Community-Based Health Promotion Programs: Innovations for Sustainable Preventive Care
Abstract
Growing concern over rising rates of preventable diseases and disparities in access to healthcare has intensified the need for innovative community-based health promotion models that support long-term preventive care. Sustainable preventive strategies increasingly rely on community engagement, participatory education, and context-sensitive interventions capable of addressing social, behavioral, and environmental determinants of health. This study aims to examine how innovative approaches within community-based health promotion programs can strengthen preventive practices and enhance community resilience. A mixed-methods design was employed, integrating survey data from program participants, in-depth interviews with community health workers, and field observations conducted across three urban and rural intervention sites. The findings reveal that community-driven innovations—such as culturally tailored health education, peer-led initiatives, and locally adapted preventive tools—significantly improve health literacy, encourage sustained behavioral change, and expand access to preventive resources. The programs demonstrated enhanced community ownership, stronger intersectoral collaboration, and measurable improvements in early detection and risk reduction behaviors. The study concludes that community-based health promotion programs, when supported by innovative and participatory frameworks, serve as an effective pathway toward sustainable preventive care. Strengthening adaptability, community partnership, and local capacity building emerges as essential for scaling and institutionalizing preventive health innovations.
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References
Bhanja, S., Mitra, S., & De, J. K. (2023). Does the Childhood Obesity Require Special Attention? A Cross-sectional Pilot Study. Journal of Pediatrics Review, 11(2), 179–186. Scopus. https://doi.org/10.32598/jpr.11.2.1035.1
Brera, A. S., Arrigoni, C., Magon, A., Conte, G., Belloni, S., Bonavina, L., Caruso, R., & Pasek, M. (2023). Mapping the literature on decision regret in patients with non-communicable diseases (NCDs): A scoping review protocol. BMJ Open, 13(7). Scopus. https://doi.org/10.1136/bmjopen-2023-072703
Effinger, D., Hirschberger, S., Yoncheva, P., Schmid, A., Heine, T., Newels, P., Schuetz, B., Meng, C., Gigl, M., Kleigrewe, K., Holdt, L.-M., Teupser, D., & Kreth, S. (2023). A ketogenic diet substantially reshapes the human metabolome. Clinical Nutrition, 42(7), 1202–1212. Scopus. https://doi.org/10.1016/j.clnu.2023.04.027
Ghazihosseini, S., de Rosa, C., Trimarco, V., Izzo, R., Morisco, C., & Esposito, G. (2023). The Environmental Pollution and Cardiovascular Risk: The Role of Health Surveillance and Legislative Interventions in Cardiovascular Prevention. High Blood Pressure and Cardiovascular Prevention, 30(6), 533–538. Scopus. https://doi.org/10.1007/s40292-023-00612-2
Greenberg, K. L., Poupko, T., Sorotzkin, D., Keidar, O., & Zwas, D. R. (2023). Development and usage of a health recommendation web tool (HeaRT) designed to inform women of personalized preventive health recommendations. Internet Interventions, 31. Scopus. https://doi.org/10.1016/j.invent.2022.100599
Grunseit, A. C., Howse, E., Williams, J., & Bauman, A. E. (2023). Are Perceptions of Government Intervention Related to Support for Prevention? An Australian Survey Study. Healthcare (Switzerland), 11(9). Scopus. https://doi.org/10.3390/healthcare11091246
Hamrah, M. S., Bartlett, L., Jang, S., Roccati, E., & Vickers, J. C. (2023). Modifiable Risk Factors for Dementia Among Migrants, Refugees and Asylum Seekers in Australia: A Systematic Review. Journal of Immigrant and Minority Health, 25(3), 692–711. Scopus. https://doi.org/10.1007/s10903-022-01445-2
