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Mobilizing The Family

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Mobilizing The Family

  1. 1. MOBILIZING THE FAMILY DR. LIZA D. MARIPOSQUE SEPT. 30, 2008
  2. 2. SOCIAL MOBILIZATION <ul><li>The process of generating and sustaining the active and coordinated participation of all sectors at various levels to facilitate improvement of a certain group. </li></ul><ul><li>A continuous process of changing the behavior of the individuals in the family and community toward adopting more acceptable health promotive habits. </li></ul>
  3. 3. Benefits: <ul><li>raise’s people morale & self-worth. </li></ul><ul><li>Promotes sense of belonging in the family & community </li></ul><ul><li>Makes people committed to health work </li></ul>
  4. 4. Social mobilization can be executed at different levels: <ul><li>Individual level- protect his own health, decides when & where to seek medical advice. </li></ul><ul><li>Family level- the parents decide </li></ul><ul><li>Community level </li></ul>
  5. 5. Family Empowerment <ul><li>Assessing the capability of the family to support the patient, a capacity for decision-making and coping skills. </li></ul><ul><li>Goal-setting </li></ul><ul><li>Facilitate exploration of issues to identify the problem. </li></ul><ul><li>Think of possible strategies. </li></ul>
  6. 6. Guiding principles <ul><li>The physician-patient relationship is not a dyad but a triad. </li></ul><ul><li>The physician can mobilize the family as a therapeutic ally. </li></ul><ul><li>The ally can become an adversary. </li></ul><ul><li>The physician must explore the family issues. </li></ul><ul><li>The physician must be holistic in patient and family care. </li></ul>
  7. 7. Functions of a primary care family conference <ul><li>Educations – family meeting; discussing health beliefs & misapprehensions. </li></ul><ul><li>Preventions - prevent family dysfunction about the impact of the illness. </li></ul><ul><li>Support - moral support in coping w/ the crisis. </li></ul><ul><li>Challenge – to help individual capabilities. </li></ul>
  8. 8. Organizing the family meeting <ul><li> O? </li></ul><ul><li>EN? </li></ul><ul><li>ERE? </li></ul><ul><li>HOW? </li></ul>W h
  9. 9. Some situations that require a family meeting: <ul><li>Hospitalization </li></ul><ul><li>Death & dying </li></ul><ul><li>Routine pregnancy & will-child care </li></ul><ul><li>Diagnosis of a serious chronic illness. </li></ul>
  10. 10. Steps in the conduct of a family meeting: <ul><li>Socialize with the family </li></ul><ul><li>Set the goals </li></ul><ul><li>Discuss the problems or issues </li></ul><ul><li>Identify resources </li></ul><ul><li>Give tasks </li></ul>
  11. 11. <ul><li>The process of gaining mastery and power over one’s community to produce change. </li></ul>COMMUNITY EMPOWERMENT
  12. 12. Components of social mobilization <ul><li>Advocacy – convincing, persuading or motivating people to be aware of a problem. </li></ul><ul><li>Information, communication and education – presenting of ideas, opinions & information w/c could change attitude. </li></ul><ul><li>Training – updating knowledge & skills of service providers. </li></ul><ul><li>Community organizing – empowering the members to get involved. </li></ul><ul><li>Networking – reaching out to prospective allies & collaborators in achieving a goal. Continuing dialogue among members. </li></ul>
  13. 13. 3 conceptual frameworks for community level <ul><li>Community organization </li></ul><ul><li>The diffusion of innovations theory </li></ul><ul><li>The organizational dev’t theory </li></ul>
  14. 14. 1. Community organization <ul><li>- emphasizes active participation & dev’t that evaluate & solve health & social service. </li></ul><ul><li>- Rothman’s typology </li></ul><ul><li>Locality development (community dev’t) -consensus dev’t, capacity bldg & strong task orientation. Help to coordinate & enable the community to successfully address its concerns. </li></ul><ul><li>Social planning – provide technical assistance to benefit community consumers. </li></ul><ul><li>Social action – inc. problem solving ability & to achieve concrete changes to redress social injustice. </li></ul>
