STAGES OF COPAR (Community Organizing and Participatory Action Research) I Pre!entry Phase CRITICAL ACTIVITIES: 1. Selection or validation 2.

Personal visit (Preliminary Social Investigation !A secondary data gat"ering t"ro#g" revie$ o% records. Common so#rces are &arangay 'ealt" Center( &arangay 'all( and )amily Records. !Rationale: 1. Red#ndancy: to avoid re*etitive +#estions 2. Irritation: to avoid re,ection %rom t"e comm#nity -. To identi%y common iss#es ! Consolidation and identi%ication o% *riorities are ot"er $ays to accom*lis" PSI -. )ormal Comm#nication !T"e gro#* comm#nicates to t"e .arangay a.o#t t"eir *#r*ose. /. Co#rtesy Call to t"e m#nici*al leader or a *ersonal visit to t"e leaders li0e mayor or m#nici*al "ealt" $or0ers ! Rationale: 1. S"o$ res*ect to t"e leaders 2 Leaders o% t"e comm#nity 0no$ $"at are or is t"e need o% t"eir area. -. T o get t"eir initial s#**ort on t"e "ealt" activities are going to do .y t"e gro#* 1. Agencies orientation !Content: 1. Policies( P"iloso*"y o% Comm#nity 'ealt" 2#rsing( *rinci*les( goals and o.,ectives. 2. Initial data t"at "as .een gat"ered .y college o% n#rsing on t"e area. -. Initial activities. /. C3PAR a**roac"( strategies( *rinci*les and *rocesses involved II Entry Phase 4escri*tion: ! Act#al entry and immersion o% comm#nity "ealt" $or0ers in t"e comm#nity ! Also 0no$n as t"e Social Pre*aration P"ase ! Considered as t"e most cr#cial *"ase .eca#se 5 It determines acce*tance o% t"e comm#nity 5Sensiti6ation o% *eo*le on critical events in t"eir lives ( e.g. dreams and as*iration

CRITICAL ACTIVITIES 1. Co#rtesy call at t"e .arangay level 7 cond#cting a *ersonal visit to t"e leaders P#r*oses: a. To (sensiti6e ma0e t"em a$are o% yo#r *resence in t"eir comm#nity .. To ma0e t"em %eel t"at yo# "ave recogni6ed t"eir im*ortant roles in t"is "ealt" *artners"i*. c. To esta.lis" ra**ort or initiate a tr#sting relations"i* $it" t"em. d. To disc#ss initial .#t immediate *lans( s#c" as8 5settling do$n in t"e sta%% "o#se 5terms or conditions related to t"e sta%% "o#se immersion 5Immersion 53c#lar s#rvey !Reasons : 1. To determine t"e "o#se o% t"e contact *ersons( or leaders o% t"e comm#nity. 2. to .e %amiliar on t"e landmar0s -. To .e a$are on t"e *"ysical and *olitical .o#ndaries o% t"e area /. To determine t"e entry and e9it *oints o% t"e area. 50ind o% a**roac" to .e #se 7 conce*t o% *artners"i* 7 : ;may 0ami ma07 ili...:( insted o% saying (:#may 0ami t#m#long : 2. Comm#nity integration 7 .asic contin#ing activity .y $"ic" t"e comm#nity es*ecially t"e *oor t"ro#g" immersing sel% in t"e comm#nity. P#r*oses o% integration : a. To get to 0no$ t"e *eo*le<s c#lt#re( economy( leaders( "istory( r"yt"m( and li%estyles as .ases %or o$n ad,#stments 77.etter acce*tance to t"e comm#nity. .. To #nderstand and res*ect t"e *eo*le and recogni6e t"e *ositive as*ect o% t"eir c#lt#re t"at give t"em t"e strengt" to str#ggle. c. To #nderstand "o$ t"e *eo*le analy6e t"eir o$n sit#ation d. To "ave .asis %or modi%ying o$n val#es and li%estyle in 0ee*ing $it" t"at o% t"e comm#nity. =#idelines in integration: a. A**earance( s*eec"( .e"avior and li%estyles .e in 0ee*ing $it" t"e comm#nity residents( $it"o#t disregard to .eing a role model in "ealt" .elie%s and *ractices. A**earance77not a**earing li0e a to#rist S*eec"77not tal0ing slang &e"avior77not .eing too close $it" t"e o**osite se9 Li%estyle77sim*le %ood yet n#tritio#s .. &e "#m.le and ado*t a lo$ 0ey *ro%ile or a**roac". =o do$n to t"eir level. Enco#rage yo# to call yo# sim*ly. Re%rain %rom

.eing messianic in a**roac". 4o not *romise anyt"ing yo# are not very s#re o% giving. c. Visit as many *eo*le as *ossi.le in t"e comm#nity .y cond#cting "o#se to "o#se visits and ans$ering "o#se calls. Rationale: to avoid creating ,ealo#sies and %actions. Ca#tions: insin#ating remar0s o% *ersonal interest d. Live $it" t"e *oorer *eo*le in t"e comm#nity i% yo# really $ant to .e o% service to "#manity. e. Partici*ate in direct *rod#ction( "o#se"old and social activities o% t"e *eo*le. %. See0 o#t and converse $it" *eo*le $"ere t"ey #s#ally congregate 7 stores( $as"ing streams( c"#rc"( etc. Ca#tion: 4isting#is" .et$een small tal0s and disc#ssion %rom tsismis. g. Avoid too m#c" drin0ing. ". de%initely no smo0ing or gam.ling in t"e comm#nity. i. avoid %lirting $it" male and %emale comm#nity mem.ers. ,. S"are t"e *eo*le<s "o#sing( %ood( entertainment( and meetings. -. Leader s*otting and initial core gro#* %ormation> identi%ying e9isting leaders or gro#*s a. Laying t"e %o#ndation o% a strong *eo*le<s organi6ation .y identi%ying original or indegeno#s mem.ers o% a comm#nity $it" leaders"i* +#alities and .ringing t"em toget"er to e9c"ange 0no$ledge and insig"ts a.o#t t"eir comm#nity .. Core go#*7 a gro#* o% *eo*le $"o are initially identi%ied as leaders (0ey *ersons and o*inion leaders $it" t"e %ollo$ing c"aracteristics: 5 "as a "ig" level o% interest and needs and is o*en > $illing to s"areneeds and interest $it" ot"ers on a collective .asis 5 ?ani%est attit#des > val#es o% integrity and credi.ility in $ords and actions. 5 3*en to learn more and gain s0ills. 5 Committed to s"are o$n time and reso#rces %or t"e comm#nity 5 e9*resses $illingness to act on somet"ing or solve *ro.lems $it" ot"ers on a collective .asis 5 S"ares similar vision( goals and val#es $it" t"at o% t"e *eo*le. )#nctions o% t"e core gro#*: 5serves as t"e initial contact gro#* o% t"e "ealt" $or0er 5 *er%orms initial actions or mo.ili6ation o% t"e comm#nity mem.ers 5 Later on .e elected as o%%icers o% t"e *eo*le<s organi6ation or .ecome c"airs o% di%%erent committees t"at t"e comm#nity may *ro.a.ly %orm.

