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Measurement of Community Empowerment in Three Community Programs in Rapla (Estonia)

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  • Anu Kasmel

    (Institute of Political Science and Governance, University of Tallinn, Narva mnt. 10-120, Tallinn, Estonia
    Institute of Public Health, University of Southern Denmark, Niels Bohrs Vej 9-10, 6700 Esbjerg, Denmark)

  • Pernille Tanggaard Andersen

    (Institute of Public Health, University of Southern Denmark, Niels Bohrs Vej 9-10, 6700 Esbjerg, Denmark)

Abstract

Community empowerment approaches have been proven to be powerful tools for solving local health problems. However, the methods for measuring empowerment in the community remain unclear and open to dispute. This study aims to describe how a context-specific community empowerment measurement tool was developed and changes made to three health promotion programs in Rapla, Estonia. An empowerment expansion model was compiled and applied to three existing programs: Safe Community, Drug/HIV Prevention and Elderly Quality of Life. The consensus workshop method was used to create the measurement tool and collect data on the Organizational Domains of Community Empowerment (ODCE). The study demonstrated considerable increases in the ODCE among the community workgroup, which was initiated by community members and the municipality’s decision-makers. The increase was within the workgroup, which had strong political and financial support on a national level but was not the community’s priority. The program was initiated and implemented by the local community members, and continuous development still occurred, though at a reduced pace. The use of the empowerment expansion model has proven to be an applicable, relevant, simple and inexpensive tool for the evaluation of community empowerment.

Suggested Citation

  • Anu Kasmel & Pernille Tanggaard Andersen, 2011. "Measurement of Community Empowerment in Three Community Programs in Rapla (Estonia)," IJERPH, MDPI, vol. 8(3), pages 1-19, March.
  • Handle: RePEc:gam:jijerp:v:8:y:2011:i:3:p:799-817:d:11658
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    References listed on IDEAS

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    1. Makara, Peter, 1994. "Policy implications of differential health status in East and West Europe. The case of Hungary," Social Science & Medicine, Elsevier, vol. 39(9), pages 1295-1302, November.
    2. Krupka, Douglas J. & Noonan, Douglas S., 2009. "Empowerment Zones, neighborhood change and owner-occupied housing," Regional Science and Urban Economics, Elsevier, vol. 39(4), pages 386-396, July.
    3. Ruth Wageman, 2001. "How Leaders Foster Self-Managing Team Effectiveness: Design Choices Versus Hands-on Coaching," Organization Science, INFORMS, vol. 12(5), pages 559-577, October.
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    1. Anu Kasmel & Pernille Tanggaard, 2011. "Evaluation of Changes in Individual Community-Related Empowerment in Community Health Promotion Interventions in Estonia," IJERPH, MDPI, vol. 8(6), pages 1-20, May.
    2. Raj, Anita & Dey, Arnab & Rao, Namratha & Yore, Jennifer & McDougal, Lotus & Bhan, Nandita & Silverman, Jay G. & Hay, Katherine & Thomas, Edwin E. & Fotso, Jean Christophe & Lundgren, Rebecka, 2024. "The EMERGE framework to measure empowerment for health and development," Social Science & Medicine, Elsevier, vol. 351(S1).

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