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Understanding Community Concepts in Health

This document discusses concepts related to communities. It defines a community as a social group determined by geographical boundaries and/or common values and interests. The key types of communities discussed are rural, suburban, and urban communities. A healthy community is characterized by strong connections between members, awareness of being part of a community, open communication, and citizen participation. Components of a sustainable community include effective governance, social/cultural activities, housing, transportation, services, environment, equity, and economy. Factors affecting a community's health are its people, location/boundaries, and social systems.

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0% found this document useful (0 votes)
148 views3 pages

Understanding Community Concepts in Health

This document discusses concepts related to communities. It defines a community as a social group determined by geographical boundaries and/or common values and interests. The key types of communities discussed are rural, suburban, and urban communities. A healthy community is characterized by strong connections between members, awareness of being part of a community, open communication, and citizen participation. Components of a sustainable community include effective governance, social/cultural activities, housing, transportation, services, environment, equity, and economy. Factors affecting a community's health are its people, location/boundaries, and social systems.

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joshua canja
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© All Rights Reserved
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MODULE 4

CONCEPT OF THE COMMUNITY


Nurses who practice community-based nursing need to understand the community within
which they practice. How health problems are assessed and solved within the community is the
first step in carrying out their unique responsibilities in the promotion and maintenance of health
of the population
A. Defining Community
 Community (WHO)
- is a social group determined by geographical boundaries and/or common values and
interest
- community members know and interact with one another
- the community functions within a particular social structure
- the community creates norms values and social institution

 Common Features of a Community


o Interest
- People with common interests or passions can together form a community. These
communities don’t have much strict code of rules, because they are limited to the
breadth & scope of the Interest.
Ex. a community of musicians, artists
o Actions
- A community can also be made up of people who are acting together to bring a change.
There can be various shades of such types of communities as well. Every culture &
philosophy interprets these actions differently.
Ex. - a community of feminists
an LGBT community
o Place
- Co-existence in a geographical area can also be shape up a community. This is a hybrid
form of both the interest &action types of communities. The geographical location
serves also in the concept of nationalism or ethnicity.
Ex. a community of Muslim in Quiapo
a community of Aeta in Mt. Pinatubo
UDM community
o Practice
Communities can be formed by people who are from the same profession or
undertake the same activities. These communities are both at national &
international level.
Ex. a community of nurses
a community of students
o Circumstance
- Some communities are brought together by external events or situations.
Ex. a community of street dwellers

B. Types of Communities

1. Rural Community
- can be characterized as a natural phenomenon.
- agriculture is a fundamental part of its identity
- people have a higher degree of homogeneity in their character and more face to face
interaction with each other.
- necessary facilities such as schools, hospitals, police stations, etc. are mostly absent
- often perceived as ‘backward’ due to a lack of proper infrastructure.
- typically, inhabitants have to travel to the nearest city or town for access to necessary
facilities like medical care, etc.
- mostly made up of smaller populations that spread out to self-sustaining areas where
natural resources are readily available.
2. Sub-urban Types of Community
- often perceived as intermediate to rural and urban communities, that is why it is
known as “suburban.”
- they are more abundant in population as compared to the rural community and less
in number relative to an urban community.
- such communities are often out-lying a larger city.
- have limited resources and little political autonomy.
- Living spaces are often referred to as single-family homes or housing divisions that
are closer to each other.

3. Urban community
- An urban community is often perceived as the opposite of a rural community.
- highly impersonal, complex, and heterogenous in their identities and lifestyle.
- there is a complex division of labor with specialization in professions and jobs, which
shapes up the identity of an urban community.
- modern facilities and infrastructure are also central to urban communities.
- state officials and diplomatic activities are also fundamental to urban communities
- are based on a larger population, and most often, urban areas are overcrowded

C. Characteristics of a Healthy Community

A healthy community is considered a caring community. The connections between


individuals, families and the environment are essential vitality. A healthy community is one
which:
 Prompts its members to have a high degree of awareness that “WE ARE A COMMUNITY”.
 Uses its natural resources while taking steps to conserve them for future generations.
 Openly recognizes the existence of sub-groups and welcomes their participation in
community affairs.
 Is prepared to meet problems.
 Is a problem solving community, it identifies, analyzes and organizes to meet its
problems.
 Has open channels of communication that allows information to flow among all its’ citizen
in all directions.
 Seeks to make each of its systems resources available to all members of the community.
 Has legitimate and effective ways to settle disputes and meet needs that arises within the
community
 Encourages maximum citizen participation in decision making
 Promotes high level of wellness among its members.

D. Components of a Sustainable Community

1. Governance – a community should have effective and inclusive representation and


leadership
2. Social and Cultural – there is active, inclusive and safe, fair, tolerant and cohesive with a
strong local culture and other shared community activities
3. Housing and Built Environment – well designed and quality built natural environment
4. Transport and Connectivity – with good transport service and communication linking
people to jobs, health and other services.
5. Services – with public, private, community and voluntary services that are appropriate to
people’s needs and accessible to all
6. Environmental – providing places for people to live that are considerate of the
environment
7. Equity – fair for everyone, including those in other communities, nowand in the future
8. Economy – with flourishing and diverse local economy

