community system
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7/23/2019 Community system
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Community system
Introduction: Community is a widely used term that has no single or fxed
defnition. Broadly, communities are ormed by people who are connected to
each other in distinct and varied ways. Communities are diverse and dynamic.
One person may be part o more than one community. Community members
may be connected by living in the same area or by shared experiences, health
and other challenges, living situations, culture, religion, identity or values.
Community systems are community-led structures and mechanisms used by
communities through which community members and community-based
organizations and groups interact, coordinate and deliver their responses to the
challenges and needs aecting their communities. !any components o
community systems are small-scale or inormal. Others are more extensive "
they may be networ#ed between several organizations and involve various
subsystems. $or example, a large care and support system may have distinct
subsystems or comprehensive home-based care, providing nutritional support,
counseling, advocacy, legal support, and reerrals or access to services andollow-up.
Content: Community systems are structures and mechanisms through whichcommunity members, community-based organizations and other actors respondto the challenges and needs they ace. Community organizations have a uni%ueability to identiy, understand and respond %uic#ly to the needs o those who aremade vulnerable as a result o social and structural actors, and who areaected by ine%uitable access to health and other basic services. &hey otenplay a role in delivering services 'particularly non acility-based health services,and other social services(, and they are also essential to ensuring that ormal
health systems are responsive to needs, in particular the needs o marginalizedgroups. )n some contexts, community actors have to operate outside o mainstream health systems in order to protect the health and human rights o people who are marginalized or criminalized " or example, undocumentedmigrants, sex wor#ers, sexual minorities or people who use drugs. &he *ix Core Components o Community *ystems are+ Enabling environments and advocacy " including communityengagement and advocacy or improving the policy, legal and governanceenvironments, and aecting the social determinants o health
Community networks, linkages, partnerships and coordinationenabling eective activities, service delivery and advocacy, maximizing
resources and impacts, and coordinated, collaborative wor#ing Resources and capacity building " including human resources withappropriate personal, technical organizational capacities, fnancing 'includingoperational and core unding( and material resources 'inrastructure, inormationand essential commodities, including medical and other products andtechnologies(
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Community activities and service delivery " accessible to all who needthem, evidenceinormed and based on community assessments o resourcesand needs
Organizational and leadership strengthening including management,accountability and leadership or organizations and community systems
Monitoring evaluation and planning including !/ systems, situationassessment, evidence building and research, learning, planning and #nowledgemanagement.
Conclusion: *trong community systems play an important role in acilitating
community participation in+ design, implementation and evaluation o programs
and services advocacy creation o demand or good-%uality health services and
e%uitable access addressing broader determinants o health including gender
ine%ualities and human rights and promoting meaningul community
engagement in health-related governance, oversight and accountability. 0s
such, community action on health is an important complement to clinical oracility based health services, as it helps to ensure the right people are reached
or maximum impact, and that broader determinants o health are addressed.
*upport to community systems also builds ownership o health problems, and
through this ownership communities articulate solutions and play an important
role in implementing them.
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