Taking part in adolescent sexual health promotion in Peru: community participation from a social psychological perspective

Abstract

This paper revisits the field of community participation in health promotion as understood from the viewpoint of social psychology. It discusses ongoing dialogues between health promotion policy discourses in relation to community involvement in development, and theoretical and practical contributions of social psychology in this respect. In particular, it introduces a social psychological framework for understanding and aiding community participation, grounded in the works of Jurgen Habermas and Paulo Freire. A community-based adolescent sexual health promotion initiative taking place in highly deprived communities in Peru serves as a case study to illustrate the approach. Findings are discussed with respect to the outcomes achieved, the light shed on the understanding of sexual health, and the impact on the adolescents partaking of the project. In the light of the results of the practical implementation of the theoretical approach outlined, the paper argues that social psychology is well positioned to contribute to community development, in particular to improving understanding and aiding of social processes of participation and change. Areas that require further research both at theoretical and at practical levels are identified and discussed. Copyright © 2000 John Wiley & Sons, Ltd.