  15. 15. 2.The Diffusion of Innovations Theory – how new ideas, products & social practices spread. <ul><li>Relative advantage – innovation is seen as better than idea, practice, program or product it replaces. </li></ul><ul><li>Compatibility – consistency of the innovation w/ values, habits, experience & needs. </li></ul><ul><li>Complexity – degree of difficulty to be understood or used. </li></ul><ul><li>Trialability - can be experimented w/ before a commitment to adopt. </li></ul><ul><li>Observability – provides tangible or visible results. </li></ul>
  16. 16. 3.Theories of Organizational change <ul><li>The stage theory </li></ul><ul><li>☺ problem def’n- the awareness stage </li></ul><ul><li>- problem are recognized & analyzed while solutions are sought & evaluated. </li></ul><ul><li>☺ Initiation of action- the adoption stage </li></ul><ul><li>- policy are formulated & resources are allocated. </li></ul><ul><li>☺ Implementation of change – implementation, rxn, & role changes. </li></ul><ul><li>☺ Institutionalization of change – policy, programs; new goals & values are internalized. </li></ul>
  17. 17. <ul><li>The organizational dev’t theory </li></ul><ul><li>- identifies problem. </li></ul><ul><li>- involves process consultation, in w/a an outside specialist helps identify problems & facilitates the planning of change strategies. </li></ul>
  18. 18. Components of PHC: <ul><li>Promotion of proper nutrition </li></ul><ul><li>Provision of basic sanitation </li></ul><ul><li>Provision of an adequate supply of safe water </li></ul><ul><li>Appropriate tx for common dse. </li></ul><ul><li>Maternal & child care, including family planning </li></ul><ul><li>Immunization against the major infectious dse. </li></ul><ul><li>Prevention & control of locally endemic dses. </li></ul><ul><li>Educ’n concerning prevailing health problems & the methods of prevention & control </li></ul>
  19. 19. Characteristics of primary health care <ul><li>Health care in totality </li></ul><ul><li>Accessible universally </li></ul><ul><li>Acceptable methods </li></ul><ul><li>Community-based </li></ul><ul><li>Cost that the community can offer </li></ul><ul><li>Holistic in approach </li></ul>
  20. 20. Purpose of Advocacy: <ul><li>Enable the people to be more responsible & control the decisions that affect their lives. </li></ul><ul><li>Can help the service users by- </li></ul><ul><li>Clarifying their own views & wishes. </li></ul><ul><li>Assisting to express their views effectively. </li></ul><ul><li>Representing their views faithfully & effectively. </li></ul><ul><li>Providing independent advice & accurate information. </li></ul><ul><li>Enabling negotiation & resolution of conflict to take place. </li></ul>
  21. 21. Advocacy Models: <ul><li>Self-advocacy </li></ul><ul><li>Citizen advocacy </li></ul><ul><li>Crisis advocacy </li></ul><ul><li>Peer advocacy </li></ul><ul><li>Professional advocacy </li></ul><ul><li>Collective advocacy </li></ul>
  22. 22. Steps for Successful Advocacy: <ul><li>Identify an issue </li></ul><ul><li>Identify supportive policy makers. </li></ul><ul><li>Identify potential partners for your issue </li></ul><ul><li>Enlist community support </li></ul><ul><li>Develop a media strategy </li></ul><ul><li>Understand how a bill becomes a law. </li></ul>
  23. 23. Impact Programs of the DOH: <ul><li>TB control </li></ul><ul><li>Adolescent & Youth Health Dev’t </li></ul><ul><li>Women’s health </li></ul><ul><li>Control of diarrheal dse </li></ul><ul><li>Nutrition </li></ul><ul><li>Soil-transmitted dse control program </li></ul><ul><li>7. rabies control </li></ul><ul><li>8. Environmental health services </li></ul><ul><li>9. Family planning & Reproductive Health </li></ul><ul><li>10. Dental health </li></ul><ul><li>11. Health educ’n & communication </li></ul><ul><li>12. Cancer control </li></ul>
  24. 24. <ul><li>13. Cardiovascular protection </li></ul><ul><li>14. Occupational health </li></ul><ul><li>15. Mental health </li></ul>

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