Journal of Public Health Advance Access originally published online on July 6, 2005
Journal of Public Health 2005 27(3):241-245; doi:10.1093/pubmed/fdi044
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Perceptions of community participation and health gain in a community project for the South Asian population: a qualitative study
G. Bandesha
Gunjit Bandesha, Specialist Registrar in Public Health, University of Manchester, 2nd Floor, Stopford Building, Oxford Road, Manchester M13 9PL
A. Litva
Litva A, Lecturer in Medical Sociology, University of Liverpool, Department of Primary Care, Liverpool, L69 3GB
Address correspondence to Dr Gunjit Bandesha E-mail: gunjit.bandesha{at}man.ac.uk
Background The new public health rejects old individualist attempts at improving health and embraces community-based approaches in reducing health inequalities. Primary Care Trusts in England face the challenge of converting community participation in health into reality. This study explores differences in perception of participation between lay and professional stakeholders of a community health project for a South Asian population in Greater Manchester.
Methods In-depth interviews and focus groups were used to explore the views of professional and lay stakeholders. All data were audio-taped, transcribed and analysed for emerging themes using a qualitative framework.
Results Professionals talked of working in partnership with the community but lay stakeholders did not feel that they had control over the project. There were problems in engaging the community and local health professionals in the project. Lack of cultural awareness hampered participation in the project. There was agreement that the project improved the self-confidence of participants and created a more informed population. However, there was little support for claims of improvements in social cohesion and changes in lifestyle directly as a result of the project.
Conclusion Converting the rhetoric of community participation in health into reality is a greater challenge than was envisaged by policy makers. Marginalized communities may not be willing participants and issues of language and cultural sensitivity are important. Project outcomes need to be agreed to ensure projects are evaluated appropriately. Projects with South Asian communities should not be seen to be dealing with all ‘ethnic health’ issues without addressing changes in statutory organizations and other wider social determinants of health.
Keywords: community participation, health gain, South Asian