5.-Community-Organizing_2.pdf

Community participation is a fundamental requirement to achieve health and sustainable development, enabling citizenship to become an integral part of the decision- making and action process, and reflects the need for development of more active communities in their right. To achieve this, Community...

Community participation is a fundamental requirement to achieve health and sustainable development, enabling citizenship to become an integral part of the decision- making and action process, and reflects the need for development of more active communities in their right. To achieve this, Community Organizing (CO), a social development methodology is utilized to facilitate the process of forming and sustaining self-reliant and self-determining communities. - WHO PEOPLE as the CENTER of any development effort. It is a process by which members of the community: ▪ Develop the capability to assume greater responsibility for assessing their health needs and problems ▪ Plan and Act to implement their solutions ▪ Create and maintain organization in support of these efforts and ▪ Evaluate the effects and adjust in goals and collective action ▪ “Mula sa tao, para sa tao.” Social Development Methodology facilitate the process of forming and sustaining SELF RELIANT and SELF DETERMINING communities for Motivating, Enhancing and Seeking wider community participation in DECISION MAKING in Activities. Emphasis on strengthening the member’s capability DECISION MAKING and PROBLEM SOLVING skills. Community members develop the capability to: assess their health needs and problems plan and implement actions sustain organizational structures that will support and monitor the implementation of health initiatives by the people SUSTAIN HEALTH PROGRAM = SUSTAIN PEOPLE’S HEALTH a. Preparatory b. Organizational c. Educational and Training d. Intersectoral collaborative e. Phase out  “ACE” Area selection Community profiling Entry in the community  1. Area Selection Guide in Choosing and prioritizing areas for Community Health Development, the ff. questions must be answered: ▪ Is the Community in need of assistance? ▪ Do the Community members feel the need to work together to overcome a specific health problems? ▪ Are there groups or organization that can possibly work with? ▪ Also, Geographically Isolated and Disadvantage Area  2. Community Profiling provides an overview of Demographic Characteristics and health related services and facilities, this will serve as the Initial Data Base, Once Area has been selected, look for a CONTACT PERSON Contact Person - known and accepted by the Community - help other people who can be depended upon to initiate activities. These people will compose the Core Group who will assist the Nurse in the Community Profiling  3. Entry in the Community and Integration with the people: Learn cultural practices and lifestyle of the people before entry Establishing rapport is easier if the nurse is able to Understand, Accept and Imbibe Community life. 1. Recognize the role and position of Local Authorities 2. Adapt a lifestyle in keeping with that of the community 3. Choose a modest dwelling which the people, especially the economically disadvantage will not hesitate to enter 4. Avoid raising expectation of the people. Be clear with your objectives and limitations 5. Participate directly in production process 6. Make house calls and seek out people where they usually gather 7. Participate in some social activities  S-ocial Preparation S-potting and Developing potential Leaders C-ore Group Formation S-etting up a Community organization  1. SOCIAL PREPARATION The Integration work paves the way for the nurse to be introduced into the community, which signals the start of Social Preparation The nurse strengthens her ties with the people 2. SPOTTING AND DEVELOPING OF POTENTIAL LEADERS Nurse must Gain Trust and Respect Leaders are not necessarily to be Highly Educated or belonging to an Affluent Family, but able to Identify with, understand and articulate effectively Willingness to work for the desired change  3. CORE GROUP FORMATION: The core group serves as training ground for developing the potential leaders in: ▪ Democratic and Collective Leadership ▪ Planning and Assuming task for the formation of community wide organization ▪ Handling and resolving group conflicts ▪ Critical thinking and Decision – making process ▪ Ideally, Sectors are well represented  4. SETTING UP THE COMMUNITY ORGANIZATION ❑ It will facilitate wider participation and collective action on community problems ❑ nurse ensures Maximum Participation and Control by the members in all activities. ❑ Working committees (health committee) will be created to look into the different concerns of the organization and community, whereas the nurse will assist in laying out the plans. Studies have demonstrated the effectiveness of community health workers in achieving demonstrable health benefits directly related to the Millennium Development Goals (MDGs), including reducing child malnutrition and both child and maternal mortality. - Perry and Zulliger (2012)  1. Conducting Community Diagnosis - create profile of local health situation that will serve as basis of health programs and services to be delivered to the community. - The Nurse assist the people in developing a plan and in the actual conduct 2. Training of Community Health Workers The Community will decide who will be trained as Community Health Workers The Nurse facilitates the conduct of a Training Needs Assessment (TNA)  3. Health Services and Mobilization The organization takes lead in undertaking activities that will solve the problems of the community Engage them into activities that test and strengthen collective spirit and build and enhance confidence.  4. Leadership – Formation Activities The process of developing community Leaders in a Continuous and Sustained Process. Activities such as Meetings, Assessment, Planning, Implementation, Monitoring and Evaluation of Activities. Mastering skills such as Organizing, Human Relations Development or Supervisory Skills Training may include Financial and Project/ Program Management Leadership – Formation Activities material, human, financial – will have to be sourced externally. Assistance and support in any form can be funneled through collaborations with other organization and communities  prepares for turn-over of work (delegation of work) develops a plan for monitoring and subsequent follow up of the organization’s activities until the community is ready for full deisengagement and phase-out Thank you! ASHLEY PURDY