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April 2005, Vol 95, No. 4 | American Journal of Public Health 611-616
© 2005 American Public Health Association
DOI: 10.2105/AJPH.2004.047704

PUBLIC HEALTH MATTERS

The Community Action Model: A Community-Driven Model Designed to Address Disparities in Health

Susana Hennessey Lavery, MPH, Mele Lau Smith, MPH, Alma Avila Esparza, MPH, Alyonik Hrushow, MPH, Melinda Moore, MPA and Diane F. Reed, MPH

Susana Hennessey Lavery, Mele Lau Smith, Alma Avila Esparza, and Alyonik Hrushow are with the San Francisco Department of Public Health, San Francisco, Calif. Melinda Moore and Diane F. Reed are with Polaris Research and Development, San Francisco.

Correspondence: Requests for reprints should be sent to Susana Hennessey Lavery, MPH, San Francisco Department of Public Health, 30 Van Ness, #2300, San Francisco, CA 94102 (e-mail: susana.hennessey-lavery{at}sfdph.org).

The community action model is a 5-step, community-driven model designed to build communities’ capacity to address health disparities through mobilization. Fundamental to the model is a critical analysis identifying the underlying social, economic, and environmental forces that create health and social inequities in a community. The goal is to provide communities with the framework necessary to acquire the skills and resources to plan, implement, and evaluate health-related actions and policies.

The model was developed in the context of tobacco-related health disparities. Concrete policy outcomes demonstrate the model’s potential application to a wide variety of grassroots policy development efforts.




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