衡量密西西比三角洲的社区能力:项目评估和授权之间的接口。

E Eng, E Parker
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引用次数: 272

摘要

如果将政治动态纳入社区的定义,健康促进规划就更有可能认识到,帮助人们赋予社区权力与帮助他们改善健康同样重要。本文报告了密西西比三角洲一个农村贫困县的健康促进项目所采用的评估方法,该项目选择以这种方式定义社区。评估采用了行动研究的方法,以便这些方法不会与项目的授权议程相矛盾或干扰。这些方法要求评估人员与当地服务提供者、社区领导和项目工作人员之间建立密切的协作关系,这些工作人员定义并实施了社区能力的八个维度,确定了分析单元,并制定了数据收集协议。重点是利用数据使项目和三个社区参与对话,讨论如何面对他们所面临的困难问题。研究结果显示,经过1年的实施,社区能力从社区内部的社会互动转变为更侧重于与外部机构和官员进行调解的外部互动。与此同时,自我-他人意识和遏制冲突的措施显示减少或几乎不存在。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Measuring community competence in the Mississippi Delta: the interface between program evaluation and empowerment.

If political dynamics are included in the definition of community, health promotion programs have a greater potential to recognize that assisting people to empower their communities is as important as assisting them to improve their health. This paper reports on the evaluation methods employed for a health promotion program in a rural poor county of the Mississippi Delta that chose to define community in this way. The evaluation took an action research approach so that the methods would not contradict or interfere with the program's empowerment agenda. The methods required a close and collaborative working relationship among evaluators and local service providers, community leaders, and program staff who defined and operationalized eight dimensions of community competence, determined the units of analysis, and developed the data collection protocol. Emphasis was placed on using the data to engage the program and three communities in a dialogue on how to confront a system with the difficult issues they faced. The findings revealed that after 1 year of implementation, community competence moved from social interactions internal to communities to those more externally focused on mediating with outside institutions and officials. At the same time, measures of self-other awareness and conflict containment showed a decrease or virtual nonexistence.

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