Authors: Carol Underwood, Marc Boulay, Gail Snetro-Plewman, Mubiana Macwan'gi, Janani Vijayaraghavan, Mebelo Namfukwe, David Marsh
This three-phase study characterized, validated, and applied community capacity domains in a health communication project evaluation in Zambia. Phase I explored community capacity domains from community members’ perspectives (16 focus groups, 14 in-depth interviews, 4 sites. These were validated in Phase II with 720 randomly selected adults. The validated domains were incorporated into a program evaluation survey (2,462 adult women, 2,354 adult men; October 2009). The results indicated that the intervention had direct effects on community capacity; enhanced capacity was then associated with having taken community action for health. Finally, community capacity mediated by community action and controlling for confounders, had a significant effect on women’s contraceptive use, children’s bed net use, and HIV testing. The results indicate that building community capacity served as a means to an end—improved health behaviors and reported collective action for health—and an end-in-itself, both of which are essential to overall wellbeing.
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Int’l. Quarterly of Community Health Education, Vol. 33(2) 105-127, 2012-2013
© 2013, Baywood Publishing Co., Inc.
Resource Topic: Community Assessment, Maternal, Newborn and Child Health, Reproductive Health/Family Planning
Resource Type: Journal articles, Research
Year: 2013
Region: Sub-Saharan Africa (SSA)
Country: Zambia
Publisher May Restrict Access: No