Advancing Coalition Health Equity Capacity Using a Three-Dimensional Framework

Purpose: We examined coalition health equity capacity using a three-dimensional conceptual framework in a 3-year study (2011?2014) of 28 local coalitions engaged in health promotion. Methods: Coalition health equity capacity was defined according to (1) conceptual foundations, (2) collective action...

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Main Authors: Paula Tran Inzeo, Brian D. Christens, Amy Hilgendorf, Allison Sambo
Format: Article
Language:English
Published: Mary Ann Liebert 2019-04-01
Series:Health Equity
Subjects:
Online Access:https://www.liebertpub.com/doi/full/10.1089/HEQ.2018.0063
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author Paula Tran Inzeo
Brian D. Christens
Amy Hilgendorf
Allison Sambo
author_facet Paula Tran Inzeo
Brian D. Christens
Amy Hilgendorf
Allison Sambo
author_sort Paula Tran Inzeo
collection DOAJ
description Purpose: We examined coalition health equity capacity using a three-dimensional conceptual framework in a 3-year study (2011?2014) of 28 local coalitions engaged in health promotion. Methods: Coalition health equity capacity was defined according to (1) conceptual foundations, (2) collective action and impact, and (3) civic orientation. This framework was used to qualitatively assess progress in capacity building efforts at two time points. Coalition materials and archival documents were analyzed qualitatively for indications of each dimension of coalition health equity capacity. Results: The overall cohort of coalitions was initially determined to be near mid-range in conceptual foundations, above mid-range on collective impact, and below mid-range on civic orientation. As part of ongoing training and technical assistance, coalitions were offered examples of high coalition health equity capacity in each dimension. At time point two, growth in health equity capacity was observed in a majority of coalitions. Conclusions: These findings indicate that a multidimensional approach to coalition health equity capacity can be useful for both analysis and practical purposes of community capacity building, which may, in turn, produce long-term gains in health equity.
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spelling doaj.art-d7375f86c83c4e37bd5adf8d413d5fb42024-01-09T04:14:10ZengMary Ann LiebertHealth Equity2473-12422019-04-013116917610.1089/HEQ.2018.0063Advancing Coalition Health Equity Capacity Using a Three-Dimensional FrameworkPaula Tran InzeoBrian D. ChristensAmy HilgendorfAllison SamboPurpose: We examined coalition health equity capacity using a three-dimensional conceptual framework in a 3-year study (2011?2014) of 28 local coalitions engaged in health promotion. Methods: Coalition health equity capacity was defined according to (1) conceptual foundations, (2) collective action and impact, and (3) civic orientation. This framework was used to qualitatively assess progress in capacity building efforts at two time points. Coalition materials and archival documents were analyzed qualitatively for indications of each dimension of coalition health equity capacity. Results: The overall cohort of coalitions was initially determined to be near mid-range in conceptual foundations, above mid-range on collective impact, and below mid-range on civic orientation. As part of ongoing training and technical assistance, coalitions were offered examples of high coalition health equity capacity in each dimension. At time point two, growth in health equity capacity was observed in a majority of coalitions. Conclusions: These findings indicate that a multidimensional approach to coalition health equity capacity can be useful for both analysis and practical purposes of community capacity building, which may, in turn, produce long-term gains in health equity.https://www.liebertpub.com/doi/full/10.1089/HEQ.2018.0063capacity buildinghealth planninghealth promotionpublic health practicehealth equity practicesocioeconomic factors
spellingShingle Paula Tran Inzeo
Brian D. Christens
Amy Hilgendorf
Allison Sambo
Advancing Coalition Health Equity Capacity Using a Three-Dimensional Framework
Health Equity
capacity building
health planning
health promotion
public health practice
health equity practice
socioeconomic factors
title Advancing Coalition Health Equity Capacity Using a Three-Dimensional Framework
title_full Advancing Coalition Health Equity Capacity Using a Three-Dimensional Framework
title_fullStr Advancing Coalition Health Equity Capacity Using a Three-Dimensional Framework
title_full_unstemmed Advancing Coalition Health Equity Capacity Using a Three-Dimensional Framework
title_short Advancing Coalition Health Equity Capacity Using a Three-Dimensional Framework
title_sort advancing coalition health equity capacity using a three dimensional framework
topic capacity building
health planning
health promotion
public health practice
health equity practice
socioeconomic factors
url https://www.liebertpub.com/doi/full/10.1089/HEQ.2018.0063
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AT allisonsambo advancingcoalitionhealthequitycapacityusingathreedimensionalframework