5 'el*s t"e "ealt" $or0ers cond#ct a dee*ening social investigation( s*ot additional *otential leaders %rom di%%erent sectors o% t"e comm#nity 5 'el*s in laying o#t *lans and tas0s %or t"e %ormation and maintenance o% a comm#nity7$ide organi6ation. c. Sociogramming 7 a systematic *rocess o% identi%ying indigeno#s leaders in t"e comm#nity $"o can %acilitate t"e c"ange *rocess( es*ecially in mo.ili6ing *eo*le. Sociogram 7 a tool t"at can .e #sed to analy6e a leaders"i* or comm#nication *attern .et$een and among gro#*s o% *eo*le. P#r*ose o% a leaders"i* sociogram: a. 'el*s t"e "ealt" $or0er identi%y 0ey *ersons( o*inions leaders and deviants or isolates in a certain comm#nity @ey *erson: 5 t"e star in t"e sociogram .eca#se s"e or "e is t"e most commonly a**roac"ed .y many *eo*le regarding t"eir o$n *ro.lems 5 an o.vio#s leader( *ersons $it" $"om t"e "ealt" $or0er "as to $in s#**ort and train as t"e local comm#nity organi6er and "ealt" $or0er. Alter ego o% t"e "ealt" $or0er. 3*inion Leader: 5 t"e *erson $"o is a**roac"ed .y t"e 0ey *erson and is t"ere%ore( t"e one .e"ind t"e 0ey *erson<s ideas. Adviser o% t"e 0ey *erson. 4eviants or isolates 5 *ersons in t"e comm#nity $"o are not or are never a**roac"ed .y any or %e$ comm#nity mem.ers $"en %aced $it" *ro.lems. .. Also "el*s t"e "ealt" $or0er to get t"e identi%ied leaders to e9*ress t"eir s#**ort to t"e C3PAR a**roac"( its *"ases and activities c. It is $iser t"at t"e detailed res#lts o% t"e sociogram $ill not .e 0no$n .y t"e comm#nity in order to avoid raising negative %eelings or re,ection or denial among comm#nity mem.ers.

/. =ro#nd$or0ing o% identi%ied leaders (0ey *ersons and o*inion leaders and comm#nity mem.ers 4e%inition: t"is is a .asic tactic #sed in comm#nity organi6ing $"ere t"e organi6er goes aro#nd and motivate t"em on a one7on 7one .asis to: a. critically st#dy and come #* $it" one stand *oint a.o#t a *artic#lar iss#e at "and .. *re*are o$n contri.#tions *rior to a meeting c. t"in0 o% a s#ggestion on $"at to do a.o#t somet"ing t"at needs to .e acted #*on d. motivate t"em to *artici*ate > attend ?ain *#r*ose o% gro#nd$or0ing: to mind set *eo*le 1. Tentative *rogram *lanning and im*lementation7 an activity t"at can .e done sim#ltaneo#sly .y t"e comm#nity "ealt" develo*ment $or0ers alongside $it" t"e leader s*otting( gro#nd$or0ing( and 4SI. a. C'4 Aor0ers $ill c"oose a ma,or "ealt" iss#e or *riority concern identi%ied d#ring t"e PSI and t"ey $ill $or0 on it $it" t"e general *o*#lation Rationale: To ma0e organi6ing and "ealt" activities more concrete or visi.le .. Close coordination o% t"ese activities $it" e9isting local "ealt" $or0ers and R'; *ersonnel. E9am*les: 'ealt" service delivery t"o#g" "ome visit 'ealt" ed#cation ?a9imi6ing ca*a.ilities o% &'As En"ancing ca*a.ilities o% &'As B. 4ee*ening social investigation(4SI 7 a contin#o#s systematic *rocess o% collection( collation and analysis o% *rimary and secondary data not re%lected in t"e PSI 3t"er terms #sed %or 4SI: comm#nity st#dy or *artici*atory action researc" P#r*ose o% 4SI: a. Provides a clearer *ict#re a.o#t t"e comm#nity .. &asis %or *lanning and organi6ing activities c. 'el*s in determining t"e a**ro*riate a**roac" and met"od o% organi6ing

Comm#nity diagnosis 7 o#t*#t o% comm#nity st#dy t"at is descri.ed as .ot" a *ro%ile and a *rocess: a. As a *ro%ile( it is a descri*tion o% t"e comm#nity<s state o% "ealt" as determined .y its social( *olitical( economic( c#lt#ral and environmental > ecological > *"ysical > geogra*"ical %actors. .. as a *rocess( it is contin#ing learning e9*erience %or .ot" t"e agency and t"e comm#nity. 5 %or t"e agency( it learns to alter its initially dra%ted *lans and *rograms in order to ada*t to t"e res#lts o% t"e comm#nity analysis. 5 %or t"e comm#nity( it allo$s t"em t"e o**ort#nity to grad#ally #nderstand t"eir o$n sit#ation and t"e *otential advantages t"at c"ange can .ring a.o#t. =#idelines > *ointers in cond#cting dee*ening social investigation: a. ?ore s#ccess%#l i% t"e "ealt" $or0er "as $ell integrated $it" t"e comm#nity mem.ers. .. Comm#nity leaders s"o#ld .e trained to assist t"e "ealt" $or0ers in doing 4SI so t"at it $ill .e tr#ly *artici*atory c. T"e #se o% t"e s#rvey +#estionnaire is disco#raged as m#c" as *ossi.le d#e to t"e %ollo$ing disadvantages: 54is"onesty o% data i% t"e "ealt" $or0er "as not yet %#lly integrated $it" t"e comm#nity 54i%%ic#lty o% comm#nity %ol0s and leaders in reading and ans$ering a long +#estionnaire. 5Previo#s negative e9*eriences o% comm#nity $it" traditional researc"ers t"at leave t"em a %eeling o% .eing s#.,ects o% st#dy( instead o% .eing active *artici*ants o% t"e st#dy. d. 4ata can .e more acc#rately and "onestly gat"ered t"ro#g" in%ormal met"ods li0e cas#al conversations d#ring 5 "o#se7to7"o#se visits 5$"ile riding a ,ee*ney $it" t"em 5in stores 5in $as"ing streams 5$"ile attending comm#nity gat"erings 5$"ile $or0ing $it" t"em in *rod#ction and "o#se"old activities 2ote: it is t"is %ort" g#ideline t"at ma0es 4SI long and tedio#s and re+#ires t"e comm#nity "ealt" develo*ment $or0er to live or immerse in t"e comm#nity

