Community participation and empowerment in Healthy Cities

Community participation and empowerment in Healthy Cities
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DOI:
10.1093/heapro/dap054
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发表时间:
2009-11-01
影响因子:
2.7
通讯作者:
Dooris, Mark
Dooris, Mark
中科院分区:
医学3区
文献类型:
--
作者:
Heritage, Zoe;Dooris, Mark

文献摘要

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社区参与反赋权是支撑健康城市运动的核心原则。通过概述理论并介绍相关评估结果,本文探讨了世界卫生组织欧洲健康城市网络中的城市如何将社区参与和赋权纳入其发展。 2002 年第三阶段的评估表明,社区参与仍然是大多数项目城市的高度优先事项,反映出将公众参与和赋权纳入项目城市的指定标准。三分之一的城市定期与其大部分人口进行磋商,另外三分之一的城市则偶尔进行磋商。近80%的城市建立了社区代表参与决策的机制;超过三分之二的城市制定了明确旨在增强当地人权能的举措。 2005 年开展的后续研究进一步强调了公众参与对健康城市运动的核心作用。调查发现,所有项目城市都继续支持社区参与。社区参与是良好地方治理过程的重要组成部分,而赋权仍然是有效健康促进的核心。为了有意义,这些过程必须被视为健康城市的基本价值观,因此必须作为长期战略发展的一个组成部分来发展。
Community participation anti empowerment are core principles underpinning the Healthy Cities movement. By providing an overview of theory and presenting the relevant findings of evaluations, this article explores how cities in the WHO European Healthy Cities Network have integrated community participation and empowerment within their development. Reflecting the inclusion of public participation and empowerment within the designation criteria for project cities, the evaluation of Phase III in 2002 demonstrated that community participation continues to be a high priority in most project cities. One-third of cities regularly consulted with large parts of their populations and another third undertook occasional consultations. Nearly 80% of cities had mechanisms for community representatives to participate in decision-making; and more than two-thirds of cities had initiatives explicitly aimed at empowering local people. Subsequent research carried out during 2005 further highlighted the centrality of public participation to the Healthy Cities movement. It found that all project cities continued to Support community involvement. Community participation is an essential part of the process of good local governance, and empowerment remains at the heart of effective health promotion. To be meaningful, these processes must be seen as fundamental values of Healthy Cities and so must be developed as an integral part Of long-term strategic development.