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Ethnographically informed community evaluation: a framework and approach for evaluating community-based initiatives
Robert E Aronson1, Anne B Wallis, Patricia J O'Campo
1Department of Public Health Education, University of North Carolina at Greensboro, Greensboro, NC 27403, USA.
Maternal and Child Health Journal
|November 15, 2006
Summary
This study introduces ethnographically informed community evaluation (EICE) for complex interventions. EICE revealed community social problems were more impactful than specific health issues like infant mortality.
Area of Science:
- Community Health Evaluation
- Public Health Interventions
- Social Determinants of Health
Background:
- Complex community-based interventions require robust evaluation frameworks.
- Infant mortality prevention projects necessitate understanding community context.
- Existing evaluation methods may not fully capture community-level dynamics.
Purpose of the Study:
- To describe the ethnographically informed community evaluation (EICE) framework.
- To illustrate EICE's application in evaluating the Baltimore City Healthy Start program.
- To assess EICE's utility for program improvement and community change measurement.
Main Methods:
- Employed a participatory approach integrating qualitative and survey research.
- Utilized focus groups, interviews, surveys, neighborhood mapping, and journaling.
- Examined community context, program implementation, and community-level change.
Main Results:
- EICE provided actionable feedback and enhanced understanding of the local context.
- The evaluation highlighted community social problems as significant factors.
- Community social and physical hazards were found to be more salient than specific health issues like infant mortality.
Conclusions:
- Ethnographically informed community evaluation (EICE) is effective for complex maternal and child health initiatives.
- EICE supports continuous program improvement and resident involvement.
- EICE can supplement traditional evaluation designs for community-based programs.
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