Rationale %or #sing in%ormal met"ods o% data gat"ering: To o.tain relia.le data. e. Validation o% data s"o#ld .e done reg#larly $it" comm#nity %ol0s %. Collation( analysis and $riting o% t"e comm#nity diagnosis s"o#ld also .e *artici*atory g. %or a tr#ly *artici*atory analysis to "a**en( it s"o#ld .e done in %o#r levels: 5 at t"e level o% t"e comm#nity "ealt" develo*ment $or0ers 5 R'; or directly "ealt" related agency *ersonnel 5 local government #nits 5 Per sitio7level analysis Ste*s in cond#cting a comm#nity diagnosis (1 Pre*aratory *"ase: a. Revie$ $it" t"e comm#nity leaders t"ose data t"at are not availa.le in t"e PSI .#t are im*ortantly needed in "ealt" develo*ment $or0. .. Assist t"e leaders to decide to gat"er t"ese missing data. c. I% t"ey decided to gat"er t"e data( assist t"e m to %orm#late very sim*le o.,ective > s o% t"e comm#nity diagnosis d. Researc" training o% core gro#* on designing very sim*le tools and met"ods o% data collection: E.g. Training on "o$ to cond#ct an intervie$ "o$ to ma0e %las" cards to a#gment t"eir data collection t"ro#g" intervie$ e. ?a**ing and 6oning to avoid overla**ing o% "o#se"olds .eing intervie$ed. (2 Partici*atory data collection .ased on a set sc"ed#le (- Cond#ct o% %irst ARAS $it" t"e core gro#*. (/ Partici*atory collation( validation and analysis a. Training o% core gro#* on collation o% data .. Act#al collation o% data c. Analysis o% data 7 comm#nity develo*ment $or0ers and core gro#* analysis( t"e %irst to act as %acilitators d. 4ry r#n o% core gro#* in %acilitating sitio level analysis e. Sim#ltaneo#s $it" t"e dry r#n o% core gro#*( data *resentation and validation $it" R'; and ot"er "ealt" agency $or0ers $ill .e cond#cted .y t"e develo*ment $or0ers. %. validation and analysis o% data .y t"e local government #nit( m#nici*al level( %acilitated .y comm#nity develo*ment $or0ers. g. Com*ile all t"e res#lts o% validation and analysis o% t"e di%%erent gro#*s. ". identi%ication o% a mem.er o% t"e *lanning team %rom eac" o% t"e gro#*. i. Cond#ct o% second ARAS activity (1 Partici*atory *lanning a. &rie% training o% re*resentatives( %rom t"e di%%erent gro#*s $"o analy6ed

t"e data( on *lanning. .. %orm#late t"e C3??;2ITC 4EVEL3P?E2TAL PLA2. c. *lanning cons#ltation to t"e di%%erent gro#*s $"o analy6ed t"e data *l#s committee %ormation. T"e committees t"at $ill .e %ormed $ill .e .ased on *ro.lems t"at $ere identi%ied in t"e analysis d. Com*ilation o% *lans e. Cond#ct o% t"ird ARAS activity. (B Partici*atory action a. mo.ili6ation o% t"e di%%erent committees %ormed .. ARAS .y eac" committee (D Partici*atory eval#ation a. E#arterly .. Ann#ally D. Comm#nity meeting or assem.lies 7 series o% comm#nity gat"erings $"ere all comm#nity mem.ers or "o#se"old re*resentatives are en,oined to attend P#r*ose o% comm#nity meetings: a. To collectively disc#ss( agree( *lan or act on somet"ing t"at t"e individ#al or %amily "ave already decided or t"o#g"t a.o#t d#ring a gro#nd$or0ing activity. .. To *rovide an o**ort#nity %or t"e comm#nity %ol0s to e9ercise t"eir collective *o$er and con%idence to act on t"eir concerns C3??;2ITC C32S;LTATI32 Definition: t"is is t"e %irst o% t"e series o% meetings $"ere t"e "o#se"old re*resentatives and t"e agency $ill meet toget"er in order to %ormally 0no$ eac" ot"er and to s"are t"eir o$n vision( mission and o.,ectives in relation to "ealt" develo*ment. Objectives of this consultation: a. To get t"e *eo*le<s collective ideas and %eelings a.o#t t"e entry o% t"e agency to t"eir comm#nity in terms o% acce*ta.ility or #nacce*ta.ility. .. i% t"eir are no evidences o% #nacce*ta.ility( t"e agency re*resentatives $ill no$ %ormally introd#ce t"eir *"iloso*"y( *rinci*le o% $or0( a**roac" to .e #tili6ed( *rogram com*onents and o.,ectives and organi6ational str#ct#re. Note: d#ring t"is meeting t"eir $ill .e no mention yet o% t"e *ossi.le activities sti*#lated in t"e *lan *re*ared .y t"e agency re*resentatives #*on entry since t"is $ill .e %irst evo0ed %rom t"e *eo*le. c. to *resent t"e res#lts o% t"e PSI in order to *rovide t"em an o**ort#nity (1 to validate data (2 %or initial analysis and identi%ication o% common comm#nity *ro.lems or concerns. (- %or t"e comm#nity to initially decide a.o#t *riority *ro.lems or needs t"at concern t"em at t"at moment

