Interprofessional collaboration: a stakeholder approach to evaluation of voluntary participation in community partnerships.

A major goal of community coalitions is to engage the community in large-scale systems change. This paper examines how five interprofessional partnerships in South Africa involved their local communities as well as a variety of voluntary agencies in the long-term planning and delivery of health care. The obstacles and difficulties encountered by the volunteers who participate in the partnerships are highlighted. The paper compares the views of 427 participants from four stakeholders: the community health workers; the projects' core staff; 'solo' community members; and representatives of voluntary agencies, community-based agencies and non-governmental organisations. This article considers the benefits and costs of participation as well as satisfaction, ownership, representation, contributions, and commitment. The findings suggest that while the stakeholders value their partnerships, some of the costs associated with their participation may affect their satisfaction and commitment. The challenges of working in partnerships with volunteers in a community setting are discussed and strategies for addressing them are considered. The implications for coalition functioning and the lessons for future community involvement in the planning of local health services by way of interprofessional partnerships are also addressed.

[1]  E. Siegel,et al.  Home visitors and child health: analysis of selected programs. , 1990, Pediatrics.

[2]  S. M. Chambré.  Volunteerism by elders: past trends and future prospects. , 1993, The Gerontologist.

[3]  A. Wandersman,et al.  An Empirical Exploration of a Framework of Organizational Viability: Maintaining Block Organizations , 1985 .

[4]  S. Short,et al.  'She has made me feel human again': an evaluation of a volunteer home-based visiting project for mothers. , 2000, Health & social care in the community.

[5]  C. Milligan,et al.  Pathways of dependence: the impact of health and social care restructuring--the voluntary experience. , 1998, Social science & medicine.

[6]  Ernesto D. Garilao.  Indigenous NGOs as strategic institutions: Managing the relationship with government and resource agencies , 1987 .

[7]  W. El Ansari,et al.  Empowering healthcare workers in Africa: Partnerships in health—beyond the rhetoric towards a model , 2001 .

[8]  D. Poole.  The SAFE project: community-driven partnerships in health, mental health, and education to prevent early school failure. , 1997, Health & social work.

[9]  Bhuvan Bhatnagar,et al.  Participatory Development and the World Bank.; Potential Directions for Change , 1992 .

[10]  J. Zapka,et al.  Inter-organizational responses to AIDS: a case study of the Worcester AIDS Consortium. , 1992, Health education research.

[11]  R. Kanter.  Collaborative advantage: The art of alliances , 1994 .

[12]  A. Hudock.  NGOs and civil society , 1999 .

[13]  R. Ward.  The meaning of voluntary association participation to older people. , 1979, Journal of gerontology.

[14]  E. Mulroy,et al.  Nonprofit organizations and innovation: a model of neighborhood-based collaboration to prevent child maltreatment. , 1997, Social work.

[15]  J. Smith.  The 1997 national survey of volunteering , 1998 .

[16]  Robert C. Dailey,et al.  Understanding Organizational Commitment for Volunteers: Empirical and Managerial Implications , 1986 .

[17]  N. Gottlieb,et al.  Correlates of coalition effectiveness: the Smoke Free Class of 2000 Program. , 1993, Health education research.

[18]  Alpert Hb,et al.  7 Gryzmish: toward an understanding of collaboration. , 1992 .

[19]  M. Aiken,et al.  Organizational interdependence and intra-organizational structure. , 1968 .

[20]  David G. Altman,et al.  Characteristics and participant perceptions of tobacco control coalitions in California , 1993 .

[21]  L. Fischer,et al.  Older Volunteers: A Guide to Research and Practice , 1993 .

[22]  D. Wilcox.  The guide to effective participation , 1994 .

[23]  M. Yeo.  Toward an ethic of empowerment for health promotion , 1993 .

[24]  A. Wandersman,et al.  Incentives, Costs, and Barriers for Volunteers: A Staff Perspective on Volunteers in One State , 1993 .

[25]  Barbara Gray,et al.  Collaborating: Finding Common Ground for Multiparty Problems , 1989 .

