He talks about community participation. You cannot have health without the involvement of enlightened people who have been informed and educated about their health situation and about what can be done to improve it.
People are, and always have been, interested in their health.
Health workers and health systems must learn to accept people s involvement, including their participation in decision-making. We need laws and regulations that will enable people to participate. We need decentralisation, enabling health workers at the local level to take decisions. Health workers must learn to work with people, accepting them as partners and not just receivers of care. What we need is joint action between the community and the health system.