Participatory Primary Approach To Healthcare And Development

How needs were assessed and changes applied to the identified needs

Discuss about the Participatory Primary Approach To Healthcare And Development.

The Mexico piaxta project has clearly shown the challenges that led to the introduction of problem-solving health institutions, according to the Author of the piaxta project there is the introduction of treatment activities to reduce the death of human beings more so children and mothers. The death rates for mothers and children had been manifested to be upcoming therefore it happened for the Mexican to find a solution to the problems arising from such health issues (Waner, 1995.p.25).

Prevention is better than cure. Primary health care refers to the basic health practices which are accessible to everyone in the community. They are practices that are carried in our every day’s activity and they lead to a healthy leaving. It may also refer to the preventive measures that are taken to prevent the infection or the spread of a disease. Primary healthcare approaches refer to the proceedings that are carried out towards achieving good health in the community for both the poor and the rich. These approaches are always affordable and easily accessible by the poor like pit latrines, clean water for drinking and cooking among others (Edwards, 2011.p34). 

Primary healthcare approaches involve both the contribution of the individual, family, group and the community (IFGCs). The government also plays a big role in ensuring that the health facilities are equally distributed among the people and also educating people on how to primarily prevent the occurrence and the spread of a disease. It aims at reducing the cases of malnutrition among children and women, preventing the occurrence of the communicable diseases as well as ensuring the least privileged in the community are able to raise money for a balanced diet and for medical services. It fights towards equality to minimize the gap between the humble and the rich in the society (David, 1984.p.45).

The IFGCs were purposed and taught on primary health care practices to ensure a healthy leaving like using latrines, good feeding habits among other practices. They were also advised on how to manage their income well and avoiding losing their possession to the most privileged people in the society. The team was critically engaged in fighting for the equality of all the people in the society. They created awareness to stop the reach from using their powers to discriminate and take advantage of the poor in the community. The team was involved in the government to ensure the effective and a long-lasting change was imposed (Horner and Enrique, 1999.p.50).

Addressing the inequity among the members of the society

The team was cooperative with several agencies like the ministry of health, non-governmental organizations, and self-help groups, research organizations among others to make their approach effective and long-lasting. They were also incorporating the government and other well-wishers to fund them with capital, facilities and other essential materials. They, therefore, interviewed the IFGCs to first know the challenges they were going through in order to come-up with lasting solutions. The team posed some problems to the IFGCs expecting them to think critically and come up with their own solutions. Offering counseling and adult education to the IFGCs helped the individuals who were facing challenges to come up with solutions to their own problems and gave them self-approach.

The team also involved the IFGCs in discussions whereby they precisely discussed the challenges they were facing and tried to reason together and came up with excellent solutions. Discussions involved disagreements towards the agreements and this was equally enabled the society to come up with the most appropriate solution. They also incorporated the focal media like drama, tales, and songs among others to educate the IFGCs on how to fight for their rights in case of exploitation by the rich. They also used the mass media to educate the IFGCs on good grooming, personal hygiene, good nutrition, posture, exercise, and environmental hygiene among many others.

Most people in the community were getting malnourished because of poverty. This meant they never had good and reliable sources of income and had small pieces of land. The reason behind this is that their land had been grabbed by the rich in the society. According to Mexico piaxta, sometimes their crops were destroyed by the cattle owned by the rich. Poverty made the poor lack money for medical services and good nutrition. The less privileged in the society were therefore encouraged to dig pit latrine to prevent the occurrence of the communicable diseases and to maintain a high hygienic status. They were again being encouraged not to sell their lands but instead to invest in them. In addition, they were being encouraged to fence their land. The government was advised to establish free medical services like the immunization to both young children and women.

Corruption was highly affecting the primary health of the poor in the society whereby, the ones in the authority could tend to grab the opportunities made for the less privileged in the society. The team began to hold demonstrations which were aimed at fighting for the equal opportunities for both poor and rich and bring down corruption in the shortest time possible which could seem to be years but was just months. The team was also focused on changing the perspective of the IFGCs towards relying on the curative care and encouraged employment of preventive and the management measures. They were taught about the preventive measures of most communicable diseases so that they would help minimize their expenditure towards medication. They taught them how to preserve their food during the times of plenty and use them during lean seasons.

Goals of the project

The team involved the community leaders who fought for the rights and health of the poor. The poor were also encouraged to take out cheap loans from the government and invest instead of getting loans from the rich who violently exploit them in return. The project helped in marketing the natural products from the poor like indigenous chicken. Drunkenness was discouraged because most of the time men used to spend all the money on drugs leaving their families at the torment of malnourishment. Tribalism and racism were highly discouraged and the IFGCs were encouraged to leave in unison to create an appropriate atmosphere for the growth and development of their society.

The project is aimed at achieving the following within the IFGCs:

• Improving the income of the poor.
• Achieving a healthy community by reducing the cases of illnesses and death.
• Minimize the gap between the poor and the reach and ensure equality.
• Promoting the growth and the development of the nation by minimizing the levels of poverty.
• Establishing a healthy community which is united.
• It was also aimed at raising the living standards of the poor.
• To equip the IFGCs with knowledge and skills on prevention, cure, and management of diseases and injuries.
• To create awareness of the disadvantages of drugs and how they result in a sick community.

These assumptions were made prior to the preparation of the project plan:

• The government was assumed to be willing to support the project financially.
• Several agencies were ready to work hand in hand with the team to establish a healthy community.
• The management would support the committee members to ensure the success of the project.
• The IFGCs was assumed to be willing and flexible to take part in most activities like demonstrations among others.
• The team members were expected to adhere to all the requirements of the plan and communication plan.
• Teaching the adults was assumed to benefit the whole community since they used to make most decisions at their homes.

