COPAR defined Community Organizing Participatory Action Research is a social developmental approach that aims to transform the apathetic, the individualistic and voiceless poor into dynamic, participatory and politically responsive community It is developed to make health services accessible and available for depressed and underserved communities in the Philippines. APPROACHES TO COMMUNITY DEVELOPMENT Welfare Approach Modernization Approach Transformatory/Participatory Approach Welfare Approach The immediate and/or spontaneous response to ameliorate the manifestation of poverty, especially on the personal level. Assumes that poverty is God-given, hence the poor should accept their condition since they will receive their just reward in heaven. Modernization Approach Project development approach introduces whatever resources that are lacking in a given community Assumes that development consists of abandoning the traditional methods of doing things and must adopt the technology of industrial countries. Transformatory Approach The process of empowering/ transforming the poor and the oppressed sectors of society so that they can pursue a more just and humane society. Assumes that poverty is not God-given rather it is rooted in the historical past and is maintained by the oppressive structure in society COPAR Importance COPAR is an important tool for community development and people empowerment as this helps the community workers to generate community participation in developmental activities. COPAR prepares people to eventually take over the management of a development program in the future. COPAR maximizes community participation and involvement COPAR principles People especially the most oppressed , exploited and deprived sectors are open to change, have the capacity to change and are able to bring about change. COPAR should be bases upon the interests of the poorest sectors of society. COPAR should lead to a self reliant community and society. COPAR Process A progressive cycle of action-reflection- action which begins with small, local and concrete issues identified by the people and the evaluation and the reflection of and on the action taken by them.
Consciousness through experimental
learning central to the COPAR process because it places emphasis on learning that emerges from concrete action and which enriches succeeding action COPAR Process COPAR is participatory and mass-based because it is primarily directed towards and biased in favor of the poor, the powerless and the oppressed.
COPAR is group centered and not
leader oriented . Leaders are identified, emerged and are tested through action rather than appointed or selected by some external force or entity. COPAR Critical Steps Integration Role Play Social Investigation Mobilization or Tentative Program Action Planning Evaluation Ground working Reflection The Meeting Organization INTEGRATION Living with the people to experience and understand their culture economy, leaders , history and lifestyle. SOCIAL INVESTIGATION Collecting, collating and analyzing data in a systematic process in order to draw a clear picture of the community. TENTATIVE PROGRAM PLANNING Choosing an issue to work on in order to begin organizing the people GROUNDWORKING Continuously going around and motivating the people on a one-on-one basis to do something on the issues that has been chosen. MEETING An opportunity for the people to collectively gain the power of confidence by discussing their problems and issues. ROLE PLAY Training the people through simulated activities to anticipate what will happen and prepare themselves for such eventuality. MOBILIZATION or ACTION Actual experiences of people in confronting the powerful and the actual exercise of people power. EVALUATION The people reviewing the previous steps to determine whether they were successful or not in their objectives. REFLECTION Discussion of the factors that facilitated or hindered the activity, done at the end of every activity. ORGANIZATION The result of many successive and similar actions of the people PRE-ENTRY PHASE The initial phase of the organizing process where the community/organizer looks for communities to serve/help. Activities: Designing a plan for community development including all activities and strategies for care development Designing criteria for selection of site Actually selecting the site for community care PLANNING Planning is futuristic Planning is change oriented Planning is a continuous and dynamic process Planning is flexible Planning is a systematic process The Planning Cycle Situational Analysis “Where are we now?”
Gather health data
Tabulate, analyze and interpret data
Identify health problems
Set priority Goal and Objective Setting “Where do we want to go?”
Define program goals and objectives
Assign priorities among objectives
Strategy and Activity Setting “How do we get there?”
Design CHN programs
Ascertain resources
Analyze constraints and limitations
Evaluation “How do we know we are there?”
