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Published in: BMC Public Health 1/2014

Open Access 01-12-2014 | Research article

From targets to ripples: tracing the process of developing a community capacity building appraisal tool with remote Australian indigenous communities to tackle food security

Authors: Julie Brimblecombe, Christel van den Boogaard, Jan Ritchie, Ross Bailie, John Coveney, Selma Liberato

Published in: BMC Public Health | Issue 1/2014

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Abstract

Background

The issue of food security is complex and requires capacity for often-unrelated groups to work together. We sought to assess the relevance and meaning of a commonly used set of community capacity development constructs in the context of remote Indigenous Australia and through this propose a model to support capacity.

Methods

The assessment was conducted with four communities and took place over five steps that involved: (i) test of clarity of construct meaning; (ii) inductive derivation of community capacity constructs; (iii) application of these constructs to the capacity of community multi-sector food-interest groups; (iv) a cross-check of these constructs and their meanings to literature-derived constructs, and; (v) achieving consensus on tool constructs. Data were collected over a three-year period (2010–2012) that involved two on-site visits to one community, and two urban-based workshops. These data were augmented by food-interest group meeting minutes and reports.

Results

Eleven community capacity development constructs were included in the proposed model: community ownership, building on strengths, strong leadership and voice, making decisions together, strong partnerships, opportunities for learning and skill development, way of working, getting together the things you need, good strong communication, sharing the true story, and continuing the process and passing on to the next generation.
The constructs derived from the literature and commonly used to appraise community capacity development were well accepted and could be used to identify areas needing strengthening. The specifics of each construct however differed from those derived from the literature yet were similar across the four communities and had particular meaning for those involved. The involvement of elders and communication with the wider community seemed paramount to forming a solid foundation on which capacity could be further developed.

