Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, 1518 Clifton Road NE, Atlanta, GA 30322, USA.
Health Promot Int. 2009 Dec;24(4):300-10. doi: 10.1093/heapro/dap036. Epub 2009 Nov 2.
As part of an evaluation of the California Healthy Cities and Communities (CHCC) program, we evaluated resident involvement, broad representation and civic engagement beyond the local CHCC initiative. The evaluation design was a case study of 20 participating communities with cross-case analysis. Data collection methods included: coalition member surveys at two points in time, semi-structured interviews with key informants, focus groups with coalition members and document review. Participating communities were diverse in terms of population density, geography and socio-demographic characteristics. Over a 3-year period, grantees developed a broad-based coalition of residents and community sectors, produced a shared vision, conducted an asset-based community assessment, identified a priority community improvement focus, developed an action plan, implemented the plan and evaluated their efforts. Local residents were engaged through coalition membership, assessment activities and implementation activities. Ten of the 20 coalitions had memberships comprised of mainly local residents in the planning phase, with 5 maintaining a high level of resident involvement in governance during the implementation phase. Ninety percent of the coalitions had six or more community sectors represented (e.g. education, faith). The majority of coalitions described at least one example of increased input into local government decision-making and at least one instance in which a resident became more actively involved in the life of their community. Findings suggest that the Healthy Cities and Communities model can be successful in facilitating community participation.
作为加利福尼亚健康城市和社区(CHCC)计划评估的一部分,我们评估了居民参与度、广泛代表性和地方 CHCC 倡议之外的公民参与度。评估设计是对 20 个参与社区的案例研究,并进行跨案例分析。数据收集方法包括:在两个时间点对联盟成员进行调查、对主要知情人进行半结构化访谈、对联盟成员进行焦点小组讨论以及文件审查。参与社区在人口密度、地理位置和社会人口特征方面存在多样性。在 3 年期间,受赠方发展了一个由居民和社区部门组成的基础广泛的联盟,形成了共同愿景,进行了基于资产的社区评估,确定了一个优先的社区改善重点,制定了行动计划,实施了计划并评估了他们的努力。当地居民通过联盟成员资格、评估活动和实施活动参与其中。20 个联盟中有 10 个在规划阶段的成员主要由当地居民组成,其中 5 个在实施阶段保持了高水平的居民参与治理。90%的联盟有六个或更多的社区部门代表(如教育、信仰)。大多数联盟至少描述了一个增加对地方政府决策投入的例子,以及一个居民更积极参与社区生活的例子。研究结果表明,健康城市和社区模式可以成功促进社区参与。