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Community capacity as means to improved health practices and an end in itself: evidence from a multi-stage study
Underwood, C., Boulay, M., Snetro-Plewman, G., Macwan'gi, M., Vijayaraghavan, J., Namfukwe, M., Marsh, D. (2012 – 2013). Community capacity as means to improved health practices and an end in itself: evidence from a multi-stage study. Int Q Community Health Educ., 33(2), 105 – 27. PubMed PMID: 23661414.
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.











































