Not so Conventional!

July 10, 2019

Combining Public Health and Rights-Based Approaches to Address Violence

by Poli Rijos, Center Manager, Center for Community Health Partnership & Research at the Institute for Public Health

St. Louis Delegation from Episcopal Church of the Holy Communion

In early June, I spent eight days in El Salvador. Funding from the Institute for Public Health, the Episcopal Church of the Holy Communion, and my family gave me the opportunity to attend Global School by Cristosal. My assignment was to learn how to incorporate elements of the human rights-based approach into our public health approach to violence prevention. Luckily, I did not travel alone in this soul-searching expedition. I traveled with ten other St. Louis community members including clergy, Washington University in St. Louis and St. Louis University students, and one member from Moms Demand Action for Gun Sense in America. In El Salvador, we met eleven Salvadorian community members.

The Public Health Model

Human Rights-Based Approach

The seminar, entitled Community-based Peacebuilding: a response to violence with human rights approach, highlighted root causes and expressions of violence in different cultural contexts and how local communities, faith groups and government institutions can develop new strategies to prevent and address violence. Grounded in the United Nations’ Declaration on the Right to Development, Cristosal’s rights-based approach treats community partners as equal owners of their development process. Victims of violence are recognized “as subjects of rights rather than beneficiaries of goodwill, and defines poverty and violence reduction as a global responsibility.” Thus, Cristosal and community partners draft and build solutions collectively.

Why travel to El Salvador?

By working at the Institute for Public Health, I have learned that the terms global health, local health, and one health are deeply interwoven. The health of our citizens, animals, and environment are connected. In order to achieve optimal outcomes, community partners must guide our work, which must intersect and be collaborative. Thus, I am ready to learn from our siblings in El Salvador. Much to my surprise, some neighborhoods in St. Louis have higher rates of homicides when compared to El Salvador.

Sources: St. Louis Metropolitan Police Department Overseas Security Advisory Council, Bureau of Diplomatic Security, U.S. Department of State

What does a combined peace-building model look like?

My Global School teammates and I defined “peacebuilding” as the process that empowers communities to solve issues like gun violence by centering their experiences. By combining elements from both the public health approach and the rights-based approach, we built a draft peacebuilding model that included: 1) assessment of the problem; 2) community and capacity building; 3) plan development and; 4) plan implementation that includes evaluation. Community partners must be included and consulted at all stages of the process. Finally, documentation of every step is vital to learn from successes and mistakes and to inform new stakeholders.

Drafting the Peacebuilding Model

Presenting the Peacebuilding Model

Draft of a Peacebuilding Model

Final Reflection

El Salvador is more similar to St. Louis than I could have ever envisioned. Similar social determinants of health affect the well-being of our communities and similar human rights are violated. I am indebted to the Salvadorians who trusted us with incredible stories of pain, violence, trauma, but most importantly, resilience. I am back in my adopted home of St. Louis challenging my recent feelings of hopelessness and ready to deepen community partnerships. I must continue to center communities when developing violence prevention interventions. Now, I have a new and exciting challenge… add a human rights lens to my work.

Blog author, Poli Rijos in El Salvador

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