The process of evaluating a capacity-building support initiative for HIV positive South Africans.
This paper describes the process of evaluating a capacity-building initiative involving HIV positive South Africans. The evaluation was conducted within a participatory evaluation framework, which aims at empowering participants through social action. The rationale is that an understanding and acceptance of evaluation results promotes commitment to act. Forty four members of the Kudu Support Group and 23 non-members participated in the evaluation. Methods included in-depth interviews, a survey, repeated measures of the General Health Questionnaire-28 (GHQ-28), a SWOT analysis, interviews with health workers, field notes, and participatory observation. The capacity-building initiative resulted in empowerment through paid employment for support group members, the establishment of a vegetable garden, increased skills and efficacy, access to resources and networks, a perceived reduction of stigma, perceived improvement of social relations, and improved scores on the GHQ-28. Lessons that emerge out of this study are the importance of integrating evaluation as a part of ongoing activities throughout the research project; to ensure that methods and results are understandable and useful to for the participants; that the evaluator has an in-depth understanding of the project and context; and to introduce frequent and simple internal evaluation tools to guide efforts to improve community-based groups' functioning and activities.
Dageid
Wenche
W
Department of Psychology, Faculty of Social Sciences, University of Oslo, P.O. Box 1094 Blindern, NO-0317 Oslo, Norway. wencheda@psykologi.uio.no
Duckert
Fanny
F
D000293:Adolescent; D000328:Adult; D000368:Aged; D018672:Community Health Planning; D003256:Community Participation / Q000379:methods* / Q000523:psychology; D005260:Female; D006679:HIV Seropositivity / Q000523:psychology*; D006304:Health Status; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011209:Power, Psychological; D015397:Program Evaluation / Q000379:methods*; D012423:Rural Health; D012720:Severity of Illness Index; D012944:Social Support; D013019:South Africa; D011795:Surveys and Questionnaires