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Outcome evaluation of community health promotion intervention within a donor funded project climate in Papua New Guinea

Ashwell, Helen E. S. and Barclay, Lesley M. (2009). Outcome evaluation of community health promotion intervention within a donor funded project climate in Papua New Guinea. Rural and Remote Health,9(4):Article No. 1219.

Document type: Journal Article
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IRMA ID 83393865xPUB10
Title Outcome evaluation of community health promotion intervention within a donor funded project climate in Papua New Guinea
Author Ashwell, Helen E. S.
Barclay, Lesley M.
Journal Name Rural and Remote Health
Publication Date 2009
Volume Number 9
Issue Number 4
ISSN 1445-6354   (check CDU catalogue open catalogue search in new window)
Start Page Article No. 1219
Total Pages 14
Place of Publication Australia
Publisher Australian Rural Health Education Network
HERDC Category C1 - Journal Article (DEST)
Abstract INTRODUCTION: The Australian Agency for International Development (AusAID) funded Women and Children's Health Project sought to improve the health of women and children throughout Papua New Guinea between 1998 and 2004. The project utilised education, community development and health promotion interventions aimed to increase community support for the health of women and children.

METHODS:
An outcome evaluation in 2006 investigated the long-term impact of the project using a multi-methods approach and covering 10 selectively sampled provinces, 19 districts and 93 communities. Qualitative data were collected from 175 interviews (national to village level) and 77 community discussions. Quantitative data from national, provincial and district levels were examined to attempt to validate findings.

RESULTS:
The evaluation found new-health-knowledge initiated changes to lifestyle practices and improved physical health and social and economic well-being in villages where volunteers and staff had been trained. Factors influencing success were a health-motivated person acting as a catalyst for change, empowered leadership through new community governance structures, effective visual tools and village health volunteers linking community and rural health workers. Failure was attributed to poor understanding of community development, limited information sharing, a 'top down' approach to community development and weak community leadership.

CONCLUSION: The project's community health interventions improved the interaction between the community and health system, and influenced improved use of maternal and child health services. Evaluation suggests sustainable improvements in health can be achieved through community led and maintained activity.
Keywords community development
donor aid
health promotion
Papua New Guinea
Description for Link Link to published version
URL http://www.rrh.org.au/articles/showarticlenew.asp?ArticleID=1219


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