title: Community empowerment: a partnership approach to public health program implementation.
abstract: Public policy implementation models reflect who makes decisions, how success is defined, and whether learning is built into decision making. The extant implementation models capture many important features of public policy implementation, including the desire of large public bureaucracies to impose order and rationality on implementation structures that include many public and private organizations. Analysis of the three-decades-long process of implementation of the Special Supplemental Nutrition Program for Women, Infants, and Children suggests that a new public policy implementation model is needed. The new model builds on the iterative learning cycles and shared decision making of community participatory research and better addresses the transactional relationship between program targets and providers than do current implementation models.
authors.affiliation: New Mothers Study at University of Rochester School of Nursing in Rochester, New York, USA.
authors.forename: Carole A
authors.initials: CA
authors.lastname: Hanks
mesh_terms: D002662:Child Health Services / Q000458:organization & administration*; D018672:Community Health Planning / Q000458:organization & administration; D003256:Community Participation / Q000379:methods*; D003159:Community-Institutional Relations; D003299:Cooperative Behavior; D003659:Decision Making, Organizational; D005522:Food Services / Q000458:organization & administration*; D006291:Health Policy; D006301:Health Services Needs and Demand; D006302:Health Services Research; D006801:Humans; D007223:Infant; D017146:Models, Organizational; D008960:Models, Psychological; D017063:Outcome Assessment, Health Care; D011057:Politics; D011209:Power, Psychological; D017149:Private Sector / Q000458:organization & administration; D016730:Program Development; D011634:Public Health / Q000379:methods*; D017150:Public Sector / Q000458:organization & administration; D014481:United States