Community Action Programs

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Every community has issues or opportunities that need to be addressed. The expert knowledge of community members could be the key to creating lasting change. By making community members into facilitators, Making Change: Facilitating Community Action suggests they can guide community members through the process of making change and to help them determine their goals and methods. The aim of this book is to enable facilitators to identify concerns and address, enable and foster change at the local level through effective facilitation. This book follows a six-stage model for creating change. Beginning with issue awareness, it continues through getting to know the team they are working with, seeking information on the issue and community, through facilitating the planning and community development through evaluation. This book focuses on the human side of the change process while also teaching the practical skills necessary for individuals to reach their goal. Making Change is for people interested in making change to improve their community, including students, community activists, local government and educational leaders.