Working Invisibly: Health Workers Talk About Capacity-Building in Health Promotion

Hawe, Penelope; King, Lesley; Noort, Michelle; Gifford, Sandra M.; Lloyd, Beverley

doi:10.1093/heapro/13.4.285

Cited by 120 publications

(112 citation statements)

References 17 publications

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“…Such routinisation arguably rests on capacity building at a number of levels, from individual staff members, to teams, organisations, links between organisations, and to the community itself (Hawe et al, 1998). Interventions that have built primarily on local community capacity in similar settings to the RTP appear to have shown improvements to be sustained over three years (McDermott et al, 2003).…”

Section: Discussionmentioning

confidence: 99%

Investigating the sustainability of outcomes in a chronic disease treatment programme

Bailie

Robinson

Kondalsamy‐Chennakesavan

et al. 2006

Social Science & Medicine

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This study examines trends in chronic disease outcomes from initiation of a specialised chronic disease treatment programme through to incorporation of programme activities into routine service delivery. We reviewed clinical records of 98 participants with confirmed renal disease or hypertension in a remote indigenous community health centre in Northern Australia. For each participant the review period spanned an initial three years while participating in a specialised cardiovascular and renal disease treatment programme and a subsequent three years following withdrawal of the treatment programme. Responsibility for care was incorporated into the comprehensive primary care service which had been recently redeveloped to implement best practice care plans. The time series analysis included at least six measures prior to handover of the specialised programme and six following handover. Main outcome measures were trends in blood pressure (BP) control, and systolic and diastolic BP. We found an improvement in BP control in the first 6-12 months of the programme, followed by a steady declining trend. There was no significant difference in this trend between the pre-compared to the post-programme withdrawal period. This finding was consistent for control at levels below 130/80 and 140/90, and for trends in mean systolic and diastolic BP. Investigation of the sustainability of programme outcomes presents major challenges for research design. Sustained success in the management of chronic disease through primary care services requires better understanding of the causal mechanisms related to clinical intervention, the basis upon which they can be 'institutionalised' in a given context, and the extent to which they require regular revitalisation to maintain their effect.

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Section: Discussionmentioning

confidence: 99%

Investigating the sustainability of outcomes in a chronic disease treatment programme

Bailie

Robinson

Kondalsamy‐Chennakesavan

et al. 2006

Social Science & Medicine

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“…Capacity building in this context involves the protection and development of human, social, physical and natural capital. These terms are now part of the jargon of health promotion with variable use and meanings applied to these terms (11)(12)(13)(14) . A number of different capacity definitions used in the public health literature have been summarised in Table 1, with the key attributes of each definition highlighted in bold text. Capacity, most simply defined, is the ability to carry out stated objectives (15) .…”

Section: Defining Capacity Buildingmentioning

confidence: 99%

“…The invisibility of capacity building has been described by Hawe (11) as having been needed for a number of reasons. Firstly, to ensure others would gain the credit for project success (and thus projects would be more likely to be sustained by these other parties).…”

Section: Defining Capacity Buildingmentioning

confidence: 99%

A capacity-building conceptual framework for public health nutrition practice

Baillie

Bjarnholt

Gruber³

et al. 2009

Public Health Nutr.

116

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Objectives: To describe a conceptual framework to assist in the application of capacity-building principles to public health nutrition practice. Design: A review of the literature and consideration of the determinants of effective public health nutrition practice has been used to inform the development of a conceptual framework for capacity building in the context of public health nutrition practice. Result: The limited literature supports a greater integration and application of capacity-building strategies and principles in public health nutrition practice, and that this application should be overt and strategic. A framework is proposed that identifies a number of determinants of capacity for effective public health nutrition action. The framework represents the key foundations for building capacity including leadership, resourcing and intelligence. Five key strategic domains supported by these foundation elements, including partnerships, organisational development, project management quality, workforce development and community development, are proposed. This framework can be used to assist the systematic assessment, development and evaluation of capacity-building activity within public health nutrition practice. Conclusions: Capacity building is a strategy within public health nutrition practice that needs to be central to public health nutrition intervention management. The present paper defines, contextualises and outlines a framework for integrating and making explicit the importance of capacity building within public health nutrition practice at many levels. Keywords Public health nutrition Capacity building PracticeDespite the development of public health nutrition (PHN) as a field of practice over the past few decades, little has been published to support an assessment of or describe what constitutes capacity building in PHN practice. A number of studies have attempted to describe self-reports of practice as part of workforce development research (1,2) and others have attempted to articulate the competency requirements for PHN practice that logically reflect the work required for effective practice (3,4) . A consistent finding from the present work has been practice-based activity that reflects a process of development, implementation and evaluation of population-level interventions as a core function and practice focus for public health nutritionists (5) , and an appreciation of the importance of building capacity to support action to address PHN issues. Each of these broad areas of practice is consistent across health promotion and broader public health effort. Consideration of capacity building as a practice concept (what, why and how?) for PHN therefore is needed.The present paper draws on a non-exhaustive review of scholarship in the published and grey literature from the disciplines of nutrition, public health and health promotion. This has been considered against the experience of the authors in practice to propose a conceptual framework for the application of capacity-building principle...

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“…The CHHI Dissemination Phase focuses on capacity building and dissemination processes for comprehensive health promotion. Health promotion capacity is the capability of an organization to promote health effectively, made up of multiple dimensions including will, knowledge, skills, partnerships, resources, infrastructure and leadership (Hawe et al 1998;Goodman et al 1998;Singapore Declaration 1998;Jackson et al 1994). Capacity building aims to enhance the ability of an organization to plan, implement, evaluate and sustain health promotion efforts ( Jackson et al 1994;Schwartz et al 1993).…”

Section: Résumémentioning

confidence: 99%

Advancing Health Promotion Priorities: Stories of Capacity Building from the Canadian Heart Health Initiative (CHHI)

Driedger¹,

Robinson²,

Eyles³

et al. 2007

hcpol

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Working Invisibly: Health Workers Talk About Capacity-Building in Health Promotion

Cited by 120 publications

References 17 publications

Investigating the sustainability of outcomes in a chronic disease treatment programme

Investigating the sustainability of outcomes in a chronic disease treatment programme

A capacity-building conceptual framework for public health nutrition practice

Advancing Health Promotion Priorities: Stories of Capacity Building from the Canadian Heart Health Initiative (CHHI)

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