Chasing the dragon: Developing indicators for the assessment of community participation in health programmes

被引:114
|
作者
Draper, Alizon Katharine [1 ]
Hewitt, Gillian [2 ,3 ]
Rifkin, Susan [1 ,4 ]
机构
[1] Univ Westminster, Sch Life Sci, London W1W 6UW, England
[2] Kingston Univ, London, England
[3] Univ London, London, England
[4] London Sch Econ, London WC2A 2AE, England
关键词
Community; Participation; Primary health care; Evaluation; Child survival programmes; Micronutrient programmes; PUBLIC-PARTICIPATION; ALMA-ATA; INTERVENTIONS; EMPOWERMENT; FRAMEWORK; REBIRTH; CARE;
D O I
10.1016/j.socscimed.2010.05.016
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Community participation was identified as one of the key components of Primary Health Care as articulated in the Alma Ata declaration of 1978 and is enjoying a renewal of interest in both low and high income countries. There remains, however, an on-going challenge in how to assess its role in achieving health improvements. This is largely due to the multiplicity of definitions of community participation, which has made it difficult to evaluate its impact on desired programme outcomes, such as uptake and sustainability, as well as broader health improvements. This paper addresses this challenge by first defining a continuum of community participation that captures its many forms, and then incorporates this into an evaluation framework that enables an analysis of the process of participation and links this with health and programme outcomes. The continuum of participation and framework is based upon the spidergram of Rifkin. Muller, and Bichmann (1988), but modified in the light of the growing literature on community participation and also in relation to our original requirements to evaluate the role of community participation in nutrition-related child survival programmes. A case-study is presented to provide a worked example of the evaluation framework and its utility in the evaluation of community participation. While this is a literature-based and retrospective analysis, it demonstrates how the evaluation tool enables a nuanced analysis of the different ways in which communities can participate in the delivery of health-related interventions. It could be used prospectively by those involved in programme design and implementation to further our understanding of community participation and its relationship with health outcomes, as well as key programme outcomes, such as sustainability. (C) 2010 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1102 / 1109
页数:8
相关论文
共 50 条
  • [1] Developing Responsive Indicators of Indigenous Community Health
    Donatuto, Jamie
    Campbell, Larry
    Gregory, Robin
    [J]. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 2016, 13 (09)
  • [2] Health impact assessment as community participation
    Iroz-Elardo, Nicole
    [J]. COMMUNITY DEVELOPMENT JOURNAL, 2015, 50 (02) : 280 - 295
  • [3] Paradigms Lost: Toward a new understanding of community participation in health programmes
    Rifkin, SB
    [J]. ACTA TROPICA, 1996, 61 (02) : 79 - 92
  • [4] Quality indicators for health promotion programmes
    Ader, M
    Berensson, K
    Carlsson, P
    Granath, M
    Urwitz, V
    [J]. HEALTH PROMOTION INTERNATIONAL, 2001, 16 (02) : 187 - 195
  • [5] Detecting change in community participation with the Enfranchisement scale of the community participation indicators
    Kersey, Jessica
    Terhorst, Lauren
    Hammel, Joy
    Baum, Carolyn
    Toglia, Joan
    O'Dell, Michael W.
    Heinemann, Allen W.
    McCue, Michael
    Skidmore, Elizabeth R.
    [J]. CLINICAL REHABILITATION, 2022, 36 (02) : 251 - 262
  • [6] Dynamic target chasing: parameters and performance indicators assessment
    Camilla Fruzzetti
    Silvia Donnarumma
    Michele Martelli
    [J]. Journal of Marine Science and Technology, 2022, 27 : 712 - 729
  • [7] Dynamic target chasing: parameters and performance indicators assessment
    Fruzzetti, Camilla
    Donnarumma, Silvia
    Martelli, Michele
    [J]. JOURNAL OF MARINE SCIENCE AND TECHNOLOGY, 2022, 27 (01) : 712 - 729
  • [8] Institutional Barriers to Developing Community Indicators in New Zealand: A Preliminary Assessment
    Memon, Ali
    Johnston, Karen
    [J]. COMMONWEALTH JOURNAL OF LOCAL GOVERNANCE, 2008, (01): : 70 - 91
  • [9] COMMUNITY HEALTH AND COMMUNITY PARTICIPATION
    CHISHOLM, S
    [J]. BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE, 1970, 46 (12) : 1144 - &
  • [10] Understanding the Effects of Adolescent Participation in Health Programmes
    Cook, Philip
    [J]. INTERNATIONAL JOURNAL OF CHILDRENS RIGHTS, 2008, 16 (01): : 121 - 139