2 History of community participation in public health: from primary care movement to UHC
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Anuj Kapilashrami
Abstract
This chapter traces the history of community participation in public health programming from colonial times to the present day. It explores how public health practice has deep colonial roots and is also closely linked to control of epidemics. It highlights how the involvement of communities in their own health issues has been central to defining Primary Health and has been confrontational, assertive, as well as collaborative through several historical and contemporary examples. The chapter traces the establishment of a global public health architecture after the setting up of the UN System and emerging consensus on the relevance of community participation. The chapter concludes by exploring several contemporary economic and social challenges to the practice of participation in public health programming.
Abstract
This chapter traces the history of community participation in public health programming from colonial times to the present day. It explores how public health practice has deep colonial roots and is also closely linked to control of epidemics. It highlights how the involvement of communities in their own health issues has been central to defining Primary Health and has been confrontational, assertive, as well as collaborative through several historical and contemporary examples. The chapter traces the establishment of a global public health architecture after the setting up of the UN System and emerging consensus on the relevance of community participation. The chapter concludes by exploring several contemporary economic and social challenges to the practice of participation in public health programming.
Chapters in this book
- Front Matter i
- Contents v
- List of figures, boxes, and case studies vi
- Acknowledgements viii
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Participation, power, and public health: historical influences and modern imperatives
- Introduction 3
- History of community participation in public health: from primary care movement to UHC 27
- ‘Communities’, power, and participation: unpacking concepts from praxis 44
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Pathways to health justice: community organising, collective action, and accountability
- Engaging communities at the margins to reduce health inequalities 69
- Building sustainable social movements for the right to health 83
- Addressing political, economic, and commercial forces shaping health 102
- Strengthening accountability for the right to health 122
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Tools for transformation and organising for change: arts, media, and participatory action research
- Community activism in action 143
- The role of arts, social media, and participatory action research in advancing health rights 158
- Conclusion: Community organising and collective action as countervailing power for healthy and just societies 179
- Glossary 185
- Notes 190
- References 191
- Index 224
Chapters in this book
- Front Matter i
- Contents v
- List of figures, boxes, and case studies vi
- Acknowledgements viii
-
Participation, power, and public health: historical influences and modern imperatives
- Introduction 3
- History of community participation in public health: from primary care movement to UHC 27
- ‘Communities’, power, and participation: unpacking concepts from praxis 44
-
Pathways to health justice: community organising, collective action, and accountability
- Engaging communities at the margins to reduce health inequalities 69
- Building sustainable social movements for the right to health 83
- Addressing political, economic, and commercial forces shaping health 102
- Strengthening accountability for the right to health 122
-
Tools for transformation and organising for change: arts, media, and participatory action research
- Community activism in action 143
- The role of arts, social media, and participatory action research in advancing health rights 158
- Conclusion: Community organising and collective action as countervailing power for healthy and just societies 179
- Glossary 185
- Notes 190
- References 191
- Index 224
