Challenges Evaluating an Equity-Focused Community Coalition Initiative
DOI:
https://doi.org/10.3138/cjpe.70523Keywords:
health equity, community coalition, equityAbstract
In this practice note, the authors reflect on their experiences evaluating a three-year behavioural health equity initiative that was conducted with eight community coalitions located across the southeastern United States. The main focus of the practice note is on the challenges the authors experienced in their evaluation, most of which were largely outside their control: unpredictable funding cycle, complexity of problem, level of local knowledge, level of data literacy, and collaborative approach not realized. While they acknowledge the complexity of behavioural health equity issues, they conclude with four key implications for practice that they note can help relieve the stress of some of the challenges they experienced.
References
Braveman, P. (2014). What is health equity: And how does a life-course approach take us further toward it? Maternal and Child Health Journal , 18 (2), 366–372.
Bryan, V., Brye, W., Hudson, K., Dubose, L., Hansberry, S., & Arrieta, M. (2014). Investigating health disparities through community-based participatory research: Lessons learned from a process evaluation. Social Work in Public Health, 29, 318–334.
Butterfoss, F. D. (2006). Process evaluation for community participation. Annual Review of Public Health, 27, 323–340.
Butterfoss, F. D., & Francisco, V. T. (2004). Evaluating community partnerships and coalitions with practitioners in mind. Health Promotion Practice, 5(2), 108–114.
Domlyn, A. M., & Coleman, S. (2019). Prioritizing equity: Exploring conditions impacting community coalition efforts. Health Equity, 3(1), 417–422.
Fawcett, S., Schultz, J., Watson-Th ompson, J., Fox, M., & Bremby, R. (2010). Building multisectoral partnerships for population health and health equity. Preventing Chronic Disease: Public Health Research, Practice, and Policy, 7(6), 1–7.
Goodman, R. M., Wandersman, A., Chinman, M., Imm, P., & Morrisey, E. (1996). An ecological assessment of community based interventions for prevention and health promotion: Approaches to measuring community coalitions. American Journal of Community Psychology, 24(1), 33–61.
Granner, M. C., & Sharpe, P. A. (2004). Evaluating community coalition characteristics and functions: A summary of measurement tools. Health Education Research, 19(5), 514–532.
Hilgendorf, A. E., Moore, T. R., Wells, A., & Stanley, J. (2020). Positioning health equity within a systems thinking framework to evaluate coalitions and collaborative initiatives. In A. W. Price, K. K. Brown, & S. M. Wolfe (Eds.), Evaluating community coalitions and collaboratives [Special issue]. New Directions for Evaluation, 165 , 91–102.
Horowitz, C., & Lawlor, E. F. (2008). Challenges and successes in reducing health disparities: Workshop summary. Washington, DC: The National Academies Press. https://doi.org/10.17226/12154 .
Horvat, L., Horey, D., Romios, P., & Kis-Rigo, J. (2014). Cultural competence education for health professionals [Review]. Cochrane Database of Systematic Reviews, Issue 5. Art. No.: CD009405. DOI: https://doi.org/10.1002/14651858.cd009405.pub2.
Kreuter, M. W., Lezin, N. A., & Young, L. A. (2000). Evaluating community-based collaborative mechanisms: Implications for practitioners. Health Promotion Practice, 1(1), 49–63.
Lasser, K. E., Himmelstein, D. U., & Woolhandler, S. (2006). Access to care, health status, and health disparities in the United States and Canada: Results of a cross-national population-based survey. American Journal of Public Health, 96(7), 1300–1307.
Minkler, M., Rebanal, R. D., Pearce, R., & Acosta, M. (2019). Growing equity and health equity in perilous times: Lessons from community organizers. Health Education & Behavior, 46(1S), 9S-1-BS.
Price-Haygood, E. G., Burton, J., Fort, D., & Seoane, L. (2020). Hospitalization and mortality among Black patients and White patients with Covid-19. New England Journal of Medicine, 382, 2534–2543.
Reid, A., Abraczinskas, M., Scott, V., Stanzler, M., Parry, G., Scaccia, J., . . . Ramaswamy, R. (2019). Using collaborative coalition processes to advance community health, well-being, and equity: A multiple-case study analysis from a national community transformation initiative. Health Education & Behavior, 46(Suppl. 1), 100S–109S.
Stokes, E. K., Zambrano, L. D., Anderson, K. N., Marsden, E.P., Raz, K., Felix, S.E.B., Tie, Y., & Fullerton, K.E. (2020). Coronavirus disease 2019 case surveillance—United States, January 22–May 30, 2020. Morbidity Mortality Weekly Report, 69, 759–765.
Substance Abuse and Mental Health Services Administration. (2011). Results from the 2010 National Survey on Drug Use and Health: Summary of national findings (NSDUH Series H-41, HHS Publication No. [SMA] 11-4658). Rockville, MD: Substance Abuse and Mental Health Services Administration.
Whitehead, M. (1991). The concepts and principles of equity and health. Health Promotion International, 6(3), 217–228.
Wolff, T., Minkler, M., Wolfe, S. M., Berkowitz, B., Bowen, L., Butterfoss, F. D., & Lee, K. S. (2016, Winter). Collaborating for equity and justice: Moving beyond collective impact. Nonprofit Quarterly, 42–53.
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