Community Participation and Attitudes of Decision-Makers towards Community Involvement in Health Development in Saudi Arabia

By Al-Mazroa, Y.; Al-Shammari, S. | Bulletin of the World Health Organization, January-February 1991 | Go to article overview
Save to active project

Community Participation and Attitudes of Decision-Makers towards Community Involvement in Health Development in Saudi Arabia

Al-Mazroa, Y., Al-Shammari, S., Bulletin of the World Health Organization

National policies and government strategies in Saudi Arabia are adequate for the promotion of community involvement in health development (CIH). The system of government is decentralized and has ample scope for intersectoral cooperation. In Ha'il and Oasim regions active efforts are being made to realize intersectoral coordination through regional committees in which community leaders are involved, unfortunately, however, such mechanisms are lacking at the central level Decision-makers and community leaders adequately recognized and interpreted the importance of CIH. Most of the respondents advocated community participation in planning and evaluation, while less than 50% thought that communities could participate in the implementation of health services.

A survey in Ha'il and Oasim regions of 2417 residents indicated that community participation in health activities was in its infancy and that considerable effort is still needed at the central, regional, and peripheral levels to achieve meaningful community involvement in health.


In recent years community participation has assumed an increasingly important role in societies. This has been emphasized in the health sector, where, within the framework of primary health care (PHC), it has been asserted that communities have both the right and responsibility to be involved in the planning, implementation and evaluation of their own health programmes.

Although there is general consensus about community involvement for health development (CIH), there are differences in the approaches adopted, depending on the sociopolitical situation in a particular country and on the extent of community organization. Also, the perception of community involvement by high-level decision-makers and health workers varies from one country to another.

WHO promotes community participation in PHC, and the WHO Regional Office for Europe has reported the result of an analysis of various forms of community articipation in PHC in nine countries.' Also, the WHO Regional Office for Africa has completed a study of the essential features of CIH in the African Region. A similar study has also been carried out for the WHO South-East Asia Region.'

In Africa it has been reported that "passive" community participation was achieved but that active" participation remains a challenge 1). The results of a study in rural India that involved existing public and private health systems demonstrated the importance of socioeconomic and political factors for CIH (2). Finally, a study in Kenya of volunteers who took part in a community-based health development programme addressed the issue of community leadership and participation (3, 4). Because growth monitoring has been recommended as an entry point to PHC (5), community development has been considered to be a starting point for community participation in health programmes (6). Efforts to encourage community participation in health are being carried out in the Arab countries of the WHO Eastern Mediterranean Region.f Saudi Arabia has adopted the strategy of Health for All by the Year 2000 as well as the resolution taken in 1978 adopting the Declaration of Alma-Ata (7, 8). Supported by a 5-year plan, the Saudi Ministry of Health embarked in 1985 on nationwide implementation of PHC, including community participation. g," Objectives of the study The objectives of the study were as follows: - to determine whether the current government

and Ministry of Health policy and strategy are

optimum, practical, and suit the situations in

Saudi Arabia with respect to CIH; - to appraise the present level of community

support at central and regional levels in disseminating

relevant information about PHC and interaction

between health and other related sectors; - to define the types, patterns, and level of community

participation that support the PHC team;

and - to elucidate the attitude of individuals about

future community participation activities and

their impact.

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
Loading One moment ...
Project items
Cite this article

Cited article

Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited article

Community Participation and Attitudes of Decision-Makers towards Community Involvement in Health Development in Saudi Arabia


Text size Smaller Larger
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

While we understand printed pages are helpful to our users, this limitation is necessary to help protect our publishers' copyrighted material and prevent its unlawful distribution. We are sorry for any inconvenience.
Full screen

matching results for page

Cited passage

Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.

Are you sure you want to delete this highlight?