DOI QR코드

DOI QR Code

Factors for the Development of the Gangwon's Health-Plus Community Program into the Health Community Organization

강원도 건강플러스 마을사업의 건강주민운동으로의 발전요인

  • Woong-Sub Park (Department of Preventive Medicine and Public Health, Catholic Kwandong University College of Medicine) ;
  • Joon-Hyeong Kim (Department of Preventive Medicine and Public Health, Catholic Kwandong University College of Medicine) ;
  • Nam-Jun Kim (Community Health and Welfare Research Center, Catholic Kwandong University) ;
  • Soo-Hyeong Kim (Community Health and Welfare Research Center, Catholic Kwandong University)
  • 박웅섭 (가톨릭관동대학교 의과대학 예방의학교실) ;
  • 김준형 (가톨릭관동대학교 의과대학 예방의학교실) ;
  • 김남준 (가톨릭관동대학교 의과대학 지역 보건 및 복지 연구센터) ;
  • 김수형 (가톨릭관동대학교 의과대학 지역 보건 및 복지 연구센터)
  • Received : 2023.09.19
  • Accepted : 2023.09.25
  • Published : 2023.09.30

Abstract

Objectives: This study aimed to examine the factors for the development of the Gangwon's Health-Plus Community Program into the health community organization. Methods: Participants of the study consisted of a total of 8 individuals, including trainers, residents, and public health center officials. Data were collected through in-depth interviews from August to October 2022. The data were analyzed using the thematic analysis method. Results: According to the results, the factors that enabled the Gangwon's Health-Plus Community Program to develop into a health community organization are as follows. First, participants believed that residents could do well by themselves, Second, participants met with residents rather than existing leaders. Third, education that encouraged residents to speak and positive assessment was implemented. Fourth, projects were started based on what residents wanted to do. Fifth, participants waited for residents to take action. Sixth, participants engaged with residents instead of just observing. Seventh, participants did not demand short-term outcomes. Conclusions: This study will contribute to the progression of community participatory health promotion programs towards a health community organization aimed at community empowerment.

이 연구는 강원도 건강플러스 마을사업이 건강주민운동으로의 발전 과정과 강원도 건강플러스 마을사업의 시기별 특징을 분석하고 건강주민운동으로 발전할 수 있었던 요인을 도출하기 위하여 주민, 보건소 담당자, 트레이너들에 대한 심층 면담으로 자료를 수집하여 주제분석 방법으로 질적 연구를 수행하였다. 연구 결과, 강원도 건강플러스 마을사업이 건강주민운동으로 발전할 수 있었던 요인은 다음과 같다. 첫째, 주민 스스로 할 수 있다고 믿었다. 둘째, 이·통장이 아닌 일반 주민을 만났다. 셋째, 주민이 말하게 하는 교육과 긍정적 평가를 시행하였다. 넷째, 주민이 하고 싶은 사업에서 시작했다. 다섯째, 주민이 행동할 때까지 기다렸다. 여섯째, 기다린다는 것은 방관이 아니라 지속적인 동화 과정이다. 일곱째, 단기적 성과를 요구하지 않았다. 주민참여형 건강증진사업이 건강주민운동으로 나아가기 위해서는 이 연구에서 도출된 발전요인을 참고한다면 도움이 될 것으로 생각된다.