Conclusion

This study explored an approach for ascribing context specific meanings to a set of capacity development constructs and an effective visual appraisal tool. An approach to tackling food security in the remote Indigenous context where community capacity goals are considered in parallel with outcome goals, or at least as incremental goals along the way, may well help to lay a more solid foundation for improved service practice and program sustainability.
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Literature
2.
go back to reference Vos T, Barker B, Begg S, Stanley L, Lopez AD: Burden of disease and injury in aboriginal and Torres strait islander peoples: the indigenous health gap. Int J Epidemiol. 2009, 38 (2): 470-477. 10.1093/ije/dyn240.CrossRefPubMed Vos T, Barker B, Begg S, Stanley L, Lopez AD: Burden of disease and injury in aboriginal and Torres strait islander peoples: the indigenous health gap. Int J Epidemiol. 2009, 38 (2): 470-477. 10.1093/ije/dyn240.CrossRefPubMed
3.
go back to reference Signal LN, Walton MD, Ni M, Maddison R, Bowers SG, Carter KN, Gorton D, Heta C, Lanumata TS, McKerchar CW, O'Dea D, Pearce J: Tackling 'wicked' health promotion problems: a New Zealand case study. Health Promot Int. 2013, 28 (1): 84-94. 10.1093/heapro/das006.CrossRefPubMed Signal LN, Walton MD, Ni M, Maddison R, Bowers SG, Carter KN, Gorton D, Heta C, Lanumata TS, McKerchar CW, O'Dea D, Pearce J: Tackling 'wicked' health promotion problems: a New Zealand case study. Health Promot Int. 2013, 28 (1): 84-94. 10.1093/heapro/das006.CrossRefPubMed
4.
go back to reference Brown VA, Ritchie J: Sustainable communities: what should our priorities be?. Health Promot J Austr. 2006, 17 (3): 211-216.PubMed Brown VA, Ritchie J: Sustainable communities: what should our priorities be?. Health Promot J Austr. 2006, 17 (3): 211-216.PubMed
5.
go back to reference Wallerstein N: Powerlessness, empowerment, and health: implications for health promotion programs. Am J Health Promot. 1992, 6 (3): 197-205. 10.4278/0890-1171-6.3.197.CrossRefPubMed Wallerstein N: Powerlessness, empowerment, and health: implications for health promotion programs. Am J Health Promot. 1992, 6 (3): 197-205. 10.4278/0890-1171-6.3.197.CrossRefPubMed
6.
go back to reference Webb K, Hawe P, Noort M: Collaborative intersectoral approaches to nutrition in a community on the urban fringe. Health Educ Behav. 2001, 28 (3): 306-319. 10.1177/109019810102800305.CrossRefPubMed Webb K, Hawe P, Noort M: Collaborative intersectoral approaches to nutrition in a community on the urban fringe. Health Educ Behav. 2001, 28 (3): 306-319. 10.1177/109019810102800305.CrossRefPubMed
7.
go back to reference Roussos ST, Fawcett SB: A review of collaborative partnerships as a strategy for improving community health. Annu Rev Public Health. 2000, 21: 369-402. 10.1146/annurev.publhealth.21.1.369.CrossRefPubMed Roussos ST, Fawcett SB: A review of collaborative partnerships as a strategy for improving community health. Annu Rev Public Health. 2000, 21: 369-402. 10.1146/annurev.publhealth.21.1.369.CrossRefPubMed
8.
go back to reference Hawe P, Stickney EK: Developing the effectiveness of an intersectoral food policy coalition through formative evaluation. Health Educ Res. 1997, 12 (2): 213-225. 10.1093/her/12.2.213.CrossRefPubMed Hawe P, Stickney EK: Developing the effectiveness of an intersectoral food policy coalition through formative evaluation. Health Educ Res. 1997, 12 (2): 213-225. 10.1093/her/12.2.213.CrossRefPubMed
9.
go back to reference Butterfoss FD: Process evaluation for community participation. Annu Rev Public Health. 2006, 27: 323-340. 10.1146/annurev.publhealth.27.021405.102207.CrossRefPubMed Butterfoss FD: Process evaluation for community participation. Annu Rev Public Health. 2006, 27: 323-340. 10.1146/annurev.publhealth.27.021405.102207.CrossRefPubMed
10.
go back to reference Jackson SF, Cleverly S, Poland B, Burman D, Edwards R, Robertson A: Working with Toronto neighbourhoods toward developing indicators of community capacity. Health Promot Int. 2003, 18 (4): 339-350. 10.1093/heapro/dag415.CrossRefPubMed Jackson SF, Cleverly S, Poland B, Burman D, Edwards R, Robertson A: Working with Toronto neighbourhoods toward developing indicators of community capacity. Health Promot Int. 2003, 18 (4): 339-350. 10.1093/heapro/dag415.CrossRefPubMed
11.
go back to reference Collie-Akers VL, Fawcett SB, Schultz JA: Measuring progress of collaborative action in a community health effort. Revista panamericana de salud publica=Pan American journal of public health. 2013, 34 (6): 422-428.PubMed Collie-Akers VL, Fawcett SB, Schultz JA: Measuring progress of collaborative action in a community health effort. Revista panamericana de salud publica=Pan American journal of public health. 2013, 34 (6): 422-428.PubMed
12.
go back to reference Fawcett S, Schultz J, Watson-Thompson J, Fox M, Bremby R: Building multisectoral partnerships for population health and health equity. Prev Chronic Dis. 2010, 7 (6): A118-PubMedPubMedCentral Fawcett S, Schultz J, Watson-Thompson J, Fox M, Bremby R: Building multisectoral partnerships for population health and health equity. Prev Chronic Dis. 2010, 7 (6): A118-PubMedPubMedCentral
13.
go back to reference Hawe P, Noort M, King L, Jordens C: Multiplying health gains: the critical role of capacity-building within health promotion programs. Health Policy. 1997, 39 (1): 29-42. 10.1016/S0168-8510(96)00847-0.CrossRefPubMed Hawe P, Noort M, King L, Jordens C: Multiplying health gains: the critical role of capacity-building within health promotion programs. Health Policy. 1997, 39 (1): 29-42. 10.1016/S0168-8510(96)00847-0.CrossRefPubMed
14.
go back to reference Goodman RM, Speers MA, McLeroy K, Fawcett S, Kegler M, Parker E, Smith SR, Sterling TD, Wallerstein N: Identifying and defining the dimensions of community capacity to provide a basis for measurement. Health Educ Behav. 1998, 25 (3): 258-278. 10.1177/109019819802500303.CrossRefPubMed Goodman RM, Speers MA, McLeroy K, Fawcett S, Kegler M, Parker E, Smith SR, Sterling TD, Wallerstein N: Identifying and defining the dimensions of community capacity to provide a basis for measurement. Health Educ Behav. 1998, 25 (3): 258-278. 10.1177/109019819802500303.CrossRefPubMed
