Community Change

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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
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Community Change Course in Context

http://distance.jhsph.edu/core/index.cfm/go/syl:syl.public.view/cid/110/

http://ocw.jhsph.edu/index.cfm/go/viewCourse/course/SocialBehavioralFoundations/coursePage/index/

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Ecological Example: Insecticide-Treated Nets
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Intrapersonal

-  Net use, beliefs,
perceptions

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Interpersonal

-  Household power
issues, in uence of
community groups

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Community

-  Ability to organize,
leadership, involvement
vs. disenfranchisement

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Example: Insecticide-Treated Nets (ITNs)
 

Institutional

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

 

Policy

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

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ITNs in Context
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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
usage
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”...