Читать книгу Health Psychology - Michael Murray - Страница 82

Participants constructed community participation in health programmes from 1970 to 1973 as a multiple and dynamic response to the health and political challenges faced by communities. Three different moments in community participation in health were highlighted in the analysis. The first moment aimed to expand health care coverage, prevent diseases, educate pregnant women and prevent alcoholism through the development of ‘Health Brigades’ inside settlements. ‘Health Brigades’ were relatively autonomous organizations (mostly composed of young women) that were trained by health workers. The second moment was characterized by improvements in autonomy and widening of the scope of participation through grassroots participation in health decisions. In this context, health issues were no longer conceptualized in biomedical terms. Finally, the third moment in community participation in health was characterized by a growing understanding of the wider determinants of health and the development of comprehensive definitions of health related to the democratization of health services.