28 Solving Health Problems
Organizing to solve community health problems
Step 10: Decide which
causes you and your
community can change.
The next step, Valeria told the women, is to look at the
different causes and decide which ones you and others in
the community can change. Then think about what actions
must be done to make the changes happen.
Step 11: Decide what
actions can make those
After a lot of discussion, the women decided they would
probably not be able to change the fact that the men had
to go away for work—or even keep them from having sex
with other women. But they thought they might get their
husbands to use condoms if the men knew more about
STIs, and if condoms were not so expensive. The actions
they decided to take were:
Let’s ask Don Pedro to talk
with the men about STIs,
since they respect him and
listen to him.
Let’s all meet together
to practice talking with
our husbands about
I’ll see if the
can give out
Other members of the group suggested these actions:
• Organize a community group to talk about health problems,
and include STIs in the topics discussed.
• While women are washing clothes at the river, talk to them
about STIs and how to prevent them.
• Talk to their sons about STIs before they leave the village to
go to the coast.
Step 12: Make a plan for
carrying out the actions.
The last step, said Valeria, is to make a plan to carry out
each of these ideas for action. The plan, she said, should
answer each of these questions:
• What are we going to do? What steps will we take?
• When are we going to do
• Who will we do them with?
• Who is responsible
for making sure
that the plan is
• How will we
know if the plan is
Where Women Have No Doctor 2012