本計畫的研究團隊成員以實際參與社區動員的方法，了解「九二 一集集大地震」後災區的健康需求，結合災區在地資源與居民建立社 區自助互助網絡，促進社區居民的健康與風險認知，及建立災後營造 健康社區的發展模式。 本研究以一年的時間參與觀察地震後社區的重建歷程，有三項主 要發現：社區參與者的健康社區概念已形成；社區參與者有參與社區 調查的能力並能創新知識；及災區自主團體參與健康營造賦權的同時 也體驗資源重分配的政治過程。此一災後社區組織動員模式與社區資 源網络的基礎，證實健康賦權的策略對深度社區參與者達到具體效 能根據此一災區健康營造的赋權的變動歷程，本文試圖建構一個災 區健康資源重整模型一社區動員的參與和赋權的機制呈現時序變化， 係先「由上而下」，再轉變爲「由下而上」。至於外來學術團隊在社區 動員初期與居民協商合作，後期則扮演陪伴的角色。

This study aims at promoting community-resident health and risk perceptions after the 921 Chi-chi earthquake that hit Taiwan. The research team herein constructs a model for building a healthy community in a specific earthquake disaster area. The result of this participatory action research with an empowerment approach is part of a one-year study. The action research findings show that most participants have developed a deeper community consciousness on health promotion. In addition, some participants have increased their own empowerment on collecting health needs* assessment data and experience in planning a community-based health education program based on the results of an interview survey. Finally, the number of individuals using an agenda focusing on a healthy community has increased through both “top-down” and “bottom-up” social mobilization strategies. Although the process of building a healthy community faces competition and restrictions, it does develope a grass-root model for the specific earthquake-hit community.