MOBILIZING THE FAMILY

DR. LIZA D. MARIPOSQUE

SEPT. 30, 2008

SOCIAL MOBILIZATION

• The process of generating and sustaining the active and coordinated participation of all sectors at various levels to facilitate improvement of a certain group.

• A continuous process of changing the behavior of the individuals in the family and community toward adopting more acceptable health promotive habits.

Benefits:

a. raise’s people morale & self-worth.

b. Promotes sense of belonging in the family & community

c. Makes people committed to health work

Social mobilization can be executed at different levels:1. Individual level- protect his own health,

decides when & where to seek medical advice.

2. Family level- the parents decide

3. Community level

Family Empowerment

• Assessing the capability of the family to support the patient, a capacity for decision-making and coping skills.

• Goal-setting

• Facilitate exploration of issues to identify the problem.

• Think of possible strategies.

Guiding principles• The physician-patient relationship is not a

dyad but a triad. • The physician can mobilize the family as a

therapeutic ally.• The ally can become an adversary.• The physician must explore the family

issues.• The physician must be holistic in patient

and family care.

Functions of a primary care family conference

1. Educations – family meeting; discussing health beliefs & misapprehensions.

2. Preventions- prevent family dysfunction about the impact of the illness.

3. Support- moral support in coping w/ the crisis.

4. Challenge – to help individual capabilities.

Organizing the family meeting

O?

EN?

ERE?

HOW?

Some situations that require a family meeting:

• Hospitalization

• Death & dying

• Routine pregnancy & will-child care

• Diagnosis of a serious chronic illness.

Steps in the conduct of a family meeting:

• Socialize with the family

• Set the goals

• Discuss the problems or issues

• Identify resources

• Give tasks

The process of gaining mastery and power over one’s community to produce change.

Components of social mobilization1. Advocacy – convincing, persuading or

motivating people to be aware of a problem.2. Information, communication and education –

presenting of ideas, opinions & information w/c could change attitude.

3. Training – updating knowledge & skills of service providers.

4. Community organizing – empowering the members to get involved.

5. Networking – reaching out to prospective allies & collaborators in achieving a goal. Continuing dialogue among members.

3 conceptual frameworks for community level

1. Community organization

2. The diffusion of innovations theory

3. The organizational dev’t theory

1. Community organization- emphasizes active participation & dev’t that

evaluate & solve health & social service.- Rothman’s typology• Locality development (community dev’t) -

consensus dev’t, capacity bldg & strong task orientation. Help to coordinate & enable the community to successfully address its concerns.

• Social planning – provide technical assistance to benefit community consumers.

• Social action – inc. problem solving ability & to achieve concrete changes to redress social injustice.

2.The Diffusion of Innovations Theory – how new ideas, products & social practices spread.• Relative advantage – innovation is seen as better

than idea, practice, program or product it replaces.• Compatibility – consistency of the innovation w/

values, habits, experience & needs.• Complexity – degree of difficulty to be understood

or used.• Trialability - can be experimented w/ before a

commitment to adopt.• Observability – provides tangible or visible results.

3.Theories of Organizational change

• The stage theory☺problem def’n- the awareness stage

- problem are recognized & analyzed while solutions are sought & evaluated.☺Initiation of action- the adoption stage

- policy are formulated & resources are allocated.☺Implementation of change – implementation, rxn, & role changes.☺Institutionalization of change – policy, programs; new goals & values are internalized.

• The organizational dev’t theory

- identifies problem.

- involves process consultation, in w/a an outside specialist helps identify problems & facilitates the planning of change strategies.

Components of PHC:

• Promotion of proper nutrition

• Provision of basic sanitation

• Provision of an adequate supply of safe water

• Appropriate tx for common dse.

• Maternal & child care, including family planning

• Immunization against the major infectious dse.

• Prevention & control of locally endemic dses.

• Educ’n concerning prevailing health problems & the methods of prevention & control

Characteristics of primary health care

• Health care in totality

• Accessible universally

• Acceptable methods

• Community-based

• Cost that the community can offer

• Holistic in approach

Purpose of Advocacy:• Enable the people to be more responsible & control

the decisions that affect their lives.• Can help the service users by-- Clarifying their own views & wishes.- Assisting to express their views effectively.- Representing their views faithfully & effectively.- Providing independent advice & accurate

information.- Enabling negotiation & resolution of conflict to

take place.

Advocacy Models:

• Self-advocacy

• Citizen advocacy

• Crisis advocacy

• Peer advocacy

• Professional advocacy

• Collective advocacy

Steps for Successful Advocacy:• Identify an issue

• Identify supportive policy makers.

• Identify potential partners for your issue

• Enlist community support

• Develop a media strategy

• Understand how a bill becomes a law.

Impact Programs of the DOH:

1. TB control

2. Adolescent & Youth Health Dev’t

3. Women’s health

4. Control of diarrheal dse

5. Nutrition

6. Soil-transmitted dse control program

7. rabies control

8. Environmental health services

9. Family planning & Reproductive Health

10. Dental health

11. Health educ’n & communication

12. Cancer control

13. Cardiovascular protection

14. Occupational health

15. Mental health