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A study of positive deviance in community health won Walden student Piroska Bisits-Bullen the award for best dissertation of the year in 2011. In her study, she reviewed reports of how villagers (often women) solve local health problems in creative ways, for example, addressing protein deficiency in the community, with a simple solution—cultivating shrimp in the rice fields. Her review, condensed into a journal article, was published that same year (see Required Resources).
Most reports of positive deviance focus on specific health issues rather than underlying social and environmental determinants, and Zeitlin et al. (1990) have cautioned that the concept of positive deviance “should not divert attention and energy away from efforts to change the economic, social, and political conditions of the poor.” In this last Discussion of the course, you will consider how a positive innovation was introduced by members of a community to advance their own health and explain the actual or potential role of social media in advocating for this innovation.
To PrepareReview the module Learning Resources.
Reflect on the success story case studies from previous modules.
Consider the role of mass media in the success stories.
By Day 4 of Week 11Post a response in which you:
Explain the concept of positive deviance as a strategy for innovation in public health.
Explain how a positive innovation has been introduced by a community to advance their own health. Your community should be focused on some aspect of a disease or population.
Explain the actual or potential role of social media in advancing this innovation.
Respond to at least 2 posts in a substantive way and respond to all instructor queries. In your response, address at least one of the following:
Offer an alternative explanation of positive deviance as a public health phenomenon.
Offer an opposing or different viewpoint.
Validate your peer’s viewpoint with evidence from personal experience.
Offer a resource that your peer might find useful.

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