Stirring up the Mud: Using a Community-Based Participatory Approach to Address Health Disparities through a Faith-Based Initiative
Kaplan, Sue A.
Foley , Robert, Sr.
Kaplan, Sue A. and Ruddock, Charmaine and Golub, Maxine and Davis, Joyce and Foley , Robert, Sr. and Devia, Carlos and Rosen, Rosa and Berry, Carolyn and Barretto, Brenda and Carter, Toni and Irish-Spencer, Evalina and Marchena, Maria and Purcaro, Ellenrita and Calman, Neil (2009) Stirring up the Mud: Using a Community-Based Participatory Approach to Address Health Disparities through a Faith-Based Initiative. Journal of Health Care for the Poor and Underserved, 20 (4). pp. 1111-1123.
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This case study provides a mid-course assessment of the Bronx Health REACH faith-based initiative four years into its implementation. The study uses qualitative methods to identify lessons learned and to reflect on the benefits and challenges of using a community-based participatory approach for the development and evaluation of a faith-based program designed to address health disparities. Key findings concern the role of pastoral leadership, the importance of providing a religious context for health promotion and health equality messages, the challenges of creating a bilingual/bi-cultural program, and the need to provide management support to the lay program coordinators. The study also identifies lessons learned about community-based evaluation and the importance of addressing community concern about the balance between evaluation and program. Finally, the study identifies the challenges that lie ahead, including issues of program institutionalization and sustainability.