on the baseline survey report, felt needs of the community and the community’s capacity to manage and implement the program. For the sustainability of the program, Community Health Volunteers (CHVs) were continuously identified and trained for different components on on-going basis.
Conclusion: One of the challenges was how to prepare the community, family and individuals to deal with young men and women who are empowered and have gained awareness about their rights in the existing socio-cultural and political situations of the community. The discussion is on the synthesis that how the approach helped to gain the understanding on the importance of utilizing the network and linkages of the local organizations with the wider institutions in the country.
Methods: Initially, the objective of the program was to develop the capacity of young men and women on needs assessment, leadership, organization, resource mobilization and management. The services at the community level were planned using selective PHC approach through the youth of community such as vaccination program.
Results: The PHC elements were incorporated gradually and the selection of PHC elements was based on the baseline survey report, felt needs of the community and the community’s capacity to manage and implement the program. For the sustainability of the program, Community Health Volunteers (CHVs) were continuously identified and trained for different components on on-going basis.
Conclusion: One of the challenges was how to prepare the community, family and individuals to deal with young men and women who are empowered and have gained awareness about their rights in the existing socio-cultural and political situations of the community. The discussion is on the synthesis that how the approach helped to gain the understanding on the importance of utilizing the network and linkages of the local organizations with the wider institutions in the country.