Section: Module 6: Lesson 1: COPC in Global Health | Community-Oriented Primary Care | NextGenU.org

  • Learning Objectives:
    Upon completion of this lesson, you will be able to:
    • Consider contemporary COPC in a globalized world.
    • Understand the importance of integrating community-oriented interventions into larger health systems.
    • Recognize the social, economic, cultural, environmental, political, and health policy elements that may influence COPC practice.
    • Develop an understanding of case-studies and reviews of community-oriented health services.
    Approximate time required for the readings for this lesson (at 144 words/minute): 2 hours.

    Click here to start this lesson
    • Required Learning Resources and Activities
    • Read the entire article except the section titled "COPC Defined".  This article reviews the evolution of COPC, evaluates some of the "pitfalls and paradoxes" and amendments to COPC, and notes potential future roles for COPC. Now that you have engaged with a local community, this article helps us understand the greater significance of COPC in the world.

    • Read the entire article to learn about COPC and the health care system.

    • Read the article titled "What We Mean by Social Determinants of Health." This paper was the inaugural speech presented at the Eighth European Conference of the International Union of Health Promotion and Education. It reviews the bigger picture, or i.e. more systematic components and power relations that affect the social determinants of health as well as health inequities.

    • Read the article titled "Community-Oriented Primary Care in Action: A Dallas Story." This paper details one of the largest urban COPC models in the United States. The authors conclude that the COPC model can be implemented in other urban areas.

    • Click on the PDF icon to download the article titled "Towards Unity for Health Utilising Community-Oriented Primary Care in Education and Practice". Read the entire article. This paper looks at how COPC can be used by a global health organization that is interested in strengthening health systems.

    • To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.
    • Additional Learning Options
    • Read the article titled "A Systematic Review of the Evidence on Integration of Targeted Health Intervention into Health Systems." This article explores the integration of health interventions into larger health systems and gives an evidence-based analysis of integration in different countries. Consider what challenges a COPC approach might face from greater health systems and competing health interventions.

    • Read the following sections: "2.2 Overview of the health system" and "2.3 Historical background." Also read in section "5.3 Primary and ambulatory care" the part titled "Village (or Community) Health Workers."

    • Read section "6.3.1 Health Service Delivery."

    • Read section "5.1 Public Health."

    • Read the article by Paul Farmer titled "An Anthropology of Structural Violence." The "Comments" section found at the end of the article, is optional. This paper focuses on Farmer's work in Haiti and is one of the key analyses of structural violence in a contemporary global health setting, It is important to understand the greater structural implications which affect health and health care.

    • Scroll down the webpage and read the section titled "Call for Global Health-Systems Impact Assessments." This article details a potential method for evaluating the impact of health interventions on health systems.

    • Read the entire article titled "The Community-Oriented Primary Care Experience in the United Kingdom." This article looks at the primary care approach in the UK as part of the National Health Service system. 

    • Read the article titled "Roots, Shoots, but Too Little Fruit: Assessing the Contribution of COPC in South Africa". The COPC movement in South Africa is unique due to its interruption by apartheid. Consider the implications of greater politics on the success of health interventions.

    • This activity is meant to foster continued community input and encourage you to value not only the experience of the community but your community mentor as well. After reading the required resources in this module discuss what you learned from them with your community mentor.

      Your mentor may also be interested in reading the articles before your discussion, so be sure to ask ahead of time. If your mentor has not read the resources, give adequate context; alternatively, simply ask your mentor any questions you may have about the resources. For instance, you can simply explain some of the global issues introduced and then ask what your mentor thinks about them. Be sure to listen to your community mentor carefully and respect their opinions. However, feel free to share your own opinions. The idea here is to engage in a conversation that allows you and your mentor to discuss complex issues on egalitarian grounds even if you both come from very different backgrounds. Do not be surprised if the conversation naturally veers away from the readings.

    • Choose any three learning resources from the entire course. Create one multiple-choice question (MCQ) for each of the three resources. Please use this table with the following columns to keep your information organized:

      Module Name

      Lesson/

      Competency

      Resource NameResource URLQuestion

      Response

      Choices

      AnswerSource Quote
      Insert the Name of the ModuleInsert the name of the lesson or competency the MCQ addressesInsert the Name of the resource the MCQ is derived fromInsert the URL of the resource the MCQ is derived fromInsert the QuestionInsert the response choices separated by a semi-colon (;)Insert the full correct answerInsert the source quote that clearly supports the correct answer
      Example Question Below
      Module 1: Welcome to UBCLesson 1: Geography Competency: Know the geographic details of UBC's Vancouver campusAbout UBChttp://www.ubc.ca/about/How far is the UBC's Vancouver campus from the heart of downtown Vancouver?10 minutes; 30 minutes; 50 minutes; 70 minutes; 30 minutesThe largest campus is 30 minutes from the heart of downtown Vancouver, a spectacular location that is a 'must-see' for any visitor to the city — where snow-capped mountains meet ocean, and breathtaking vistas greet you around every corner. 


      Post your completed question chart in a discussion post below.