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March 2003, Vol 93, No. 3 | American Journal of Public Health 472-476
© 2003 American Public Health Association


RESEARCH AND PRACTICE

Assessing the Capacity of Health Departments to Engage in Community-Based Participatory Public Health

Edith Parker, DrPH, Lewis H. Margolis, MD, MPH, Eugenia Eng, DrPH and Carlos Henríquez-Roldán, PhD

Edith Parker is with the Department of Health Behavior and Health Education, University of Michigan, Ann Arbor. Lewis H. Margolis is with the Department of Maternal and Child Health, University of North Carolina at Chapel Hill. Eugenia Eng is with the Department of Health Behavior and Health Education, University of North Carolina at Chapel Hill. Carlos Henríquez-Roldán is with the Department of Statistics, University of Valparaíso, Chile, and the Department of Biostatistics, University of North Carolina at Chapel Hill.

Correspondence: Requests for reprints should be sent to Edith Parker, University of Michigan School of Public Health, 1420 Washington Heights, Ann Arbor, MI 48109-2029 (e-mail: edithp{at}umich.edu).

Objectives. We created indicators of local public health agency capacity to engage in community-based participatory public health.

Methods. We sent a survey of 27 items reflecting aspects of community-based participatory public health to 429 employees in 4 local health departments. Two thirds (n = 282) responded. We performed a factor analysis to identify components of community-based participatory practice.

Results. We identified 4 factors: (1) the agency’s and (2) the individual employee’s skills in working with community groups and minority populations, (3) the extent and frequency of agency networking, and (4) community participation in health department planning.

Conclusions. Our findings suggest that it is possible to measure the competencies needed by health department staff to engage in community-based participatory public health.




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