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Type: Journal article
Title: Exploring the effects of government funding on community-based organizations: 'top-down' or 'bottom-up' approaches to health promotion?
Author: Carey, G.
Braunack-Mayer, A.
Citation: Global Health Promotion, 2009; 16(3):45-52
Publisher: Sage Publications Ltd
Issue Date: 2009
ISSN: 1757-9759
Statement of
Gemma E. Carey and Annette J. Braunack-Mayer
Abstract: Community-based organizations hold an increasingly central role in the representation and advocacy of marginalized groups and individuals. In these capacities, such organizations make significant contributions to the areas of health and health services. In particular, they are considered well-positioned to operationalize ‘bottom-up’ approaches to health promotion. In this article we use a case study to illuminate unforeseen consequences of government funding of community-based organizations involved in health promotion and health service work. Previous research has found that many health promotion practitioners are engaged in a shift towards ‘bottom-up’ approaches to health promotion (1). In contrast, our findings suggest that due to government funding, those best positioned to promote community participation and empowerment may be experiencing a converse shift away from ‘bottom-up’ approaches.
Keywords: Humans
Hepatitis C, Chronic
Program Evaluation
Social Control Policies
Health Policy
Community Networks
Social Support
Health Promotion
Financing, Government
Organizational Case Studies
Rights: Copyright © The Author(s) 2009
DOI: 10.1177/1757975909339765
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