| CATEGORIES |
HOSPITAL/CLINIC BASED |
COMMUNITY ORIENTED |
COMMUNITY BASED |
COMMUNITY MANAGED |
| GUIDING PRINCIPLE |
Health to the People |
Health for the People |
Health with the peaple |
Health by the people |
| MAIN CHARACTER |
Authritarian |
Patornalisic |
Democratic |
Liberating |
| INTIAL OBJECTIVES |
Rlgid and statistic oriented |
Closcd and prc-deter-mined; dofined befor
community is consulted |
Open ended and flexible;problems and needs evoked
from the community |
Formulated by the co- mmunuty &based on their
felt neads; vision of an alterna- tiv social order expressed by the people |
| TACIT OBJECTIVES |
Maintsin status quo; porpetuatu existing health
system |
Improve/alter certain asprct of the health system |
Transform the health system and initlate social
reforoms |
Complere re-struc- turing of the health
socio-economic trans- formation |
| WHO IS RESPONSIBLE FOR HEALTH? |
Health is the sole responsibility of the doctor |
Health is the respon- sibility of health
professionals |
Health is the responsibility of community health
workers and leaders |
Health is the respon- sibility of everyone in the
sommnity |
| OUTLOOK OF HEALTH PROFESSIONALS |
As reciplents of health care |
As beneficiarics of a health program |
As partners in health care |
As manages of their own health program |
| LEVEL OF COMMUNITY PARTICIPATION AND MAIN
DECISION MAKERS |
Community is just inforincd of health activities |
Community is just consulted on what can be done Doctors
and other health professionals dccidc |
Community actively discutssed & decides on
plans & activities together with health profession making shared by community and
health staff |
Community identifice needs,define
objectives,plans implements,monitors & evaluates the health probram on their own. The
commnity is the main decision mader |
| VIEW ON WARENESS BUILDING |
The community should be kopt ignorant of health |
Community is made aware to change their behavior
or to pacity them if theie hard-ship drive them to revolt |
As a menasfor community organzing and for
understanding the inter- relationship of health to the cconomic,polttical and sultural
problems |
As a means to generate prople's power and ensure
continuing commnity participation |
| VALUE GIVEN TO COMMUNITY ORGANIZIG |
The community is not capable of being organizcd |
As means to change people's attltudes to
cooperate with health authorities whole-hearedly |
As an end in itself and as an opportunity for
people to devolop leadership and management |
As the main tool foe empowerment and as a long
lasting safoguard to protect the sommnity 's interest |
