“…21,51,52 When effective solutions depend on the actions of people and organizations at regional, state, national, and/or international levels, communities have been at a disadvantage working on their own. 13,53 Reflecting the complexity of problems that affect community health and wellbeing and the need for broad-based collaboration to deal with these kinds of problems, the concept of collaboration has been embedded in the way people think about effective community problem solving. Cottrell, whose work has influenced recent approaches to health promotion and health education, coined the term community competence to refer to the ability of community members to collaborate effectively in identifying problems and needs, to reach consensus on goals and strategies, to agree on ways and means to implement their agreed-upon goals, and to collaborate effectively in the required actions.…”