Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
International Journal for Equity in Health
Published in: International Journal for Equity in Health 1/2020

Open Access 01-12-2020 | Research

Communities on the move: community participation in health in rural territories of Buenaventura District in Colombia

Authors: Laura Catalina Blandón-Lotero, Marta Cecilia Jaramillo-Mejía

Published in: International Journal for Equity in Health | Issue 1/2020

Login to get access

Abstract

Background

Social and community participation is a fundamental component of the development of renewed primary healthcare (PHC). With the recognition of health as a right, such participation is a significant part of the design of public policies aimed at this sector. These policies contribute not only to overcoming inequity in the provision of this type of services but also to a reduction in social inequalities as a whole. Through a comparative analysis, this study aimed to explain the conditions through which ethnic-rural territories of the Colombian Pacific coast participate in health to contribute to the generation of policies and programs in territories with similar conditions.

Methods

The work was developed through the use of multiple techniques and strategies for information collection and analysis. These include several semi-structured interviews, multiple observation exercises and analysis based on a set theory, i.e., qualitative comparative analysis (QCA). The latter aims to develop a model that provides a count of the main causal combinations that allow high community participation in health.

Results

Key findings include how the trajectory of social mobilization and existence of a robust community social fabric became two critical conditions for community participation in the context of social exclusion. The presence of variables such as the implementation of PHC, guarantee of social rights, and trust in institutions, is underestimated as sufficient causal conditions for obtaining this result. Therefore, it is essential to recognize the existence, validity, and importance of processes, experiences, and resourcefulness of political natures, which aim at transforming the daily reality of the inhabitants of these communities. These also set a potential space and scenario for managing the communities’ main problems, including health, in the absence of institutionality that guarantees access to their social rights.