Keywords

References

  1. WHO Commission on Social Determinants of Health. Closing the gap in a generation: health equity through action on the social determinants of health. Geneva, WHO press, 2008.
  2. Yoon TH. Regional health inequalities in Korea the status and policy tasks. J Crit Soc Welf. 2010;(30):49-77. (Korean)
  3. Heo HH, Son IS. A comparative case study of community-based participatory health programs in South Korea: Contextual differences in community coalition formation and intersectoral action. Health Soc Welf Rev. 2020;40(1):271-96. (Korean)
  4. Kim JR, Jeong BG, Park KS, Kang YS. The mid-term outcome evaluation of community organization: Three-year experience of Health Plus Happiness Plus Projects in Gyeongsangnam- do. J Agric Med Community Health. 2014;39(3):146-60. (Korean) https://doi.org/10.5393/JAMCH.2014.39.3.146
  5. Hong NS, Kim KY, Lee KS, Kim MH, Kim EH, Park MA, Lee SJ, Kim JM. Effects and challenges of community-based participatory health project of Gyeongsangbuk-do in Korea. J Health Info Stat. 2020;45(2):200-7. (Korean) https://doi.org/10.21032/jhis.2020.45.2.200
  6. Lee DY, Kim CO, Lee YH, Choi MJ, Hwang MJ, Heo HH, Ki M. The fruits and the limitations of Seoul's community-based participatory health program of "Building Healthy Communities". Health Soc Welf Rev. 2022;42(1):316-34. (Korean)
  7. Korea Community Organization Network for Education & Training. Community methodology. Seoul, Korea Community Organization Network for Education & Training, 2010, pp.13-40 (Korean)
  8. Hong JW, Park WS, Kim SA, Kim NJ. Performances and limitations of the health community organization project in 148 village, Gangbuk-gu, J Agric Med Community Health. 2017;42(3):155-167. (Korean)
  9. Minkler M. Community organizing and community building for health and welfare. New Brunswick Rutgers University Press, 2012, pp.37-52
  10. Catholic Kwandong University. Gangwon-do integrated health promotion project group report. Gangwon-do; 2019 (Korean)
  11. Kim JH, Kim NJ, Kim SH, Park WS. Health behaviors before and after health community organization: Gangwon's Health-Plus Community Program. J Prev Med Public Health. 2023;56:1-8. https://doi.org/10.3961/jpmph.23.121
  12. Patton MQ. Qualitative research & evaluation methods: Integrating theory and practice. Sage publications; 2014.
  13. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. https://doi.org/10.1191/1478088706qp063oa
  14. Padgett DK. Qualitative methods in social work research. Sage publications; 2016.
  15. Kim HS. Exploration of health care model for citizen participation in ODA: Applicability to medical social cooperative. Soc Econ Policy Stud. 2021;11(2):123-52. (Korean) https://doi.org/10.22340/seps.2021.05.11.2.123
  16. Kim YG. A process model of the Pygmalion effect in organizations: Unfolding mediating roles of leadership and motivation. Korean Leadersh Rev. 2020;11(4):99-121. (Korean) https://doi.org/10.22243/tklq.2020.11.4.99
  17. Jeong SH. A study on the citizen's participatory budgeting system of Seoul metropolitan city: From the viewpoint of participatory democracy. Civil Soc NGO. 2014;12(1):3-34. (Korean)
  18. Park SH, Kim JE. Constructing 'Participating Citizen': Urban regeneration activists and changing state-civil society relation in Seoul. Space Soc. 2018;28(3):48-81. (Korean) https://doi.org/10.19097/kaser.2018.28.3.48
  19. Alinsky SD. Rules for radicals: A practical primer for realistic radicals. Vintage; 1989.
  20. Kim JH. The effects of leader's feedback on the subordinates' resilience and self-efficacy. Leadersh Res. 2014;5(2):3-37 (Korean)
  21. Hong JW, Kim JH, Lee SH, Kim NJ, Park WS. Success factors for the development of health community organizing in: 148 village, Gangbuk-gu, Seoul. J Agric Med Community Health. 2022;47(3):154-65. (Korean)
  22. Cho BH. The past and the current status of community-based health promotion. Korean J Health Educ Promot. 2010;27(4):1-6. (Korean)
  23. Chang SH. A study on the Alinsky's model of community organizing the lessons from the "Old Future" of community organizing. Korean Reg Sociol. 2020;21(3):5-38. (Korean) https://doi.org/10.35175/KRS.2020.21.3.5
  24. Shin MH. Is it possible for social welfare centers to engage in community organizing movement? Korean Stud Q. 2012;35(2):69-99. (Korean) https://doi.org/10.25024/ksq.35.2.201206.69
  25. Chang SH. How to organize local community in the city? community organizing strategies from the perspective of activists. Econ Soc. 2022;317-49. (Korean)
  26. Kim JW. Responding to poverty and social economy. Focusing on community movement in poor areas. Econ Soc. 2015;106:171-204. (Korean) https://doi.org/10.18207/criso.2015..106.171
  27. Heo HH. A community-based participatory approach to reducing health inequalities. Health Welf Forum. 2018 Jun 1;2018(6):62-77. (Korean)