Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/57886
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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
1757-9767
Statement of
Responsibility: 
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; Australia; Female; Male
Rights: Copyright © The Author(s) 2009
RMID: 0020096553
DOI: 10.1177/1757975909339765
Published version: http://ped.sagepub.com/cgi/content/short/16/3/45
Appears in Collections:Public Health publications

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