scholarly journals Grassroots innovations as salutogenic practices in a slum of Medellín

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Martinez-Herrera ◽  
J C Molina
Keyword(s):  
Community Health ◽  
Public Space ◽  
Urban Health ◽  
Social Transformation ◽  
Well Being ◽  
Alternative Response ◽  
Bottom Up ◽  
Grassroots Innovation ◽  
Innovation Practices ◽  
Health Assets

Abstract Background WHO pointed out urbanization as one of the main troubles and defiances for public health in the 21st century because of the increasing urban health inequalities. The United Nations SDGs 11 promotes local strategies to create environments that expand the resources of a healthier, sustainable, livable for life. Basically, grassroots innovation practices (GIP) are shown as boosters and leading figures of urban social transformation in Slums. On average, 20% in Medellin live in Slums with poverty conditions extremely high. Methods In 2018, a qualitative case study focused on urban health and salutogenesis was carried out using an interpretative scope by communitarian narrative explanation building analysis. 32 participants, inhabitants and founders of the Slum, mainly adults, were involved in semi-structured Interviews, Photovoice and Mapping of Community Assets. All ethical aspects were conceived to respect the voices on the struggles for being renowned as part of the city. Results El Faro built on a settlement space by its residents through a process which they have called 'dignity and resistance' has transform as a consequence of a set of drivers of four GIP developed around the community. Among them, water management, creation of public space and artistic training. GIP have mobilized community health assets, allowing the development of an important sense of community coherence (SoC-C), with which the community faces their situation of poverty, modifying the conditions that reproduce it and setting up coherent experiences. Conclusions GIP are configured as an alternative response to local needs and structural limitations and confrontations. SOC-C has contributed to generate health and well-being, through a process of empowerment that promotes a critical, reflective and proactive citizenship in front of its environment. New research based on salutogenesis is needed as a spotlight institutional governance strategy to bottom up housing public policies. Key messages SOC-C generates mobilization of own community health assets to face the local situation of poverty in a bottom up process; alluring meaningful processes and raising social cohesion experiences. Social and urban transformation from the community are possible and attributable to a result of grassroots innovation practices.

scholarly journals Toward resourcefulness: pathways for community positive health

2021 ◽  
pp. 175797592110513
Author(s):  
Laura E. R. Peters ◽  
Geordan Shannon ◽  
Ilan Kelman ◽  
Eija Meriläinen
Keyword(s):  
Health Promotion ◽  
Community Health ◽  
Community Diversity ◽  
Top Down ◽  
Positive Health ◽  
Bottom Up ◽  
Community Health Promotion ◽  
Marginalized Communities ◽  
Diversity And Inclusion ◽  
Health Assets

Communities are powerful and necessary agents for defining and pursuing their health, but outside organizations often adopt community health promotion approaches that are patronizing and top-down. Conversely, bottom-up approaches that build on and mobilize community health assets are often critiqued for tasking the most vulnerable and marginalized communities to use their own limited resources without real opportunities for change. Taking into consideration these community health promotion shortcomings, this article asks how communities may be most effectively and appropriately supported in pursuing their health. This article reviews how community health is understood, moving from negative to positive conceptualizations; how it is determined, moving from a risk-factor orientation to social determination; and how it is promoted, moving from top-down to bottom-up approaches. Building on these understandings, we offer the concept of ‘resourcefulness’ as an approach to strengthen positive health for communities, and we discuss how it engages with three interrelated tensions in community health promotion: resources and sustainability, interdependence and autonomy, and community diversity and inclusion. We make practical suggestions for outside organizations to apply resourcefulness as a process-based, place-based, and relational approach to community health promotion, arguing that resourcefulness can forge new pathways to sustainable and self-sustaining community positive health.

scholarly journals El arte y la creatividad como nuevas formas de bienestar. Primera fase de ARTYS La Experimental, proyecto de Arte y Salud Comunitaria en la Colonia Experimental de Villaverde Alto (Madrid)

2019 ◽  
pp. 150
Author(s):  
Silvia Siles
Keyword(s):  
Action Research ◽  
Community Health ◽  
Public Space ◽  
Community Intervention ◽  
Research Process ◽  
Community Art ◽  
Calidad De Vida ◽  
Toma De Decisiones ◽  
Art Community ◽  
Health Assets

