Social capital insights from healthy settings needs assessment in Malawi

Sarah Rippon, Tara K. Beattie, Kingsley Lungu, Save Kumwenda, Tracy Morse

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Despite global health improvements, substantial challenges in social determinants of health and poverty remain in rural communities in low-income countries. Public health theorists suggest that communities with high social capital are less vulnerable to such challenges and more likely to participate in community development. This research examines levels of social capital amongst rural communities in southern Malawi through data gathered as part of a participatory needs assessment for a Healthy Settings project, and discusses the potential benefits of having access to such data before project implementation. Social capital data was collected during 108 focus group discussions in 18 communities (split by gender, age, status) by adapting an existing mixed methods measurement tool, the Schutte tool. Five indicators were measured: sense of belonging, friendship, reliance, ability to work together and influence. Mean results showed all 18 communities had medium-high levels of social capital. Means from each group in the 18 communities highlighted the lowest social capital among the youth groups and the highest with the leaders. A more detailed breakdown highlighted that all groups had a strong sense of belonging to the community, while youth and women had lower social capital levels in terms of influence over local decisions and ability to rely on other community members. Incorporating social capital tools into community health needs assessments in low-income settings provides a valuable overview of community dynamics before project implementation, and Monitoring & Evaluation indicators which allow changes in social capital to be measured at different stages of the project.
LanguageEnglish
Article numbere0206156
Number of pages25
JournalPLOS One
Volume13
Issue number10
DOIs
Publication statusPublished - 19 Oct 2018

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needs assessment
social capital
Malawi
Needs Assessment
Health
Public health
rural communities
Rural Population
income
Monitoring
Social Determinants of Health
community health
interpersonal relationships
Social Planning
community development
Social Capital
focus groups
Poverty
poverty
Focus Groups

Keywords

  • social determinants of health
  • poverty
  • rural communities
  • low income countries
  • social capital
  • Malawi

Cite this

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title = "Social capital insights from healthy settings needs assessment in Malawi",
abstract = "Despite global health improvements, substantial challenges in social determinants of health and poverty remain in rural communities in low-income countries. Public health theorists suggest that communities with high social capital are less vulnerable to such challenges and more likely to participate in community development. This research examines levels of social capital amongst rural communities in southern Malawi through data gathered as part of a participatory needs assessment for a Healthy Settings project, and discusses the potential benefits of having access to such data before project implementation. Social capital data was collected during 108 focus group discussions in 18 communities (split by gender, age, status) by adapting an existing mixed methods measurement tool, the Schutte tool. Five indicators were measured: sense of belonging, friendship, reliance, ability to work together and influence. Mean results showed all 18 communities had medium-high levels of social capital. Means from each group in the 18 communities highlighted the lowest social capital among the youth groups and the highest with the leaders. A more detailed breakdown highlighted that all groups had a strong sense of belonging to the community, while youth and women had lower social capital levels in terms of influence over local decisions and ability to rely on other community members. Incorporating social capital tools into community health needs assessments in low-income settings provides a valuable overview of community dynamics before project implementation, and Monitoring & Evaluation indicators which allow changes in social capital to be measured at different stages of the project.",
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Social capital insights from healthy settings needs assessment in Malawi. / Rippon, Sarah; Beattie, Tara K.; Lungu, Kingsley; Kumwenda, Save; Morse, Tracy.

In: PLOS One, Vol. 13, No. 10, e0206156, 19.10.2018.

Research output: Contribution to journalArticle

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