Hassen, H. Y., Sisay, B. G., Van geertruyden, J.-P., Le Goff, D., Ndejjo, R., Musinguzi, G., Abrams, S., & Bastiaens, H. (2023). Dietary outcomes of community-based CVD preventive interventions: A systematic review and meta-analysis. Public Health Nutrition, 26(11), 2480–2491. Scopus. https://doi.org/10.1017/S1368980023000976
Kakoschke, N., Cox, D. N., Ryan, J., Gwilt, I., Davis, A., Jansons, P., de Courten, B., & Brinkworth, G. (2023). Disrupting future discounting: A commentary on an underutilised psychological approach for improving adherence to diet and physical activity interventions. Public Health Nutrition, 26(5), 1088–1093. Scopus. https://doi.org/10.1017/S136898002200252X
Kerr, J. A., Gillespie, A. N., O’Connor, M., Deane, C., Borschmann, R., Dashti, S. G., Spry, E. A., Heerde, J. A., Möller, H., Ivers, R., Boden, J. M., Scott, J. G., Bucks, R. S., Glauert, R., Kinner, S. A., Olsson, C. A., & Patton, G. C. (2023). Intervention targets for reducing mortality between mid-adolescence and mid-adulthood: A protocol for a machine-learning facilitated systematic umbrella review. BMJ Open, 13(10). Scopus. https://doi.org/10.1136/bmjopen-2022-068733
Khaltaev, N., & Axelrod, S. (2023). Countrywide “best buy” interventions for noncommunicable diseases prevention and control in countries with different level of socioeconomic development. Chronic Diseases and Translational Medicine, 9(1), 44–53. Scopus. https://doi.org/10.1002/cdt3.49
Kiran, U. V. (2023). Combating Cognitive Dysfunction among CKD Patients: Need for Effective Treatment Module. Journal for ReAttach Therapy and Developmental Diversities, 6(3s), 498–505. Scopus.
Ling, M. Y. J., Ahmad, N., & Aizuddin, A. N. (2023). Risk perception of non-communicable diseases: A systematic review on its assessment and associated factors. PLOS ONE, 18(6 JUNE). Scopus. https://doi.org/10.1371/journal.pone.0286518
Lundin Gurné, F. L., Svensson, P.-A., Björkman, I., Lidén, E., & Jakobsson, S. (2023). Seeking lifestyle counselling at primary health care centres: A cross-sectional study in the Swedish population. BMC Primary Care, 24(1). Scopus. https://doi.org/10.1186/s12875-023-02035-3
Mallick, A., Alruwaili, R. M. S., Albayyali, W. S., Aljurayyad, N. A., Almajed, O. A., Mallick, H. A., & Alenzi, M. H. E. (2023). A Cross-Sectional Study to Assess the Knowledge and Practice of Life Style Medicine Among Physicians. Bahrain Medical Bulletin, 45(1), 1328–1331. Scopus.
Mandal, S. K., Tare, M., & Deepa, P. R. (2023). COVID-19 infection and metabolic comorbidities: Mitigating role of nutritional sufficiency and drug – nutraceutical combinations of vitamin D. Human Nutrition and Metabolism, 31. Scopus. https://doi.org/10.1016/j.hnm.2022.200179
Manderson, L., & Jewett, S. (2023). Risk, lifestyle and non-communicable diseases of poverty. Globalization and Health, 19(1). Scopus. https://doi.org/10.1186/s12992-023-00914-z
Martínez-Leyva, G., Hernández-Ugalde, F., & Martín-Pastrana, L. (2023). Epigenetics and chronic non-communicable diseases: A new preventive approach. Revista Medica Electronica, 45(2). Scopus. https://www.scopus.com/inward/record.uri?eid=2-s2.0-85165430394&partnerID=40&md5=7edfbcd52f05690d1fdbe4568fc88f57
Masharipova, A., Nurgaliyeva, N., & Derbissalina, G. (2023). Participation of primary care nurses in the prevention of chronic non-communicable diseases in the republic of Kazakhstan: A cross-sectional study. Iranian Journal of Nursing and Midwifery Research, 28(3), 280–285. Scopus. https://doi.org/10.4103/ijnmr.ijnmr_77_21