15.
go back to reference Maclellan-Wright MF, Anderson D, Barber S, Smith N, Cantin B, Felix R, Raine K: The development of measures of community capacity for community-based funding programs in Canada. Health Promot Int. 2007, 22 (4): 299-306. 10.1093/heapro/dam024.CrossRefPubMed Maclellan-Wright MF, Anderson D, Barber S, Smith N, Cantin B, Felix R, Raine K: The development of measures of community capacity for community-based funding programs in Canada. Health Promot Int. 2007, 22 (4): 299-306. 10.1093/heapro/dam024.CrossRefPubMed
16.
go back to reference Rifkin SB, Muller F, Bichmann W: Primary health care: on measuring participation. Soc Sci Med. 1988, 26 (9): 931-940. 10.1016/0277-9536(88)90413-3.CrossRefPubMed Rifkin SB, Muller F, Bichmann W: Primary health care: on measuring participation. Soc Sci Med. 1988, 26 (9): 931-940. 10.1016/0277-9536(88)90413-3.CrossRefPubMed
17.
go back to reference Gibbon M, Labonte R, Laverack G: Evaluating community capacity. Health Soc Care Community. 2002, 10 (6): 485-491. 10.1046/j.1365-2524.2002.00388.x.CrossRefPubMed Gibbon M, Labonte R, Laverack G: Evaluating community capacity. Health Soc Care Community. 2002, 10 (6): 485-491. 10.1046/j.1365-2524.2002.00388.x.CrossRefPubMed
18.
go back to reference Laverack G: Measuring, evaluating and strategic development of community capacity and empowerment: introduction of a qualitative tool. Gesundheitswesen. 2008, 70 (12): 764-770. 10.1055/s-0028-1102959.CrossRefPubMed Laverack G: Measuring, evaluating and strategic development of community capacity and empowerment: introduction of a qualitative tool. Gesundheitswesen. 2008, 70 (12): 764-770. 10.1055/s-0028-1102959.CrossRefPubMed
20.
go back to reference Laverack G: Building the capacity of Fijian communities to improve health outcomes. Pac Health Dialog. 2007, 14 (2): 95-100.PubMed Laverack G: Building the capacity of Fijian communities to improve health outcomes. Pac Health Dialog. 2007, 14 (2): 95-100.PubMed
21.
go back to reference Liberato SC, Brimblecombe J, Ritchie J, Ferguson M, Coveney J: Measuring capacity building in communities: a review of the literature. BMC Public Health. 2011, 11: 850-10.1186/1471-2458-11-850.CrossRefPubMedPubMedCentral Liberato SC, Brimblecombe J, Ritchie J, Ferguson M, Coveney J: Measuring capacity building in communities: a review of the literature. BMC Public Health. 2011, 11: 850-10.1186/1471-2458-11-850.CrossRefPubMedPubMedCentral
22.
go back to reference Black A: Evidence of Effective Interventions to Improve the Social and Environmental Factors Impacting on Health: Informing the Development of Indigenous Community Agreements. 2007, Commonwealth of Australia, Canberra: Office for Aboriginal and Torres Strait Islander Health Black A: Evidence of Effective Interventions to Improve the Social and Environmental Factors Impacting on Health: Informing the Development of Indigenous Community Agreements. 2007, Commonwealth of Australia, Canberra: Office for Aboriginal and Torres Strait Islander Health
24.
go back to reference McDonald EL, Bailie R, Michel T: Development and trialling of a tool to support a systems approach to improve social determinants of health in rural and remote Australian communities: the healthy community assessment tool. Int J Equity Health. 2013, 12: 15-10.1186/1475-9276-12-15.CrossRefPubMedPubMedCentral McDonald EL, Bailie R, Michel T: Development and trialling of a tool to support a systems approach to improve social determinants of health in rural and remote Australian communities: the healthy community assessment tool. Int J Equity Health. 2013, 12: 15-10.1186/1475-9276-12-15.CrossRefPubMedPubMedCentral
25.
go back to reference Labonte R, Laverack G: Capacity building in health promotion, Part 1: For whom? And for what purpose?. Crit Publ Health. 2001, 11 (2): 111-127. 10.1080/09581590110039838.CrossRef Labonte R, Laverack G: Capacity building in health promotion, Part 1: For whom? And for what purpose?. Crit Publ Health. 2001, 11 (2): 111-127. 10.1080/09581590110039838.CrossRef
26.
go back to reference Chino M, Debruyn L: Building true capacity: indigenous models for indigenous communities. Am J Public Health. 2006, 96 (4): 596-599. 10.2105/AJPH.2004.053801.CrossRefPubMedPubMedCentral Chino M, Debruyn L: Building true capacity: indigenous models for indigenous communities. Am J Public Health. 2006, 96 (4): 596-599. 10.2105/AJPH.2004.053801.CrossRefPubMedPubMedCentral
27.
go back to reference Littlejohns LB, GermAnn K, Smith N, Bopp J, Bopp M, Reichel C, Harcus S, Goldthorp J, Hoppins Y: Integrating community capacity building and enhanced primary health care services. Aust J Prim Health. 2000, 6 (4): 175-189. 10.1071/PY00051.CrossRef Littlejohns LB, GermAnn K, Smith N, Bopp J, Bopp M, Reichel C, Harcus S, Goldthorp J, Hoppins Y: Integrating community capacity building and enhanced primary health care services. Aust J Prim Health. 2000, 6 (4): 175-189. 10.1071/PY00051.CrossRef
28.
go back to reference Caraher M, Dowler E: Food Projects in London: Lessons for Policy and Practice. Health Educ J. 2007, 66 (2): 188-205. 10.1177/0017896907076762.CrossRef Caraher M, Dowler E: Food Projects in London: Lessons for Policy and Practice. Health Educ J. 2007, 66 (2): 188-205. 10.1177/0017896907076762.CrossRef
Metadata
Title
From targets to ripples: tracing the process of developing a community capacity building appraisal tool with remote Australian indigenous communities to tackle food security
Authors
Julie Brimblecombe
Christel van den Boogaard
Jan Ritchie
Ross Bailie
John Coveney
Selma Liberato
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2014
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-14-914

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