Dissertations / Theses on the topic 'Community participation in health'
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Jewkes, Rachel Katherine. "Meanings of 'community' in community participation in health promotion." Thesis, King's College London (University of London), 1994. https://kclpure.kcl.ac.uk/portal/en/theses/meanings-of-community-in-community-participation-in-health-promotion(b6de367c-b093-4d06-a81b-42bb9746d344).html.
Full textElsey, Helen. "Encouraging participation in a community health programme." Thesis, University of Southampton, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.427707.
Full textCasey, Lynda. "Perceptions of Community Health Board members regarding community empowerment and participation." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape17/PQDD_0008/MQ36347.pdf.
Full textWelschhoff, Anja. "Community Participation and Primary Health Care in India." Diss., lmu, 2007. http://nbn-resolving.de/urn:nbn:de:bvb:19-69547.
Full textLlewellyn-Jones, Lorraine M. 1951. "The relationship between health professionals and community participation in health promotion." Monash University, Faculty of Education, 2003. http://arrow.monash.edu.au/hdl/1959.1/7843.
Full textRoberts, Heather. "Promoting participation in health in the community using a health survey." Thesis, University of Nottingham, 1993. http://eprints.nottingham.ac.uk/12598/.
Full textBartholomeaux, Frances Marie 1955. "Variables influencing community cardiopulmonary resuscitation course participation." Thesis, The University of Arizona, 1990. http://hdl.handle.net/10150/277318.
Full textChikonde, Nkandu. "Training clinic health committees: a vehicle for improving community participation in health." Master's thesis, University of Cape Town, 2017. http://hdl.handle.net/11427/27060.
Full textFree, Pamela J. Smith. "Exploring Community Participation in Sustainable Williamson." Ohio University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ohiou1449057566.
Full textAl-Issa, Birgitta. "User participation in English and Canadian community mental health services." Thesis, Lancaster University, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.282605.
Full textIroz-Elardo, Nicole. "Participation, Information, Values, and Community Interests Within Health Impact Assessments." PDXScholar, 2014. https://pdxscholar.library.pdx.edu/open_access_etds/1846.
Full textGilfillan, Beth. "CONSUMING A PARTICIPATION POLICY: CAMBODIAN HEALTH COMMITTEES." University of Sydney, 2008. http://hdl.handle.net/2123/6024.
Full textParticipatory decision making practices were introduced into the Cambodian health sector in the late 1990s by the international development community. These practices were consolidated into a government policy in 2003. The participation policy requires lay citizens and other community representatives to be involved in management committees for health centres. In this thesis I report my research to ascertain if a participation policy results in strong participation. I did an ethnographic study of seven health centres in regional Cambodia. I found that participation levels of all lay citizens and other community representatives in health centre management were very low – the committees were only established where an international NGO supported them. Where the committees were operational, they were not decision making bodies. Community representatives including lay citizens had low levels of participation partly because of poor process design and lack of policy institutionalisation. This context enabled international NGOs to dominate and manipulate the committees. They used committees as a forum to educate community leaders about health, mobilise leaders to promote health centres, and lobby the government for changes in health centre management. By drawing together and extending the work of others, I show how in Cambodia both the participation process used in the study area and the national participation policy became commodities that were consumed in the game of international development. International development actors produced, marketed, and “sold” participation policies and processes and, in return, offered an implicit promise of resources to the government. As a result, lay citizens and other community representatives in Cambodia were short-changed by the consumption of participation policies and processes, being left without meaningful involvement in government decision making.
Zembe, Yanga. "Community participation in the recruitment of community health workers :a case study of the three community health worker programmes in South Africa." Thesis, University of the Western Cape, 2009. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_7266_1299058637.
