The Theorization of Community Based Problem-solving in PHC.

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This study has been undertaken in order to explore and examine in what ways health issues are being dealt with in the countries of Japan, Thailand (Bangkok), and the United States (Hawaii). One of the factors involved relates to the necessity of studying and changing the health paradigm within and across nations.This year's study consisted of both literature review and field surveys. The analysis of current literature focused on solving the historical nature of voluntary problem solving and to determine the key concepts incorporated in voluntary problem solving efforts. The field study was conducted in Bangkok and Honolulu and concentrated in active regional areas and included visits, interviews, and observation.Literature ReviewHistorically, the United States, as well as Japan, started community based problem solving around 1900 ; however, both the content and process were different based on respective political, economic and social backgrounds. Current health issues which are targete … More d through community based action are also reviewed.Concepts included in voluntary problem solving in the community are defined based on individual, group and community.Field StudyIn the United States, this study concentrated on Kalihi Valley. a low income public housing community in Honolulu. In the Waianae Coast Comprehensive Health Center, whose inhabitants are primarily native Hawaiians, a formal model for dealing with community problems has already been established and incorporates government, university, and NGO groups.Governmental social services in the United States are primarily aimed at low income and minority groups. In contrast, Japan provides these services equally to all groups. Furthermore, a study involving the middle class in Honolulu is necessary.In Thailand, we cooperated with Mahidohl University and Bangkok and studied four points concerning a regional development program for a slum area. Here, we found strong community ties because most of the people are either related or from the same rural area. Next, we need to study factory workers who lack these community ties. Less