Gilding the ghetto again? Community development approaches to tackling health inequalities
Gilding the ghetto again? Community development approaches to tackling health inequalities
This chapter examines the history and contemporary experience of local action and community development in Great Britain and its role in reducing health inequalities. It describes broad alternative macro-level strategies for tackling health inequalities and suggests that insufficient attention has been given to the question of how they might intersect with micro-level interventions. It evaluates the origins of community development approaches to health and evaluates the New Labour's policy of ‘turning to the community’ in relation to possibilities and limitations of area-based initiatives (ABIs). It concludes that broader community development strategies have an integral part to play in developing a new synthesis between top-down structuralist approaches and bottom-up participative approaches to tackling health inequalities.
Keywords: community development, health inequalities, Great Britain, micro-level interventions, New Labour, area-based initiatives
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