Health Equity In A Highland Rural Philippine Community: Multidimensional Determinants And Community-Engaged Transformative Interventions

Abstract

Health equity is influenced by socio-demographic, socio-economic, cultural, environmental, and health system determinants. These multidimensional factors are essential for designing contextually responsive interventions in rural communities. This study contributes to public health education through a community-based interdisciplinary framework that supports curriculum innovation, experiential learning, and academic-community partnerships.

A cross-sectional community study involved 915 residents. Multidimensional data were collected through structured surveys and local health records. Descriptive statistics were used to characterize population profiles, morbidity patterns, and priority health concerns. Participatory Action Research (PAR) was implemented to address identified issues through health education and community-based wellness initiatives.

Most participants were adults aged 20–59 years with diverse educational attainments; 65.7% reported monthly incomes below ₱10,000. Upper respiratory tract infections (URTIs), hypertension, and diabetes were the most prevalent conditions. Community-prioritized concerns emphasize environmental and behavioral risks. Interventions through PAR had outcomes on knowledge, practical skills, psychosocial support, and community empowerment. However, innovative, community-driven, and collaborative approaches to promoting sustainable health equity and resilient societies through participatory action and shared responsibility must be strengthened.

Health equity in the rural community of Bun-ayan, Sabangan, Mountain Province, Philippines, was influenced by interacting multidimensional factors, with persistent burdens of URTIs, hypertension, and diabetes linked to poverty and environmental risks. PAR activities highlighted how community participation and culturally responsive approaches increased health knowledge and skills, promoting empowerment and inclusive, equity-focused strategies that promote collective action to sustainable and resilient health systems in the community.