• In<strong>for</strong>mation resources span data and scientific knowledge, including demographicand socioeconomic data, data on health risks and health status,behavioral data, data on infrastructure and services, and knowledge-basedin<strong>for</strong>mation like that found in the intervention and disciplinary sciencesthat is used to guide health and community actions.• Organizational resources include organizational units and missions;administrative, management, and service-delivery structures; coordinatingstructures; communication channels and networks; regulatory or policyguidance; and organizational and pr<strong>of</strong>essional practices and processes.• Physical resources are the work spaces and places, hardware, supplies,materials, and tools used to conduct business.• Fiscal resources include the money used to per<strong>for</strong>m within an enterprisearea like health as well as the real and perceived economic values accumulatedfrom the outputs <strong>of</strong> an enterprise. Fiscal resources are seldomdiscussed in literature regarding the health and community engagemententerprise within the public sector. The investment <strong>of</strong> money and time toengage communities in public sector processes, however, has many potentialreturns, including leveraging <strong>of</strong> the resources <strong>of</strong> partners, development <strong>of</strong>community services that may accrue income <strong>for</strong> reinvestment, synergisticactions that achieve the objectives <strong>of</strong> an enterprise, increases in socialcapital, and population health improvements that have economic value.As with all investments, those who commit to long-term and sustainedcommunity engagement most <strong>of</strong>ten accrue the greatest returns.EXAMINING THE STRUCTURAL CAPACITY NEEDEDFOR COMMUNITY ENGAGEMENTSynthesizing the frameworks described above allows us to identify thestructural capacity needs <strong>of</strong> organizations or agencies, coalitions, or othercollaborative entities that are undertaking community engagement. Synthesisstarts with the four practice elements <strong>of</strong> constituency development developedby Hatcher et al. (2008). Appendix 4.1 contains a table <strong>for</strong> each <strong>of</strong> the fourpractice elements (know the community, establish strategies, build networks,and mobilize communities) that sets <strong>for</strong>th its components in detail. The texthere touches only on their major points.96
Practice Element 1: Know the <strong>Community</strong>The first practice element is focused on knowing the community’s history andexperience, its constituents, and their capabilities. In a sense, this practiceelement addresses the intelligence-gathering function behind planning, decisionmaking, and leveraging resources to collaboratively achieve anticipatedor agreed-upon outcomes with community partners. As depicted in Table4.1, this element speaks to the need <strong>for</strong> a wide range <strong>of</strong> data types, securereporting and collection systems, human skills and equipment to analyzeand interpret data, organizational processes to communicate this in<strong>for</strong>mationand foster its use in decision making, and a culture that values communityengagedin<strong>for</strong>mation gathering and use. The goal is to enable all partners tounderstand diverse viewpoints on community issues and to appreciate therange <strong>of</strong> solutions that may address those issues.The individuals and groups from communities or organizations undertakingengagement activities have differing abilities to assimilate data through theirrespective filters. If understanding is not developed collectively,it is <strong>of</strong>ten difficult to move to a collective decision or action. Allbut the smallest homogenous communities have multiple layers<strong>of</strong> complexity that require organized, collective ways to obtainand understand community in<strong>for</strong>mation. In brief, understandingis rooted in experience, social and cultural perspectives, perceptions<strong>of</strong> influence, and the ability to act collaboratively within theengaging organization and the engaged community. Thus, the task<strong>of</strong> knowing a community must be approached as an organizational functionand supported with sufficient capacity to collectively undertake this work.If understanding is notdeveloped collectively, it is <strong>of</strong>tendifficult to move to a collectivedecision or action.Practice Element 2: Establish Positions and StrategiesTo successfully address Practice Element 2, structural capacity must be in placeto identify the engaging organization’s priorities regarding community healthissues as well as any limitations in the organization’s mission, funding, orpolitics that will restrain its ability to address those issues. The development<strong>of</strong> positions and strategies allows an organization to effectively plan its rolein the community engagement process. In particular, it is critical to be clearabout the organization’s intentions and its ability to adjust and align its positionto differing viewpoints and priorities likely to exist within the community.An introspective review will examine whether the organization is willing to97
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PRINCIPLES OFCOMMUNITY ENGAGEMENTSE
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PUBLICATION DEVELOPMENTThis publica
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Foreword
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detailed practical information abou
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EXECUTIVE SUMMARYInvolving the comm
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REFERENCESAhmed SM, Palermo AG Comm
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clinics, agencies, after-school pro
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2 Design and delivery—Improvement
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There is no question that culture a
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oot causes of problems while at the
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• Know the community, its constit
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• Coalitions require that each pa
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2006; Wing, 2002) There is also unc
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and stakeholders are represented eq
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ContextsSocioeconomic, Cultural,Geo
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REFERENCESAirhihenbuwa CO Health an
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Flicker S, Travers R, Guta A, McDon
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Jones MR, Horner RD, Edwards LJ, Ho
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Minkler M Community organizing and
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Take-Home Messages• “Splitting
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Although the CTSA sites in the Bost
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Chapter 6The Value of Social Networ
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Social networks can also play an im
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engagement effort, relationships mu
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engagement Furthermore, social medi
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REFERENCESArthur T The role of soci
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Program Evaluation and EvaluatingCo
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approaches to evaluation that are p
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Several institutions have identifie
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PlanningThe relevant questions duri
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was evaluated (Anderson et al, 2009
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• Participants meet to communicat
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Table 7.1. Types of Evaluation Ques
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conducted with a loose set of quest
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for understanding a community and i
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REFERENCESAnderson RM, Funnell MM,
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Patton MQ Qualitative evaluation an
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Chapter 8SummaryDonna Jo McCloskey,
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• Know the extent to which the fo
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Appendix A:Acronyms
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CDCCenters for Disease Control and
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NIH Publication No. 11-7782