(/ to identi%y t"eir o$n strengt"s. d. to evo0e %rom t"e comm#nity residents t"eir vision o% a "a**y %amily and a develo*ed comm#nity in t"e lig"t o% t"e sit#ation t"at t"ey "ave ,#st analy6ed e. T"e comm#nity to: (1 Identi%y *ossi.le o.stacles t"at .loc0 t"em %rom ac"ieving t"eir vision (2 %orm#late t"eir o$n goals and o.,ectives in relation to t"e o.stacles and *ro.lems t"ey "ave already identi%ied (- Collectively decide on t"e ne9t activity t"ey are going to do 7 any o% t"e %ollo$ing: 5do an initial comm#nity *lan %or t"e identi%ied *ro.lems (*ro.lems( $"y( "o$( $"en( etc 5 %orm#late s*eci%ic committees intended to %rontline resol#tion o% t"e *ro.lems or o.stacles identi%ied E9am*le !Researc" committee Fi% t"ey t"in0 t"ey need more data aside %rom t"e res#lts o% PSI ! Planning committee 7 to dra%t t"e initial comm#nity *lan ! ot"er committees Note: t"e agency %acilitator or develo*ment $or0er s"o#ld .e very conscio#s to g#ide t"e *eo*le( .#t not to s#ggest( so t"at t"ey $ill decide %or t"e second o*tion 7 to %orm#late s*eci%ic committees and give names to t"e committees t"ey "ave %ormed t"e agency %acilitator can "el* t"e *eo*le decide .y e9*loring $it" t"em t"e advantages o% eac" o% t"e t$o o*tions. %. to evo0e %rom t"e comm#nity t"eir o$n ideas a.o#t t"e c"aracteristics and +#ali%ications o% a good leader. g. t"e comm#nity $ill select %rom among t"em( *eo*le $"o *osses t"e c"aracteristics and +#ali%ications o% a leader t"at t"ey "ave identi%ied. Note: t"ere are *ossi.ilities t"at t"e initial 0ey *erson or core gro#* identi%ied earlier $ill no$ .e integrated into t"e di%%erent committees( as c"airs or mem.ers. Role of the agency representative during this community consultation: ?ain )acilitator G. Action7re%lection 7action session (ARAS Definition: Reg#lar cycle o% eval#ation t"at %ollo$s every a%ter an activity( $"ic" largely %oc#ses on sel%7re%lection a.o#t one<s o$n contri.#tion to t"e s#ccess and %ail#re o% t"at activity and $"at one can do to en"ance or im*rove %#t#re *er%ormance or similar %#t#re activities. Specific objectives of ARAS %or eac" individ#al or gro#* : a. Identi%y and cele.rate o$n strengt"s related to t"e s#ccess o% t"e activity. E9am*le ( Comm#nity cons#ltation .. Critically analy6e t"e ca#se o% mista0es and %ail#res in t"at *artic#lar activity so t"at conse+#ent s#ggestions can .e given to im*rove *er%ormance in t"e ne9t activity and to *revent rec#rrence o% s#c" mista0es

or %ail#res c. relieve t"e *ains e9*erience d#e to errors or mista0es or d#e to t"e .e"aviors o% ot"ers in t"e gro#* or comm#nity. d. reconcile "#rt %eelings $it"in individ#als in t"e gro#* e. re7a%%irm commitment to t"e organi6ational vision( mission and goals %. .ecomes closer or develo* %#rt"er co"esion ?et"ods o% cond#cting ARAS: a. small ro#nd ta.le disc#ssion .. gro#* singing c. song or story analysis d. +#estion and ans$er tec"ni+#e t"en relating res*onses to act#al sit#ations or activities cond#cted. S#ggested ste*s in cond#cting ARAS: a. Pre*aration: 5 T"e nat#re o% t"is activity s"o#ld .e al$ays a *art o% every orientation Rationale: t"is is to mind set mem.ers to antici*ate and t"ere%ore *re*are %or t"is activity 5 ?em.ers to agree on t"ings to *re*are ( e.g.( ta*es o% a song( story ven#e %or t"e ARAS( com%orta.le attire and time. .. Act#al ARAS 5 )ormation $ill .e very in%ormal and no *"ysical .arriers s"o#ld .e .loc0ing t"e vision o% one *artici*ant to t"e ot"er. 5 )acilitators to start $it" gimmic0s to decrease an9iety o% t"e mem.ers 5 Present o.,ectives in relation to t"e recently concl#ded activity 5 )acilitator disc#sses t"e %lo$ o% ARAS and get s#ggestions and a**roval %rom t"e .ody. 5 =ro#* singing( song or story analysis ($"atever met"od is a**ro*riate 5 Possi.le +#estions %or sel% re%lection: ! A"at "ave yo# reali6ed %rom t"e song or story in relation to yo#rsel% 7 attit#des( 0no$ledge and s0illsH ! 'o$ $ill yo# relate t"e reali6ation to t"e activity $e "ave ,#st concl#dedH ! A"at "ave yo# learned %rom t"e story or songH )rom t"e activityH ! 3t"er +#estions as necessary 5 Res*ect mem.ers e9*ression o% emotions and %eelings .y not .eing ,#dgmental 5 S"aring and synt"esi6ing learning insig"ts %rom t"e activity and %rom eac" ot"er. 5 4eriving im*lication o% insig"ts in relation to sel%( ot"ers and to organi6ational vision( mission( and goals. A"o %acilitates t"e ARAS a. Leader o% t"e agency or a designate 7 i% t"e ARAS $ill .e cond#cted $it"in t"e agency or among t"e agency $or0ers

.. Comm#nity level 5 T"e agency $or0ers $ill %acilitate in t"e %irst e9*erience o% ARAS to .e cond#cted $it" comm#nity %ol0s. 5 Comm#nity leaders $ill .ecome t"e %acilitators i% ARAS $ill .e cond#cted $it"in t"e di%%erent committees a%ter s#%%icient s0ills "ave .een develo*ed III Organizationa" #ui"ding Phase 4escri*tion: 1. T"is is t"e *"ase $"ic" entails t"e %ormation o% more %ormal str#ct#res and incl#sion o% more %ormal *roced#res o% *lanning( im*lementing and eval#ating comm#nity $ide activities. 2. It is in t"is *"ase $"ere t"e organi6ational leaders( gro#*s or comm#nities are given %ormal and in%ormal trainings to %#rt"er develo* t"eir attit#des( 0no$ledge( and s0ills t"at t"ey need in managing t"eir o$n activities or *rograms. -. T"is is also considered as t"e ?3ST CR;CIAL *"ase o% C3PAR .eca#se: a. T"e %oc#s o% C3PAR is .#ilding and strengt"ening "#man .e"avior .. T"e c"allenges and str#ggles o% t"e agency "ealt" develo*ment $or0er occ#r d#ring t"is stage Note : Comm#nity organi6ing is more o% e9*eriencing( instead o% in*#tting. In s*ite o% t"e str#ggles and c"allenges %aced .y t"e comm#nity organi6er or develo*ment $or0er( "e or s"e s"o#ld not .e .om.arded $it" conce*ts or in*#ts instead8 "e or s"e s"o#ld .e allo$ed to gro$ as t"e organi6ation gro$s or to learn .y e9*eriencing $"at t"e organi6ation or comm#nity e9*eriences. CRITIAL ACTIVITIES: 1. )ormali6ation o% a gen#ine *eo*le<s organi6ation Definition of terms: a. )ormali6e 7 to give s"a*e( %orm or str#ct#re $it" a clearly artic#lated vision( mission( goals( o.,ectives( %#nctions or tas0s and *ersonnel .. =en#ine *eo*le<s organi6ation (1 A living organism in a social ecosystem not ,#st a str#ct#re. A living organism in a social ecosystem means t"at it is a gro#* o% conscientici6ed individ#als $"o decided on t"eir o$n( to #nite e%%orts so t"at t"ey can collectively generate more reso#rces and collectively act on t"eir o$n common *ro.lems and concerns. (2 An organi6ation t"at t"e *eo*le( t"emselves( decided to %orm %or t"eir o$n interest and not %or t"e interest o% e9ternal individ#als or gro#*s. (- T"is organi6ation .ecomes t"e so#rce o% *o$er %or t"e comm#nity