Resumen: El presente artículo tiene como objetivo describir la primera fase del proyecto de investigación ARTYS La Experimental, un proyecto de Arte y Salud comunitaria, que se lleva a cabo en la Colonia Experimental del barrio madrileño de Villaverde Alto. Se trata de una propuesta práctica diseñada durante el proceso por todas las personas implicadas en él. De esta manera, pretende crear nuevas oportunidades para mejorar el bienestar y la salud de un colectivo concreto a través de la creatividad y promover el uso de las prácticas artísticas como vehículo para mejorar la calidad de vida de la vecindad. Además, parte de los preceptos del arte basado en la comunidad, las prácticas artísticas colaborativas, el arte activista, la promoción de la salud comunitaria a través de los activos en salud, la metodología de investigación-acción participativa y la intervención comunitaria. Se trata de la fase inicial de un proceso que tiene como protagonista acciones artísticas en el espacio público, la participación activa y la toma de decisiones colectiva y que ha tenido lugar desde mayo de 2017 y hasta finales de enero de 2018. Por último, se presenta un análisis y una discusión de los resultados obtenidos hasta el momento de la publicación de este texto.  Palabras clave: arte basado en la comunidad, prácticas artísticas colaborativas, salud comunitaria, activos en salud, investigación-acción participativa, espacio público. Abstract: The purpouse of this paper is to describe the first phase of the research project ARTYS La Experimental, which is an Art & Community Health Project that took place in La Colonia Experimental, a neighborhood located in Villaverde Alto in the province of Madrid. The practical proposal is designed during the process by the people involved in it. Thus, the project intends to create new opportunities for a collective group to improve their health and wellbeing across the creativity and the artistic practices as a way of increasing the neighborhood’s quality of life. The project is based on the community art-based projects, collaborative arts, activist art, community health promote through health assets, action-research participative method and community intervention. This phase of the research process has been developed from May 2017 to the end of January 2018 which includes artistic actions in the public space, active participation and collective decision-making as key protagonists. Lastly, analysis and disscusion of the results achieved to date are written in this publication.  Keywords: community art-based projects, collaborative arts, community health, health assets, action-research participative, public space.   DOI: http://dx.doi.org/10.7203/eari.10.12608

scholarly journals Social Entrepreneurship in the Leadership of Grassroots Innovation Movement: A Case Study of Joglo Tani in Yogyakarta

2020 ◽  
Vol 32 (3) ◽  
pp. 259
Author(s):  
Setiadi Setiadi
Keyword(s):  
Rural Areas ◽  
Social Transformation ◽  
Media Analysis ◽  
Primary Data ◽  
Literature Study ◽  
Social Entrepreneurs ◽  
Bottom Up ◽  
Grassroots Innovation

This article is based on a case study in Joglo Tani, a local organization that focuses its programs on promoting new agricultural technology and urban farming while promoting food security for local people. It represents what characterizes the grassroots movement while destroying negative opinion about grassroots innovation. The success of Joglo Tani is influenced by the quality of leadership as social entrepreneurs as well as the quality of the network of activists and an organization that produce new, bottom-up solutions, and the ability of the solutions they produce to address local situations, concerning individual and social problems. The organizing of Joglo Tani innovations in the local realm has brought about a process of social transformation in rural areas, particularly in resource management and the system for organizing agricultural work. Through a voluntary movement, informal networks, and the ability to manage the potential of the environment, leadership is able to carry out the transformation process on an increasingly massive scale. This study proves that leadership in a bottom-up movement of ‘activist and organizational networks’ has succeeded in responding to the challenges of food supply limitations, moving towards sustainable food through instilling fundamental values of organizational life and technological breakthroughs as well as local institutions. Methodologically, the research was conducted through a comprehensive literature study stage related to grassroots innovation movements, while primary data collection was carried out through participatory observation, in-depth interviews, social and conventional media analysis, and interviews with community figures.

scholarly journals Lively Social Space, Well-Being Activity, and Urban Design: Findings From a Low-Cost Community-Led Public Space Intervention

2016 ◽  
Vol 49 (6) ◽  
pp. 685-716 ◽  
Author(s):  
Jamie Anderson ◽  
Kai Ruggeri ◽  
Koen Steemers ◽  
Felicia Huppert
Keyword(s):  
Public Space ◽  
Urban Design ◽  
Design Research ◽  
Local Community ◽  
Social Space ◽  
Low Cost ◽  
Well Being ◽  
Observation Data ◽  
Before And After ◽  
The Impact

