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Practicing Hope

Enhancing Empowerment in Primary Health Care through Community‐based Participatory Research

Bibliographic Data

ID11053243
AuthorsLaura Chanchien Parajón (Family and Community Medicine University of New Mexico Albuquerque NM USA), Laura Parajón (University of New Mexico, corresponding author), Jessica Hinshaw (0000-0002-9264-3067, George Washington University Washington DC USA), Victoria Sánchez (0000-0003-3782-5017, University of New Mexico Albuquerque NM USA), Meredith Minkler (0000-0002-7269-1221, University of California Berkeley School of Public Health Berkeley CA USA), Nina Wallerstein (0000-0002-1969-0799, University of New Mexico Albuquerque NM USA)
Year2021
Volume67
Issue3-4
Pages297-311
Publication date2021-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Community Psychology (JOURNAL)
Journal identifiersISSN: 0091-0562 • E-ISSN: 1573-2770
PublisherWiley (PUBLISHER • GB)
DOI10.1002/ajcp.12526
PMID34114236
OpenAlexW3170384511
LanguageEN
Citations received8
References cited23

The World Health Organization's (WHO’s) Declaration of Alma Ata in 1978 made Primary Health Care (PHC) the official health policy of all WHO member countries, stressing the importance of multisectoral collaboration and community empowerment as critical for delivering quality primary healthcare and public health services to achieve social justice and health equity. Over forty years later, a divide remains between seeing individual patients in the traditional biomedical model and addressing population‐level social determinants of health. One promising approach for the intentional and active integration of multi‐sectoral partnering practices and community empowerment into Primary Health Care is the use of community‐based participatory research (CBPR). The power of CBPR lies in its systematic approach to facilitating equitable collaboration of partners based on community priorities and strengths and is increasingly recognized for improving health equity outcomes. This paper highlights the use of CBPR as a promising practice for healthcare organizations to bridge the gap between the traditional individual patient focus and the comprehensive primary healthcare approach from WHO. We use a narrative case study from A Ministry of Sharing (AMOS) Health and Hope, a PHC organization in Nicaragua, to illustrate the use of the CBPR model as an implementation framework that facilitated the transformation of structures, policies, and practices as AMOS created multi‐sector partnerships and embraced community empowerment as part of its strategic and comprehensive approach to health equity

Community health · Community-based participatory research · Empowerment · Equity (law) · Health care · Health equity · Participatory action research · Political science · Public health · Public relations · Social determinants of health · Sociology · Community Health and Development · Global Public Health Policies and Epidemiology · Health Policy Implementation Science · Medicine · Nursing

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    Open Access•Victoria Sánchez, Shannon Sanchez‐youngman et al.•American Journal of Community…•2021

  • Who are the vulnerable, and how do we reach them? Perspectives of health system actors and community leaders in Kerala, India

    Open Access•Jaison Joseph, Hari Sankar et al.•BMC Public Health•2023

  • Changes in primary health care service experiences and urban–suburban disparities among Shanghai residents

    Open Access•Sen Yang, Yang Sen et al.•International Journal for Equity…•2025

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    Open Access•Nosaiba Rayan‐Gharra, Marganit Ofir-Gutler et al.•International Journal for Equity…•2022

  • Exploring theoretical mechanisms of community-engaged research

    Open Access•John Oetzel, Blake Boursaw et al.•International Journal for Equity…•2022

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    Open Access•Maria Del Carmen Salazar, Nadia Saldaña-Spiegle•The Urban Review•2026

  • Just because I have a medical degree does not mean I have the answers”

    Open Access•Rachel Siegal, Andrew Nance et al.•American Journal of Community…•2023

  • Teaching and Learning Community-Based Participatory Research in an Underserved Neighborhood

    Open Access•Marina A Adler, Tino Schlinzig•Sociology•2025

  • Power Dynamics in Community-Based Participatory Research

    Open Access•Nina Wallerstein, Michael Muhammad et al.•Health Education & Behavior•2019

  • Powerlessness, Empowerment, and Health

    Open Access•Nina Wallerstein•American Journal of Health…•1992

  • Partnerships, Processes, and Outcomes

    Open Access•Kasim Ortiz, Jacob Nash et al.•Annual Review of Public Health•2020

  • Health professionals for a new century

    Open Access•Julio Frenk, Lincoln Chen et al.•The Lancet•2010

  • Engage for Equity

    Open Access•Nina Wallerstein, John G Oetzel et al.•Health Education & Behavior•2020

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    Open Access•Myra Parker, Nina Wallerstein et al.•Health Education & Behavior•2020

  • Comprehensive review of the evidence regarding the effectiveness of community–based primary health care in improving maternal, neonatal and child health

    Open Access•Henry B Perry, Bahie Mary Rassekh et al.•Journal of Global Health•2017

  • Toward Health Equity

    B Duran, John Oetzel et al.•Progress in community health…•2019

  • CBPR Implementation Framework for Community‐Academic Partnerships

    Open Access•Victoria Sánchez, Shannon Sanchez‐youngman et al.•American Journal of Community…•2021

  • Beyond the Individual

    Open Access•N Andrew Peterson, Marc A Zimmerman•American Journal of Community…•2004

  • Health Disparities and Health Equity

    Paula A Braveman, Paula Braveman et al.•American Journal of Public Health•2011

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  • The Christian Medical Commission and the Development of the World Health Organization’s Primary Health Care Approach

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Unique citing works8
Citations per year1,6
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 7

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