Elements of a genuine people's organi ation: a. !ision 7 imagination( dream( an ideal or an end res#lt o% a standard +#ality o% li%e( an a.stract. It is #s#ally .roadly stated and in a no#n *"rase. E9am*le: sel% reliance( Em*o$erment( :"ealt" %or all:( etc. .. "ission 7 *rinci*al8 tas0 or assignment( *at" c"osen to .e a.le to reac" t"e vision. C"aracteristics o% a mission statement: (1 Starts $it" :To...: (2 ?#st %lo$ %rom t"e vision statement (- Accom*lis"ment o% t"e mission leads to t"e reali6ation o% t"e vision (/ S"o#ld .e attaina.le c. #oal 7 general( .road aim or direction( t"e end to$ard $"ic" all e%%ort is directed at d. Objectives (1 Clari%ies in detail $"at one $ants to carry o#t (2 It s*eci%ies %or $"om t"e *ro,ect is .eing done( .y $"om. Ait"in $"at *eriod o% time( $"ere and $"at a gro#* $ants to accom*lis" (- In s"ort( t"is is a detailed clari%ication o% $"at one $ants to accom*lis" e. Development plan 7 $ritten o#tline o% t"e goals( o.,ectives( *lanned activities( reso#rces( monitoring sc"eme and eval#ation *lan o% t"e comm#nity %. Structure 7 re%ers to t"e s0eletal arrangement and com*osition o% t"e *eo*le<s organi6ation( incl#ding t"e di%%erent committees( t"e *eo*le $"o man t"ese committees( and t"e relations"i* and lines o% res*onsi.ility and a#t"ority o% its leaders and mem.ers g$ "echanics % strategies 7 met"ods or tactics ". &olicies 7 set o% *rinci*les or r#les determining $"at or "o$ t"ings are done .y a *erson or a gro#*. i. &ersonnel 7 incl#des t"e leaders"i* or management and *rogram sta%%. ,. "embership 7 constit#te t"e n#m.er o% actively *artici*ating mem.ers $"ic" ideally s"o#ld come %rom every "o#se"old com*rising t"e comm#nity. 0$ Resources 7 s#**ly or s#**ort %or t"e organi6ation (1 Land 7 incl#des .eneat" and a.ove (2 La.or 7 all "#man .eings $"o e9tract and *rocess ra$ materials into %inis"ed *rod#cts( to trans*ort and sell goods or *rod#cts or *rovide services (- Ca*ital 7 materials( money( logistic or s#**ort services $"ic" t"e *eo*le #se to e9tract and *rocess t"e ra$ materials (/ Entre*rene#r or manager (1 E9c"ange val#e In s"ort( reso#rces $o#ld re%er to t"e B ?s 7 man*o$er( mac"inery( met"ods( min#te (time ( money( materials. l. &articipation ' considered to .e t"e ?3ST I?P3RTA2T ELE?E2T o% t"e organi6ation .eca#se $it"o#t t"is( t"e organi6ation cannot .e considered as a living organism (evels of organic gro)th of an organi ation a. &irt" to in%ancy Description: t"is starts %rom t"e identi%ication o% *otential leaders to core gro#*

%ormation #ntil t"e %ormali6ation o% t"e *eo*le<s organi6ation. *haracteristics: (1 Str#ct#re: very sim*le( loose and tem*orary. E9am*le : ?ot"er< s gro#* (2 Leaders and mem.ers o% t"e organi6ation : only t"ose $"o are active and are directly a%%ected .y t"e *ro.lem (- Relations"i* .et$een and among leaders and mem.ers: #s#ally collegial (small gro#* .asis and %amilial (similar to %amily relations"i* (/ =oal : Resol#tion o% a s*eci%ic iss#e or a *artic#lar *ro.lem (1 Programs and services: ;s#ally s*oradic and s"ort7term (B )oc#s o% action: ;s#ally c#rative in nat#re .. Adolescent *haracteristics: (1 Str#ct#re 7 $ell7de%ined $it" %ormal elected o%%icers "aving de%ined tas0 and res*onsi.ilities (2 Leaders 7 Eit"er elected indigeno#s or relational (- Relations"i* o% leaders and mem.ers 7 )#nctional or is .ased on *osition or a#t"ority( $it" creation o% certain cli+#es or %actions. (/ =oal 7 To e%%ect s*eci%ic c"anges in t"e comm#nity( not only on a *artic#lar iss#e (1 Programs 7 Aell7de%ined( $it" clear so#rces o% %#nds( $it" *aid sta%%( and "as a legal *ersonality c. Ad#lt > mat#rity 7 Via.le( %#nctional *haracteristics: (1 Str#ct#re 7 )ormal $it" net$or0s and alliances (2 Leaders"i* 7 mass .ased $it" leaders $"o are a.le to %orm o*erational alliances and net$or0s and "ave develo*ed certain c#lt#re or val#e systems s#c" as :$e attit#de:( o*en and "#m.le( o.,ective( etc. (- Relations"i* 7 Close intra and inter7 organi6ational (/ =oal 7 Social and val#e trans%ormation t"at starts %rom a smaller comm#nity to a $ider or .igger society. (1 Programs 7 4irected at strengt"ening t"e organi6ation( sel%7reliant tas0 gro#*s in t"e comm#nity are availa.le to *rovide "ealt" services( reso#rces are no$ generated $it"in t"e comm#nity. S#.7 activities #nder %ormali6ation o% t"e *eo*le<s organi6ation a. Comm#nity ma0ing 7 means giving o**ort#nities %or t"e comm#nity %ol0s and t"e di%%erent committees %ormed d#ring t"e comm#nity cons#ltation to develo* > strengt"en tr#st $it" eac" ot"er( to s"are signi%icant events in t"eir lives( increase t"eir level o% *artici*ation( en"ance t"eir team .#ilding ca*a.ilities and to clari%y t"eir o$n val#e system. Activities t"at can .e done (D Tr#st $al0 o% tr#st all (11 Val#e clari%ication (G &anig ng &#"ay (F *artici*ation activity

