The 130th Annual Meeting of APHA

3065.0: Monday, November 11, 2002 - 9:06 AM

Abstract #42749

Putting the Community Back in Community Health Centers: A Maryland Model

Marlene H Cianci, PhD, RN, College of Nursing and Health Science, George Mason University, MSN 3C4, 4400 University Drive, Fairfax, VA 22030-4444, 301-649-4469, sncianci@erols.com

This historical study examined the role of lay public health associations or committees, established during the early 20th century, as an integral part of voluntary and official health agencies in fighting tuberculosis and improving the health of mothers and children. These volunteers, often of modest means but rich in community spirit, raised funds; built and maintained health centers; secured dental clinics; purchased station wagons to transport clients in rural areas to health centers; provided nutrition information; demonstrated food and formula preparation, and gardening and home maintenance. The goal was not to offer charity, but to help neighbors help themselves. In more remote areas, public health nurses relied on PTAs, principals and teachers, and clergy and parishioners for assistance with public health education and services. Lay health committees have largely disappeared, except in Anne Arundel County, MD, where comprehensive and productive lay health associations originally developed in response to community needs, when a model health department was established in 1931. Five committees still own, maintain, equip, and serve their respective health centers, adapting to the changing needs of modern society. Some of the founding members, interviewed for this historical study, remain active on their respective committees in supporting the public and the public health nurses in their work: a model for others to emulate.Today, nurses work toward developing community partnerships with businesses, corporations, and voluntary organizations, to develop and promote programs. The need for volunteer public involvement of individuals at the grass roots level, however, remains. Lessons can be learned from the enduring successes of former and current lay health associations.

Learning Objectives: At the conclusion of this session, the participant (learner) will be able to

Keywords: Community Health Centers, Partnerships

Related Web page: None

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: N/A
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Community Partnership

The 130th Annual Meeting of APHA