mobilizing the family
TRANSCRIPT
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MOBILIZING THE FAMILY
DR. LIZA D. MARIPOSQUE
SEPT. 30, 2008
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SOCIAL MOBILIZATION
• The process of generating and sustaining the active and coordinated participation of all sectors at various levels to facilitate improvement of a certain group.
• A continuous process of changing the behavior of the individuals in the family and community toward adopting more acceptable health promotive habits.
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Benefits:
a. raise’s people morale & self-worth.
b. Promotes sense of belonging in the family & community
c. Makes people committed to health work
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Social mobilization can be executed at different levels:1. Individual level- protect his own health,
decides when & where to seek medical advice.
2. Family level- the parents decide
3. Community level
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Family Empowerment
• Assessing the capability of the family to support the patient, a capacity for decision-making and coping skills.
• Goal-setting
• Facilitate exploration of issues to identify the problem.
• Think of possible strategies.
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Guiding principles• The physician-patient relationship is not a
dyad but a triad. • The physician can mobilize the family as a
therapeutic ally.• The ally can become an adversary.• The physician must explore the family
issues.• The physician must be holistic in patient
and family care.
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Functions of a primary care family conference
1. Educations – family meeting; discussing health beliefs & misapprehensions.
2. Preventions- prevent family dysfunction about the impact of the illness.
3. Support- moral support in coping w/ the crisis.
4. Challenge – to help individual capabilities.
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Organizing the family meeting
O?
EN?
ERE?
HOW?
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Some situations that require a family meeting:
• Hospitalization
• Death & dying
• Routine pregnancy & will-child care
• Diagnosis of a serious chronic illness.
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Steps in the conduct of a family meeting:
• Socialize with the family
• Set the goals
• Discuss the problems or issues
• Identify resources
• Give tasks
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The process of gaining mastery and power over one’s community to produce change.
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Components of social mobilization1. Advocacy – convincing, persuading or
motivating people to be aware of a problem.2. Information, communication and education –
presenting of ideas, opinions & information w/c could change attitude.
3. Training – updating knowledge & skills of service providers.
4. Community organizing – empowering the members to get involved.
5. Networking – reaching out to prospective allies & collaborators in achieving a goal. Continuing dialogue among members.
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3 conceptual frameworks for community level
1. Community organization
2. The diffusion of innovations theory
3. The organizational dev’t theory
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1. Community organization- emphasizes active participation & dev’t that
evaluate & solve health & social service.- Rothman’s typology• Locality development (community dev’t) -
consensus dev’t, capacity bldg & strong task orientation. Help to coordinate & enable the community to successfully address its concerns.
• Social planning – provide technical assistance to benefit community consumers.
• Social action – inc. problem solving ability & to achieve concrete changes to redress social injustice.
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2.The Diffusion of Innovations Theory – how new ideas, products & social practices spread.• Relative advantage – innovation is seen as better
than idea, practice, program or product it replaces.• Compatibility – consistency of the innovation w/
values, habits, experience & needs.• Complexity – degree of difficulty to be understood
or used.• Trialability - can be experimented w/ before a
commitment to adopt.• Observability – provides tangible or visible results.
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3.Theories of Organizational change
• The stage theory☺problem def’n- the awareness stage
- problem are recognized & analyzed while solutions are sought & evaluated.☺Initiation of action- the adoption stage
- policy are formulated & resources are allocated.☺Implementation of change – implementation, rxn, & role changes.☺Institutionalization of change – policy, programs; new goals & values are internalized.
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• The organizational dev’t theory
- identifies problem.
- involves process consultation, in w/a an outside specialist helps identify problems & facilitates the planning of change strategies.
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Components of PHC:
• Promotion of proper nutrition
• Provision of basic sanitation
• Provision of an adequate supply of safe water
• Appropriate tx for common dse.
• Maternal & child care, including family planning
• Immunization against the major infectious dse.
• Prevention & control of locally endemic dses.
• Educ’n concerning prevailing health problems & the methods of prevention & control
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Characteristics of primary health care
• Health care in totality
• Accessible universally
• Acceptable methods
• Community-based
• Cost that the community can offer
• Holistic in approach
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Purpose of Advocacy:• Enable the people to be more responsible & control
the decisions that affect their lives.• Can help the service users by-- Clarifying their own views & wishes.- Assisting to express their views effectively.- Representing their views faithfully & effectively.- Providing independent advice & accurate
information.- Enabling negotiation & resolution of conflict to
take place.
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Advocacy Models:
• Self-advocacy
• Citizen advocacy
• Crisis advocacy
• Peer advocacy
• Professional advocacy
• Collective advocacy
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Steps for Successful Advocacy:• Identify an issue
• Identify supportive policy makers.
• Identify potential partners for your issue
• Enlist community support
• Develop a media strategy
• Understand how a bill becomes a law.
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Impact Programs of the DOH:
1. TB control
2. Adolescent & Youth Health Dev’t
3. Women’s health
4. Control of diarrheal dse
5. Nutrition
6. Soil-transmitted dse control program
7. rabies control
8. Environmental health services
9. Family planning & Reproductive Health
10. Dental health
11. Health educ’n & communication
12. Cancer control
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13. Cardiovascular protection
14. Occupational health
15. Mental health