Advertisement

Canadian Journal of Public Health

, Volume 99, Issue 1, pp 69–72 | Cite as

The Experience of Capacity Building Among Health Education Workers in the Yukon

  • Janet E. Horton
  • Martha L. P. MacLeod
Article

Abstract

Background

Capacity building has developed as a health promotion approach that enables people to address determinants of health and to improve health outcomes. Although capacity building has been much discussed, little is known about what it means to build capacity in northern communities. This study explores the meaning and experience of capacity building in the Yukon.

Methods

A qualitative study, using an interpretive descriptive analysis, was undertaken through individual and small-group interviews with 21 Yukon health education workers associated with the Yukon College Public Health and Safety unit as first aid instructors. Participants were randomly selected from four groupings of Yukon communities, based on size. Transcripts were analyzed and interpreted for the health education workers’ understanding, experience and observations of the outcomes of capacity building.

Results

Findings about capacity building are reported in relation to meaning, process, role of the health education worker and capacity-building outcomes. Themes that emerged indicate the ways in which health educators build on strengths, their focus on achieving an end of immediate importance within the community, and how they live in relationship with the community while undertaking capacity-building activities.

Conclusion

In Yukon communities, the influence of relational practices of health education workers living and working in their communities on enhancing community capacity should not be underestimated. Further clarification of the concepts and appropriate measurement of capacity building and community capacity, particularly for rural and northern communities, may help support practice that contributes to redressing health inequities.

Keywords

Health education Yukon health promotion qualitative research 

Résumé

Contexte

Le renforcement des capacités est une stratégie de promotion de la santé qui permet de tenir compte des déterminants de la santé et d’améliorer les résultats sanitaires. Bien que l’on parle beaucoup de cette approche, on en sait très peu sur son application dans les communautés nordiques. Notre étude a donc porté sur la signification et l’expérience du renforcement des capacités au Yukon.

Méthode

Dans le cadre d’une étude qualitative, nous avons effectué l’analyse interprétative et descriptive de données d’entretiens individuels et en petits groupes menés auprès de 21 éducateurs et éducatrices sanitaires travaillant comme moniteurs de secourisme pour le service de santé publique et de sécurité du Yukon College. Les participants ont été sélectionnés au hasard à partir de quatre ensembles de communautés du Yukon classées selon leur taille. Les transcriptions des entretiens ont été analysées et interprétées en vue de déterminer les connaissances et l’expérience des éducateurs et éducatrices sanitaires et d’observer les résultats du renforcement des capacités.

Résultats

Les constats qui se rapportent au renforcement des capacités sont présentés selon la signification, le processus, le rôle de l’éducateur ou de l’éducatrice sanitaire et les résultats de l’intervention. Plusieurs thèmes se dégagent de l’analyse: les façons dont les éducateurs sanitaires misent sur les forces actuelles de la communauté, leurs efforts pour atteindre un objectif d’importance immédiate, et la vie des éducateurs dans la communauté pendant les activités de renforcement des capacités.

Conclusion

Dans les communautés du Yukon, les pratiques relationnelles des éducateurs et éducatrices sanitaires qui vivent et travaillent dans leur communauté exercent une influence non négligeable sur l’amélioration des capacités communautaires. Pour favoriser les pratiques qui contribuent à redresser les inégalités en santé, il serait bon de clarifier les notions de « renforcement des capacités » et de « capacités communautaires » et les mesures appropriées, surtout dans les communautés rurales et nordiques.