(1I Team .#ilding activity .. )ormali6ation o% t"e vision( mission( goals (V?= and o.,ectives %orm#lated d#ring t"e comm#nity cons#ltation 'o$ can t"is .e doneH (1 T"e comm#nity leaders and every "o#se"old re*resentative meet to revie$ t"eir artic#lated val#es trans%ormed into t"e vision o% a "a**y %amily and a develo* comm#nity (2 T"ey $ill no$ re%ine t"e vision and mission( $it" t"e assistance o% t"e comm#nity "ealt" develo*ment $or0er (- T"ey $ill agree to *resent t"is vision and mission %or a**roval to t"e general mem.ers"i* c. )orm#lation o% t"e str#ct#re( *olicies or constit#tion and .y7la$s o% t"e organi6ation Some ty*es o% organi6ational str#ct#re: (1 Centrali6ed ot"er$ise termed as totalitarian 7 *o$er comes %rom t"e leader ( sta%%( and 0ey in%ormants E9am*le: &34

Pres.

(2 Centrali6ed7decentrali6ed. T"ere are di%%erent committees on to* o% t"e &34. 'o$ever( t"ese di%%erent committees o.vio#sly e9ist as se*arate or individ#al .odies

&34

(- 4ecentrali6ed. T"is str#ct#re re+#ires t"e general mem.ers"i* as t"e main decision ma0ers. It "as di%%erent committees .elo$ t"e general assem.ly $"o are res*onsi.le in %ront lining comm#nity activities according to concern. &#t t"e over7all decision ma0er is t"e general mem.ers"i* or assem.ly.

=A

Com 1

Com 2

Com -

Etc.

(/ A#tonomo#s. In t"is ty*e o% str#ct#re( di%%erent small committees or gro#*s in t"e comm#nity net$or0 and lin0 $it" eac" ot"er.

Note : In comm#nity "ealt" develo*ment $"ere gen#ine collective voice and action is needed( t"e .est str#ct#re to .e develo*ed is t"e a#tonomo#s. It t"is is not yet *ossi.le( t"e ne9t .est alternative is t"e decentrali6ed ty*e. ( again( it is very im*ortant %or t"e comm#nity "ealt" develo*ment $or0er to %acilitate t"e *eo*le to decide to ado*t t"is str#ct#re( instead o% dictating t"em to ado*t t"is str#ct#re . 'o$ can $e "el* t"e organi6ation %orm#late its o$n *olicies or constit#tion or .y7la$sH (1 Evo0ed %rom t"e di%%erent committees %ormed t"e %ollo$ing: a. "o$ $ill t"ey name o% organi6ationH .. do t"ey li0e to esta.lis" a s*eci%ic o%%ice %or s#c"H c. 'o$ $ill t"ey man t"e o%%ice( i% ever t"ey $ill "ave to esta.lis" oneH d. 'o$ $ill t"ey s#stain t"e organi6ationH e. A"at $ill .e t"e re+#irements in terms o% :

5?em.ers"i* 5 Leaders"i* ten#re o% o%%ice and etc. (2 Assist t"em to %orm#late or *resent t"is into a $rite #*. d. Assist t"e leaders to *re*are and cond#ct a comm#nity $ide meeting %or t"e rati%ication or a**roval o% t"e %ormali6ed vision( mission( organi6ational str#ct#re and .y7la$s or *olicies. e. Registration o% t"e *eo*le<s organi6ation to Sec#rities and E9c"ange Commission (SEC . P#r*ose o% SEC registration: to ma9imi6e %ormal #se o% t"e organi6ation in o.taining assistance %rom ot"er government and non7government s#**ort gro#*s. Ste*s in SEC registration: (1 T"e comm#nity leaders or c"airs o% t"e di%%erent committees *re*are t"e %ollo$ing re+#irements %or SEC registration: a. Accom*lis"ed a**lication %or registration o.tained %rom SEC .. Rati%ied name o% t"e organi6ation. It is im*ortant %or t"e leaders to c"ec0 at SEC %irst i% t"ere is no ot"er organi6ation registered $it" SEC #sing t"e same name t"at t"ey "ave selected. c. Registration %ee d. Constit#tion and .y7la$s( $it" com*lete names and signat#res o% all t"e o%%icers7 re*rod#ced in %o#r co*ies (2 3ne re*resentative( *re%era.ly t"e over7all c"air( $ill .ring t"e doc#ments or re+#irements *ersonally to SEC. 2. Common training o% t"e di%%erent committees on t"e %ollo$ing: a. Sel%7a$areness and team.#ilding activities .. leaders"i* training (1 4ecision7ma0ing (2 Pro.lem solving (- )acilitating s0ills (/ Planning s0ills (1 Eval#ating s0ills (B 3t"ers. As necessary c. &asic "ealt" orientation (&'3 -. S*eci%ic training to .e given to eac" %ormed committee .. &asic "ealt" s0ills training %or t"e Primary 'ealt" Committee and comm#nity 'ealt" Aor0ers c. C3PAR training %or t"e local Comm#nity 3rgani6ers< Committee /. 4ry r#n or scenario 7 an o**ort#nity %or eac" o% t"e c"airs o% t"e committees to *ractice or act o#t as %acilitators .e%ore t"ey $ill act#ally cond#ct an antici*ated comm#nity activity. P#r*ose o% dry r#n: a. Serves as a training %or t"e comm#nity leaders since t"ey $ill .e criti+#ed and g#ided .y t"e comm#nity "ealt" develo*ment $or0ers .. It "el*s t"e %#t#re leaders antici*ate *ossi.le +#estions or *ro.lems t"at may arise( "ence( t"ey can antici*ate *ossi.le ans$ers already.

