Communities, universal health coverage and primary health care

can also be essential for guiding interventions aimed at behavioural modification and for facilitating adaptation to changing environmental, demographic and epidemiological conditions. ommunities can consist of a wide and diverse set of actors, from geographically defined groups and local governance structures to users of health services. Communities are difficult to study, they are not monolithic or homogeneous and they can even be oppressive when conformity is demanded or local elites are in control. Nevertheless, they are entities with agency that must be engaged with by the formal health system. 11 Acknowledging this lack of homogeneity entails recognizing the unique nature of participating community members and organizations, each with their own capabilities, resources, needs and interests. ome communities are transient, mobile…