Motsclés

éducation sanitaire Yukon promotion de la santé recherche qualitative 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Cappon P. Community Health Status Assessment of the Yukon. Whitehorse, YT: Yukon Health and Social Services, 1991.Google Scholar
  2. 2.
    Timmermans F. Health Status Report. Whitehorse: Yukon Health and Social Services, Government of Yukon, 1999.Google Scholar
  3. 3.
    Yukon Bureau of Statistics. An Accounting of Health: What the Numbers Say, Yukon Health Promotion Research Program, Part 4, A Review of the Methodology and the Results of the 1993 Yukon Health Promotion Survey. Whitehorse: Bureau of Statistics, Executive Council Office, Government of Yukon, 1994.Google Scholar
  4. 4.
    Yukon Health and Social Services. 1994 Yukon Health Status Report. Whitehorse: Yukon Health and Social Services, Government of Yukon, 1995.Google Scholar
  5. 5.
    Yukon Health and Social Services. Yukon Health Status Report 2003. Whitehorse: Yukon Health and Social Services, Government of Yukon, 2003.Google Scholar
  6. 6.
    Bopp M, GermAnn K, Bopp J, Baugh Littlejohns L, Smith N. Assessing Community Capacity for Change. Red Deer, AB: David Thompson Health Region and Four Worlds Centre for Development Learning, 2000.Google Scholar
  7. 7.
    Hawe P, Noort M, King L, Jordens C. Multiplying health gains: The critical role of capacity-building within health promotion programs. Health Policy 1997;39:29–42.CrossRefGoogle Scholar
  8. 8.
    World Health Organization. The Jakarta Declaration on Leading Health Promotion into the 21st Century. Jakarta: World Health Organization, 1997. Available online at: https://doi.org/www.who.int/hpr/archive/docs/jakarta/english.html (Accessed November 21, 2002).Google Scholar
  9. 9.
    Yukon College. Yukon College 2004–05 Calendar. Registrar’s Office, Yukon College, 2004.Google Scholar
  10. 10.
    Yukon Government. Yukon Monthly Statistical Review. March 2004, Whitehorse: Government of Yukon, 2004;1–12.Google Scholar
  11. 11.
    Sandelowski M. Focus on research methods: Whatever happened to qualitative description? Res Nurs Health 2000;23:334–40.CrossRefGoogle Scholar
  12. 12.
    Thorne S, Kirkham SR, MacDonald-Emes J. Focus on qualitative method. Interpretive description: A noncategorical qualitative alternative for developing nursing knowledge. Res Nurs Health 1997;20:169–77.CrossRefPubMedGoogle Scholar
  13. 13.
    Hawe P, King L, Noort M, Gifford S, Lloyd B. Working invisibly: Health workers talk about capacity-building in health promotion. Health Promot Int 1998;13(4):285–95.CrossRefGoogle Scholar
  14. 14.
    Sandelowski M, Barroso J. Classifying the findings in qualitative studies. Qualit Health Res 2003;13(7):905–23.CrossRefGoogle Scholar
  15. 15.
    Hawe P, King L, Noort M, Jordens C, Lloyd B. Indicators to Help with Capacity Building in Health Promotion. North Sydney, New South Wales: New South Wales Health Department, 2000.Google Scholar
  16. 16.
    Labonte R, Laverack G. Capacity building in health promotion, Part 1: For whom? And for what purpose? Critical Public Health 2001;11(2):111–27.CrossRefGoogle Scholar
  17. 17.
    Labonte R, Laverack G. Capacity building in health promotion, Part 2: Whose use? And with what measurement? Critical Public Health 2001;11(2):129–38.CrossRefGoogle Scholar
  18. 18.
    Crisp BR, Swerissen H, Duckett SJ. Four approaches to capacity building in health: Consequences for measurement and accountability. Health Promot Int 2000;15(2):99–107.CrossRefGoogle Scholar
  19. 19.
    Thorne S, Kirkham SR, O’Flynn-Magee K. The analytic challenge in interpretive description. Int J Qualitative Methods, 3, April 2004.Google Scholar
  20. 20.
    Morse JM. Designing funded qualitative research. In: Denzin NK, Lincoln YS (Eds.), Handbook of Qualitative Research. Thousand Oaks, CA: Sage Publications, 1994; 220–35.Google Scholar
  21. 21.
    Author, 2005.Google Scholar
  22. 22.
    Kretzmann J, McKnight JL. Building Communities from the Inside Out: A Path Toward Finding and Mobilizing a Community’s Assets. Chicago, IL: ACTA Publications, 1993.Google Scholar
  23. 23.
    Labonte R, Woodard GB, Chad K, Laverack G. Community capacity building: A parallel track for health promotion programs. Can J Public Health 2002;93(3):181–82.PubMedGoogle Scholar
  24. 24.
    Restrepo H. Increasing Community Capacity and Empowering Communities for Promoting Health. Mexico City: Pan American Health Organization, 2000.Google Scholar
  25. 25.
    Smith N, Baugh Littlejohns L, Thompson D. Shaking out the cobwebs: Insights into community capacity and its relation to health outcomes. Community Development J 2001;36(1):30–41.CrossRefGoogle Scholar

Copyright information

© The Canadian Public Health Association 2008

Authors and Affiliations

  • Janet E. Horton
    • 1
  • Martha L. P. MacLeod
    • 2
  1. 1.University of Northern British ColumbiaWhitehorseCanada
  2. 2.Nursing and Community Health ProgramsUniversity of Northern British ColumbiaCanada

Personalised recommendations