TY - JOUR
T1 - Community capacity as means to improved health practices and an end in itself
T2 - Evidence from a multi-stage study
AU - Underwood, Carol
AU - Boulay, Marc
AU - Snetro-Plewman, Gail
AU - MacWan'Gi, Mubiana
AU - Vijayaraghavan, Janani
AU - Namfukwe, Mebelo
AU - Marsh, David
PY - 2012/1/1
Y1 - 2012/1/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84877706465&partnerID=8YFLogxK
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U2 - 10.2190/IQ.33.2.b
DO - 10.2190/IQ.33.2.b
M3 - Article
C2 - 23661414
AN - SCOPUS:84877706465
SN - 0272-684X
VL - 33
SP - 105
EP - 127
JO - International Quarterly of Community Health Education
JF - International Quarterly of Community Health Education
IS - 2
ER -