IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v71y2010i6p1102-1109.html
   My bibliography  Save this article

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

Author

Listed:
  • Draper, Alizon Katharine
  • Hewitt, Gillian
  • Rifkin, Susan

Abstract

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.

Suggested Citation

  • Draper, Alizon Katharine & Hewitt, Gillian & Rifkin, Susan, 2010. "Chasing the dragon: Developing indicators for the assessment of community participation in health programmes," Social Science & Medicine, Elsevier, vol. 71(6), pages 1102-1109, September.
    • Handle: RePEc:eee:socmed:v:71:y:2010:i:6:p:1102-1109
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(10)00415-6
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Rifkin, Susan B. & Muller, Frits & Bichmann, Wolfgang, 1988. "Primary health care: on measuring participation," Social Science & Medicine, Elsevier, vol. 26(9), pages 931-940, January.
    2. Victora, C.G. & Habicht, J.-P. & Bryce, J., 2004. "Evidence-Based Public Health: Moving Beyond Randomized Trials," American Journal of Public Health, American Public Health Association, vol. 94(3), pages 400-405.
    3. Michener, Victoria J., 1998. "The participatory approach: Contradiction and co-option in Burkina Faso," World Development, Elsevier, vol. 26(12), pages 2105-2118, December.
    4. Martina Björkman & Jakob Svensson, 2009. "Power to the People: Evidence from a Randomized Field Experiment on Community-Based Monitoring in Uganda," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 124(2), pages 735-769.
    5. Pritchett, Lant & Woolcock, Michael, 2004. "Solutions When the Solution is the Problem: Arraying the Disarray in Development," World Development, Elsevier, vol. 32(2), pages 191-212, February.
    6. Jewkes, Rachel & Murcott, Anne, 1996. "Meanings of community," Social Science & Medicine, Elsevier, vol. 43(4), pages 555-563, August.
    7. E. A. Brett, 2003. "Participation and accountability in development management," Journal of Development Studies, Taylor & Francis Journals, vol. 40(2), pages 1-29.
    8. Naylor, Patti-Jean & Wharf-Higgins, Joan & Blair, Lynne & Green, Lawrence & O'Connor, Brian, 2002. "Evaluating the participatory process in a community-based heart health project," Social Science & Medicine, Elsevier, vol. 55(7), pages 1173-1187, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Madon, Shirin & Malecela, Mwele Ntuli & Mashoto, Kijakazi & Donohue, Rose & Mubyazi, Godfrey & Michael, Edwin, 2018. "The role of community participation for sustainable integrated neglected tropical diseases and water, sanitation and hygiene intervention programs: A pilot project in Tanzania," Social Science & Medicine, Elsevier, vol. 202(C), pages 28-37.
    2. Montesanti, Stephanie Rose & Abelson, Julia & Lavis, John N. & Dunn, James R., 2015. "The value of frameworks as knowledge translation mechanisms to guide community participation practice in Ontario CHCs," Social Science & Medicine, Elsevier, vol. 142(C), pages 223-231.
    3. Prata, Ndola & Ejembi, Clara & Fraser, Ashley & Shittu, Oladapo & Minkler, Meredith, 2012. "Community mobilization to reduce postpartum hemorrhage in home births in northern Nigeria," Social Science & Medicine, Elsevier, vol. 74(8), pages 1288-1296.
    4. Ratanavaraha, Vatanavongs & Jomnonkwao, Sajjakaj, 2013. "Community participation and behavioral changes of helmet use in Thailand," Transport Policy, Elsevier, vol. 25(C), pages 111-118.
    5. Jung, Minsoo & Viswanath, K., 2013. "Does community capacity influence self-rated health? Multilevel contextual effects in Seoul, Korea," Social Science & Medicine, Elsevier, vol. 77(C), pages 60-69.
    6. Farmer, Jane & Currie, Margaret & Kenny, Amanda & Munoz, Sarah-Anne, 2015. "An exploration of the longer-term impacts of community participation in rural health services design," Social Science & Medicine, Elsevier, vol. 141(C), pages 64-71.
    7. Atinga, Roger A. & Agyepong, Irene Akua & Esena, Reuben K., 2019. "Willing but unable? Extending theory to investigate community capacity to participate in Ghana’s community-based health planning and service implementation," Evaluation and Program Planning, Elsevier, vol. 72(C), pages 170-178.
    8. Luisi, Daniela & Hämel, Kerstin, 2021. "Community participation and empowerment in primary health care in Emilia-Romagna: A document analysis study," Health Policy, Elsevier, vol. 125(2), pages 177-184.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Deribe Assefa Aga & N. Noorderhaven & B. Vallejo, 2018. "Project beneficiary participation and behavioural intentions promoting project sustainability: The mediating role of psychological ownership," Development Policy Review, Overseas Development Institute, vol. 36(5), pages 527-546, September.
