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Health Promotion International, Vol. 18, No. 2, 135-144, June 2003
© Oxford University Press 2003

Factors in creating sustainable intersectoral community mobilization for prevention of heart and lung disease

Josée Bourdages, Lyne Sauvageau1 and Céline Lepage1

Service of Evaluation, 1005 Ch. Sainte-Foy, 5th Floor, Québec, Canada and 1Regional Public Health Authority, Québec region, Québec, Canada

Address for correspondence: J. Bourdages, Minister of Health and Social Services of Québec, Service of Evaluation, 1005 Ch. Sainte-Foy, 5th Floor, Québec, Canada G1S 4N4 E-mail: josee.bourdages{at}msss.gouv.qc.ca

This paper describes factors facilitating and working against successful community mobilization in the implementation of an integrated prevention programme for cardiovascular disease and lung cancer in four community settings in Québec, Canada. Implementation evaluation data from several sources showed that over the 3-year period, mobilization was partly achieved in all four communities, although the degree of success varied. The data support those of previous studies showing that several factors are key to effective intersectoral community mobilization: (i) involvement of concerned and influential community members with a commitment to shared goals and a visible community focus; (ii) formation of multi-organization systems among appropriate organizations, recognizing their strengths, resources and competencies, and preserving both their autonomy and interdependence with an appreciation of divergent perspectives; (iii) development of decision-making mechanisms through the setting up of formal structural arrangements to facilitate decisions with clear leadership; (iv) clear definition of objectives, tasks, roles and responsibilities; and (v) official support and legitimization from participating agencies, government authorities, and organizations with adequate resources devoted to partnership building. This study also replicated a number of barriers to the creation of sustainable intersectoral community mobilization, notably the potentially destructive role of power conflicts among the key institutional partners.

Key words: cardiovascular disease; community mobilization; health promotion; lung cancer


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