[26]  V. Fuchs.  Who Shall Live? , 2022 .

[27]  R M Goodman,et al.  Community coalitions for prevention and health promotion. , 1993, Health education research.

[28]  J. Merrell,et al.  Synergy: working together with volunteers in community well woman clinics. , 1999, Journal of advanced nursing.

[29]  B. Flynn.  Measuring community leaders' perceived ownership of health education programs: initial tests of reliability and validity. , 1995, Health education research.

[30]  J. Schensul.  Organizing Community Research Partnerships in the Struggle against AIDS , 1999, Health education & behavior : the official publication of the Society for Public Health Education.

[31]  D. Poole.  Achieving National Health Goals in Prevention with Community Organization , 1997 .

[32]  M. Haynes.  Professionals and the community confront change. , 1970, American journal of public health and the nation's health.

[33]  L. Cronbach.  Coefficient alpha and the internal structure of tests , 1951 .

[34]  J. Nunnally.  Psychometric Theory (2nd ed), New York: McGraw-Hill. , 1978 .

[35]  J. Traupmann,et al.  Equity: Theory and Research , 1978 .

[36]  J. Merrell.  'You don't do it for nothing': women's experiences of volunteering in two community WELL WOMAN CLINICS. , 2000, Health & social care in the community.

[37]  C Rissel,et al.  Community ownership and program continuation following a health demonstration project. , 1994, Health education research.

[38]  Michael Edwards,et al.  Making a difference : NGOs and development in a changing world , 2013 .

[39]  A. Wandersman,et al.  Organizational climate correlates of viable urban block organizations , 1983 .

[40]  D. Ekerdt,et al.  The busy ethic: moral continuity between work and retirement. , 1986, The Gerontologist.

[41]  R. Joubert,et al.  The South African Community Partnerships: Towards a Model for Interdisciplinary Health Personnel Education , 1998 .

[42]  R. Dubos.  Mirage of health , 1959 .

[43]  John W Clark,et al.  The state, popular participation, and the voluntary sector , 1995 .

[44]  Christopher M. Anderson,et al.  The perceptions of costs and benefits of high active versus low active groups in community coalitions at different stages in coalition development , 1998 .

[45]  Peter Hoad.  Volunteers in the independent hospice movement , 1991 .

[46]  S. M. Chambré.  Is volunteering a substitute for role loss in old age? An empirical test of activity theory. , 1984, The Gerontologist.

[47]  Volunteers in the Personal Social Services , 1984 .

[48]  B. Flynn,et al.  Empowering Communities: Action Research through Healthy Cities , 1994, Health education quarterly.

[49]  G J Wentowski,et al.  Reciprocity and the coping strategies of older people: cultural dimensions of network building. , 1981, The Gerontologist.

[50]  Shirley M. Hord,et al.  A Synthesis of Research on Organizational Collaboration. , 1986 .

[51]  Greta W. Salem.  Maintaining Participation in Community Organizations , 1978 .

[52]  T. Mckeown.  The Role of Medicine , 1979 .

[53]  Cooperation and Coalition Development Among Neighborhood Organizations: A Case Study , 1986 .

[54]  D. Chavis,et al.  Benefits, costs, incentive management and participation in voluntary organizations: A means to understanding and promoting empowerment , 1990 .

[55]  W. Ansari.  A study of the characteristics, participant perceptions and predictors of effectiveness in community partnerships in health personnel education : the case of South Africa , 1999 .

[56]  W. El Ansari,et al.  Partnerships, community participation and intersectoral collaboration in South Africa. , 2001, Journal of interprofessional care.

[57]  Type of Volunteer Experience and Health Among Older Adult Volunteers , 1999 .

[58]  H S Zuckerman,et al.  A life-cycle model of organizational federations: the case of hospitals. , 1987, Academy of management review. Academy of Management.

[59]  Marija J. Norusis,et al.  SPSS for Windows, Advanced Statistics, release 6.0 , 1993 .

[60]  A. Bowling.  Research Methods in Health , 1998 .