Empirical urban design research emphasizes the support in vitality of public space use. We examine the extent to which a public space intervention promoted liveliness and three key behaviors that enhance well-being (“connect,” “be active,” and “take notice”). The exploratory study combined directly observed behaviors with self-reported, before and after community-led physical improvements to a public space in central Manchester (the United Kingdom). Observation data ( n = 22,956) and surveys (subsample = 212) were collected over two 3-week periods. The intervention brought significant and substantial increases in liveliness of the space and well-being activities. None of these activities showed increases in a control space during the same periods. The findings demonstrate the feasibility of the research methods, and the impact of improved quality of outdoor neighborhood space on liveliness and well-being activities. The local community also played a key role in conceiving of and delivering an effective and affordable intervention. The findings have implications for researchers, policy makers, and communities alike.

scholarly journals A Bottom-up picture of intra-national welfare regimes: the case of marginalised communities in Puerto Rico

2020 ◽  
Vol 36 (2) ◽  
pp. 175-199 ◽  
Author(s):  
Gibrán Cruz-Martínez
Keyword(s):  
Puerto Rico ◽  
National Level ◽  
Well Being ◽  
Welfare Regimes ◽  
Structured Interviews ◽  
Bottom Up ◽  
Social Risks ◽  
Welfare Mix ◽  
National Welfare

ABSTRACTThe main purpose of this article is twofold: (1) an examination of welfare regimes using a bottom-up approach, which enables a comprehensive analysis of welfare production based on recipients perceptions; and (2) an examination of more than one type of welfare-mix coexisting inside the national level across policy sectors. A classification of welfare regimes is carried out following a bottom-up approach and relying on the basis of the importance of welfare providers to satisfy social risks and promote well-being. Three traditional (e.g. state, market, family) and one alternative welfare providers (e.g. community) are considered. Data is collected through twenty semi-structured interviews in seven marginalised communities of Puerto Rico. The results show five configurations of intra-national welfare-mixes across the following welfare areas: housing, nourishment, health, education, maternity/paternity, disability, work-unemployment and older-age. This paper contributes to the theoretical proposals of intra-national welfare regimes, and alternatives providers in the welfare-mix.

scholarly journals Translating Social Ecological Theory into Guidelines for Community Health Promotion

1996 ◽  
Vol 10 (4) ◽  
pp. 282-298 ◽  
Author(s):  
Daniel Stokols
Keyword(s):  
Health Promotion ◽  
Community Health ◽  
Lifestyle Modification ◽  
Ecological Theory ◽  
Well Being ◽  
Future Health ◽  
Community Health Promotion ◽  
Social Ecological ◽  
Health Promotion Programs ◽  
Social Ecological Theory

Health promotion programs often lack a clearly specified theoretical foundation or are based on narrowly conceived conceptual models. For example, lifestyle modification programs typically emphasize individually focused behavior change strategies, while neglecting the environmental underpinnings of health and illness. This article compares three distinct, yet complementary, theoretical perspectives on health promotion: behavioral change, environmental enhancement, and social ecological models. Key strengths and limitations of each perspective are examined, and core principles of social ecological theory are used to derive practical guidelines for designing and evaluating community health promotion programs. Directions for future health promotion research are discussed, including studies examining the role of intermediaries (e.g., corporate decision-makers, legislators) in promoting the well-being of others, and those evaluating the duration and scope of intervention outcomes.

scholarly journals Educação em Saúde de Agentes Comunitários de Saúde para Promoção do Uso Racional de Medicamentos

2019 ◽  
Vol 20 (3) ◽  
pp. 254
Author(s):  
Artur Eduardo Alves Castro ◽  
Ivair Donizeti Gonçalves ◽  
Alejandra Hortencia Miranda González ◽  
Paulo Henrique D'Alpino
Keyword(s):  
Community Health ◽  
Disease Process ◽  
Family Health ◽  
Home Visits ◽  
Well Being ◽  
Chronic Patients ◽  
Self Medication ◽  
Health Strategy ◽  
Medicines Use ◽  
Family Health Strategy

