What are the best models for family health promotion in rural areas to improve the health condition for family members? Because some time no focused health services to the the rural area, mostly focused to the urban area.
We may not get definitive answer to this; however, some of the models that have been used or proposed by various sources are:
Community Organization Model: This model involves mobilizing community members and organizations to identify and address health issues collectively. It emphasizes participatory decision-making, empowerment, and capacity-building. It can help rural families access resources, advocate for their needs, and create supportive environments for health promotion.
Community Readiness Model: This model assesses the level of readiness of a community to implement a health promotion program, based on six dimensions: community efforts, community knowledge of efforts, leadership, community climate, community knowledge of the issue, and resources. It can help rural families tailor interventions to their specific stage of readiness and increase their motivation and engagement.
PRECEDE/PROCEED Model: This model is a comprehensive planning framework that guides health promotion programs through four phases: social assessment, epidemiological assessment, educational and ecological assessment, and administrative and policy assessment. It can help rural families identify their health problems, prioritize their needs, design appropriate interventions, and evaluate their outcomes.
Clinical Models: These models involve integrating health promotion services into primary care settings, such as clinics or hospitals. They can include screening, counselling, education, referral, or follow-up. They can help rural families access preventive care, receive timely information, and coordinate with other providers.
Workplace Model: This model involves implementing health promotion programs in workplaces, such as farms or factories. They can include policies, environmental changes, incentives, or activities that support healthy behaviors. They can help rural families improve their physical and mental health, reduce absenteeism and injuries, and increase productivity.
These are some of the possible models for family health promotion in rural areas.
There are many models and theories that can be used for family health promotion in rural areas, depending on the specific needs, goals, and contexts of the communities. Some of the most common and widely used models are:
Ecological models: These models recognize that health is influenced by multiple levels of factors, such as individual, interpersonal, organizational, community, and policy. Ecological models aim to address health issues by intervening at different levels and creating supportive environments for health promotion. For example, a family health promotion program based on an ecological model might include education and counselling for individual family members, peer support groups and social networks for interpersonal level, training and resources for health workers and organizations, community mobilization and advocacy for community level, and policy changes and enforcement for policy level.
Health belief model: This model focuses on the individual’s perceptions of health risks and benefits of behaviour change. Health belief model assumes that people are more likely to adopt healthy behaviours if they believe that they are susceptible to a health problem, that the problem is serious, that the benefits of taking action outweigh the costs or barriers, and that they have the self-efficacy and cues to action to do so. For example, a family health promotion program based on the health belief model might use educational materials, testimonials, and reminders to increase the awareness and motivation of family members to adopt preventive behaviours such as immunization, screening, or hygiene.
Stages of change model (transtheoretical model): This model describes the process of behaviour change as a series of stages that people go through, such as precontemplation, contemplation, preparation, action, maintenance, and termination. Stages of change model suggests that different strategies are needed for different stages of change, and that people can move back and forth between stages depending on their circumstances. For example, a family health promotion program based on the stages of change model might use motivational interviewing, goal setting, feedback, rewards, and relapse prevention to help family members progress through the stages of change and sustain their healthy behaviours.
Social cognitive theory: This theory emphasizes the role of social and environmental influences on individual behaviour. Social cognitive theory proposes that people learn from their own experiences, observations of others, and feedback from the environment. Social cognitive theory also posits that people have self-efficacy, or the belief in their own ability to perform a behaviour and achieve a desired outcome. For example, a family health promotion program based on social cognitive theory might use role models, peer support, social norms, self-monitoring, and reinforcement to enhance the learning and self-efficacy of family members to adopt healthy behaviours.
Theory of reasoned action/planned behaviour: This theory explains how individual attitudes, subjective norms, and perceived behavioural control affect the intention and behaviour of people. Theory of reasoned action/planned behaviour assumes that people act rationally and consistently with their intentions, which are influenced by their beliefs about the outcomes and evaluations of the behaviour, as well as by the expectations and opinions of others. For example, a family health promotion program based on the theory of reasoned action/planned behaviour might use surveys, focus groups, or interviews to assess the beliefs and norms of family members regarding a specific health behaviour, such as physical activity or nutrition. Then, the program might use persuasive messages, social marketing, or incentives to change those beliefs and norms in favour of the desired behaviour.
These are some examples of models that can be used for family health promotion in rural areas. However, there is no one best model for all situations. The choice of model depends on many factors such as the type and severity of the health problem; the characteristics and preferences of the target population; the availability of resources; the feasibility and acceptability of interventions; and the evaluation criteria. Therefore, it is important to conduct a thorough assessment of the needs and assets of each rural community before selecting or adapting a model for family health promotion.