 The project was faced by a number of challenges but the team members were dedicated to their work regardless of the constraints. The team had insufficient funds to sustain the project till the end. They were also being faced by the challenge of the language barrier whereby most of the adults found in the villages were old and they only understood their mother tongues. It was costing them a lot of money to hire interpreters who were relied upon to make their work easier. The target population was adults and they were mostly busy performing their own duties during the daytime. This was becoming a major challenge whereby they had to go with donations to attract them which was an added expense (Shama,2018.p.44).

Most of the elder men were ignorant of the members of this team whereby they hardly accepted being taught by youths. This was a big challenge because the team was targeting to educate the men on effects of drunkenness and more so adults in the community. Most of the government officials were corrupt and they failed to support the project team. They were being paid by the rich in the community to humiliate and jail the team members. Most of the strong men were against the demonstrations against drunkenness and most ladies were being humiliated for participating in the demonstration. The most privileged in the society were still using bribes at the expense of the poor. The team was running short of teaching aids to help them in adult learning which was still a big challenge (Manzano-Sarabia,2018.p.34).

Role	Responsibility	Participants
Project sponsor	·         He funded the project. ·         He monitored all the activities and the progress of the project. ·         He made final decisions and approved some elements in the project.
Steering committee	·         Approved resources allocation. ·         Gave directions to the project manager. ·         Handled any dispute that could arise. ·         Reviewed the progress of the project.
Project manager	·         He made sure that the project operated in accordance with the plan. ·         He was the overall supervisor of the participants. ·         He was the link between the steering committee and the participants. ·         He was responsible for the budget of the project. ·         He assigned duties to the participants.
Project participants	·         They participated in establishing the projects. ·         They identified the risks and barriers and aided in coming up with solutions.	were identified by the steering committee
Subject matter experts	·         Gave advice and guidelines when needed.	Were  identified by the steering committee

Communication plan

Communication is very essential for the success of any organization. The communication plan is a framework that ensures proper flow of information among the audiences. The audiences who require the information were the project sponsors, steering committee, the project manager, the participants and subject matter experts. The communication plans used three directions to ensure effective flow of the information (Magnus, 2018.p.34). The three directions include top-down, bottom-up and middle-out. Top-down communication appeared to be very essential to all the participants in project planning. The team leaders needed to speak in one voice for the success of the project. The success of the project was geared toward the unity among the leaders. When the leaders lacked unity, the project seemed not to be effective and therefore they reunited (Scrinis, 2015.p.23).

Project assumptions

In bottom-up, it was always important to communicate in a manner in which solutions were created. It was believed that every member was consulted before coming up with a decision and therefore agreement promoted unity and understanding hence the success of the project. In middle-out, support was felt in all dimensions. The project leaders also communicated through holding meetings whereby they discussed the matters arising. They used to hold their meetings once a month whereby they laid down strategies which promoted the success of the project. They also had a website for communication. The website was and is used for handling issues that need the urgent address (Div., 2018.p.24).

The government supposed to collaborate with other agencies to create awareness on the primary health care approaches. The primary approaches cut down the medical since they were cheap and they could be accessed by anyone regardless of the financial status. They were just the fundamental practices that are carried out daily. IFGCs would practice personal hygiene, good grooming, and good nutrition among others to keep fit. Members’ of a community were to be taught on the reliable methods of producing food crops to fight hunger hence malnutrition. The government could burn all the bars because men were wasting a lot of money on drugs while their families were starving (Lee, 2012.p.45).

Tribalism, racism, and discrimination should be to be highly discouraged. Anyone found exploiting his/her neighbor would be severely punished. The government could hire an advanced technology to fight against corruption. Equity would be maintained among the poor and the rich. The IFGCs could be taught on the methods of preventing HIV/AIDS to minimize the cases of death. Community members would be taught on the best methods to preserve foods to uses during the time of scarcity. Knowledge of food preservation would also aid in the prevention of food spoilage and poisoning. The government could also create a market for the farm products of the less privileged to support their way of living (Werner, 2018.p.43).

 The government could also offer cheap loans to the poor so that they would establish small businesses to earn their income. Also, all the waters systems could be treated to prevent water-borne diseases. IFGCs could ensure that their living environments were clean. Also for the success of this project, the team leaders would recruit translators to ease their work. The project team could incorporate the community for the mobilization of people so as to educate them. The government could ensure that if a rich person spoils the crops of a poor person, then he compensate for the damage immediately. Healthy workers could not be jailed when they stood out for the rights of the poor (O’Tool, 1991.p.8).

How some of the unaddressed needs affected the project

Primary health approaches were important in healthy living. They created awareness about diseases and their existence. Equipped people with knowledge on how to prevent cure and manage diseases and injuries. The approaches were used in giving out clear detailed information on the health status of the IFGCs. They were also used as a tool for research. It also provided job opportunities for the specialists (Berman, 2018.p.25).

Conclusion

In summary, the primary factor for causing poor health and mortality deaths is poverty. This is because when one lacks enough currency to cater to a balanced diet as realized in the piaxta project he/she will end up being malnourished. It is, therefore, the duty of everyone to fight poverty. Again if one lacks a stable source of income he will have no money for medical care services. Many agencies would come together and support the government in fighting poverty. Also the poor should be flexible for any change made to fight poverty.

Use of primary approaches is cheap and reliable. It doesn’t require one to have more income to practice it but it only needed knowledge and skills. This approach has greatly reduced the deaths, malnourishment and a lot of expenditure towards medical services. Regardless of the challenges faced during project planning, the team was determined towards achieving its objectives to promote the growth and the development of the nation. The team leaders are ready to solve any problem that occurs to ensure the success of the project.

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