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Primary health care: on measuring participation

Author

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  • Rifkin, Susan B.
  • Muller, Frits
  • Bichmann, Wolfgang

Abstract

This paper considers the problems of finding measurements for the two major principles of primary health care (PHC), equity and participation. Although both are of equal importance, the authors concentrate on the assessment of participation. A methodology is put forward to define indicators for participation in health care programmes as how wide participation is on a continuum developed for each of the five factors which influence community participation. These factors are: needs assessment, leadership, organisation, resource mobilisation and management. By plotting a mark on a continuum which is defined as wide and narrow at the extremes and is connected with all other marks in a spoke arrangement, it is possible to describe a baseline for participation in any specific health programme. This baseline can be used to compare the same programme at a different point in time, to compare observations by different evaluators, and/or to compare perceptions of different participants in the same programmes. A case study provides an example of how the indicators might be used. These indicators focus on the breadth of participation and not its potential social impact, an area which is recognised to be critical for future research.

Suggested Citation

  • Rifkin, Susan B. & Muller, Frits & Bichmann, Wolfgang, 1988. "Primary health care: on measuring participation," Social Science & Medicine, Elsevier, vol. 26(9), pages 931-940, January.
    • Handle: RePEc:eee:socmed:v:26:y:1988:i:9:p:931-940
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    Cited by:

    1. Madon, Shirin & Malecela, Mwele Ntuli & Mashoto, Kijakazi & Donohue, Rose & Mubyazi, Godfrey & Michael, Edwin, 2018. "The role of community participation for sustainable integrated neglected tropical diseases and water, sanitation and hygiene intervention programs: A pilot project in Tanzania," Social Science & Medicine, Elsevier, vol. 202(C), pages 28-37.
    2. Herens, Marion & Wagemakers, Annemarie, 2017. "Assessing participants’ perceptions on group-based principles for action in community-based health enhancing physical activity programmes: The APEF tool," Evaluation and Program Planning, Elsevier, vol. 65(C), pages 54-68.
    3. Wagemakers, Annemarie & Vaandrager, Lenneke & Koelen, Maria A. & Saan, Hans & Leeuwis, Cees, 2010. "Community health promotion: A framework to facilitate and evaluate supportive social environments for health," Evaluation and Program Planning, Elsevier, vol. 33(4), pages 428-435, November.
    4. Prata, Ndola & Ejembi, Clara & Fraser, Ashley & Shittu, Oladapo & Minkler, Meredith, 2012. "Community mobilization to reduce postpartum hemorrhage in home births in northern Nigeria," Social Science & Medicine, Elsevier, vol. 74(8), pages 1288-1296.
    5. Mumtaz, Zubia & Salway, Sarah & Nykiforuk, Candace & Bhatti, Afshan & Ataullahjan, Anushka & Ayyalasomayajula, Bharati, 2013. "The role of social geography on Lady Health Workers' mobility and effectiveness in Pakistan," Social Science & Medicine, Elsevier, vol. 91(C), pages 48-57.
    6. Andersson, Camilla Maria & Bjärås, Gunilla & Tillgren, Per & Östenson, Claes-Göran, 2005. "A longitudinal assessment of inter-sectoral participation in a community-based diabetes prevention programme," Social Science & Medicine, Elsevier, vol. 61(11), pages 2407-2422, December.
    7. Draper, Alizon Katharine & Hewitt, Gillian & Rifkin, Susan, 2010. "Chasing the dragon: Developing indicators for the assessment of community participation in health programmes," Social Science & Medicine, Elsevier, vol. 71(6), pages 1102-1109, September.
    8. Aga, Deribe Assefa, 2016. "Factors affecting the success of development projects : A behavioral perspective," Other publications TiSEM 867ae95e-d53d-4a68-ad46-6, Tilburg University, School of Economics and Management.
    9. Adam Marc Pine, 2011. "The Temporary Permanence of Dominican Bodegueros in Philadelphia," Urban Studies, Urban Studies Journal Limited, vol. 48(4), pages 641-660, March.
    10. Mathieu Ahouah & Monique Rothan-Tondeur, 2019. "End-Users and Caregivers’ Involvement in Health Interventional Research Carried Out in Geriatric Facilities: A Systematic Review," IJERPH, MDPI, vol. 16(16), pages 1-14, August.
    11. Camelia STAICULESCU & Vladimir ENACHESCU & Adriana PAUNESCU & Laura PANOIU, 2022. "Innovation And Sustainability Strategies In The Field Of Health Education," Contemporary Economy Journal, Constantin Brancoveanu University, vol. 7(2), pages 6-16.
    12. Diep Thanh Tung & Le Thi Thu Diem & Do Xuan Luan & Nguyen Hoang Khanh Linh, 2022. "The National Target Program for New Rural Development in Vietnam: An Understanding of People’s Participation and Its Determinants," Sustainability, MDPI, vol. 14(19), pages 1-17, September.
    13. Chung, Kimberly & Lounsbury, David W., 2006. "The role of power, process, and relationships in participatory research for statewide HIV/AIDS programming," Social Science & Medicine, Elsevier, vol. 63(8), pages 2129-2140, October.
    14. Kelly, K. & Van Vlaenderen, H., 1995. "Evaluating participation processes in community development," Evaluation and Program Planning, Elsevier, vol. 18(4), pages 371-383.
    15. Deribe Assefa Aga & N. Noorderhaven & B. Vallejo, 2018. "Project beneficiary participation and behavioural intentions promoting project sustainability: The mediating role of psychological ownership," Development Policy Review, Overseas Development Institute, vol. 36(5), pages 527-546, September.
    16. Sogoric, Selma & Middleton, John & Lang, Slobodan & Ivankovic, Davor & Kern, Josipa, 2005. "A naturalistic inquiry on the impact of interventions aiming to improve health and the quality of life in the community," Social Science & Medicine, Elsevier, vol. 60(1), pages 153-164, January.

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