Mogo, E. R. I., Lawanson, T., Unuigboje, R., Chetty, Y., Onifade, V., Odekunle, D., Ogunro, T., Blanche, N., Alani, R., Foley, L., Mapa-Tassou, C., Assah, F., Popoola, O., Peter, C., & Oni, T. (2023). The other pandemic: Social media engagement around non-communicable disease preventive behaviours during Nigeria’s COVID-19 lockdowns. Cities and Health, 7(4), 563–572. Scopus. https://doi.org/10.1080/23748834.2022.2073540
Moore, R., & Daaleman, T. P. (2023). Special Populations: Care of Persons Experiencing Homelessness. In Chronic Illness Care: Principles and Practice, Second Edition (pp. 417–428). Springer International Publishing; Scopus. https://doi.org/10.1007/978-3-031-29171-5_32
Moshi, B., Yongolo, N., Biswaro, S. M., Maro, H., Linus, S., Siebert, S., Nkenguye, W., McIntosh, E., Shirima, F., Njau, R. E., Andongolile, A. A., Mwanswila, M. J., Halliday, J. E. B., Krauth, S., Kilonzo, K., Walker, R. W., Temu, G. A., & Mmbaga, B. T. (2023). Trends of frequency, mortality and risk factors among patients admitted with stroke from 2017 to 2019 to the medical ward at Kilimanjaro Christian Medical Centre hospital: A retrospective observational study. BMJ Open, 13(7). Scopus. https://doi.org/10.1136/bmjopen-2023-071918
Nguyen, T.-P.-L., Rokhman, M. R., Stiensma, I., Hanifa, R. S., Ong, T. D., Postma, M. J., & Van Der Schans, J. (2023). Cost-effectiveness of non-communicable disease prevention in Southeast Asia: A scoping review. Frontiers in Public Health, 11. Scopus. https://doi.org/10.3389/fpubh.2023.1206213
Njiro, B. J., Ngowi, J. E., Ndumwa, H. P., Amani, D., Munishi, C., Mloka, D., Balandya, E., Rugajo, P., Tengia-Kessy, A. T., Ubuguyu, O., Salum, B., Kamuhabwa, A., Ramaiya, K., Sunguya, B. F., Mboya, E. A., Kikula, A. I., Kitambala, E., Kiologwe, J., Kengia, J. T., & Kapologwe, N. (2023). Non-communicable Diseases Week: Best Practices in Addressing the NCDs Burden from Tanzania. Annals of Global Health, 89(1). Scopus. https://doi.org/10.5334/aogh.4116
Pándics, T., Major, D., Fazekas-Pongor, V., Szarvas, Z., Péterfi, A., Mukli, P., Gulej, R., Ungvari, A., Fekete, M., Tompa, A., Tarantini, S., Yabluchanskiy, A., Conley, S., Csiszár, A., Tabák, A. G., Benyö, Z., Ádány, R., & Ungvári, Z. (2023). Exposome and unhealthy aging: Environmental drivers from air pollution to occupational exposures. GeroScience, 45(6), 3381–3408. Scopus. https://doi.org/10.1007/s11357-023-00913-3
Pengpid, S., & Peltzer, K. (2023). Behavioural and biological risk factors of non-communicable diseases among adults in Cabo Verde: A repeated cross-sectional study of the 2007 and 2020 national community-based surveys. BMJ Open, 13(8). Scopus. https://doi.org/10.1136/bmjopen-2023-073327
Rada, I., & Cabieses, B. (2023). Challenges for the prevention of hypertension among international migrants in Latin America: Prioritizing the health of migrants in healthcare systems. Frontiers in Public Health, 11. Scopus. https://doi.org/10.3389/fpubh.2023.1125090
Thomas, S. A., Browning, C. J., Charchar, F. J., Klein, B., Ory, M. G., Bowden-Jones, H., & Chamberlain, S. R. (2023). Transforming global approaches to chronic disease prevention and management across the lifespan: Integrating genomics, behavior change, and digital health solutions. Frontiers in Public Health, 11. Scopus. https://doi.org/10.3389/fpubh.2023.1248254
Zhao, Y., Li, M., Wang, Y., Geng, R., Fang, J., Liu, Q., Kang, S.-G., Zeng, W. C., Huang, K., & Tong, T. (2023). Understanding the mechanism underlying the anti-diabetic effect of dietary component: A focus on gut microbiota. Critical Reviews in Food Science and Nutrition, 63(25), 7378–7398. Scopus. https://doi.org/10.1080/10408398.2022.2045895
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Copyright (c) 2025 Rini Ambarwati, Minarti Minarti, Nur Hasanah, Benny Novico Zani

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