PUB HLT: COMMUNITY BASED (CH2,8,9)

Positionality definition

an individual’s social location—defined by their race, ethnicity, gender, socioeconomic status, privilege, power, and identity—and how that unique standpoint shapes their personal biases, assumptions, and interactions with the world.

Why Positionality matters

Uncovering assumptions about research questions, survey designs, power dynamics that influences how researchers or practitioners interact with community members.

Trust

Community’s willingness to be vulnerable to a public health agency, practitioner, or institution

Trustworthiness

Demonstrable how to be reliable, transparent, respectful, ethical, and competent

Importance of developing trust and trustworthiness in public health practice

Drives community, participation in screening, vaccination, and research, Mitigates history-driven skepticism cause by exploitation (Tuskegee Syphilis Study, unethical trials), enhances communication effectiveness during public health crises

Identify the components of OARS

Open ended, Affirmations, Reflective Listening, Summaries

What is O in OARS

uestions that require detailed answers rather than yes/no

What is A in OARS

statements recognizing strengths, efforts, and positive behaviors to build self-efficacy

What is R in OARS

rephrasing or summarizing what the individual said to validate feelings and clarify meaning

What is S in OARS

condensing key points to highlight themes, transitions, or action steps

What is health

State of complete physical, mental, and social well-being with absence of disease

What is culture?

Patterns of human behavior, including thoughts, communication, actions, customs, beliefs, values, and institutions, of racial, ethnic, religious

What is community

Group of people who share common characteristics, interests, social bonds

What is community based public health

Approach to public health practice and research that actively engages community members, orgs, and stakeholders as eual partners

List factors that influence the health of the community

Social and economic, physical environment, health behaviors, access to & uality of healthcare, policy and systems

Discuss the importance of community partnerships in community-based public health

Contextual knowledge, Sustainability and Ownership, Trust and Receptivity, Euality

Contextual knowledge description in comm-based public health

Ensures programs address authentic, locally prioritized needs rather than assumed ones

Sustainability description in comm-based public health

Fosters long-term community commitment and capacity beyond initially grand funding

Trust and Receptivity definition in comm-based public health

Enhances interventions’ acceptability, relevance, and participation rates

Euality definition in comm-based public health

Distributes decision-making power and resources to historical disenfranchised groups