Full textThis research investigates the nature and extent of community participation and involvement in the recruitment and selection processes for Community Health Workers (CHWs), primarily through detailed case studies of three CHW programmes, one in the Western Cape, another in KwaZulu-Natal, and a third which operates in the Western Cape and KwaZulu-Natal. The first utilizes CHWs in health education and home-based care in Khayelitsha and Nyanga. The second specializes in the training, management and supervision of home-based care CHWs in the rural areas of KwaZulu-Natal. The third utilizes CHWs in addressing maternal and child health issues in targeted peri-urban and rural areas in the three provinces. The mini-thesis is organized into five chapters: the first chapter provides the introduction and background as well as the methodological design of the mini-thesis
the second chapter focuses on providing a detailed literature review of relevant materials that cover the subject matter
the third chapter provides the descriptive background of the history of CHWs, CHW policies and community participation in South Africa, as well as a description of the three case study organizations
the fourth chapter describes and discusses the findings and the last and fifth chapter provides a summary of the findings as well as recommendations and conclusions.
Glattstein-Young, Gabriela S. "Community health committees as a vehicle for participation in advancing the right to health." Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/10542.
Full textThe principles of Primary Health Care guided health system transformation in South Africa where community health committees represent formal structures for participation in health. While there is evidence to suggest that participation can assist the progressive realization of the right to health, this link is not well established in the literature and Southern African studies underscore a serious deficit in the implementation of meaningful community participation. The present study used multiple methods to explore the relationship between participation and the right to health and to draw lessons on best practice for community participation from three health committees in South Africa's Western Cape Province.
Hasson, Marion. "Leveraging community participation through health committees to achieve health rights : the role of power." Master's thesis, University of Cape Town, 2016. http://hdl.handle.net/11427/20369.
Full textLackey, Douglas Eugene. "Participation in rural health development : a case study in Kenya." Thesis, London School of Economics and Political Science (University of London), 1997. http://etheses.lse.ac.uk/2479/.
Full textRuano, Ana Lorena. "The role of social participation in municipal-level health systems : the case of Palencia, Guatemala." Doctoral thesis, Umeå universitet, Epidemiologi och global hälsa, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-59865.
Full textHorsfall, Debbie. "The subalterns speak : a collaborative inquiry into community participation in health care /." View thesis, 1997. http://library.uws.edu.au/adt-NUWS/public/adt-NUWS20031126.150235/index.html.
Full textHorsfall, Debbie, of Western Sydney Hawkesbury University, Faculty of Social Inquiry, and School of Social Ecology. "The subalterns speak: a collaborative inquiry into community participation in health care." THESIS_FSI_SEL_Horsall_D.xml, 1997. http://handle.uws.edu.au:8081/1959.7/636.
Full textDoctor of Philosophy (PhD)
Boyce, William F. "Structural dimensions of the community participation process, the health promotion contribution program." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ27607.pdf.
Full textAnguish, Penny Marie Irene. "The real business of health care reform, community participation or local production?" Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp01/MQ37391.pdf.
Full textShugu, Yolisa. "Strategies and approaches that sustain community health committees in Nelson Mandela Bay Health District." Thesis, Nelson Mandela Metropolitan University, 2013. http://hdl.handle.net/10948/d1021003.
Full textQuantz, Darryl. "Public participation in health policy, a case study of the Region 4 Aboriginal Community Health Council." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp04/mq65131.pdf.
Full textSusanti, Suryane Sulistiana. "Community participation in improving maternal health : a grounded theory study in Aceh, Indonesia." Thesis, University of Manchester, 2014. https://www.research.manchester.ac.uk/portal/en/theses/community-participation-in-improving-maternal-health-a-grounded-theory-study-in-aceh-indonesia(f46ecd7c-bbb8-43b6-9a3f-053770a696fd).html.
Full textMntambo, Ishmael Mbuso. "Development of the Public Health model of Community participation in the Kwazulu - Natal primary health care system." University of the Western Cape, 2017. http://hdl.handle.net/11394/5978.
Full textThe purpose of this study was to develop the public health model of community participation for the KwaZulu-Natal primary health care system. The model is intended to improve the understanding of community participation and to explore its potential value in strengthening the facilitation of health promotion in the health facilities.
Kendall, Sally. "An analysis of the health visitor-client interaction : the influence of the health visiting process on client participation." Thesis, King's College London (University of London), 1991. https://kclpure.kcl.ac.uk/portal/en/theses/an-analysis-of-the-health-visitorclient-interaction--the-influence-of-the-health-visiting-process-on-client-participation(f8c15627-cbdf-4c34-a681-b27df3cff770).html.
