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Soft infrastructure: the critical community-level resources reportedly needed for program success

BACKGROUND: The mechanisms typically used to fund health promotion in communities, either as part of an effort to scale-up programs or to support the design of local activities, often pay insufficient attention to the foundational means of enhancing well-being. Only recently have researchers begun t...

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Autores principales: Kavanagh, Shane A, Hawe, Penelope, Shiell, Alan, Mallman, Mark, Garvey, Kate
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8889705/
https://www.ncbi.nlm.nih.gov/pubmed/35236315
http://dx.doi.org/10.1186/s12889-022-12788-8
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author Kavanagh, Shane A
Hawe, Penelope
Shiell, Alan
Mallman, Mark
Garvey, Kate
author_facet Kavanagh, Shane A
Hawe, Penelope
Shiell, Alan
Mallman, Mark
Garvey, Kate
author_sort Kavanagh, Shane A
collection PubMed
description BACKGROUND: The mechanisms typically used to fund health promotion in communities, either as part of an effort to scale-up programs or to support the design of local activities, often pay insufficient attention to the foundational means of enhancing well-being. Only recently have researchers begun to critically ‘unpack’ how funding processes connect with and activate local community capacities. METHODS: We conducted a thematic analysis of 33 interviews with policy and program administrators in public health and local community workers and volunteers. We invited them to expound on their understandings of resources - specifically, what needs to be in place to make funded programs successful and/or what do communities draw on to make funded programs effective. RESULTS: Policy and program administrators reflected mostly on the importance of traditional resources, such as adequate funding and staffing. Community-based participants often went further to describe psychological and sociological resources – the “soft infrastructure” which included trust and hope. Both groups emphasised the importance of building networks and relationships at multiple levels. Community workers also provided examples of how resources grow and improve in value in combination with other processes or through pathways of resource use or resource distribution. So, resources like information/knowledge are made more valuable when relayed locally. Physical amenities (e.g., meeting spaces, kitchens) have an instrumental role, but also act powerfully as a symbolic resource for identity. Participants reported that funding processes can damage the resources required for community health improvement. Funding instability undermines capacity. The ongoing threat of funding removal was described by one administrator as community “bullying”. CONCLUSIONS: Processes of health promotion funding, and even standard processes of program scale-up and readiness assessment, risk underestimating the range of resources that are fundamental for community health improvement, particularly among disadvantaged communities. Funders should design ways to resource communities so that there is constant attention to and coaching of critically important diverse processes of resource growth, independent of program-specific funds. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-12788-8.
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spelling pubmed-88897052022-03-09 Soft infrastructure: the critical community-level resources reportedly needed for program success Kavanagh, Shane A Hawe, Penelope Shiell, Alan Mallman, Mark Garvey, Kate BMC Public Health Research BACKGROUND: The mechanisms typically used to fund health promotion in communities, either as part of an effort to scale-up programs or to support the design of local activities, often pay insufficient attention to the foundational means of enhancing well-being. Only recently have researchers begun to critically ‘unpack’ how funding processes connect with and activate local community capacities. METHODS: We conducted a thematic analysis of 33 interviews with policy and program administrators in public health and local community workers and volunteers. We invited them to expound on their understandings of resources - specifically, what needs to be in place to make funded programs successful and/or what do communities draw on to make funded programs effective. RESULTS: Policy and program administrators reflected mostly on the importance of traditional resources, such as adequate funding and staffing. Community-based participants often went further to describe psychological and sociological resources – the “soft infrastructure” which included trust and hope. Both groups emphasised the importance of building networks and relationships at multiple levels. Community workers also provided examples of how resources grow and improve in value in combination with other processes or through pathways of resource use or resource distribution. So, resources like information/knowledge are made more valuable when relayed locally. Physical amenities (e.g., meeting spaces, kitchens) have an instrumental role, but also act powerfully as a symbolic resource for identity. Participants reported that funding processes can damage the resources required for community health improvement. Funding instability undermines capacity. The ongoing threat of funding removal was described by one administrator as community “bullying”. CONCLUSIONS: Processes of health promotion funding, and even standard processes of program scale-up and readiness assessment, risk underestimating the range of resources that are fundamental for community health improvement, particularly among disadvantaged communities. Funders should design ways to resource communities so that there is constant attention to and coaching of critically important diverse processes of resource growth, independent of program-specific funds. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-12788-8. BioMed Central 2022-03-02 /pmc/articles/PMC8889705/ /pubmed/35236315 http://dx.doi.org/10.1186/s12889-022-12788-8 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Kavanagh, Shane A
Hawe, Penelope
Shiell, Alan
Mallman, Mark
Garvey, Kate
Soft infrastructure: the critical community-level resources reportedly needed for program success
title Soft infrastructure: the critical community-level resources reportedly needed for program success
title_full Soft infrastructure: the critical community-level resources reportedly needed for program success
title_fullStr Soft infrastructure: the critical community-level resources reportedly needed for program success
title_full_unstemmed Soft infrastructure: the critical community-level resources reportedly needed for program success
title_short Soft infrastructure: the critical community-level resources reportedly needed for program success
title_sort soft infrastructure: the critical community-level resources reportedly needed for program success
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8889705/
https://www.ncbi.nlm.nih.gov/pubmed/35236315
http://dx.doi.org/10.1186/s12889-022-12788-8
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