Determine outcomes
Specify Criteria and Outcomes
Program Evaluation Deciding what to evaluate in terms of relevance, progress, effectivity, impact and efficiency. Designing the evaluation plan specifying the evaluation indicators, data needed, methods and tools for data collection and data sources Collection of relevant data Analyzing data Making decisions Preparing report and providing decision- makers feedback CRITERIA FOR SELECTION Area is relatively economically depressed It must have a population of 100-200 families It must have a relative concentration of poor people There is not strong resistance from the community CRITERIA… continued Peace and order problems must be seriously considered Local leaders and community are receptive and supportive. COPAR is feasible for the elimination or reduction of diseases. Area must have relatively high prevalence of diseases. The decision to enter a community and establish a helping/working relationship with the people should be based on the following: Clarity and purpose of the relationship between the community organized and the people in the community through initial dialogues with formal and informal leaders. The identification of social/health problems and needs around which the organizing process can start. Community’s desire for the need to change and its willingness to work with the community health nurse to bring about desired changes ENTRY PHASE Social Preparation Phase which includes: SENSITIZATION MOBILIZATION
This phase signals the actual entry of the
community health nurse into the community Guidelines: The CHN recognizes the role of local authorities by paying them visits to inform them of their presence and activities. The appearance, speech, behavior and lifestyle should be in keeping with those of the community residents without disregard of being role models. Avoids raising the consciousness of the community residents by adopting a low- key profile SENSITIZATION: Advocacy building Informing the people about the rightness of the cause Thoroughly discussing with the people the nature of the alternatives, their content and possible consequences. Supporting people’s rights to make a choice and to act on their choice Influencing public opinion. A. Social Investigation/ Community Scanning The process of systematically learning and analyzing the various structures and forces in the community economically, politically and socioculturally. These results in a community study write up also known as a Community Diagnosis. Objectives: To gather geographic, economic, socio- cultural situation of the community in order to identify and understand the problems and issues that need immediate and long term solutions. To identify the class sectors present in the community in order to determine their interest and attitudes towards the problems and issues in the community Objectives… continued To determine the correct approach and method of organizing. To provide a basis for programming and planning or organizing activities. Steps in Community Analysis Define the community Collect Data Assess community capacity Assess community barriers Assess readiness for change Synthesis data and set priorities B.1. Leadership Identification Should belong to the majority sector Well respected by members and has relatively wide influence. Desirous of change and is willing to work for change Conscientious and resourceful in his work. Can communicate well and is a good listener B.2 Core Group Formation Serve as a training ground for democratic and collective leadership Builds people’s potentials and self-confidence Helps the CHN gather data for genuine community studies, spotting other potential leaders and prospective members for a community-wide organization. Helps laying out plans and task for the formation and maintenance of a community-wide organization with working committees, and offers to ensure democratic collective leadership Organizational Structures Leadership board or council Coalition “Lead” or official agency Grass-roots Citizen Panels Networks and Consortia C. Problem identification and Analysis Scope/Degree of the problem Effects of the problem on operations of the community How members feel individually and collectively Factors that maintain/increase or eliminate the problem Problem prioritization D. Goal Setting/Planning and Strategizing How much? (quantity of resources) Of what? (programs, projects, services) For whom? (target beneficiaries, clients) Why? (to achieve what goals) For how much? (the social and economic costs) What conditions? (with what other consequences) Guidelines in Strategizing Principal issue or problem Solution of problem Strengths and weaknesses Other secondary issues Larger outside issues ORGANIZATION BUILDING PHASE Entails the formation of more formal structures and the inclusion of more formal procedures of planning, implementation and evaluating community-wide activities. It is at this phase that organized leaders or groups are given training to develop their skills in managing their own concerns/programs Conflict Situations Issue Spotting and Analysis Target Analysis Planning Role Playing Monitoring and Evaluation: Quantitative Analysis General description Total number of families Number of families being serviced Number of organizations/groups being serviced Membership/Organization Listing of activities People’s issues being handles, collected, on- going and potential Mobilization/negotiation undertaken Meeting/Reflection sessions held Seminars/Conventions Monitoring and Evaluation: Qualitative Analysis Area description General information (population, sectors etc) Economic conditions Political situation Cultural milieu, educational level, values and attitudes Issues Origin of issues Reason/s for the choice of the issue Gains achieved in realizing the issue Perspective of the issues if it is still unresolved Monitoring and Evaluation: Qualitative Analysis… continued Organizations/groups Knowledge gained Involvement/Outlook of the people Attitudinal Changes (indicators) From fear and apathy to courage Form ignorance to creative thinking From egoistic to sense of solidarity From dependence to self reliance From paternalism and authoritarianism to democratic leadership SUSTENANCE and STRENGTHENING PHASE The community organization has been established and community members are actively participating in community- wide undertakings. Strategies: Education and training Networking and Linkaging Conduct of Mobilization on health and development concerns Implementation of livelihood projects Developing secondary leaders Education and Training Conducting community diagnosis Training of community health workers Health services and mobilization Leadership formation activities Health Promotion and Health Education
The PHN recognizes the role of a
healthy lifestyle in the prevention of a number of health problems and integrates healthy lifestyle in the different health programs The PHN plans, conducts and evaluates health promotion and health education activities properly. The PHN demonstrates the knowledge and skills on: How to advocate for healthy public policy.\ Creating supportive environments Strengthening community action Developing client’s personal skills. Networking and Linkaging: Partnership and Collaboration Networking Coordination Cooperation Collaboration Coalition or Multi-sectoral Collaboration General ideas in establishing partnership
Involve all stakeholders in the process of
forging partnership and collaboration with the community. Partnership involves risks therefore nurse and community must trust each other. Determine how each organization views the problem, how it proposes to solve the problem and how it perceives an organizational relationship can help solve the problem Organizations should agree on the kind or level or relationship that will help best accomplish the group goals considering needs and available resources. Formulate ground rules that will become the basis for decision making. Listen to what each has to say Take time to listen to people who voice different opinions and concern Don’t force organizations to give up their identities Maintaining and Consolidating Gains of the program Integrate intervention activities into community networks. Establish a positive organizational culture Establish an ongoing recruitment plan Disseminate results