Community Change in Public Health – Exam Questions
Case Study 1 - Evolving Community Self-Monitoring
Question 1: Which of the six community types (Integral, Parochial, Diffuse, Stepping Stone,
Transitory, Anomic) best describes this case? Justify your choice by discussing all four community
characteristics (Identity, Integration, Group Orientation, Linkages) and make sure to use specific
examples.
Question 2: What is the degree of collective efficacy in this case (High, Moderate, Low)? Justify your
answer by discussing all three elements of collective efficacy (Social Control, Cohesion, Identity), and
make sure to use specific examples.
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Community Change in Public Health – Exam Questions
Question 3: Describe at least 3 community resources which were available and three community
resources which were actually used to address their concerns (these may or may not be the same
resources). Community resources can be Human (leadership, skills, labour, social networks), Material
(supplies, infrastructure), or Financial. Make sure to use specific examples in your answer.
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Community Change in Public Health – Exam Questions
Question 4: Please describe three changes in Community Capacity. Using specific examples, please
comment on three of the following: Leadership, Participation, Behaviour, Norms, Organizational
Structure, Networks, or Resources.
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Community Change in Public Health – Exam Questions
Question 5: Which of the 4 planned change approaches (Rothman models) were used? Possibilities
include Social Policy Planning, Social/Community Action, Locality/Community Development, and
Mobilization) and more than one may be correct. Please justify your choice using specific examples.
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Community Change in Public Health – Exam Questions
Question 6: Which level of participation best describes the community at the beginning of the case
study? Please justify your choice using specific examples. Which level best describes the community
at the present point in time (the end of the case study)? Please justify your choice using specific
examples. Levels of participation include Acceptance, Mobilization, Participation, Involvement, and
Control.
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Community Change in Public Health – Exam Questions
Case Study 2 - Kayelitia: A Health Centre Initiates Community Participation
Question 1: Which of the six community types (Integral, Parochial, Diffuse, Stepping Stone,
Transitory, Anomic) best describes this case? Justify your choice by discussing all four community
characteristics (Identity, Integration, Group Orientation, Linkages) and make sure to use specific
examples.
Question 2: What is the degree of collective efficacy in this case (High, Moderate, Low)? Justify your
answer by discussing all three elements of collective efficacy (Social Control, Cohesion, Identity), and
make sure to use specific examples.
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Community Change in Public Health – Exam Questions
Question 3: Describe at least 3 community resources which were available and three community
resources which were actually used to address their concerns (these may or may not be the same
resources). Community resources can be Human (leadership, skills, labour, social networks), Material
(supplies, infrastructure), or Financial. Make sure to use specific examples in your answer.
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Community Change in Public Health – Exam Questions
Question 4: Please describe three changes in Community Capacity. Using specific examples, please
comment on three of the following: Leadership, Participation, Behaviour, Norms, Organizational
Structure, Networks, or Resources.
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Community Change in Public Health – Exam Questions
Question 5: Which of the 4 planned change approaches (Rothman models) were used? Possibilities
include Social Policy Planning, Social/Community Action, Locality/Community Development, and
Mobilization) and more than one may be correct. Please justify your choice using specific examples.
Question 6: Which level of participation best describes the community at the beginning of the case
study? Please justify your choice using specific examples. Which level best describes the community
at the present point in time (the end of the case study)? Please justify your choice using specific
examples. Levels of participation include Acceptance, Mobilization, Participation, Involvement, and
Control.
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Community Change in Public Health – Exam Questions
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Community Change in Public Health – Exam Questions
Essay Question 1
Compare the two case studies on each of the 6 issues above and discuss the lessons learned about
community organization and intervention. This should include attention to possible effects on the
success or failure of change and on promoting participation of 1) different forms of community
typology, 2) change agent approach, 3) collective efficacy, 4) Community capacity, 5) community
resources and 6) level of participation.
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Community Change in Public Health – Exam Questions
Essay Question 2
Pick one of the case studies you analysed and describe two possible future interventions to sustain
the changes happening in the community. You may draw on interventions mentioned in the lectures
or on others not mentioned. If you choose to discuss interventions not mentioned in lecture, provide
a reference/link to a website or article that describes that other intervention.
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