Full textHallström, Xuehong. "Participation of patients with schizophrenia : systematic overview on participation in community and health care decisions of people with schizophrenia." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-36870.
Full textTerry, Rachel Elizabeth. "The Influence of Sense of Community on the Relationship Between Community Participation and Recovery for Individuals with Serious Mental Illnesses." PDXScholar, 2017. https://pdxscholar.library.pdx.edu/open_access_etds/3679.
Full textCortes, Soraya Maria Vargas. "User participation and reform of the Brazilian health system : the case of Porto Alegre." Thesis, London School of Economics and Political Science (University of London), 1995. http://etheses.lse.ac.uk/2445/.
Full textArowoiya, Ayorinde Ibukun. "Participation restrictions of stroke patients living in the community at selected community health centres in the Metropole Districts in the Western Cape, South Africa." University of the Western Cape, 2014. http://hdl.handle.net/11394/4680.
Full textStroke is the second leading cause of death globally and the consequences on human and economic health are of major concern. The aim of this study was to determine and explore the participation restrictions experienced by stroke patients. The study populations were stroke patients living within the community in Western Cape, South Africa. A mixed methods approach was used to collect data in this study which consisted of two phases. For the first phase, the descriptive, observational cross sectional design was used to determine the participation restrictions of stroke patients living within the community and the factors associated with community with respect to integration. In this phase, an interviewer- administered questionnaire was used to collect data; the instrument for this study is the standard World Health Disability Assessment Schedule 2.0 (WHODAS 2.0) for disability assessment which includes the International Classification of Functioning Health and Disability (ICF) concept in disability assessment which has been tested and found to be reliable and valid, to determine various participation restrictions among stroke patients living in the society. While in the second phase of this study, two focus group discussions were conducted at the selected community health centre; these participants were conveniently selected from those who participated in the first phase of the study. This was conducted to retrieve in-depth information on difficulties encountered in participating in daily life situations. The Statistical Package for Social Sciences (SPSS) was used for descriptive and inferential statistics. Chi square and Anova t-test was used to determine the association between the demographics statistic and participation restrictions. Alpha level was set at 0.05. For qualitative findings, audiotaped interviews and note taken were transcribed and translated into English; the expressed ideas were coded and reduced into subthemes, themes and categories. Ethical clearance and permission to conduct study was sought, consents from participants were sought, clearly stating the right to participate and withdraw from the study was respected and anonymity and confidentiality has been ensured. The result of the study showed that participants encountered difficulty with cognition, (23.3% of participants reported severe difficulty in learning a new task; 20% reported severe difficulty analyzing and finding solution to day to day activities), mobility (34% acknowledged difficulty walking a long distance like one kilometer after stroke), self-care ( 44% indicated difficulty staying alone for few days after stroke, while the majority, 61% complaints of difficulty with getting dressed by self), getting along with people with the majority of the difficulties (36%) are sexual activities, household activities with major complaints (46.6% and 31.4%, for severity and exemption respectively) in getting needed household work done, severe difficulty (51.7%) reported in relaxation and pleasure after stroke, 50.8% been financially restrained after stroke, 40% with difficulty in joining in the community activities, 39.2% severely affected by people perception towards them and 25.8% of the participants indicated extreme time spent on health; all difficulties investigated within the society 30 days after the incidence of stroke. However, the result of the qualitative phase reported the participation restrictions experienced by the participants. Difficulty in cognition was reported, which promotes indiscipline among family members. Limitation in activity level such as in mobility (walking for a long distance, standing from a sitting position), in self-care (washing the whole body, eating, staying alone after stroke), in getting along (maintaining friendship, sexual activities), in household activities and work activities was reported. Participants experienced difficulty in joining in community activities, emotional fluctuations, poor perception of attitudes of others after stroke, excessive use of time on health conditions, increased financial impact of health condition and burden impact on family was reported. Environmental barriers such as transportation and toilet facilities were reported. The current study findings suggest appropriate and specific programmes should be aimed at improving participation among stroke survivors in the community.
Kloseck, Marita. "Building a self-sustaining community system of health support for the elderly, determinants of individual participation in voluntary community action." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/NQ51205.pdf.
