Community-based Health Interventions

2019-2020

Course Objective

- To describe and explain the current status, history and theoretical
underpinning of CbHIs
- To describe and evaluate the different aspects of CbHIs (including
design, implementation, monitoring and evaluation of CBHI).
- Identify organizational conditions for implementing CbHI (like
organizational learning and change, and attention for knowledge transfer
and sustainability).
- Analyse strengths and opportunities of CbHIs, leading to a
well-grounded advice for optimization.
- Discuss and analyse case studies of CbHIs in their context in a
participatory way that is ethically sound.
- Describe and explain knowledge and understanding through verbal as
well as written communication.

Course Content

Numerous interventions are developed and implemented in the area of
health care and prevention. Although there is often much attention for
national or even international scale interventions, community-based
health interventions (CbHIs) are a rapidly upcoming phenomenon. The
underlying transition of perceiving health as an individual attribute to
health as a result of complex social and local aspects is supporting the
importance of CbHIs.

CbHIs are an innovative approach to severe and complex problems. In
CbHIs, health is perceived as the result of interaction between
individual and environmental aspects. Therefore, implementers of CbHIs
take an interdisciplinary approach to public health issues. For
instance, (self) management of diabetes, sexual health, mental health,
and obesity are addressed by CbHI, but also community problems like
loneliness of elderly or limited access todrinking water can be
targeted. CbHIs are flexible and participatory in nature. As a result,
they are easier to adapt to specific situations and are often designed
in collaboration with the target group.

This course focuses on why CbHIs are essential for solving complex
health issues and the types of interventions involved. We will take you
through the history of CbHIs and the theoretical foundations of this
strategy. In addition, we will give insights into aspects of design,
implementation, monitoring and evaluation of CbHIs, taking into account
appropriate attitudes, skills and knowledge to influence public health
in a community setting. The ethical issues involved in community work
are very important and issues such as stakeholder participation,
sustainability and scaling-up of the intervention and its effects are
discussed. Furthermore, the importance of learning from and adapting to
emerging issues is discussed in relation to implementing CbHIs. We will
explore the importance of learning capacity of the organisations that
implement CbHIs, and their role as spiders in a web of multiple
stakeholders that are involved with different perspectives, objectives
and goals.

Teaching Methods

Lectures (18 hours), Self-study (65 hours), Work groups (12 hours),
Field visits (8 hours), Assignment (65 hours)

Method of Assessment

Written exam with open questions (60%), group assignment of written
report (30%), oral presentation in the form of a pitch and discussion
(10%).
All parts need to be passed.

Literature

Book: Community Based Health Interventions: Principles and Application
by Sally Guttmacher, Patricia J. Kelly, Yumary Ruiz-Janecko and articles
on Canvas

Target Audience

Bachelor students from all fields of study are welcome to participate.

Additional Information

Part of the minor Global Health.
This minor course requires a minimum of 20 participants to take place.

Recommended background knowledge

We recommend that students have been enrolled in the courses Future
challenges in global health and Drivers of change in global health.

General Information

Course Code AB_1110
Credits 6 EC
Period P3
Course Level 300
Language of Tuition English
Faculty Faculty of Science
Course Coordinator dr. N. Blignaut-van Westrhenen
Examiner dr. D.R. Essink
Teaching Staff

Practical Information

You need to register for this course yourself

Last-minute registration is available for this course.

Teaching Methods Lecture, Study Group