A MODEL FOR COMMUNITY INVOLVEMENT IN HEALTH (CIH) PROGRAM-DEVELOPMENT

Community involvement in health (CIH), a central concept in health dev elopment, is a participatory approach to health care that is organized from the perspective of the recipient. Putting CIH into practice repr esents a learning experience for the community, the health professiona ls involved and those responsible for the national climate in which th is change takes place. The CIH process was operationalized over a two- year period in a black township in South Africa. A community survey id entified the health needs and capacities related to the elderly, their families and their support system. Community groups and individuals, in partnership with the researcher, prioritized the needs that had bee n identified and then implemented four programs related to those needs . A process model was developed that provided the structure for initia ting and maintaining these programs. The model helped people who were new to the community organizing to focus on general principles. It was flexible so that programs could be interpreted and implemented in the context of local culture and resources. The model was functional in g uiding community nurses, lay community members and employees in health -related programs through the process of starting new programs. This a pproach empowered participants to move beyond only hoping for change o r being puzzled by its elusiveness.