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

Type Journal Article - International Quarterly of Community Health Education
Title Community capacity as means to improved health practices and an end in itself: evidence from a multi-stage study
Author(s)
Volume 33
Issue 2
Publication (Day/Month/Year) 2013
Page numbers 105-127
URL http://journals.sagepub.com/doi/abs/10.2190/IQ.33.2.b
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.

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