Grant-in-Aid for Overseas Scientific Survey.
|Research Institution||Faculty of Medicine, The University of Tokyo|
SONODA Kyoichi Professor, Dept. of Health Sociology, Faculty of Medicine, The University of Tokyo, 医学部(医), 教授 (20009898)
OSHIRO Raymo ホノルルコミュニティカレッヂ, 講師
SUPANNATAS S マヒドン大学, 公衆衛生学部, 助教授
GROSSMAN Jer ハワイ大学, 公衆衛生学部, 教授
SUGITA Satoru Lecturer, Dept. of Health Sociology, Faculty of Medicine The University of Tokyo, 医学部, 助手 (00222050)
YOSHIDA Tohru Lecturer, Dept. of Health Sociology, Faculty of Medicine The University of Tokyo, 医学部, 助手 (80174936)
YAMAZAKI Yoshihiko Lecturer, Dept. of Health Sociology, Faculty of Medicine The University of Tokyo, 医学部, 助手 (10174666)
SAKUMA Mitsuru Director, Dept. of Health Sociology, Tokyo Metropolitan Institute of Gerontology, 保健社会学研究室, 室長 (90010066)
KAWATA Chieko Assoc. Professor, Dept. of Health Sociology, Faculty of Medicine The University, 医学部, 助教授 (60010013)
OSHIRO Raymond Assoc. Specialist, College of Continuing Education, Honolulu
SUPANNATUS Somjit Assoc. Professor, Dept. of Public Health, Mahidol University
GROSSMAN Jerome Professor, Dept. of Public Health, The University of Hawaii
|Project Fiscal Year
1991 – 1991
Completed(Fiscal Year 1991)
|Budget Amount *help
¥2,500,000 (Direct Cost : ¥2,500,000)
Fiscal Year 1991 : ¥2,500,000 (Direct Cost : ¥2,500,000)
|Keywords||urban communities / community development / problem solving capabilities / participation / inner power / leadership / support / primary health care / 都市 / 地域開発 / 問題解決能力 / 参加 / 内発力 / リ-ダ-シップ / 支援 / プライマリヘルスケア|
This study has been undertaken in order to explore and examine in what ways health issues are being dealt with in the countries of Japan, Thailand (Bangkok), and the United States (Hawaii). One of the factors involved relates to the necessity of studying and changing the health paradigm within and across nations.
This year's study consisted of both literature review and field surveys. The analysis of current literature focused on solving the historical nature of voluntary problem solving and to determine the key concepts incorporated in voluntary problem solving efforts. The field study was conducted in Bangkok and Honolulu and concentrated in active regional areas and included visits, interviews, and observation.
Historically, the United States, as well as Japan, started community based problem solving around 1900 ; however, both the content and process were different based on respective political, economic and social backgrounds. Current health issues which are targete
d through community based action are also reviewed.
Concepts included in voluntary problem solving in the community are defined based on individual, group and community.
In the United States, this study concentrated on Kalihi Valley. a low income public housing community in Honolulu. In the Waianae Coast Comprehensive Health Center, whose inhabitants are primarily native Hawaiians, a formal model for dealing with community problems has already been established and incorporates government, university, and NGO groups.
Governmental social services in the United States are primarily aimed at low income and minority groups. In contrast, Japan provides these services equally to all groups. Furthermore, a study involving the middle class in Honolulu is necessary.
In Thailand, we cooperated with Mahidohl University and Bangkok and studied four points concerning a regional development program for a slum area. Here, we found strong community ties because most of the people are either related or from the same rural area. Next, we need to study factory workers who lack these community ties.