Health Policy and Planning, Vol 13, 1-12, Copyright © 1998 by Oxford University Press
J Zakus and C Lysack
Community participation in health is a complex entity that has been
examined extensively in the literature and continues to be of great
interest among community health workers. The genesis of the idea and its
conceptual development are primarily attributed to large multinational
health institutions, particularly the World Health Organization. However,
the implementation of community participation is the
ultimate responsibility of local health programme initiators. It is
therefore at the local level where day to day realities of incorporating
community participation into health service delivery are confronted. This
paper reviews the value of community participation in health and provides a
detailed examination of the challenges facing its implementation and
sustainability. In 1978, the World Health Organization placed community
participation squarely at the centre of their strategy to achieve
Health For All By The Year 2000. As the year 2000
nears, it is time to critically re-examine the notion of community
participation and the most pressing challenges to its viability.
ARTICLES
Review article. Revisiting community participation
Department of Health Administration, University of Toronto, Canada; Department of Occupational Therapy, Wayne State University, Detroit, USA
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