Community Change

Page 1 of 5

Community Change

By | November 2012
Page 1 of 5
The Ecological Model – the context of
community change
Avoiding Blaming the Victim by Identifying the Locus of
Needed Change

Ecological Model Components

1) Intrapersonal factors:
Characteristics of the individual
2) Interpersonal processes and primary groups:
Formal and informal social networks and support
3) Institutional factors:
Organizational characteristics and rules
4) Community factors:
Relationships among organizations and networks
5) Public policy and laws:
At local, regional, and national levels

Community Change Course in Context


Ecological Example: Insecticide-Treated Nets


-  Net use, beliefs,



-  Household power
issues, in uence of
community groups



-  Ability to organize,
leadership, involvement
vs. disenfranchisement


Example: Insecticide-Treated Nets (ITNs)


-  Public resources,
private sector role, net
distribution at clinics



-  Taxes, tariffs, priorities
on prevention,
guidelines, strategies


ITNs in Context



Nets come in various sizes and cost $3-$5 wholesale
Long-Lasting Insecticide Treated Nets (LLINs) now the norm – insecticide manufactured into the thread
LLINs can last 5 years in theory but 2-3 years under normal
Community-based distribution programs take many forms
including campaigns, local retailers, local production,
community distributors – so free, subsidized, and retail
Major concerns –
-  Catch up to make sure all households covered
-  Keep up to provide replacements or new through routine
health services
-  Hang up to make sure people actually use nets
Cultural contrast—Herbs are the best prevention since one
cannot avoid “causes”...