Conclusion

This study points out the importance of understanding community participation as a political activity, expanding exchange dynamics and dialogs between institutions, rulers, and communities to provide social responses in health and well-being to communities and to understand local realities and their own community dynamics.
Literature
1.
Putnam R. Bowling Alone: America’s Declining Social Capital. J Democr. 1995;6(1):65–78.
2.
3.
Mulumba M, London L, Nantaba J, Ngwena C. Using Health Committees to Promote Community Participation as a Social Determinant of the Right to Health. Health Hum Rights. 2018;20(2):11–7.PubMedPubMedCentral
4.
George AS, Mehra V, Scott K, Sriram V. Community Participation in Health Systems Research: A Systematic Review Assessing the State of Research, the Nature of Interventions Involved and the Features of Engagement with Communities. PloS One. 2015;10(10):e0141091.PubMedPubMedCentral
5.
Sobeck J, Agius E. Organizational capacity building: addressing a research and practice gap. Eval Program Plann. 2007;30(3):237–46.PubMed
6.
Baugh Littlejohns L, GermAnn K, Smith N, Bopp J, Bopp M, Reichel C, et al. Integrating Community Capacity Building and Enhanced Primary Health Care Services. Aust J Prim Health. 2000;6(4):175–89.
7.
Cottrell LS. Social planning, the competent community, and mental health. Rep Group Adv Psychiatry. 1964;10:391–402.PubMed
8.
Fröding K, Elander I, Eriksson C. Neighbourhood development and public health initiatives: who participates? Health Promot Int. 2011;27(1):102–16.PubMed
9.
Liberato SC, Brimblecombe J, Ritchie J, Ferguson M, Coveney J. Measuring capacity building in communities: a review of the literature. BMC Public Health. 2011;11(1):850.PubMedPubMedCentral
10.
Pineda FY. La participación en salud, factores que favorecen una implementación efectiva. Monitor Estratégico. 2014;6:10–20.
11.
Hernández A, Ruano AL, Hurtig A-K, Goicolea I, San Sebastián M, Flores W. Pathways to accountability in rural Guatemala: A qualitative comparative analysis of citizen-led initiatives for the right to health of indigenous populations. World Dev. 2019;113:392–401.
12.
13.
14.
Jaramillo-Mejía MC, Cancelado H, Gil Forero JC, Osorio O, Bermúdez P. Proyecto “Viabilidad de desarrollar un modelo basado en Atención Primaria en Salud para municipios con alta dispersión rural del litoral pacífico colombiano.”. Cali, Colombia: Universidad Icesi, Universidad Santiago de Cali, Universidad Libre-seccional Cali y Universidad Javeriana-Cali; 2018.
15.
Weel CV, Howe A, editors. Primary Health Care around the World: recommendations for International Policy and Development. Boca Raton: CRC Press; 2019. p. 152.
16.
Jaramillo-Mejía MC. Situación de la Mortalidad Infantil en Colombia. [Granada, España]: Universidad de Granada; 2016.
17.
18.
19.
Schneider CQ, Wagemann C. Set-Theoretic Methods for the Social Sciences. Camb Core [Internet]. 2012 Aug [cited 2019 Jun 26]; Available from: /core/books/settheoretic-methods-for-the-social-sciences/236C162386C1188966FE269D625CA289.
20.
21.
22.
Marx A, Rihoux B, Ragin C. The origins, development, and application of Qualitative Comparative Analysis: the first 25 years. Eur Polit Sci Rev. 2014;6(1):115–42.
23.
Jackson SF. Working with Toronto neighbourhoods toward developing indicators of community capacity. Health Promot Int. 2003;18(4):339–50.PubMed
24.
Lempa M, Goodman RM, Rice J, Becker AB. Development of scales measuring the capacity of community-based initiatives. Health Educ Behav Off Publ Soc Public Health Educ. 2008;35(3):298–315.
25.
Goodman RM. A construct for building the capacity of community-based initiatives in racial and ethnic communities: a qualitative cross-case analysis. J Public Health Manag Pract JPHMP. 2009;15(2):E1–8.PubMed
26.
27.
Schneider CQ, Wagemann C. Standards of Good Practice in Qualitative Comparative Analysis (QCA) and Fuzzy-Sets. Comp Sociol. 2010;9(3):397–418.
28.
DANE. Indicadores sociales y de gestión. Memorias del seminario Internacional realizado por el Departamento Administrativo Nacional de Estadistica DANE- con el auspicio del CEntro Internacional de Investigaciones para el Desarrollo del Canadá-IDRC CIID. [Internet]. Bogotá, Colombia: Eduardo Alvarado; 1995. 631 p. (LD_10450; vol. 2). Available from: http://​biblioteca.​dane.​gov.​co/​media/​libros/​LD_​10450_​EJ_​2.​PDF.
29.
Durand PV. Confianza y eficacia ciudadana en una sociedad con alta desigualdad. Opinião Pública. 2006;12(2):277–96.
30.
Jaramillo-Mejía MC, Gil Forero JC, Núñez Cabrera A. APS en territorios con ruralidad dispersa del Pacífico colombiano: tensiones y actores en el posconflicto. 2018.
31.
Mira González CM, Rojas Betancur MA. La protección de los derechos sociales en el sistema interamericano de derechos humanos. Rev Opinión Juríd. 2010;9(18):39–56.
32.
Parra M. Características actuales de la movilización social en América Latina. OSAL. 2011;30:43–64.
33.
Nakamura Y, Siregar M. Qualitative assessment of community participation in health promotion activities. World Health Forum. 1996;17(4):415–7.PubMed
34.
Isabel Téllez Murcia E. El sentido del tejido social en la construcción de comunidad. Polisemia. 2013;6:9.
35.
Jackson SF, Cleverly S, Poland B, Burman D, Edwards R, Robertson A. Working with Toronto neighbourhoods toward developing indicators of community capacity. Health Promot Int. 2003;18(4):339–50.PubMed
36.
Ragin CC, Fiss, PC. Net Effects Analysis versus Configurational Analysis: An Empirical Demonstration. In: Redesigning Social Inquiry: Fuzzy Sets and Beyond. Chicago: University of Chicago Press; 2009. p. 190–211.
37.
De Vos P, De Ceukelaire W, Malaise G, Pérez D, Lefèvre P, Van der Stuyft P. Health through people’s empowerment: a rights-based approach to participation. Health Hum Rights. 2009;11(1):23–35.PubMed
38.
Chilaka MA. Ascribing quantitative value to community participation: A case study of the Roll Back Malaria (RBM) initiative in five African countries. Public Health. 2005;119(11):987–94.PubMed
39.
Strasser R, Kam SM, Regalado SM. Rural Health Care Access and Policy in Developing Countries. Annu Rev. Public Health. 2016;37(1):395–412.PubMed
40.
41.
Cassetti V, Paredes-Carbonell JJ, López Ruiz V, García AM, Salamanca BP. Evidencia sobre la participación comunitaria en salud en el contexto español: reflexiones y propuestas. Informe SESPAS 2018. Gac Sanit. 2018;32:41–7.PubMed
42.
Ruano AL. The role of social participation in municipal-level health systems: the case of Palencia. Guatemala Glob Health Action. 2013;6(1):20786.PubMed
43.
Grossman M. On the Concept of Health Capital and the Demand for Health. J Polit Econ. 1972;80(2):223–55.
44.
Metadata
Title
Communities on the move: community participation in health in rural territories of Buenaventura District in Colombia
Authors
Laura Catalina Blandón-Lotero
Marta Cecilia Jaramillo-Mejía
Publication date
01-12-2020
Publisher
BioMed Central
Published in
International Journal for Equity in Health / Issue 1/2020
Electronic ISSN: 1475-9276
DOI
https://doi.org/10.1186/s12939-020-01239-8

Other articles of this Issue 1/2020

International Journal for Equity in Health 1/2020 Go to the issue

Research

Influence of community scorecards on maternal and newborn health service delivery and utilization

Research

Unmet mental health needs in the general population: perspectives of Belgian health and social care professionals

Research

‘The problem is small enough, the problem is big enough’: a qualitative study of health technology assessment and public policy on drug funding decisions for children

Research

“Crazy person is crazy person. It doesn’t differentiate”: an exploration into Somali views of mental health and access to healthcare in an established UK Somali community

Research

Indigenous engagement in health: lessons from Brazil, Chile, Australia and New Zealand

Study protocol

Implementing a sustainable health insurance system in Cambodia: a study protocol for developing and validating an efficient household income-level assessment model for equitable premium collection