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Johns Hopkins University

Community Change in Public Health

In bringing about behavior change in public health, we often focus on the individual mother, student, or farmer. We should not forget the community structure and norms constrain for encouraging individual health behaviors. This course examines the community context of the changes needed to promote the public’s health. We begin by examining the various definitions of ‘community’ and the processes by which we ‘diagnose’ or seek to understand the structure and characteristics of different types of communities. An appreciation of community similarities and differences is necessary lest we fall into the trap of designing one-size-fits-all interventions. We need to recognize that no matter that outsiders may view a community as poor or neglected, we can find strengths and capacities for improvement in each community. Identifying community capacities and resources is the first step in facilitating community change. Different practical and philosophical approaches to change and therefore, examined. Specific to the change process is our recognition of the need for communities to participate in the design, implementation and evaluation of any intervention. We examine the concept of participation in an effort to see how different levels of involvement may affect sustainability of community change efforts. Finally a case study of a community participatory approach to onchocerciasis control in Africa is presented. Community Directed Intervention has subsequently been successfully applied to providing other essential primary health care services by and in the community, such as insecticide treated bednets, malaria treatment, vitamin A distribution, deworming medicines, and pneumonia and diarrhea case management.

Status: Program Evaluation
Status: Health Promotion
Course11 hours

Featured reviews

MH

5.0Reviewed Feb 11, 2019

Very informative and give me the chance to have a new perspective regarding the essential role of community participation in improving and sustaining the health care system.

AA

5.0Reviewed Feb 20, 2017

It was a very insightful course as it showed us how community change is effected in developing countries. The case studies were practical and showed the change that occurs in reality, not just theory

YS

5.0Reviewed Jun 29, 2019

Good course, but apparently not enough students to complete the peer review in a timely manner.

JA

5.0Reviewed Oct 7, 2018

Very nice course. Many thanks to the team who put the course together and the lecturers too

M

5.0Reviewed May 14, 2020

This was an intriguing and though-provoking course. I really enjoyed it and learnt a lot from it. I absolutely recommend it to anyone with interest in public health.

AO

5.0Reviewed Jul 3, 2019

The course is very relevant to my responsibilities. Highly educative and interesting course

HK

4.0Reviewed Jun 11, 2020

This was a thought-provoking course on community typologies and the best approach to take to trigger behaviour change.

SS

4.0Reviewed Dec 7, 2016

It was a very informative course that helped me understand the principles behind community work. The use of case studies to explain concepts was what helped me the most.

EA

4.0Reviewed Aug 27, 2016

This course is ideal for anyone interested in community-oriented public health. It's worth the time and effort.

NM

5.0Reviewed Nov 22, 2017

This is MUST take course for any public health professional no matter your leadership position

OA

4.0Reviewed Jan 6, 2018

Very insightful. Lessons can be integrated beyond public health

SO

4.0Reviewed Mar 20, 2017

It is a very useful insight into community change in public health and a must for every one who want to ensure sustainability is integrated into his intervention

All reviews

Showing: 20 of 39

Okediji Isaac Oluwafemi
5.0
Reviewed Sep 26, 2020
Mundih Noelar Njohjam
5.0
Reviewed May 15, 2020
Scherine Campbell
5.0
Reviewed Feb 27, 2018
Maung Maung Kyaw
5.0
Reviewed Sep 26, 2018
Sara Phillips
5.0
Reviewed Oct 17, 2016
Akshita Rout
5.0
Reviewed Jul 15, 2020
Shirley O Ndagha
5.0
Reviewed Nov 3, 2017
Denita Biyanda Utami
5.0
Reviewed Jul 23, 2019
Tommy Gonzalez
5.0
Reviewed Jun 11, 2019
Adetoyeke Adedipe
5.0
Reviewed Feb 21, 2017
Mohammed Said Mohammed Heriza
5.0
Reviewed Feb 12, 2019
Sanghamitra Barthakur
5.0
Reviewed Jun 16, 2020
Yasmin Sidi
5.0
Reviewed Jun 30, 2019
Niaoné Moumini
5.0
Reviewed Nov 23, 2017
Ayobami Obadiora
5.0
Reviewed Jul 4, 2019
JAMES BOATENG ADUSEI
5.0
Reviewed Oct 8, 2018
Monika Moitra
5.0
Reviewed Dec 26, 2016
Morah Gloria
5.0
Reviewed Dec 7, 2016
Msema Bitangatcha
5.0
Reviewed Oct 12, 2016
Elkan Rodricks
5.0
Reviewed Jul 6, 2020