1 7. 8. Sociaf :mppar·t. which involves knmvingnnd caring for others in a neighborhood and the \'l>'illingncss nf people to assist hy providing support. It i. q further defined as the set of behaviors indic;1tive of the acceptance of the community on the provisions of the progrnm plans and contributing resources, political, financial and olher forms of support that promote pro6'Tam efficiency. M·anagemen t of,·elalions with wider society, which involves using resources and support offered by lh1: larger society and reducing the threats of larger social pressure on community life. In this dimension, the community is seen to be c.,1pable of establishing exlerna. J linkages and its members assuming Hdvocacy roles in efforts to solve t Jie problem orto further develop the existing programs. community competence is a product of an iterative process of mentoring the people in a partnership context. Competency-building does not merely consist of giving information a. nd leaching skills which the nurse expects the people to demonstrate if and,vhcn she asks them to. Competcn. C),·-building is all about achieving change in person. ti and group attitudes and behavior and deciding to adopt and sustain healthy practices and lifestyles that eventua lly improve the people"s quality of life. COMMUNITY HEALTH DEVELOPMENT STRATEGIES The framework of community hen. Ith developmen t is best captured in the training package develor>ed by the Women"s Health and Safe Motherhood Project (2003). It huilds on the concepts of Primary Health Care. mai. nstreaming gender in health, strengt. l1 cning partnership building and the use of community organizing and development approaches. The CHD framework evolved from tbe long years of government and non-government organiwtinns· collaborative experiences in attempting to create a more responsive and relevant health care system in t. l1e local and global spheres. Primary Health Care Approa ch Philosophy f. Structure Services Gender ;and Health Promotio n + Strengthene d Partnerslhip Building and Commun ity Organizing Strateeies Community Health Development Integrated Comprehen sive Sustainable To address 1'11c two important concerns i. n addressing the health issues of the people. namely 1) need for ;111 integrated approach in solving htalth problems, and 2) need for enhanced cnpabilil'y for itrcatcr participation nnd involvemenl of the people in health efforts including policy mak;ng and influ1:ncing dt!cisions. this chapter high Jjghts the difforc111 approaches and stn1tegies that the nurse can employ to help tl1e people and the community to bring out Lhcir potential and achieve the highest level of health. Primary Health Care and the concept and elements of participatory approoch have 225 