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Int Q Community Health Educ ; 33(2): 105-27, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-23661414

RESUMEN

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.


Asunto(s)
Participación de la Comunidad , Conductas Relacionadas con la Salud , Educación en Salud/organización & administración , Adolescente , Adulto , Anticoncepción/estadística & datos numéricos , Femenino , Infecciones por VIH/diagnóstico , Infecciones por VIH/prevención & control , Humanos , Liderazgo , Masculino , Mosquiteros/estadística & datos numéricos , Autoeficacia , Medio Social , Adulto Joven , Zambia
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