c. It *re*ares t"e leaders to attain %eeling o% s#ccess t"at t"ey are a.le to do it .y t"emselves. 1. Comm#nity assem.lies. T"e t$o most im*ortant comm#nity assem.lies t"at $ill .e cond#cted d#ring t"is *"ase $ill .e t"e %ollo$ing: a. Researc" cons#ltation. T"is re%ers to t"e *resentation o% t"e res#lts o% collated data in t"e dee*ening social investigation or comm#nity diagnosis to %o#r di%%erent gro#*s: (1 Researc"ers< gro#* $"ic" incl#des t"e comm#nity core gro#* and t"e develo*ment $or0ers. (2 'ealt" agencies already e9isting in t"e comm#nity 7 e.g. R#ral 'ealt" ;nit sta%% and *ersonnel( "ealt"7related 2=3<s (- &arangay o%%icials $it" t"e *resence o% t"e m#nici*al develo*ment o%%icer and S& committee on 'ealt". (/ Sitio or .arangay residents P#r*oses o% t"is researc" cons#ltation: to *rovide a ven#e %or t"e comm#nity. (1 To collectively validate t"e data gat"ered .y t"e core gro#* mem.ers and t"e develo*ment $or0ers. (2 To actively and collectively analy6ed t"eir o$n sit#ation t"en identi%y t"eir o$n needs and *ro.lems. (- And "ealt" develo*ment $or0ers arrive at a common %rame o% re%erence in terms o% "ealt" concerns and *ro.lems. (/ To *rioriti6e t"eir o$n needs and *ro.lems (1 To initially artic#late t"eir o.,ectives( activities( *rograms or *ro,ects intended to resolve *ro.lems identi%ied. Roles to .e *layed .y s*eci%ic individ#als or gro#* d#ring t"is researc" cons#ltation: (B Core gro#* or comm#nity leaders 7 data *resenters and main %acilitators (D Comm#nity "ealt" develo*ment "ealt" $or0ers (o#tside c"ange agents 7 *rocess7 o.servers and co7%acilitators( as necessary (G &arangay o%%icials *resent in t"e .arangay or sitio7level *resentation and analysis7co7%acilitators .. )orm#lation o% t"e comm#nity develo*ment *lan (C4P P#r*oses. T"is is a small gro#* meeting "eld .y t"e core gro#* or comm#nity leaders %acilitated .y t"e comm#nity "ealt" develo*ment $or0ers( %or t"e %ollo$ing *#r*oses: (1 To re%ine initial *lans artic#lated d#ring t"e assem.ly on validation and analysis (2 To set t"eir o$n o.,ectives or desired o#tcomes *er committee (- To identi%y activities( *rogram or *ro,ects intended to attain t"eir o.,ectives and resolve t"e *ro.lems (/ To *re*are t"eir eval#ation *lan (1 To dra%t a *ro,ect *ro*osal( i% t"ere are some t"at $ere identi%ied c. Planning cons#ltation. T"is is t"e *resentation o% t"e re%ined and additional *lans to t"e same gro#* $"o analy6ed t"e data. P#r*ose o% t"e *lanning cons#ltation: To *rovide a ven#e %or t"e comm#nity mem.ers to: (1 Validate comm#nity develo*ment or committee *lans and any *ro,ect *ro*osed .y t"e *lanning committee.

(2 To decide to organi6e t"emselves into s*eci%ic tas0 gro#*s or committee mem.ers $"o $ill .e res*onsi.le in im*lementing *lanned actions or *ro,ects. (- To e9*lore all reso#rces needed to im*lement t"e di%%erent activities( identi%y t"ose availa.le to t"em and t"ose t"at are not availa.le. (/ To identi%y *ossi.le reso#rces o% s#**ort or assistance %or reso#rces not availa.le %rom agencies. Roles to .e *layed .y sta0e"olders: (1 Comm#nity leaders( *artic#larly to one designated to ta0e c"arge o% t"e *lanning committee 7 main *resenter and %acilitator o% t"e dra%ted *lan (2 Comm#nity "ealt" develo*ment $or0ers>s 7 Process o.server and co7%acilitator( as necessary (- =3 or 2=3 re*resentatives $"o $ere invited 7 reactors to t"e *lan( *ro,ect or *ro*osals made and committers o% s#**ort B. ?o.ili6ation or action Definition: t"is re%ers to t"e act#al im*lementation o% t"e *lan or :*#tting t"e *lan into action: .y t"e di%%erent committee c"airs and mem.ers E9*ected .ene%its t"at $ill .e derived %rom t"is et"ical activity: (1 Eac" "o#se"old re*resentative in t"e di%%erent committees $ill .e actively involved as early as t"e identi%ication o% needs #ntil im*lementation (2 T"e *eo*le $ill no$ reali6e or e9*erience t"eir strengt" and ca*a.ility to con%ront t"eir *ro.lems and to address t"eir o$n iss#es. D. Action7re%lection7action session (ARAS T"is is no$ t"e second ARAS t"at $ill .e cond#cted .#t t"e %irst ARAS to .e %acilitated .y t"e comm#nity leader. T"e comm#nity "ealt" develo*ment $or0er $ill act as a *rocess o.server and a co7 %acilitator( $"en needed. I$ Conso"idation% Strengthening and Sustenance Phase 4e%inition: !stage $"ere t"e *eo*le<s organi6ation "as .een %#lly esta.lis"ed and t"at t"e comm#nity mem.ers are already actively *artici*ating in comm#nity7$ide #nderta0ings.(V>A: Amstein<s ladder o% *eo*le<s *artici*ation ! t"e di%%erent committees in t"e organi6ational str#ct#re are already and are e9*ected to do t"eir %#nctions o% assessing( *lanning( im*lementing and eval#ating (A7P7I7?7E ! t"e comm#nity is more #nited or one in terms o% vision( mission( goals and *rograms.

I24ICAT3RS 3) 3R=A2IJATI32:

