from the lecture of Prof. Gerardo P. Andamo of The Royal Pentagon Review Specialists, Inc. COMMUNITY ORGANIZING – a continuous and sustained (i.e. never-ending) process of awarenessraising, organizing, and mobilizing. Awareness – primary motivation to action Basic Concepts and Principles      Based on concrete analysis of actual situation Basic trust on the people By, for, with, and among the people Anyone is capable of change Self-willed changes have more meaning than imposed ones

Context of Community Organizing (CO): Current situation towards the poor, deprived, oppressed (i.e. not all) but struggling segments of the society Goal of Community Organizing (CO): Community Development – the creation of a society that provides equal access to all benefits and opportunities the society can offer to the people Application of CO in Health: PRIMARY HEALTH CARE PRIMARY HEALTH CARE - Essential care (i.e. not alternative) - Based on scientifically sound and socially acceptable methods and technology - Made universally available to individuals, families, and communities - At a cost they can afford at any given stage of their development - Through their full participation - Towards self- reliance and self-determination Major Pillars of Primary Health Care a. Multi-sectoral approach (inter- and intra-sectoral linkages) b. People’s participation Partnership – or shared leadership; minimum level of people’s participation c. Appropriate technology – underwent experimentation and with high empirical basis; e.g. herbal medicine and accupressure d. Support mechanism made available COMMUNITY ORGANIZING IN HEALTH Two types of community: a. Organized community – with people’s organization b. Virgin community – without people’s organization Phases of CO: 1. SOCIAL INVESTIGATION • Preliminary Investigation - done before entry to community - secondary data sources are utilized - baseline information from secondary data sources (e.g. Records Review) • Deepening Social Investigation - continuous appraisal of community situation through primary data sources 2. ENTRY – low-key or low-profile approach Upon entry, start the following: a. Deepening Social Investigation b. Social Preparation c. Community Integration 3. SOCIAL PREPARATION – tampering the grounds for setting up health programs Target: community leaders - Establish rapport, develop trust, clarify intentions and expectations - Starts upon entry, ends with launching

Methods: courtesy call and attendance to meetings 4. COMMUNITY INTEGRATION – imbibing the community way of life Target: community - Deepen rapport, develop mutual trust, draw objectives Methods: house-to-house, going to places where people are, direct participation in the production process (best method) 5. SMALL GROUP FORMATION - cluster of 8-15 households - manageable units - data processing of community diagnosis is being done 6. ELECTION OF CHWs 7. LAUNCHING – social preparation ends 8. COMMUNITY DIAGNOSIS Outcome: Problems and needs of the people 9. TRAINING AND SERVICES Advanced community health workers have the leadership traits 10. CORE GROUP FORMATION - Group of advanced CHWs 11. PHASE OUT – so that people can practice self-reliance - Provide opportunity for the health workers to stand on their own Indicator of Phase-out: Advanced CHWs are able to assume staff level functions COMMUNITY ORGANIZING PROCESS PRE-ENTRY 1. Site selection 2. Preliminary Social Investigation ENTRY 1. Social preparation 2. Community integration 3. Deepening social investigation ORGANIZATION FORMATION PHASE 1. Small group formation 2. Election of CHW (women; middle-aged; married) 3. Organizational meetings - to clarify matters TRAINING PHASE 1. Training needs assessment – COMMUNITY DIAGNOSIS 2. Curriculum development – based on problems identified 3. Actual training 4. Training evaluation SERVICES PHASE 1. Community clinics 2. Other services LEADERSHIP FORMATION PHASE 1. Core group formation 2. Advanced training CONSOLIDATION PHASE 1. Evaluation session 2. Staff development SUSTENANCE AND MAINTENANCE PHASE 1. Endorsement to sectoral organizing 2. Formation of regional coordinating bodies PHASE OUT
Transcribed by: ROBERT C. REÑA Bachelor of Science in Nursing Class MMIX

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