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Public Health

Public Health

Glenn Laverack

(2009)

Additional Information

Book Details

Abstract


Power is a concept central to public health practice. Based on sound principles, this book offers practical solutions for transforming professional power relations. With an emphasis on the work of nurse practitioners, it:

  • introduces readers to the importance of the concepts of power and empowerment in public health practice,
  • provides a methodology to plan, implement and evaluate empowering
    public health programmes, and
  • investigates the implications of individual, group and community
    empowerment on public health practice.

The second edition also incorporates new specialist material for nursing professionals, fresh case studies, a more recent analysis of the literature and a complete revision of the chapters, all designed to help public health professionals understand how to
enable their clients to gain power.

This new edition has been written to meet the continuing demand from practitioners who want to work in a more empowering way. So whether you're studying or practising, if you aspire to be a more effective and empowering practitioner this book will help you realise your professional goals.
DR GLENN LAVERACK has worked in public health in Europe, North America, Africa and the Asia-Pacific regions for more than twenty years. Previous publications include the books entitled Health Promotion Practice: Power& Empowerment (2004), Health Promotion Practice: Building Empowered Communities (2007) and Health Promotion in Action: From Local to Global Empowerment (2008).
A comprehensive and contemporary revised second edition on empowerment in healthcare settings

Table of Contents

Section Title Page Action Price
Cover Cover
Contents v
List of tables, figures and boxes viii
Acknowledgements x
Preface xi
An overview of the book xii
1 Power, empowerment and public health practice in context 1
Introduction 1
The evolution of empowerment in public health practice 4
Power and public health practice 6
Public health practice and the interpretation of health 10
2 Power and empowerment 14
What is power? 14
Power-from-within 15
Power-over 16
Hegemonic power 17
Power-with 19
Zero-sum and non-zero-sum forms of power 20
Powerlessness 22
Empowerment: the means to attaining power 23
Social and cultural perceptions of power and empowerment 25
3 Empowerment and public health programming 29
Introduction 29
Empowerment and public health programming 30
Defining the key concepts 31
Problem assessment 32
'Parallel-tracking' empowerment into maternal and newborn health 35
Resolving conflict 39
4 Helping individuals to gain power 43
Overcoming powerlessness 43
Practitioners as more effective communicators 45
One-to-one communication 46
Learning to listen 46
Combining communication channels 50
Increasing the critical awareness of individual clients 51
Strategies for decision making 52
Photovoice 54
Health literacy 56
Fostering an empowering professional-client relationship 58
The power of language 59
5 Helping groups and communities to gain power 63
What is a 'community'? 63
Community empowerment as a 5-point continuum 64
The 'domains' of community empowerment 65
A framework for helping groups and communities to gain power 68
Empowering individuals for personal action 69
Empowering small groups 70
Empowering groups to develop into community organisations 72
Empowering community organisations to develop partnerships 74
Empowering communities to take social and political action 75
Social movements 76
6 Helping marginalised people to gain power 80
Marginalisation 80
Marginalisation and indigenous people 82
A case study of helping Aboriginal community-based organisations to take more control of health service delivery in Australia 84
Introduction 84
Building the capacity of the community-based organisations 84
The public health outcomes 86
Marginalisation and migration 89
A case study of helping Chinese migrants to take more control of their health by preventing injury from accidents in New Zealand 90
Introduction 90
Assisting migrant Chinese to gain power 91
7 The measurement and visual representation of community empowerment 97
Collecting and analysing qualitative information 97
Collecting and analysing qualitative information in a cross-cultural context 100
The measurement of community empowerment 103
The 'domains approach' 103
The visual representation of the measurement 108
A case study of empowering rural communities to take control of local resources in Thailand 109
Introduction 109
The cultural context 110
Ban Tam-Nong Bia community 110
Ban Mae Kampong community 110
Experiences of building community capacity 111
The Ban Tam-Nong Bia community 111
The Ban Mae Kampong community 113
8 The future of public health programming 116
Why we are where we are 116
What public health programming will have to look like in the future 118
Engage communities to share their priorities 119
Build community capacity 121
Mechanisms for flexible funding 122
Evaluate to share information and ideas 123
Be creative to expand on local initiatives 124
References 127
Index 135
A 135
B 135
C 135
D 135
E 135
F 135
G 135
H 135
I 136
L 136
M 136
N 136
O 136
P 136
Q 136
R 137
S 137
T 137
V 137
W 137