C32S3LI4ATE4(

SEL)7=3VER2I2=

PE3PLE<S

1. Internal indication: a. Reali6ation o% t"e goal o% social trans%ormation is evident in t"e c"anges o% t"e val#e system > li%estyle: (1. ?ore %oc#s on *reventive "a.its rat"er t"an c#ratives (2. ARAS is already instit#tionali6ed Kmore o*en( o.,ective $ay o% addressing con%licts and iss#es .. t"e str#ct#re o% t"e organi6ation is decentrali6ed( more %ormal( "as o*erational committees( and $it" esta.lis"ed net$or0s and alliances. c. ?ass .ased gro#* .#ilding (1 leaders $or0 $it" t"e *eo*le and t"ey are already ca*a.le o% #tili6ing or doing t"e %ollo$ing: 5 Sit#ational ty*e o% leaders"i* 7 means t"at t"ey are %le9i.le in #tili6ing t"e di%%erent styles o% leaders"i* 5 *re*aring *ro,ect *ro*osals 5 'andling ARAS 5 2egotiating %or con%licts ( con%lict management 5 &#ilding alliances and net$or0s 5 develo* certain sets o% val#e systems (2 ?em.ers"i*. At least 1172IL o% t"e total *o*#lation are actively involved( committed and "ave develo*ed tr#st $it" eac" ot"er and $it" t"e organi6ation as a $"ole. d. Reso#rces (%inancial and material and goods and services are generated $it"in t"e comm#nity .e%ore t"ese are so#rced %rom o#tside o% t"e comm#nity. E9am*le: An I=P is already %#nctional and generates s#**ort %or t"e "ealt" $or0er<s activities. e. Ca*a.ilities related to services( *rograms and *ro,ects are no$ evident( s#c" as: (1 Ait" reasona.le and a%%orda.le %ees %or t"e services and *ro,ects *rovided E9am*le: *rices o% medicines sold at t"e &oti0a &in"i or &arangay &oti0a are reasona.le eno#g". (2 3rgani6ation is no$ $ell7de%ined and sel% reliant. (- Programs are directed to$ard strengt"ening organi6ational activities. %. T"ere is a dynamic relations"i* .et$een and among leaders and mem.ers. Intra and inter7organi6ational net$or0ing is evident g. Learning insig"ts derived %rom t"e *rocesses and *rograms *#t into act#al *ractice in daily living. E9am*les: 2o *ractice o% gra%t and corr#*tion ". t"e leaders and mem.ers are ca*a.le o% doing advocacy $or0. i. t"e +#ality o% li%e o% t"e comm#nity "as im*roved 2. E9ternal indicators a. Lin0ages (1 T"e Po maintains and strengt"ens lin0ages $it" ot"ers

(2 T"e agency only serves to .e t"e cons#ltant o% t"e *eo*le<s organi6ation. As a cons#ltant( it %#nctions to *rovide assistance only as necessary. .. It "as esta.lis"ed net$or0s ( com*osed o% several lin0ages c. A.le to so#rce %rom o#tside %or *rograms o% *ro,ects t"at re+#ire additional reso#rces not $it"in t"e comm#nity<s a.ility to *rod#ce. CRITICAL ACTIVITIES T'AT @EEP T'E 3R=A2IJATI32 ALIVE 1. 3rgani6ational diagnosis 7 revie$ and analysis o% t"e elements o% t"e *eo*les organi6ation or com*onents in order to identi%y strengt"( $ea0nesses ne$needs or *ro.lems in terms o% (signs and sym*toms o% aging *eo*les< organi6ation a. indicators o% a sel% governing organi6ation .. leaders"i* c. commitment and tr#st o% mem.ers and leaders Possi.le met"ods to .e #sed in cond#cting t"e organi6ational diagnosis: a. *ara.ola model .. SA3T analysis c. )is" .one analysis d. "istorical ma**ing 2. Re7*lanning can .e done a%ter identi%ication o% ne$ needs or *ro.lems -. Strengt"ening mec"anisms. A"ic" may incl#de t"e %ollo$ing strategies: a. Contin#ed ed#cation and training o% leaders and mem.ers to en"ance > strengt"en t"eir attit#des( 0no$ledge and s0ills (A@S 5Training on : ?anagement s0ills monitoring and eval#ation net$or0ing and lin0aging ot"ers( de*ending on $"at t"e P3 identi%ied 5 3n 7t"e ,o. training (3MT 5 E9*os#res to ot"er comm#nities( as necessary 5 3ne7on one coac"ing .. Contin#ed motivation and mo.ili6ation o% t"e di%%erent committees 5 Psyc"ological *ay c"ec0 5 Certi%icates o% recognition 5 Increasing res*onsi.ilities c. Val#e clari%ication in relation to: 5 Commitment to t"e V?= or ca#se o% t"e organi6ational e9istence 5 Reso#rces 7 time( money( material and e%%ort /. S#staining mec"anisms a. develo*ing second liners

.. Identi%ication o% a good *ro,ect( *re*aration and s#.mission o% a *ro,ect *ro*osal to a**ro*riate %#nding agencies Elements of a good project: (1 Reso#rces re+#ired to a good *ro,ect are locally availa.le (2 &ene%its %rom t"e *ro,ect can .e s"ared .y t"e ma,ority (- T"ere is *resence o% local s0ills or e9*erience in managing and in t"e o*erations o% t"e *ro,ect itsel%. (/ T"ere is a "istory o% s#ccess o% t"e comm#nity in "andling *ro,ects and in tec"nology. (1 It is environmentally %riendly . (B S*eci%ic conditions o% men and $omen are considered even as early as t"e *ro,ect identi%ication( instead o% .eing gender7.iased. (D Ret#rns o% t"e *ro,ect are circ#lated $it"in t"e comm#nity +ormat of a project proposal: (a Pro*osal s#mmary (. &ac0gro#nd and rationale o% t"e *ro,ect (c =oals and o.,ectives (d. Program *lan (e Program im*lementation( management and eval#ation (% Anne9es ! organi6ational str#ct#re ! Mo. descri*tion and res*onsi.ilities ! details and s#mmary o% .#dget c. Im*lementation o% liveli"ood *ro,ects and ot"er sel% managed *ro,ects. E9am*les: 5&oti0a sa &arangay or &oti0a &in"i 52#rsing Promotive and Preventive 'ealt" Clinic 5 non7%ormal ed#cation *ro,ects 5*rivate la.oratory clinic $ Phase Out and E&pansion Definition: Stage $"ere.y t"e comm#nity develo*ment $or0ers or c"ange agent leaves t"e sel%7s#staining *eo*le<s organi6ation and loo0s %or ot"er areas to $or0 $it". CRITICAL ACTIVITIES: 1. Endorsement to di%%erent levels g#idance and assistance( as needed a. m#nici*al level .. Provincial level c. 2ational( as necessary

2. ?onitoring (closely $atc"ing or 0ee*ing trac0 o% t"eir %#nctionality t"ro#g" reg#lar area visits -. 4isengagement 7 release %rom attac"ment or connection or %reedom %rom o.ligation /. Im*act eval#ation to assess t"e degree or e9tent o% t"e %ollo$ing a%ter a s*eci%ic *eriod o% time: a. Peo*le<s *artici*ation and commitment to t"e organi6ation .. %#nctionality o% t"e *eo*le<s organi6ation c. Per%ormance o% "ealt" activities d. attainment o% goals and o.,ectives

Pre*ared .y: May6a ?"arie 4. Llandado &S2 271B A Co#rtesy o%: ?rs. &olinto "and7o#t