RESPECTING AND PROVIDING: MACHISMO AND COMMUNITY PARTICIPATION IN LOW-INCOME, URBAN QUITO COMMUNITIES (ECUADOR, HEALTH CARE PROVIDERS).
Contributors: University of California, San Francisco.
Published: 1996
Number of pages: 160
Subjects: Health Sciences, Nursing.; Sociology, Social Structure and Development.
Description: Community participation, one component of Primary Health Care as defined by the World Health Organization, is the process by which individuals and groups exercise their right to play an active role in the development of health services. It is conditioned by the culture, society, and people who engage in participatory behaviors. Except for case studies, there has been little systematic research on community participation in actual settings and within specific cultural contexts. Using a grounded theory methodology, this study describes participation in three low-income, urban communities in Quito, Ecuador, analyzing participation as it actually occurs. Findings include a theory of respecting and providing as mutually occurring behaviors in interactions between community members and health care providers. When community members respect, support, and collaborate with health care personnel and, at the same time, as health care providers provide for, share resources with, and represent the community to other health care organizations, there is increased participation. Conversely, participation is discouraged when health care providers attempt to control the community, blame community members for their health problems, and subordinate the needs of the community for their own needs and desires. Health care providers interacting with low-income, urban communities can encourage participation by providing for community needs that are perceived by the community individually and collectively.
Notes: Source: Dissertation Abstracts International, Volume: 57-12, Section: B, page: 7446.

Thesis (PH.D.)--UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, 1996.

School code: 0034.