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Understanding participation dilemmas in community mobilisation: can collective action theory help

Gram, L; Daruwalla, N; Osrin, D; (2019) Understanding participation dilemmas in community mobilisation: can collective action theory help. Journal of Epidemiology and Community Health , 73 (1) pp. 90-96. 10.1136/jech-2018-211045. Green open access

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Abstract

Community mobilisation interventions have been used to promote health in many low-income and middle-income settings. They frequently involve collective action to address shared determinants of ill-health, which often requires high levels of participation to be effective. However, the non-excludable nature of benefits produced often generates participation dilemmas: community members have an individual interest in abstaining from collective action and free riding on others' contributions, but no benefit is produced if nobody participates. For example, marches, rallies or other awareness-raising activities to change entrenched social norms affect the social environment shared by community members whether they participate or not. This creates a temptation to let other community members invest time and effort. Collective action theory provides a rich, principled framework for analysing such participation dilemmas. Over the past 50 years, political scientists, economists, sociologists and psychologists have proposed a plethora of incentive mechanisms to solve participation dilemmas: selective incentives, intrinsic benefits, social incentives, outsize stakes, intermediate goals, interdependency and critical mass theory. We discuss how such incentive mechanisms might be used by global health researchers to produce new questions about how community mobilisation works and conclude with theoretical predictions to be explored in future quantitative or qualitative research.

Type: Article
Title: Understanding participation dilemmas in community mobilisation: can collective action theory help
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/jech-2018-211045
Publisher version: https://doi.org/10.1136/jech-2018-211045
Language: English
Additional information: This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: empowerment pr, health behaviour, health promotion, social epidemiology, social science
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
URI: https://discovery.ucl.ac.uk/id/eprint/10061193
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