A critical analysis of different leadership approaches to community health work in Kirseberg, Sweden |
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Authors: | LINDBLADH EVA; HANSON BERTIL S |
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Institution: | Department of Community Health Sciences, Lund University Malmö, Sweden |
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Abstract: | This paper examines some dilemmas of both professional and communityled approaches in health promotion with reference to an alcoholreduction programme implemented in Kirseberg, Sweden. A traditionalhealth education programmed designed at changing life-stylehabits was combined with a community action design. The processby which the public health messages were sent to and receivedby the residents was explored in a qualitative study. The study focused on the possibly contradictory relationshipbetween the professional concept of public healthand individuals' personal concepts of health. it is argued thatif the top down and bottom up approachesare combined without detailed consideration being given to thepossible connecting links the risk is that the result will bethe operation of two parallel strategies which do not interact. The process of making health a collective issue within a communityaction programme is illustrated with examples from the Kirsebergproject and discussed with reference to the chief aim of achievingequity in health provision. |
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Keywords: | community organization health promotion planning leadership approaches |
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