E. Factors Affecting Health of the Community

1. People: Families, Culture and Community


 The variety of individuals, families and cultural groups comprising a community
contributes to the over-all complexion of the community
 simple way to understand the people in the community is through vital statistics and
demographics
Family – is the first social institution established by man
- it is a primary group that satisfies his needs; material, emotional and spiritual
- its functions ranges from the care and education of children to economic production
and leadership roles
- a strong family structure is the basic foundation of a strong community
Culture - is the sum total of man’s experiences as he interacts with his environment and
fellowmen
- it is learned, shared and transmitted to succeeding generations through the use of
tools and language
- according to Leininger (1970) “health and illness states are strongly influenced and
often primarily determined by the cultural background of an individual”
- the culture of individual and family has an impact on the community’s definition of
health and on the service needs of that community

2. Location: Community Boundaries


 Boundaries regulate the exchange of energies between the community and its external
environment
 Determine what services are available to families living within a particular geographic
area
Concrete boundaries – definite or spatial, more absolute and easier to see and to
define
Geographical boundaries– mountains, valleys, rivers
Political boundaries – cities, towns, barrios, countries, states
Conceptual boundaries – elusive, nonspatial, situational boundaries like home,
school,
Work or combinations of these

3. Social system
- community members fulfill the essential functions of community by interacting in
groups
- these functions provide socialization, role fulfillment, goal achievement and member
support
- a community is a complex social system and its interacting members comprise
various subsystems within the community
- it includes the economy, education, religion, welfare, politics, recreations, legal
system,healthcare, safety and transportation and communication systems

Common questions

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Social and cultural components contribute to sustainability by fostering a cohesive, inclusive, and active environment with shared activities that promote safety and tolerance. These components create a strong local culture that helps integrate diverse members of the community, facilitating cooperation and shared goals, which are crucial for a community's resilience and stability . Shared cultural values and a sense of identity can strengthen relationships and commitments among community members, thus addressing social challenges effectively .

The health of a community is affected by factors such as the people (including demographics, family structures, and cultural backgrounds), location, and social systems . Families provide the primary social framework that influences material, emotional, and spiritual needs , while culture impacts a community's health perceptions and service needs . Location determines access to services through geographical and political boundaries . Social systems ensure role fulfillment, goal achievement, and member support, forming subsystems like economy and healthcare which directly impact health outcomes . These factors collectively shape the community's health through interactive and multifaceted relationships.

Rural communities are characterized by natural phenomena with agriculture being fundamental to their identity, and they often lack proper infrastructure. They have smaller populations with more face-to-face interaction and necessitate travel to cities for facilities . Suburban communities act as intermediates with more population than rural areas but fewer than urban; they often border larger cities and have limited resources and political autonomy . Urban communities are complex, heterogeneous, and highly impersonal, with a complex division of labor, modern infrastructure, and state activities being central. They typically have larger, overcrowded populations and higher specialization in professions .

Governance plays a pivotal role in sustainable communities by providing effective, inclusive representation and leadership that shapes policymaking and strategic community development. Good governance ensures that decision-making is participatory, accountable, and transparent, fostering trust and cooperation among community members . It influences equitable resource distribution by ensuring that policies and programs are designed to fairly address the needs of all community segments, thus contributing to social equity, cohesion, and stability . Efficient governance can also mediate conflicts and facilitate cooperation among diverse community groups, thereby supporting sustainable development.

Community boundaries affect service delivery by regulating the exchange between the community and its external environment, determining what services are accessible to community members . The types of boundaries include concrete boundaries, which are spatial and definite such as geographical (mountains, rivers) and political (cities, states) boundaries; and conceptual boundaries, which are non-spatial and situational such as home, school, and work . These boundaries can lead to disparities in service access, as communities with rigid geographical or political boundaries might encounter barriers to education, healthcare, and other essential services due to isolation or jurisdictional limitations .

Suburban communities face challenges such as limited resource availability and restricted political autonomy . These challenges often impede their development as they must rely on nearby urban areas for services and infrastructure improvements. The lack of resources can result in inadequate local services and hinder economic growth, while limited political autonomy restricts their capacity to make independent decisions and enact policies tailored to local needs . As a result, suburban areas may struggle with slower development rates, less effective governance, and reliance on external governance bodies for essential services and infrastructure.

Open channels of communication are essential in healthy communities as they allow information to flow freely among citizens, enabling informed decision-making and problem-solving. This transparency fosters trust and cooperation, essential for addressing community issues and promoting active citizen participation . Effective communication channels contribute to wellness by ensuring that resources and services are accessible and disputes are amicably addressed, promoting a sense of community and collective responsibility towards health .

Cultural and family structures significantly influence a community's health service needs by shaping perceptions of health and illness . The values, beliefs, and practices shared within a culture affect how community members interpret health information and engage with healthcare systems. For instance, cultural influences can determine the types of health services perceived as necessary and acceptable . Family structures influence healthcare accessibility through social support, caregiving roles, and decision-making processes. A strong family unit often promotes preventive health behavior, thereby determining the demand for health services and influencing healthcare policy planning and implementation .

A "problem-solving" community is one that actively identifies, analyzes, and organizes to address its issues . Attributes of such communities include readiness to tackle problems, open communication channels, and effective mechanisms for dispute resolution. This enables the community to efficiently allocate resources, collaborate across different sectors, and involve community members in decision-making processes . These attributes support health promotion and maintenance by fostering environments that prioritize preventive health measures, ensure resource availability, and promote a shared commitment to wellness, ultimately leading to higher community resilience and health outcomes .

A community, as defined by the WHO, is characterized as a social group determined by geographical boundaries or common values and interests. Members of a community know and interact with one another, function within a particular social structure, and create norms, values, and social institutions . Common features include shared interests, actions aimed at achieving change, geographical co-existence, shared practices, and circumstances that bind groups together .

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