"Be like one team": An exploration of interorganizational partnerships in the Nairobi informal settlement of Mukuru 公开
Berkowitz, Rachel Lynn (2013)
Published
Abstract
Background
Recognizing communities as dynamic change agents provides a
powerful foundation for effective and sustainable community health
promotion and community development. Identifying and strengthening
the capacity of a community to address challenges and sustain
solutions is an important construct through which to build public
health interventions for health promotion. A key dimension of
community capacity is that of interorganizational relationships
(IORs). Developing a rigorous and holistic understanding of IORs in
the traditionally deficit-defined setting of a slum has the
potential to further the contemporary commitment to participatory
slum development work for improved community
health.
Purpose
The purpose of this paper is two-fold: (1) to explore the nature
of partnership as perceived by workshop participants during the
2012 Mukuru on the Move Partnership Project and (2) to analyze
these findings in conjunction with survey results and network
images in order to paint a multidimensional picture of partnerships
in the informal settlement of Mukuru in Nairobi,
Kenya.
Methods
The two workshops used participatory workshops to engage asset
leaders and community members in key questions focusing on the
meaning, benefits, and challenges of partnerships in Mukuru.
Workshop information was entered into MAXQDA, and the author to
used thematic analysis to identify themes within each key
question.
Findings
Workshop participants present Mukuru as an interconnected
community with both internal and external partners and linkages
among diverse organizations. Participants define partnership by a
common drive and collaborative relationship. Participants note the
benefits of partnership in terms of strengthening of services,
access to resources, and unity alongside challenges within
partnership relationships and through unfulfilled promises.
Workshop themes add context and depth to selected network
images.
Conclusion
The participatory workshops present the strong, interconnected nature of interorganizational relationships within Mukuru. The mixed-method approach is a useful methodology through which to understanding IORs and community capacity within an informal settlement. Application in this and other settings provides a valuable foundation on which to build community-driven slum development and health promotion.
Table of Contents
Chapter 1: Introduction 1
Introduction & Rationale 2
Problem Statement 6
Purpose Statement 7
Research Questions 7
Significance Statement 8
List of Key Terms 8
Chapter 2: Literature review: community capacity, interorganizational
relationships, and slum settings 10
Introduction 11
Community capacity for health promotion 11
Interorganizational relationships in public health 17
Methodologies for exploring interorganizational relationships 24
Community participation and settings 33
Defining and understanding slums 34
Slum populations: global, sub-Saharan African, and Kenyan 35
Health issues within slums: global, sub-Saharan African, and Kenyan 38
Organizational relationships and participatory development work in slums 41
Summary and project relevance 44
Chapter 3: Background, Methodology, and Findings 46
Background of the Mukuru on the Move Partnership Project 47
Introduction 47
ARHAP, Assets, and Participatory work 48
Religious Health Assets and HIV/AIDS 49
Mapping Religious Health Assets: The WHO Initiative 50
Community Health Asset Mapping in Mukuru 52
The Mukuru on the Move Asset Directory 55
The Mukuru on the Move Partnership Project 57
The Interorganizational Relationship Survey 60
Methodology of Workshops and Thematic Analysis 67
Introduction 67
Workshop setting 67
Workshop participants 68
Workshop design and data collection procedures 70
Thematic analysis methodology 76
Collaboration with the Mukuru on the Move Team 80
Limitations 81
Findings 85
Introduction 85
Asset Workshop Findings 87
Community Member Workshop Findings 112
Comparison Findings 121
Conclusion & Summary 124
Chapter 4: Discussion, Conclusions, and Implications & Recommendations 126
Discussion 127
Introduction 127
Partnership in Mukuru 129
Exploring interorganizational relationships within an informal settlement 135
Exploring the interconnectedness of community capacity dimensions through interorganizational relationships 137
Generating an in-depth understanding of partnerships: a mixed-methods approach 138
Conclusions 146
Implications & Recommendations 149
A. Mukuru 149
B. Slum development 150
C. Methodology 151
References 152
Appendix 160
Appendix A: Preliminary Report 161
Appendix B: Workshop Development Manual 177
Appendix C: Asset Workshop 186
Appendix D: Community Member Workshop 199
Appendix E: Thematic Analysis Manual 210
About this Master's Thesis
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