Community Action Model
Creating Change by Building Community Capacity
Step 1
• Train Participants (develop skills,
increase knowledge, build capacity)
• Name the Issue
• Choose Area of Focus
Step 5
Maintain &
Enforce
Action or
Activity
Repeat the
Process
Step 2
An ACTION is:



Define,
Design &
Do
Community
Diagnosis
achievable
long-term, or sustainable
compels another entity to do something
to change the environment (place
people live) for the well being of all
An ACTIVITY is:

Step 4
Select
Action or
Activity &
Implement
http://www.dph.sf.ca.us/CHPP/CAM/cam.htm
An educational intervention that leads
up to and supports an action.
Step 3
Analyze Results
of Community
Diagnosis
CAM Integrates…
Paulo Freire & Popular Education
CBPR (Participatory Action Research)
Asset Based and Building Community Capacity
Goals
Change in the Environment
Community Driven and Implemented
“People acquire the skills to do it themselves”
…provide a framework
for community members to acquire the
skills & resources to investigate the
health of the place they live & then plan,
implement & evaluate “actions” that
change the environment to promote
& improve health.
“Go in search of your people;
love them; learn from them; plan with
them; serve them; begin with what they
have; build on what they know. But of the
best health educators, when their task is
accomplished and their work is done,
the people all remark:
WE HAVE DONE IT OURSELVES”
Ancient Chinese Verse
Community Action Model
Creating Change by Building Community Capacity
Step 1
• Train Participants (develop skills,
increase knowledge, build capacity)
• Name the Issue
• Choose Area of Focus
Step 5
Maintain &
Enforce
Action or
Activity
Repeat the
Process
Step 2
Define,
Design &
Do
Community
Diagnosis
An ACTION is:



achievable
long-term, or sustainable
compels another entity to do something
to change the environment (place
people live) for the well being of all
An ACTIVITY is:

Step 4
Select
Action or
Activity &
Implement
http://www.dph.sf.ca.us/CHPP/CAM/cam.htm
An educational intervention that leads
up to and supports an action.
Step 3
Analyze Results
of Community
Diagnosis
“Codes”
Q: Before they are
sold, how many
consumer product
safety regulations do
guns have to
meet to make sure
they are safe?
A: 0 (zero)
To comply with the law, drivers have
to have a license and car registration.
Gun owners need to have neither.
Fundamental to this model…
…is a critical analysis that identifies the underlying social,
economic, and environmental forces creating the health and
social inequalities that the community wants to address….in
context of the global economic structures that creates this
inequality.
The Global Tobacco Problem
The Global Economy
for Everyone
•Worldwide, 5 Million people per year die from tobacco related
diseases; By 2030, that number will increase to 10 million deaths a year;
80% of the world’s smokers live in the global south;
•2/3rds of Philip Morris’ tobacco company sales and nearly half of their
profits come from overseas;
Who Wins?
Who Loses?
TNT’s poison farmworkers, devastate the environment and
use land that could feed 20 million people.
They advertise, smuggle, lobby governments and use
trade agreements & institutions (WTO, NAFTA) to stop
tobacco control laws and sell tobacco.
Locally… Globally…
Community Action Model
Creating Change by Building Community Capacity
Step 1
• Train Participants (develop skills,
increase knowledge, build capacity)
• Name the Issue
• Choose Area of Focus
Step 5
Maintain &
Enforce
Action or
Activity
Repeat the
Process
Step 2
Define,
Design &
Do
Community
Diagnosis
An ACTION is:



achievable
long-term, or sustainable
compels another entity to do something
to change the environment (place
people live) for the well being of all
An ACTIVITY is:

Step 4
Select
Action or
Activity &
Implement
http://www.dph.sf.ca.us/CHPP/CAM/cam.htm
An educational intervention that leads
up to and supports an action.
Step 3
Analyze Results
of Community
Diagnosis
Community Action Model
Creating Change by Building Community Capacity
Step 1
• Train Participants (develop skills,
increase knowledge, build capacity)
• Name the Issue
• Choose Area of Focus
Step 5
Maintain &
Enforce
Action or
Activity
Repeat the
Process
Step 2
Define,
Design &
Do
Community
Diagnosis
An ACTION is:



achievable
long-term, or sustainable
compels another entity to do something
to change the environment (place
people live) for the well being of all
An ACTIVITY is:

Step 4
Select
Action or
Activity &
Implement
http://www.dph.sf.ca.us/CHPP/CAM/cam.htm
An educational intervention that leads
up to and supports an action.
Step 3
Analyze Results
of Community
Diagnosis
What the Advocates found was………
Smoke-Free Housing
92% of residents at Maria Alicia Apartments supported smoke free indoor areas
There are no existing policies at Maria Alicia,
Mostly families with children, cases of asthma ….and SHS drifts…..
Bidis
50% of youth surveyed thought bidis were not harmful to health.
24% were able to buy them in stores (twice the rate for Kools).
Bidis contain tobacco and cause cancer and other health problems..
70% of bidis purchased had no warning labels.
Toxic Site
50% of children playing in the park had crossed into the toxic site thru a broken fence;
85% surveyed didn’t understand the technical language on the warning sign;
92% would still take their kids to that park because it was the only place to play .
Community Action Model
Creating Change by Building Community Capacity
Step 1
• Train Participants (develop skills,
increase knowledge, build capacity)
• Name the Issue
• Choose Area of Focus
Step 5
Maintain &
Enforce
Action or
Activity
An ACTION is:



Repeat the
Process
Step 2
Define,
Design &
Do
Community
Diagnosis
achievable
long-term, or sustainable
compels another entity to do
something to change the
environment (place people live) for
the well being of all
An ACTIVITY is:

Step 4
Select
Action or
Activity &
Implement
http://www.dph.sf.ca.us/CHPP/CAM/cam.htm
An educational intervention that
leads up to and supports an action.
Step 3
Analyze Results
of Community
Diagnosis
Activities
are educational interventions that lead up to and support an action……
•Petitions
•Letter Writing
•Health Fairs, Murals, Awareness Raising…..
•Door to Door education
•Meeting with Policy Makers
•Media Advocacy
•Speak Outs
•Produce a Packet Describing their CAM Project
Community Action Model
Creating Change by Building Community Capacity
Step 1
• Train Participants (develop skills,
increase knowledge, build capacity)
• Name the Issue
• Choose Area of Focus
Step 5
Maintain &
Enforce
Action or
Activity
Repeat the
Process
Step 2
Define,
Design &
Do
Community
Diagnosis
An ACTION is:



achievable
long-term, or sustainable
compels another entity to do something
to change the environment (place
people live) for the well being of all
An ACTIVITY is:

Step 4
Select
Action or
Activity &
Implement
http://www.dph.sf.ca.us/CHPP/CAM/cam.htm
An educational intervention that leads
up to and supports an action.
Step 3
Analyze Results
of Community
Diagnosis
•58 projects have been funded in nine funding
cycles with
•52 of them having implemented an action plan
•47 accomplished the action
Smoke Free Environments, Healthy Food Retail Policies, Tobacco Permit, Code
Enforcement at SROS, Smoke Free Housing and Street Events, Sponsorship …
And here’s how two projects implemented the CAM…