Full textWild, Andrea Jane. "Community participation in health improvement programmes : a case study of tensions between policy and practice." Thesis, University of Warwick, 2003. http://wrap.warwick.ac.uk/2669/.
Full textAbdelgadir, Muzamil H. "Testing of a new approach to community participation at the Sudanese village level." Thesis, University of Salford, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.305832.
Full textYoung, Janelle Margaret. "A pilot investigation of the volunteer work participation of mental health consumers." Curtin University of Technology, School of Occupational Therapy, 2008. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=18537.
Full textAnalysis comparing the volunteering to the non volunteering group indicated that those volunteering experienced better quality of life, specifically within the psychological health, social relationships and personal environment domains. This provides support for the hypothesis that participation in volunteer work promotes consumer recovery. However, age was identified as a potential confounding variable and so the significant results should be viewed with caution. Cost, stigma and becoming unwell during volunteering were identified as barriers to consumer participation. It is argued that mental health services are in a good position to support consumers not only to access but also to maintain ongoing volunteer participation. To date minimal evidence has existed that supported this intervention. This study has begun to fill this research void, however, small study numbers and the cross-sectional, descriptive design make establishing a cause and effect relationship impossible. It would thus be beneficial to conduct a larger study investigating the impact further, including measuring the influence of any interventions that promote consumer participation in volunteer work, such as supported volunteering.
Lavoie, Josée G. (Josée Gabrielle). "Public health politics in Nunavik health care : shared concepts, divergent meanings." Thesis, McGill University, 1993. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=69633.
Full textMeyer, Julienne Elizabeth. "Lay participation in care in a hospital setting : an action research study." Thesis, King's College London (University of London), 1995. https://kclpure.kcl.ac.uk/portal/en/theses/lay-participation-in-care-in-a-hospital-setting--an-action-research-study(e6309043-5c3d-45df-8939-375351712445).html.
Full textYenn, Roumany Nate Hongkrailert. "Participation of village health volunteers in nutritional activities program, Muang district , Sakeo province, Thailand /." Abstract, 2006. http://mulinet3.li.mahidol.ac.th/thesis/2549/cd387/4837992.pdf.
Full textMorris, Chad Tyler. "ASSESSING FACTORS INFLUENCING PARTICIPATION AND DISSEMINATION IN COMMUNITY-BASED PUBLIC HEALTH COALITIONS: AN EXPLORATION OF SOCIAL CHANGE." UKnowledge, 2009. http://uknowledge.uky.edu/gradschool_diss/720.
Full textTembo, Attracta C. "Exploring community participation in a diarrhoea prevention program in Kanyama, Lusaka, Zambia." Thesis, University of the Western Cape, 2007. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_5117_1257946425.
Full textThe program that was studied is part of the Child Health Program devised and supported by CARE International and implemented in Kanyama, a high density and low cost community found on the outskirts of Lusaka, Zambia. Diarrhoea was identified as one of the three most common diseases affecting the children under the age of five years. Through community participation, the program was implemented by the Kanyama residents to reduce the cases of diarrhoea, malaria and pneumonia among children aged five years and under. The main aim of this study was to explore the perceptions of the impact of community participation by the community leaders and community members in the diarrhoea prevention program and to establish constraints affecting participation.
Arnadottir, Solveig. "Physical activity, participation and self-rated health among older community-dwelling Icelanders : a population-based study." Doctoral thesis, Umeå universitet, Sjukgymnastik, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-35823.
Full textTsoabisi, Sello. "Investigating the extent and efficiency of community participation in primary health care in Khayelitsha, Cape Town." Thesis, Cape Technikon, 2004. http://hdl.handle.net/20.500.11838/1669.
