Challenging the official approach to health care through reflective practice: a case study of a community health NGO in Bolivia

Bristow, K.S. (2008) 'Challenging the official approach to health care through reflective practice: a case study of a community health NGO in Bolivia'. Reflective Practice, Vol 9, Issue 1, pp. 53-67.

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Abstract

The community health non-governmental organisation (NGO), CODGO Bolivia aims to foster two forms of critical reflective practice in its staff and trainees - critical practical reflectivity (perspective transformation) and critical political reflectivity (conscientisation). Reflective practice is seen as an integral aspect of the organisation's aim to counter a narrow biomedical view of health with what is termed 'integrated health'. This paper will analyse CODGO's ability to achieve its aims through using Yip's four levels of reflective practice (0 = absence of reflectivity, 1 = basic practical reflectivity, 2 = reflectivity in action, and 3 = critical practical reflectivity - perception transformation) and four categories of interlocking factors: philosophical/ideological, politico-economic, sociocultural and practical/pragmatic. A tool based on the four categories of factors is also discussed as a means of making explicit and mitigating against some of the potential difficulties surrounding CODGO's approach.

Item Type:	Article
Uncontrolled Keywords:	biomedicine; critical reflective practice; health worker training; integrated health
Subjects:	WA Public Health > WA 20.5 Research (General)
Digital Object Identifer (DOI):	https://doi.org/10.1080/14623940701816659
Depositing User:	Ms Julia Martin
Date Deposited:	28 Jul 2010 15:32
Last Modified:	16 Dec 2021 08:42
URI:	https://archive.lstmed.ac.uk/id/eprint/1086

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