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KMID : 0613620200400010271
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Health Social Welfare Review
2020 Volume.40 No. 1 p.271 ~ p.296
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A Comparative Case Study of Community-Based Participatory Health Programs in South Korea: Contextual Differences in Community Coalition Formation and Intersectoral Action
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Heo Hyun-Hee
Son In-Seo
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Abstract
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The purpose of the study is to examine how community contexts shape coalition formation and affect its implementation in community-based participatory health programs (CBPHP) of South Korea. Using a comparative case study approach, four cases were studied by drawing upon in-depth interview data and archival documents. A total of 19 stakeholders were interviewed from October to December, 2017. The Community Coalition Action Theory was used to analyze the data. Findings reveal that the collaboration strategies differ according to community contexts. Since the rural area lacks human resources and social networks, public health centers tend to rely on local elites to build health committees and implement the program. This approach is useful for publicizing the program and attracting people at an early stage. In contrast, in the urban areas, where resources are relatively abundant, community organizing tends to occur with a bottom-up approach. Its success differs by public health centers’ attitudes towards intersectoral action and lay health workers’ capacity. Community contexts have significant impact on the choices of collaborators and strategies. It is suggested to consider community contexts when training staffs, developing, and evaluating the program.
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KEYWORD
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Community-Based Participatory Health Program, Community Coalition Action Theory, Intersectoral Action, Community Context, Community Organizing
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