Evaluation findings on community participation in the California Healthy Cities and Communities program

Kegler, Michelle C.; Painter, Julia E.; Twiss, Joan M.; Aronson, Robert E.; Norton, Barbara

doi:10.1093/heapro/dap036

Cited by 35 publications

(38 citation statements)

References 36 publications

(47 reference statements)

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“…In practical terms, this implies creating interfaces where relationships can be formed and community voices can be heard. This fits with a multi-level approach to community involvement and governance reported in evaluations of Healthy Cities [1,13].…”

Section: Implications For Research and Practicesupporting

confidence: 76%

Health promotion by communities and in communities: Current issues for research and practice

South

2014

Scand J Public Health

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Background and aims: This paper explores contemporary issues around community-based health promotion in the light of international health policies reaffirming the central role of community action within broader efforts to achieve health equity. Adopting a system-level approach poses challenges for current health promotion practice and evaluation, particularly where there is a shift in emphasis from small-scale community health projects towards mainstream community programmes, capable of engaging widely across diverse populations. Methods: Drawing on research with community members carried out by the Centre for Health Promotion Research, Leeds Metropolitan university, uK, the paper re-examines assumptions about the nature of interventions within community settings, and what participation means from a lay perspective. Key research issues for community-based health promotion are highlighted. Conclusions: The paper concludes by proposing that community-based interventions need to be reframed, if the dual challenges of citizen involvement and evidence based practice are to be met.

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Section: Implications For Research and Practicesupporting

confidence: 76%

Health promotion by communities and in communities: Current issues for research and practice

South

2014

Scand J Public Health

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“…As stated above, existing literature shows that strategies to build management competencies rely mainly on the use of academic training [10]. Engaging learning approaches have most frequently been used in community-based interventions and rarely for the development of management competencies within the health sector [34]. These approaches have been praised for stimulating learning through interactions across different stakeholders, offering opportunities for reflection, stimulating action-oriented change and empowering participants [35, 36].…”

Section: Discussionmentioning

confidence: 99%

Building a competent health manager at district level: a grounded theory study from Eastern Uganda

Tetui

Hurtig

Ekirpa-Kiracho

et al. 2016

BMC Health Serv Res

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Background: Health systems in low-income countries are often characterized by poor health outcomes. While many reasons have been advanced to explain the persistently poor outcomes, management of the system has been found to play a key role. According to a WHO framework, the management of health systems is central to its ability to deliver needed health services. In this study, we examined how district managers in a rural setting in Uganda perceived existing approaches to strengthening management so as to provide a pragmatic and synergistic model for improving management capacity building. Methods: Twenty-two interviews were conducted with district level administrative and political managers, district level health managers and health facility managers to understand their perceptions and definitions of management and capacity building. Kathy Charmaz's constructive approach to grounded theory informed the data analysis process. Results: An interative, dynamic and complex model with three sub-process of building a competent health manager was developed. A competent manager was understood as one who knew his/her roles, was well informed and was empowered to execute management functions. Professionalizing health managers which was viewed as the foundation, the use of engaging learning approaches as the inside contents and having a supportive work environment the frame of the model were the sub-processes involved in the model. The sub-processes were interconnected although the respondents agreed that having a supportive work environment was more time and effort intensive relative to the other two sub-processes. Conclusions: The model developed in our study makes four central contributions to enhance the WHO framework and the existing literature. First, it emphasizes management capacity building as an iterative, dynamic and complex process rather than a set of characteristics of competent managers. Second, our model suggests the need for professionalization of health managers at different levels of the health system. Third, our model underscores the benefits that could be accrued from the use of engaging learning approaches through prolonged and sustained processes that act in synergy. Lastly, our model postulates that different resource investments and a varied range of stakeholders could be required at each of the sub-processes.

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“…Kegler, Painter, Twiss, Aronson, and Norton (2009) characterize the emphasis on community involvement in many participatory health promotion efforts as reflecting an "implicit…hypothesis that resident involvement in community decision-making leads to better policies and programs, and ultimately to improved community health" (p. 301). Numerous studies of minigrant programs cite their potential for building this kind of community involvement.…”

Section: Motivations For Implementing Minigrant Programsmentioning

confidence: 99%

Learning from Community-Designed Minigrant Programs in the Food Dignity Project

Hargraves

2018

J. Agric. Food Syst. Community Dev.

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Citation: Hargraves, M. (2018). Learning from community-designed minigrant programs in the Food Dignity project. Journal of Agriculture, Food Systems, and Community Development, 8(Suppl. AbstractThe Food Dignity project was a five-year (2011-2016, plus a two-year extension), US$5 million collaborative action research project funded by the U.S. Department of Agriculture's Agriculture and Food Research Initiative, that brought together individuals from four universities and five community organizations. The project goal was to learn from and with these community organizations working to strengthen local food systems and build food justice in their communities. As part of the action research, the partnering community organizations each received US$30,000 to be distributed in their communities in the form of minigrants. The evaluation literature on minigrant programs has highlighted their potential for fostering community engagement and supporting ideas brought forward by community members with lived experience of the issue being addressed. In these minigrant programs, the outside funder or distributing agency had largely or entirely determined their structure. In the Food Dignity project, however, the community organizations each designed their own program, led by their community organizers. The diversity of the community organizations and the flexibility and autonomy they exercised in designing their minigrant programs offers an opportunity to explore a novel question: FoodDignity

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Evaluation findings on community participation in the California Healthy Cities and Communities program

Cited by 35 publications

References 36 publications

Health promotion by communities and in communities: Current issues for research and practice

Health promotion by communities and in communities: Current issues for research and practice

Building a competent health manager at district level: a grounded theory study from Eastern Uganda

Learning from Community-Designed Minigrant Programs in the Food Dignity Project

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