Community capacity as means to improved health practices and an end in itself: Evidence from a multi-stage study

Carol Underwood, Marc Boulay, Gail Snetro-Plewman, Mubiana MacWan'Gi, Janani Vijayaraghavan, Mebelo Namfukwe, David Marsh

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)105-127
Number of pages23
JournalInternational Quarterly of Community Health Education
Volume33
Issue number2
DOIs
StatePublished - Jan 1 2012

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Health
health
community
evidence
Health Communication
Capacity Building
Zambia
Health Behavior
Program Evaluation
Contraceptive Agents
Focus Groups
HIV
Interviews
health behavior
evaluation
collective behavior
contraceptive
communication
interview
Community Participation

ASJC Scopus subject areas

  • Health(social science)
  • Education
  • Public Health, Environmental and Occupational Health

Cite this

Community capacity as means to improved health practices and an end in itself : Evidence from a multi-stage study. / Underwood, Carol; Boulay, Marc; Snetro-Plewman, Gail; MacWan'Gi, Mubiana; Vijayaraghavan, Janani; Namfukwe, Mebelo; Marsh, David.

In: International Quarterly of Community Health Education, Vol. 33, No. 2, 01.01.2012, p. 105-127.

Research output: Contribution to journalArticle

Underwood, Carol ; Boulay, Marc ; Snetro-Plewman, Gail ; MacWan'Gi, Mubiana ; Vijayaraghavan, Janani ; Namfukwe, Mebelo ; Marsh, David. / Community capacity as means to improved health practices and an end in itself : Evidence from a multi-stage study. In: International Quarterly of Community Health Education. 2012 ; Vol. 33, No. 2. pp. 105-127.
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