Full textThe evolution of the South African health system has been characterised by inequities, imbalances as well as fragmentation. The unification of South Africa in 1910 did not consolidate public health administration, which was characterised by increasing institutionalisation, professionalism and organisation. This was the status-quo up until after 1990, whereby there were marked efforts and endeavours to effect defragmentation. In the context of the dramatic political changes that the country has seen over recent years, many aspects of local health care have been upgraded. Issues such as policy making and planning, the development of human resources and training for health care and the establishment of health systems and structures requires a different approach from the previous. Effective human resources development and management in consultation with communities, can contribute towards improvement of service delivery around health issues. Personnel matters and skills development should be considered in the exercise to boost employee morale and job satisfaction. The challenge facing South Africa has been to design a comprehensive programme to redress social and economic injustices, to eradicate poverty, increase efficiency and reduce waste. In the health sector this has been ongoing to involve the complete transformation of the national health care delivery system and the relevant institutions. Health care workers jointly, require the right skills, knowledge and expertise with attitude in their duties and obligation to serve the community.
Gumbi, Nkhosivile M. "To evaluate the roles and functioning of community health committees within the Nelson Mandela Bay Municipality." Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/d1020389.
Full textLaw, Kristi Lohmeier. "An exploration of the quality of citizen participation| Consumer majority boards of community health centers in Iowa." Thesis, The University of Iowa, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3566678.
Full textQuality citizen participation in processes of policy development is crucial to a democracy interested in equity of voice for all its citizens. Citizens with less political power, however, are often absent from policy development for a variety of reasons, despite legislative and advocacy efforts for inclusion. In policy development processes, community representatives are a mechanism for traditionally marginalized or disadvantaged citizens to have a voice; yet the question remains how to effectively utilize that voice. This question stems from research demonstrating an increase in quantity citizen participation but not in quality citizen participation, which is more interested in the process of policy development as opposed to a final product. To understand quality citizen participation, a critical ethnography guided by a socio-ecological perspective allowing for the investigation of contextual as well as individual factors impacting policy development processes was conducted to assist in advancing knowledge about the best practices necessary to facilitate quality citizen participation in policy development. The policy development process explored in this qualitative study was the context provided by three CHCs in a Midwestern state. Information was gathered about these three CHC boards from multiple sources to best represent the context surrounding participation on the boards and that participation experience from the perspective of board members. The data analyzed included: descriptive statistics of seven counties which comprised the patient community of the three CHCs participating in the study, descriptive statistics of the patient communities of those three CHCs, interviews with national and state policy experts, the clinic directors and board chairs of the three CHCs and interviews with 16 board members of the three CHCs. Analysis of these data identified individual, relational, organizational, community and public policy level factors which impacted the participation of board members of three CHCs. For example, the education and background experiences of board members (individual) as well as relationships between board members and the management teams of the clinics (relational) facilitated the quality of their participation on the boards. Contextual knowledge of economic, political, and cultural factors were discovered for each of the three clinics, and proved important to understanding the quality of participation of board members.
Social work educators and practitioners will benefit from the advancement of knowledge about what factors facilitate the quality of citizen participation in policy development processes. The results of this study suggest that practitioners interested in empowering consumers to have a role in the provision of services need to understand what facilitates the quality of citizen participation to ensure that consumers have a legitimate voice in policy development and implementation processes. The results of this study also inform our understanding of citizen participation in multiple policy development processes. For example, because legislators will benefit when barriers to the quality of citizen participation are identified, educators teaching social work students about macro practice will have concrete lessons to draw from; practitioners who work with non-elected members of boards will benefit from barrier identification allowing them to assist in the empowerment of future board members engaged in policy development on a wide variety of boards; and finally actual board members, especially those representing traditionally disadvantaged or marginalized communities, will benefit from knowledge gleaned from similar experiences, and educators teaching social work students about the benefits of advocacy and empowerment could assist to make their participation more effective.
Harvey, Gwen. "Health and wellbeing impacts associated with active participation in community gardens, in the context of sustainable development." Thesis, University of Exeter, 2015. http://hdl.handle.net/10871/18032.
Full textHolliday, Christopher Scott. "Understanding Member Engagement through Participation and Commitment in a Community-Based Health Coalition, 1994-2008: A Mixed-Methodological Study." unrestricted, 2008. http://etd.gsu.edu/theses/available/etd-07182008-165543/.
Full textTitle from file title page. James Emshoff, committee chair; Bethann Cottrell, Marci Culley, John Peterson, Sarah Cook, committee members. Electronic text (202 p. : ill. (some col.)) : digital, PDF file. Description based on contents viewed Nov. 19, 2008. Includes bibliographical references (p. 153-165).