Apesar de o uso de medicamentos ser considerado o principal instrumento terapêutico utilizado no processo saúde-doença, inúmeras são as dúvidas e os riscos quanto à administração de medicamentos, especialmente, quanto à posologia. O presente estudo objetivou revisar a literatura disponibilizada pelo Ministério da Saúde sobre o uso de medicamentos, bem como a atuação dos Agentes Comunitários de Saúde (ACSs) na educação em saúde sobre este tema, e propor uma orientação junto à população em geral por meio de tópicos mais relevantes, que estimulem e despertem a curiosidade e a tomada de decisão pela adesão ao uso racional de medicamentos. Após uma introdução e definições sobre a política nacional de saúde, este artigo considera a importância de identificar tópicos importantes quanto aos riscos da automedicação, incorreta utilização, bem como a interrupção de tratamentos, especialmente, de doenças crônicas. Propôs-se, ainda, o uso de um folheto a ser distribuído no momento da dispensação e nas visitas domiciliares para orientação e controle do uso dos medicamentos em termos de suas posologias. Dessa forma, os ACSs são importantes membros da equipe da Estratégia Saúde da Família para fornecer informações sobre o uso seguro e eficaz de medicamentos pelo vínculo estabelecido com a comunidade, especialmente por meio das visitas domiciliares. Conclui-se que o foco dos ACSs, entre tantas atribuições, enquanto educadores em saúde são fundamentais para o estabelecimento de rotinas seguras e eficazes em relação ao uso de medicamentos utilizados pela comunidade, que certamente refletirá na cura de doenças pontuais e/ou bem-estar de pacientes crônicos. Palavras-chave: Agentes Comunitários de Saúde. Estratégia Saúde da Família. Assistência Farmacêutica. AbstractAlthough drug use is considered the main therapeutic tool used in the health-disease process, there are many doubts and risks regarding the administration of medications, especially regarding dosage. This study aimed to review the literature provided by the Ministry of Health about the use of medicines, as well as the action of Community Health Agents (ACSs) in health education on this topic, and to propose guidance to the general population through more relevant topics to stimulate curiosity, and the decision making by adhering to the rational medicines use. Following an introduction and definitions on national health policy, this article considers the importance of identifying important topics regarding the risks of self-medication, incorrect use, and discontinuation of treatments, especially  regarding chronic diseases. It was also proposed the use of a flyer to be distributed at the time of dispensing and at home visits for orientation and control of the medicines use in terms of their dosages. Thus, ACSs are important members of the Family Health Strategy team to provide information about the safe and effective use of drugs through the established link with the community, especially through home visits. It can be concluded that the focus of ACSs, among many attributions, as health educators are fundamental for the establishment of safe and effective routines regarding the use of medicines used by the community which will certainly reflect in the cure of specific diseases and/or the well-being of chronic patients. Keywords: Community Health Agents, Family Health Strategy. Pharmaceutical Assistance, Medicine.

scholarly journals Whose Health in Whose City? A Systems Thinking Approach to Support and Evaluate Plans, Policies, and Strategies for Lasting Urban Health

2021 ◽  
Vol 13 (21) ◽  
pp. 12225
Author(s):  
Silvio Cristiano ◽  
Samuele Zilio
Keyword(s):  
Public Health ◽  
Urban Planning ◽  
Systems Thinking ◽  
Urban Health ◽  
Urban Governance ◽  
Well Being ◽  
World Health ◽  
Urban Systems ◽  
Health Issues ◽  
The Impact

An increasing interest has been present in scientific literature and policy making for the links between urban environments and health, as also learnt from the COVID-19 pandemic. Collaboration between urban planning and public health is therefore critical for enhancing the capabilities of a city to promote the well-being of its people. However, what leverage potential for urban health can be found in existing plans, policies, and strategies that address urban health? Starting from the relationship between urban systems and health issues, the purpose of this contribution is to broaden the systemic knowledge of urban systems and health so as to try to figure out the impact potential of local urban governance on public health. Considering the systemic nature of health issues, as defined by the World Health Organisation, this is done through a systems thinking epistemological approach. Urban health proposals are studied and assessed in four European cities (Copenhagen, London, Berlin, and Vienna). Current criticalities are found, starting from the guiding goal of such proposals, yet a systemic approach is suggested aimed at supporting and evaluating lasting and healthy urban planning and management strategies.

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