Hilgendorf Amy, Stedman John, Inzeo Paula Tran, McCall Ann, Burrows Judy, Krueger Scott, Christens Brian, Pollard Ethen, Meinen Amy, Korth Amy, Wolf Lesley, Adams Alexandra
WMJ. 2016 Nov;115(5):275-9.
The Wisconsin Obesity Prevention Initiative has piloted a novel approach for community action for obesity prevention that incorporates both coalition and community organizing efforts in 2 counties. This article describes lessons learned to date from this experience.
A description of the progress made in these communities and the support provided by Initiative staff and other partners are drawn from process evaluation of the pilot from November 2014 through December 2015, as well as the reflections of community partners.
In Marathon County, building towards coalition action required thoughtful re-engagement and restructuring of an existing obesity-focused coalition. Community organizing surfaced local concerns related to the root causes of obesity, including poverty and transit. In Menominee County, coalition and community organizing efforts both have drawn attention to cultural assets for health promotion, such as traditional food practices, as well as the links between cultural loss and obesity.
Building coalition action and community organizing varies across community contexts and requires addressing various steps and challenges. Both approaches require critical local examination of existing community action and stakeholders, attention to relationship building, and support from outside partners. In coalition action, backbone staff provide important infrastructure, including member recruitment and facilitating group processes towards collaboration. Community organizing involves broad resident engagement to identify shared interests and concerns and build new leadership. A community-driven systems change model offers potential to increase community action for obesity prevention.
威斯康星州肥胖预防倡议项目在两个县试点了一种预防肥胖的社区行动新方法，该方法结合了联盟建设和社区组织工作。本文介绍了迄今为止从这一经验中吸取的教训。
对这些社区所取得进展的描述以及倡议项目工作人员和其他合作伙伴提供的支持，均来自于对2014年11月至2015年12月试点项目的过程评估以及社区合作伙伴的反思。
在马拉松县，朝着联盟行动迈进需要对现有的以肥胖为重点的联盟进行深思熟虑的重新参与和重组。社区组织工作揭示了与肥胖根源相关的当地问题，包括贫困和交通问题。在梅诺米尼县，联盟建设和社区组织工作都将人们的注意力吸引到了促进健康的文化资产上，比如传统饮食习俗，以及文化流失与肥胖之间的联系。
联盟行动建设和社区组织工作因社区背景而异，需要应对各种步骤和挑战。这两种方法都需要对现有的社区行动和利益相关者进行深入的本地审视，关注关系建设，并获得外部合作伙伴的支持。在联盟行动中，骨干工作人员提供重要基础支持，包括成员招募以及推动团队协作进程。社区组织工作需要广大居民参与，以确定共同利益和关切问题，并培养新的领导层。以社区为驱动的系统变革模式为加强预防肥胖的社区行动提供了潜力。
