The World Health Organization's (WHO’s) Declaration of Alma Ata in 1978 made Primary Health Care (PHC) the official health policy of all WHO member countries, stressing the importance of multisectoral collaboration and community empowerment as critical for delivering quality primary healthcare and public health services to achieve social justice and health equity. Over forty years later, a divide remains between seeing individual patients in the traditional biomedical model and addressing population-level social determinants of health. One promising approach for the intentional and active integration of multi-sectoral partnering practices and community empowerment into Primary Health Care is the use of community-based participatory research (CBPR). The power of CBPR lies in its systematic approach to facilitating equitable collaboration of partners based on community priorities and strengths and is increasingly recognized for improving health equity outcomes. This paper highlights the use of CBPR as a promising practice for healthcare organizations to bridge the gap between the traditional individual patient focus and the comprehensive primary healthcare approach from WHO. We use a narrative case study from A Ministry of Sharing (AMOS) Health and Hope, a PHC organization in Nicaragua, to illustrate the use of the CBPR model as an implementation framework that facilitated the transformation of structures, policies, and practices as AMOS created multi-sector partnerships and embraced community empowerment as part of its strategic and comprehensive approach to health equity.

中文翻译：

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践行希望：通过基于社区的参与性研究增强初级卫生保健的赋权

世界卫生组织 (WHO) 于 1978 年的阿拉木图宣言将初级卫生保健 (PHC) 定为所有世卫组织成员国的官方卫生政策，强调多部门合作和社区赋权的重要性，因为它对于提供优质初级卫生保健和公共卫生服务至关重要以实现社会正义和健康公平。四十多年后，在传统生物医学模型中看到个体患者与解决人口层面的健康社会决定因素之间仍然存在分歧。将多部门合作实践和社区赋权有意和积极地整合到初级卫生保健中的一种有前途的方法是使用基于社区的参与式研究 (CBPR)。CBPR 的力量在于其基于社区优先事项和优势促进合作伙伴公平协作的系统方法，并且越来越多地认识到改善健康公平结果。本文强调了使用 CBPR 作为医疗机构的一种有前途的实践，以弥合传统的个体患者关注与 WHO 的综合初级医疗保健方法之间的差距。我们使用来自尼加拉瓜 PHC 组织 A 共享部 (AMOS) 健康与希望的叙述性案例研究来说明 CBPR 模型作为实施框架的使用，该框架促进了 AMOS 创建的结构、政策和实践的转变多部门伙伴关系，并将社区赋权作为其实现健康公平的战略性综合方法的一部分。