Connecting local responses around the world
Is SALT truly a 'bottom-up approach?
Read this study of an intern [Kasper Moes] who did a study in the health sector within Holland. The assessment of how GGD employees working with communities view CLCP/SALT. The aim was to explore whether CLCP / SALT may be beneficial additions to Dutch health promotion in order to improve public health, and whether the method is suitable.
This was done using the following research question: ‘’What are the potential arguments in favor and against implementing CLCP/SALT in a Dutch community health service context according to GGD experts?’’ The participants of the study included "[..] employees working for the division of health promotion and epidemiology are experts on both public health and working with the community."
There were five arguments in favor of and three general arguments against the hypothesis. The five arguments in favor included:
 [...] provide a broader, more complete vision on community health ...];
 Increase ownership of citizens;
 [...] straight forward methodology to comprehend ...[....] implying that utilizing it would be an unhampered task in theory.
 CLCP/SALT is not restricted to formalities. The threshold for testing the methodology in a hands-on practical way would be low.
 CLCP / SALT can be related to the natural way of working of many. These employees [ working in public health and working with the community] already possessed a fundamental understanding of the CLCP/SALT principles, making it less complex for them to understand.
The negative arguments include:
 Difficulty in linking goals of the health programme with those that emerge during the engagement with communities.
 Difficultly to constantly keep all actors up to date, as well as justify and quantify progress made by the project. CLCP is an organic process, making it unpredictable what courses of action are to be taken and what outcomes are to be measured.
 CLCP / SALT can take up a lot of time, making it difficult to acquire and retain involvement aligned to the different priorities of the top-down approach of the organization implementing the interventions.
The full story is Report_Kasper.pdf
What are your thoughts? Please share here (^_^)