Eisen A
Office of Health and Safety, San Francisco Public Utilities Commission, CA 94102.
Health Educ Q. 1994 Summer;21(2):235-52. doi: 10.1177/109019819402100208.
There is a developing consensus among health educators and other public health specialists that successful programs--especially among low-income people--emerge from empowered communities that participate proactively in all phases of program planning, implementation, and evaluation. Yet, there is no consensus on the definition of empowerment or on the guidelines that successful community empowerment initiatives have followed. The author surveys 17 community empowerment initiatives based in neighborhoods representing the diversity of low-income communities--both rural and urban--throughout the country. The objective of the paper is to explore the ways different initiatives have defined and operationalized their commitment to community empowerment and to examine the implications of these data for health educators. In order to understand the varying effectiveness of the initiatives surveyed, the author compares them considering several variables:their history and neighborhood context, their planning process and structure, their goals and objectives, their strategies, their relationships to their funders, and their accomplishments.
健康教育工作者和其他公共卫生专家之间正在形成一种共识,即成功的项目——尤其是在低收入人群中——源自那些积极参与项目规划、实施和评估各个阶段的赋权社区。然而,对于赋权的定义或成功的社区赋权倡议所遵循的指导方针,并没有达成共识。作者调查了17个基于全国各地代表低收入社区多样性(包括农村和城市)的社区的赋权倡议。本文的目的是探讨不同倡议界定和实施其对社区赋权承诺的方式,并研究这些数据对健康教育工作者的启示。为了理解所调查倡议的不同成效,作者从几个变量对它们进行了比较:它们的历史和社区背景、规划过程和结构、目标和目的、策略、与资助者的关系以及成就。