Sánchez Victoria, Carrillo Christina, Wallerstein Nina
University of New Mexico, NM, USA.
Prog Community Health Partnersh. 2011 Spring;5(1):45-52. doi: 10.1353/cpr.2011.0007.
We engaged in a community-based participatory research (CBPR) project with the New Mexico Department of Health (DOH) and its 32 county-based health councils.
We report on the process of the collaborative development of an evaluation model that would identify and link council actions to intermediate system change.
We used multiple data sources and interactive, iterative processes to systematically examine and document the health council system including document review, a statewide partnership survey, and multiple meetings with partners.
We highlight lessons and challenges in our CBPR process, including the need for community partners to overcome the fear of evaluation, the use of multiple participatory mechanisms, the value of a linking agent, and understanding multiple data needs.
The time and resources of this participatory evaluation process enabled successful navigation of two important issues: (1) increased attention to statewide accountability of collaborative public health initiatives, and (2) increased expectation by health councils or other community partnerships to have a recognized voice in defining measures for this accountability.
我们与新墨西哥州卫生部（DOH）及其32个县级卫生委员会开展了一项基于社区的参与性研究（CBPR）项目。
我们报告了一个评估模型的合作开发过程，该模型将确定卫生委员会的行动并将其与中间系统变革联系起来。
我们使用了多个数据源以及互动式、迭代式过程，对卫生委员会系统进行系统检查和记录，包括文件审查、全州范围的伙伴关系调查以及与合作伙伴的多次会议。
我们强调了CBPR过程中的经验教训和挑战，包括社区合作伙伴需要克服对评估的恐惧、使用多种参与机制、联络人的价值以及理解多种数据需求。
这种参与性评估过程所花费的时间和资源使得我们成功应对了两个重要问题：（1）更加关注协作性公共卫生倡议在全州范围内的问责制；（2）卫生委员会或其他社区伙伴关系在界定该问责制衡量标准方面拥有公认发言权的期望有所增加。
