medigraphic.com
SPANISH

Revista Cubana de Medicina General Integral

ISSN 1561-3038 (Print)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2013, Number 2

<< Back Next >>

Rev Cubana Med Gen Integr 2013; 29 (2)

Community empowerment within health in three Cuban municipalities

Sosa LI, Lefévre P, Guerra CM, Ferrer FL, Rodríguez SA, Herrera TD, De Vos P, Bonet GM, Van Der Stuyft P
Full text How to cite this article

Language: Spanish
References: 16
Page:
PDF size: 52.65 Kb.


Key words:

Participation, community empowerment, planning, implementation, evaluation, leadership, health, CPPE methodology.

ABSTRACT

Introduction: Community participation and empowerment are seen as important elements to improve health and enhance the quality of life of communities.
Objectives: submit a participatory in planning-implementation-evaluation in health contexts intervened and show its potential to increase community participation and local empowerment.
Methods: present a participatory action research where the participatory methodology was used CPPE (Comprehensive Participatory Planning and Evaluation) adapted to the Cuban context for planning-implementation-evaluation of health interventions. During the process involved health leaders, formal leaders (intersectoral) and informal leaders of health areas - Councils. Planning workshops were held and / or assessment - planning and interventions were implemented. The sources of information were: participant observation in workshops, rapporteurs and evaluation of the workshops, indepth interviews, the Case Studies of the methodology report and the Case Studies of the implementation reports.
Results: the methodology implementation improved the decision-making process, the methodology was widely accepted, there was a growing interest in the sustainability of the process.
Conclusions: The implementation methodology, favored the process of participation and empowerment within the target communities. In all locations the different types of leaders and much of the communities went from being partners in health interventions, to become key players in the decision-making.


REFERENCES

  1. Rifkin S. Equity, empowerment and choice: from theory to practice in public health. London School of Economics, United Kingdom. Presentation made at Forum 9, Mumbai, India,12-16 September 2005. Available from:http://www.jstor.org/stable/ . Cited 2010 October 6. [aprox. 15 p.]

  2. Rifkin S, Pridmore P. Partners in Planning. London: Macmillian, TALC. 2001. Cited 2010 October 6. [aprox. 9 p.]. Available from: http://heapol.oxfordjournals.org/content/early/2010/08/29/heapol.czq039.full .

  3. Pérez D, Lefévre P, Romero MI, Sánchez L, De Vos P and Van der Stuyft. Augmenting frameworks for appraising the practices of community-based health intervention. Health Policy and Planning 2009:1-7. Available from:http://heapol.oxfordjournals.org/content/24/5 /335.full.pdf+html. Cited 2010 July 5. [aprox. 7 p.]

  4. Laverack G. Using a domains approach to build community empowerment. Commun Dev J 2005. Available from: http://www.oup.co.uk/journals/cdj/advance . Cited 2009 March 11. [aprox. 15 p.]

  5. Laverack G. Improving Health Outcomes through Community Empowerment: A Review of the Literature. J Health Popul Nutr 2006 Mar; 24(1):113-120. Available from: http://www.oup.co.uk/journals/cdj/advance . Cited 2009 March 11. [aprox. 8 p.]

  6. Laverack G. Health promotion practice: power and empowerment. London: Sage Publications, 2004.

  7. Lefévre P, De Wael MP, Byekwaso F, Beghin I. Comprehensive Participatory Planning and Evaluation. Nutrition Unit Tropical Medicine. Antwerp. Belgium. December. 2000. Available from: http://www.ifad.org/pub/bsf/cppe/cppe_1.pdf . Cited 2007 November 10. [aprox. 90 p].

  8. Software Cualitativo NVivo versión 8. Copyright. 2008. QRS Internacional PTy. LTD. ABN. 47006357213. March 2005.

  9. Carvalho SR, Gastaldo D. Health promotion and empowerment: a reflection based on critical-social and post-structuralist perspectives. Ciênc. saúde coletiva vol.13 suppl. 2. Rio de Janeiro Available from:http://www.scielo.br/scielo.php [Cited 2010 August 10]. [aprox. 6 p].

  10. Restrepo HE. Incremento de la capacidad comunitaria y del empoderamiento de las comunidades para promover la salud. Quinta Conferencia Mundial de Promoción de la salud. OPS. México, D.F. 5 al 9 de Junio de 2000. Disponible en: http://www.bvsde.paho.org/bvsacd/cd26/fulltexts/0576.pdf . Consultado el 3 de Agosto de 2010. [aprox. 19 p].

  11. Sánchez L, Pérez D, Alfonso L, Castro M, Sánchez LM, Van der Stuyft P, et al. Estrategia de educación popular para promover la participación comunitaria en la prevención del dengue en Cuba. Rev Panam Salud Pública 24 (1): 61-69, 2008. Disponible en: http://www.scielosp.org/scielo.php. Citado 14 Sept. 2010. [aprox. 15 p].

  12. Alejandro M. Procesos comunitarios: retos de una experiencia. Rev Cubana Pensamiento Socioteológico. 2003; 27 (3):44-50.

  13. Sánchez L, Pérez D, Cruz G, Silva LC, Boelaert M, Van der Stuyft P. Participación comunitaria en el control de Aedes aegypti: opiniones de la población en un municipio de La Habana, Cuba. Rev Panam Salud Publica vol.15 no.1 Washington Jan. 2004. Disponible en: http://www.scielosp.org/scielo.php Citado 14 Septiembre 2010. [aprox. 16 p.]

  14. Castell-Florit P. Comprensión conceptual y factores que intervienen en el desarrollo de la intersectorialidad. Escuela Nacional de Salud Pública. Rev Cubana Salud Pública 2007; 33 (2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864- 34662007000200009&lng=es. [Citado 4 Mayo 2008]. [aprox. 16 p.]

  15. Delgado-Gallego ME, Vázquez-Navarrete L. Barreras y oportunidades para la Participación Social en Salud en Colombia: Percepciones de los Actores Principales. Rev. Salud Pública. 2006;8(2):128-140. Disponible en:http://www.scielosp.org/scielo.php . Citado 18 de enero 2007. [aprox. 14 p.]

  16. Baum F, MacDougall C, Smith D. Participatory action research. J Epidemiol Community Health. 2006;60: 854-7. Available en: http://www.scielo.isciii.es /scielo.php . Cited 2010 April 14. [aprox. 4 p].




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Cubana Med Gen Integr. 2013;29