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(Person) Percentage - Sabanci University Research Database

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The Asian Conference on Media & Mass Communication Osaka, Japan<br />

It was not just content but the context which was critical in this process of<br />

communication. While education and employment remained the focus of the previous<br />

two Radio Ramzans, the third radio series was dedicated to the issues around the<br />

health of minority ethnic groups, especially that of Mirpuri community in<br />

Nottingham. In association with the Specialist Health Promotion Service of<br />

Nottingham Health Authority, Karimia Mosque developed a comprehensive health<br />

education project using Radio Ramzan as a vehicle to reach out to the community and<br />

seek their participation in developing culturally sensitive and socially relevant<br />

strategies to fight inequalities in health.<br />

This partnership approach between public and voluntary sector has become part of a<br />

new discourse in which the concepts of community mobilization and local<br />

participation are sought to reduce health inequalities and promote good health among<br />

marginalised groups. Supported by many surveys and research findings, the<br />

participatory approach in health education and delivery is highlighted in various<br />

health policy documents (Acheson, 1998, Department of Health 1999a, 1999b, Social<br />

Exclusion Unit, 2000). This approach is also present in various international<br />

declarations supported by World Health Organisation (WHO) including Alma Ata<br />

Declaration (1978), the Ottawa Charter (1986), Amman Declaration (1996) and<br />

Jakarta Declaration (1997). However, the populist paradigm of participation has come<br />

under attack for its technical, theoretical, political and conceptual limitations. There is<br />

a range of critiques available about the populist participation approach (Bastian &<br />

Bastian, 1996; Nelson and Wright 1995). Although there are critics of this approach<br />

who question the rhetorical use of participation and demand clarification on terms,<br />

mechanism and conditions of partnerships and alliances (Cook and Kothari, 2001),<br />

the approach of involving victims of inequality to fight inequality does make sense<br />

when participation is on the terms of victims.<br />

Against this background, Radio Ramzan developed a month long multi-agency<br />

intensive health education campaign bringing together health professionals,<br />

community workers, religious leaders, volunteers and statutory organizations to find a<br />

common ground to fight inequalities in health faced by the Mirpuri community living<br />

in inner city Nottingham. The project resulted from a partnership which had<br />

developed between the Specialist Health Promotion Service (SHPS), Nottingham<br />

Community Health NHS Trust, the Karimia Institute of Nottingham and City Central<br />

Primary Care Group (PCG).<br />

The project was basically a partnership project between the City Central Primary Care<br />

Trust (PCT) in Nottingham and the Karimia. The objectives of the HEAP project<br />

included:<br />

• Generate and share knowledge from the experiences of health from<br />

participants, which can be used as guidance for change to promote health<br />

education and mobilization for culturally relevant action.<br />

• Develop a contextual approach in addressing some of the pertinent health<br />

issues among the Mirpuri community by acknowledging and adopting the<br />

cultural practices prevalent in this community.<br />

• Facilitate the participation of marginalized people in local health initiatives so<br />

that they can take a more pro-active part in looking after their health and the<br />

health of others in the community.<br />

585

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