si,ri lllorcs or marketplaces are example:; of activities that can be c,1sily carried out 4. Rcur·icnlinl!, health services Reorienting focus nf health delivery from cure to health promotion or wellness. ·n1is can be achieved by enhancing the skills of hcalt h wnrkers in " scrc:ening, c:isc finding as well as prevention and managem ent of NCO ,. prevention of risk factors that contribute to devel(Jpment of major NCO Develop ing skill5 of hea Jth workers for prevention and control of NCO in the aieas of » Epidemio logy » prcvcn lion strategies and intervention practices » health promot1on » program management and evaluation " community organi1jng and mobilization COMMUNITY ORGANIZING TOWARDS COMMUNITY PARTICIPATION IN HEALTH Commun ity participation recognizes people as Lhe center of any developme nt effort. Jt is a process by which members of Lhe community: Develop the capability to assume greater responsibility for assessing their health needs. :md problems; Plan and act to implement their solutions; Create and maintain orgnniz. ation in support of these efforts; and Evaluate the effects and bring about necessary adjustments in goa Js ,ind collective action. ·n,c \Vl!O ( 1995) further nffirrns that ~,community partic. ipation is a fundamen tal rcq11iremc nl to nc. hieve health und sustainable development... eaahling citizenship lo h<'c-omc nn intci. :rnl p,1r1 of the dccision-m,iking and action process... and reflects the cwc J fur development of more ncthc communilics in their rights-. To achieve thii;, Comn1u. nity Or~nnizing (CO). n socinl dcvelopmenr methodology is utilized lo fncilit:all: the process of forming nnd sustnining self-reliant and self-determinin g com 1111111 it h.-s. Effcctin). I ch:111~c through (·ommunity p. :irticipatin n means changing the condition s \\;thin lhe con1mu11ity and ultimately, people·s beha";ors. This means introducing or ins1i1111i11g n Lw pro). lrams and policies that ";II positively impact on their health. The luv,,I,if communily·s pa1·Licipalio11 re Uects I. he lt:!vel of power a community orisani:1. :. 1tioll h:'ls am! their capability lo lap resources in order to respond to their net,tls. Participation in h<. !allh,·:m ran!?,e dramati cally from passive involvement in pre­ lleh'rmincd aclivitius 10 full conlrol or health organizations and healt J1-relatcd affairs. lncn:as,d parti,;ipulion addresses the issue of sustainability of health. Wny is there a n L-ctl lo s11st:1i11 health prn~T:11rn;'? The answer is: simply. because we need to sustain hc:1lth or I. he pcopll'.,\ sus1ain ahlc community health developmerlt grounded on hc,ilth 1ir·<rnwlio11 and w<'ilrwss can only be achieved when program s and projects Ulili:r. c three impon:1111 :. tpproache.-<: Cnrnmunit ·y-ha. sed approach which empowers the people to addre. ss thc:>ir health needs and problems Loteg-ratc<I approach which considers various dimensions ofhea Jth and development such as changing Lifestyle, changing, environment 229 