BMC Public Health 2004, 4 http://www.biomedcentral.com/1471-2458/4/11 Health care pyramid and model for HP programme Secondary, Tertiary care Primary health care Health SC and health promotion Building healthy public policy, Creating supportive environment, Developing personal skills, strengthening community action and reorienting health services FHiegaultrhec2are pyramid and model for HP programme Health care pyramid and model for HP programme services for reorientation of the health services, and mon- itor and evaluate the programme. Activities may be directed to create a supportive environ- ment and strengthen community action at the grass roots level. SC may be promoted at work places and schools. NGOs and other community based organisations may promote SC in the community, based on the SC informa- tion generated through a participatory process as men- tioned later. One of main strategies of this programme may be to increase personal skills of lay person for SC. This compo- nent of the programme may be designed and imple- mented at the district level in co-ordination with the SC clearinghouse. A district health system is the basic unit of national health systems in many countries. It is at this level that national programmes can be adapted to local situations [61]. Basic SC information may be generated by lay persons in partnership with professionals and govern- ment officials through a participatory planning process. This strategy may be implemented through the different stages of community organisation model as follows: 1) Community analysis, 2) Design and initiation, 3) Imple- mentation, 4) Maintenance-consolidation and 5) Dissem- ination and reassessment [62]. Community analysis: participatory planning A core group (CG) or executive committee (EC) is usually responsible for long term planning and coordination as well as implementation of community-wide health pro- grammes [63]. A district level CG or EC, comprising of representative members of the community, professionals and officials from health and other development sectors may be constituted for planning and providing overall Page 7 of 12 (page number not for citation purposes)