    2. Aga, Deribe Assefa, 2016. "Factors affecting the success of development projects : A behavioral perspective," Other publications TiSEM 867ae95e-d53d-4a68-ad46-6, Tilburg University, School of Economics and Management.
    3. Ghazala Mansuri, 2004. "Community-Based and -Driven Development: A Critical Review," The World Bank Research Observer, World Bank, vol. 19(1), pages 1-39.
    4. World Bank Group, 2014. "Strategic Framework for Mainstreaming Citizen Engagement in World Bank Group Operations," World Bank Publications - Books, The World Bank Group, number 21113.
    5. Catherine E. Herrold & Khaldoun AbouAssi, 2023. "Can service providing NGOs build democracy? Five contingent features," Public Administration & Development, Blackwell Publishing, vol. 43(1), pages 80-91, February.
    6. Diether Beuermann & Maria Amelina, 2014. "Does Participatory Budgeting Improve Decentralized Public Service Delivery?," IDB Publications (Working Papers) 87095, Inter-American Development Bank.
    7. Chung, Kimberly & Lounsbury, David W., 2006. "The role of power, process, and relationships in participatory research for statewide HIV/AIDS programming," Social Science & Medicine, Elsevier, vol. 63(8), pages 2129-2140, October.
    8. Herens, Marion & Wagemakers, Annemarie, 2017. "Assessing participants’ perceptions on group-based principles for action in community-based health enhancing physical activity programmes: The APEF tool," Evaluation and Program Planning, Elsevier, vol. 65(C), pages 54-68.
    9. Wagemakers, Annemarie & Vaandrager, Lenneke & Koelen, Maria A. & Saan, Hans & Leeuwis, Cees, 2010. "Community health promotion: A framework to facilitate and evaluate supportive social environments for health," Evaluation and Program Planning, Elsevier, vol. 33(4), pages 428-435, November.
    10. John‐Michael Davis & Yaakov Garb, 2019. "Participatory shaping of community futures in e‐waste processing hubs: Complexity, conflict and stewarded convergence in a Palestinian context," Development Policy Review, Overseas Development Institute, vol. 37(1), pages 67-89, January.
    11. Speer, Johanna, 2012. "Participatory Governance Reform: A Good Strategy for Increasing Government Responsiveness and Improving Public Services?," World Development, Elsevier, vol. 40(12), pages 2379-2398.
    12. Andersson, Camilla Maria & Bjärås, Gunilla & Tillgren, Per & Östenson, Claes-Göran, 2005. "A longitudinal assessment of inter-sectoral participation in a community-based diabetes prevention programme," Social Science & Medicine, Elsevier, vol. 61(11), pages 2407-2422, December.
    13. Sophie King, 2014. "The political economy of social accountability in rural Uganda," Global Development Institute Working Paper Series 19514, GDI, The University of Manchester.
    14. Tahir Andrabi & Jishnu Das & Asim Ijaz Khwaja, 2017. "Report Cards: The Impact of Providing School and Child Test Scores on Educational Markets," American Economic Review, American Economic Association, vol. 107(6), pages 1535-1563, June.
    15. Stephan Litschig, 2008. "Financing local development: Quasi-experimental evidence from municipalities in Brazil, 1980-1991," Economics Working Papers 1142, Department of Economics and Business, Universitat Pompeu Fabra, revised Jun 2012.
    16. Adaman, Fikret & Gökşen, Fatoş & Zenginobuz, Unal, 2003. "Political economy of citizens’ participation in environmental improvement: The case of Istanbul," MPRA Paper 375, University Library of Munich, Germany.
    17. B Kelsey Jack, "undated". "Market Inefficiencies and the Adoption of Agricultural Technologies in Developing Countries," CID Working Papers 50, Center for International Development at Harvard University.
    18. Margaret Triyana, 2016. "Do Health Care Providers Respond to Demand-Side Incentives? Evidence from Indonesia," American Economic Journal: Economic Policy, American Economic Association, vol. 8(4), pages 255-288, November.
    19. Claudia Hanson & Sanni Kujala & Peter Waiswa & Tanya Marchant & Joanna Schellenberg, 2017. "Community-based approaches for neonatal survival: Meta-analyses of randomized trial data," WIDER Working Paper Series wp-2017-137, World Institute for Development Economic Research (UNU-WIDER).
    20. Husein Abdul-Hamid & Sarah Mintz & Namrata Saraogi, 2017. "From Compliance to Learning," World Bank Publications - Books, The World Bank Group, number 26331.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:71:y:2010:i:6:p:1102-1109. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.