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Health Promotion International, Vol. 17, No. 1, 61-68, March 2002
© Oxford University Press 2002

Influence of health promotion bureaucracy on community participation: a Canadian case study

William F. Boyce

Social Program Evaluation Group, Queen's University, Kingston, Ontario, Canada K7L 3N6

Address for correspondence: William F. Boyce Social Program Evaluation Group Queen's University Kingston Ontario Canada K7L 3N6 E-mail: boycew{at}post.queensu.ca

SUMMARY

The purpose of this paper is to illustrate, through a Canadian case study, the bureaucratic support and obstacles for community participation in health promotion. The paper begins with a brief history of the development of a participatory health promotion programme in Canada. The role of bureaucracies on participation of communities is highlighted. Secondly, the paper describes how a variety of bureaucratic factors affected grassroots community participation efforts of local projects in one province. Finally, discussion focuses on how community participation is constrained in a bureaucratically mediated activity such as health promotion.

Key words: bureaucracy; Canada; community; health promotion


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