| Titre : | Resource dependency and community participation in primary health care. (1998) |
| Auteurs : | J.D.L. ZAKUS |
| Type de document : | Article |
| Dans : | Social science and medicine (vol. 46, n° 4-5, 1998) |
| Pagination : | 475-494 |
| Langues: | Anglais |
| Mots-clés : | Etat santé ; Soins santé primaire ; Santé communautaire ; Programme communautaire ; Programme santé ; Evaluation ; Homme ; Système santé ; Mexique ; Amérique centrale ; Amérique |
| Résumé : | [BDSP. Notice produite par INIST JEjaR0xg. Diffusion soumise à autorisation]. Great hope is accorded to community participation in health. A large number of potential benefits are attributed to participatory processes, including better addressing community needs through more locally adapted organizational processes and improvement in health outcomes. To this end, many governments around the world have adopted policies and programmes of community participation as part of their strategy to implement primary health care services. In Mexico this is, in great part, realized through the module programme of the Ministry of Health. A module is characterized by various village based health posts (casas de salud), each operated by a community volunteer and associated with a health committee, all of which are supervised by a nurse from a nearby health centre. The southern Mexican state of Oaxaca was chosen for a study of the module programme (during the period 1987-1992) to gain a better understanding of how organizational processes impact on the implementation and outcomes of community participation programmes in large institutions (i.e. the Ministry of Health). The resource dependency perspective formed the basis for the theoretical framework used. Some 75 towns and villages were visited and about 170 health related personnel from all over the state were interviewed to obtain data on the operation and impact of the module programme. (...) |
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