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Social Capital and Community Health Clubs in Haiti
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| 자료유형 | 학위논문 |
|---|---|
| 서명/저자사항 | Social Capital and Community Health Clubs in Haiti. |
| 개인저자 | Rosenfeld, Jason. |
| 단체저자명 | The University of North Carolina at Chapel Hill. Health Policy and Management. |
| 발행사항 | [S.l.]: The University of North Carolina at Chapel Hill., 2019. |
| 발행사항 | Ann Arbor: ProQuest Dissertations & Theses, 2019. |
| 형태사항 | 177 p. |
| 기본자료 저록 | Dissertations Abstracts International 81-03B. Dissertation Abstract International |
| ISBN | 9781085753494 |
| 학위논문주기 | Thesis (Dr.P.H.)--The University of North Carolina at Chapel Hill, 2019. |
| 일반주기 |
Source: Dissertations Abstracts International, Volume: 81-03, Section: B.
Advisor: Frerichs, Leah. |
| 이용제한사항 | This item must not be sold to any third party vendors. |
| 요약 | One challenge facing water, sanitation and hygiene (WASH) programs is that water and sanitation infrastructure are generally collective goods, while WASH behaviors involve individual responsibilities nested within collective norms. Social capital is theorized to facilitate collective action and enhance the diffusion of WASH-related behavioral interventions by enhancing social cohesion and collective action.We used a mixed methods study to assess the relationship between social capital and a Community Health Club (CHC) program. We conducted a secondary analysis of data from a quasi-experimental evaluation of a CHC program in Haiti and held six focus groups with program participants and implementers. We used multi-level linear regression models to determine the impact of the intervention on WASH knowledge, behaviors and social capital, and the influence of social capital on changes in WASH knowledge and behaviors. We used inductive and deductive methods to analyze qualitative data where participants identified and described the factors that influenced perceived changes in WASH behaviors and collective action.Among intervention respondents, we measured significant increases in average WASH knowledge scores (p<0.0001), a marginally significant decrease in trust and social solidarity scores (p=0.07), and no effect on WASH behaviors. Baseline social solidarity scores were associated with a significant increase in WASH behaviors (p=0.03). We also found a marginally significant interaction between the intervention and participation scores on average WASH knowledge scores (p=0.08) and a significant interaction between the intervention and social solidarity scores on average hygiene index scores (p=0.04). Qualitatively, discussion participants noted how CHCs disseminated knowledge and promoted WASH behavior change and collective action in intervention communities, built strong social bonds based upon trust and a sense of social solidarity, and how CHCs used trust and social solidarity to influence behavior change and collective action. As the first attempt to measure and document the relationship between social capital and a CHC intervention in Haiti, we find these results encouraging. Our results and framework describing the relationship between social capital and a CHC program advance our understanding of the relationship between social constructs and WASH behavior change programs generally, and should be utilized by CHC practitioners and evaluators to enhance program implementation and evaluation. |
| 일반주제명 | Public health. Public health education. |
| 언어 | 영어 |
| 바로가기 | 
: 이 자료의 원문은 한국교육학술정보원에서 제공합니다. |
