Establishing Community-Based Primary Health Care

  • Karen A. CallaghanEmail author
Part of the International Perspectives on Social Policy, Administration, and Practice book series (IPSPAP)


In this chapter, Karen A. Callaghan discusses how a community-based approach to primary health care constitutes an important foundation for reducing health disparities, including inequities in access to services. As advocated by the World Health Organization, primary health care is effective only when the design and delivery of services have involved the maximum participation of individuals and communities. As a community-based approach, primary health care requires practitioners to form close bonds with communities based on solidarity and respect. Medical professionals must take local knowledge seriously, if interventions are to have any appeal or effect. In this framework, community empowerment and development are as important as any clinical interventions for establishing well-being. In other words, practitioners must assume that communities, regardless of their challenges or lack of resources, are capable of sophisticated analysis of their circumstances, effective self-advocacy, and creative problem-solving.


Community-based primary health care Community-based partnerships Health services 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Barry UniversityMiamiUSA

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