Lamont, Sharon Saint. "We're the last in everything : participation in two community health projects in the north east of England." Thesis, University of Newcastle Upon Tyne, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.324791.
Full textMorris, Chad Tyler. "Assessing factors influencing participation and dissemination in community-based public health coalition an exploration of social change /." Lexington, Ky. : [University of Kentucky Libraries], 2009. http://hdl.handle.net/10225/1053.
Full textTitle from document title page (viewed on September 17, 2009). Document formatted into pages; contains: ix, 224 p. : ill. Includes abstract and vita. Includes bibliographical references (p. 210-222).
Madyibi, Nwabisa. "The sustainability of health committees in the Nelson Mandela Bay health district." Thesis, Nelson Mandela Metropolitan University, 2013.
Find full textQuin, Matt Jordan. "Student Perceptions of the Impact of Participation in Community College Mental Health Counseling on Retention, Graduation, and Transfer." Thesis, Mississippi State University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10642649.
Full textThis dissertation examined community college transfer students’ perceptions of how mental health concerns interfere with academics, the ability to stay in school, graduate, and transfer to a 4-year university. The study also examined if community college transfer students perceive that mental health counseling improves their ability to stay in college, graduate from community college, and overcome barriers that interfere with the ability to transfer to a 4-year university. The study employed descriptive statistics and one-way between subjects ANOVAs to examine the effects of demographic characteristics and presenting mental health concerns on the ability to remain in community college, graduate from community college, and transfer to a 4-year university. Eta squared post hoc test revealed medium to large effect sizes. The participants were 65 transfer students consisting largely of white, female community college graduates between the ages of eighteen and twenty-four from a mid-sized, southeastern United States university. Significant findings for differences in perceptions were found based on students’ presenting concerns for counseling and demographics.
Abraham, Warren. "Community participation in health: Home/community-based care as an alternative strategy to institutional care – a case study of Dunoon home-based caregivers." University of the Western Cape, 2011. http://hdl.handle.net/11394/5223.
Full textIn South Africa, since 2000, an increase of awareness in community involvement has become apparent, owing to the response from people to the need to be more engaged in decisions pertaining to their community. This positive move echoes an increasing acknowledgement by those in authority that community participation is essential to the main demands of renewing democracy, expanding service provision and constructing robust communities. The development of innovative patterns of participation development means that local communities should be empowered to participate in decision making, whilst government establishments need to have the determination and ability to respond to various community needs. The Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) pandemic has placed an enormous responsibility on public health services, such as South African hospitals, which are already functioning with limited resources. This has shifted the load of nursing to family members and communities as public health services are often stretched beyond their limits. Several community or home-based care programmes and facilities have materialised in reply to this necessity. In the context of participation of communities, the duty of community involvement in health plays a vital role in the future of public health in South Africa. Accordingly, this research was conducted to explore the nature and extent of community participation within the HIV/AIDS context in the Dunoon suburb in the Western Cape. An empirical research design, which consisted of qualitative methods, was used in this exploratory study to investigate the nature and extent of home-based care as an alternative strategy to institutional care. The research population was comprised of community members at the Dunoon informal settlement, the home-based workers employed at Heavenly Promise NGO, as well as staff and management of the Caltex/Chevron Refinery, members of Project Management 4 Africa (PM4A) and representatives of the Department of Social Development (DSD), which together constitute the partnership that is dedicated to combating the spread of HIV/AIDS in Dunoon. In general, the research findings demonstrate that home-based caregivers displayed strong levels of participation right from the outset of the project. The findings also established that participation among the community members was a combination of passive, weak and non-participatory, whereas home-based carers displayed a level of active participation. Furthermore, home-based care staff played a key role in decision making, while carers essentially undertook the work in the community. Hence, home-based care and communities participating in health matters are considered to be substantial as home care focuses primarily on palliative care of the patient at home, with the support of the family and the immediate community. Consequently, it is hoped that this research will prove significant and will enhance the existing knowledge of the potential benefits of home-based care as an alternative strategy to institutional care.