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Biomedical subjects

Glenn Laverack

Publications and source records attributed to Glenn Laverack.

4 recordsLinked to original sources

Improving health outcomes through community empowerment: a review of the literature.

This paper reviews the literature on how empowerment can lead to an improvement in the health status of an individual, group, or community. There is a broad body of literature on empowerment, and this review has been designed to identify material, particularly case studies, that can be included within the following 'empowerment domains': Participation; Community-based organizations; Local leadership; Resource mobilization; Asking 'why'; Assessment of problems; Links with other people and organizations; Role of outside agents; and Programme management. The paper discusses the results of the literature review and provides examples, from both developed and developing countries, of how each of the 'empowerment domains' has led to an improvement in health outcomes. The results of the review should be of interest to the planners and practitioners of health, population and nutrition programmes that have a particular focus on empowerment.

Community Health Services↗

Building capable communities: experiences in a rural Fijian context.

This paper discusses the design of a methodology for 'building capable communities' in a health promotion programme context. The design of the methodology builds upon previous work and offers a new approach, through the use of nine 'operational domains', for the assessment and strategic planning of community empowerment. The purpose is to go beyond the rhetoric of participation and empowerment, and to provide a better understanding of how community empowerment goals can be made to be operational in a health promotion programme context. The experiences of implementing the methodology in two rural Fijian communities are discussed briefly. The common themes for the successful application of the methodology have been identified. The paper will be of interest to the planners and evaluators of health promotion programmes that aim to build community capacity and promote empowerment.

Community Health Planning↗

Evaluating community capacity.

The aim of the present study was to examine the convergence of two approaches used to assess community capacity in health promotion interventions. One was used to examine women and men in rural communities in Fiji, and the other to study women only in rural communities in Nepal. Both approaches used a set of 'capacity domains', a ranking scale and a means of visually representing the findings. The experiences of using each approach, and the strengths and weaknesses of using rating scales and the 'capacity domains' to assess community capacity are discussed. The use of visual representations of community change, in particular the 'spider web' approach, are also discussed. The capacity building 'domains' presented in this study are robust and capture the essential qualities of a 'capable community'. 'Parallel tracking' of the domains allows programmes themselves to be viewed as a means to the end of building community capacity. These approaches provide a useful new dimension to programme evaluation.

Community Health Planning↗