The community organization has already demonstrated its capacity by completing a latrine project independently. This places the group in the
sustenance and strengthening phase of COPAR, where the primary role of the nurse shifts from direct implementation to
facilitation and resource linkage. The elected health committee is not asking the nurses to do the work for them; they are asking for help connecting to external resources, which is exactly the kind of capacity-building support appropriate at this stage.
The correct action is to link the committee with the municipal engineering office and NGOs, because the organization must learn to mobilize resources on its own rather than depend on the nurse team. Writing the funding proposal for them (option 1) would create dependency and undermine the group’s ownership. Holding a new election (option 3) is unnecessary because a functioning committee already exists. Repeating the community study (option 4) is also inappropriate since the need for a water system has already been identified by the community itself.
The evidence from community capacity-building research supports this approach. In the evaluation of community mobilization during the COVID-19 pandemic, the authors worked with
community anchor organizations to coordinate sessions, rather than delivering services directly to residents
[1]. The health promoters’ role was to create conditions for local organizations to act, not to replace them. Similarly, the knowledge mobilisation framework for citizen science emphasizes that
building capacity means strengthening the community’s own ability to access knowledge, partnerships, and resources, not performing those functions on their behalf
[2]. When practitioners act as connectors rather than implementers, communities gain the confidence and networks needed for sustained action.
| Nurse action | Effect on community capacity | Appropriate in sustenance phase? |
|---|
| Write funding proposal themselves | Creates dependency; community does not learn resource acquisition | No |
| Link committee to engineering office and NGOs | Builds networks; community negotiates and manages resources | Yes |
| Hold new election | Disrupts existing leadership; implies current committee is inadequate | No |
| Repeat community study | Delays action; ignores already-identified priority | No |
Key point! In the sustenance and strengthening phase, the nurse’s role is to
facilitate linkages, not to take over tasks. The health committee has already proven it can complete projects; now it needs access to technical and financial partners.
Watch out! Do not confuse “helping the community” with “doing the work for the community.” Submitting a proposal on their behalf may feel supportive, but it prevents the organization from developing the very skills it needs for long-term sustainability. The community organizing literature consistently identifies external control as a threat to ownership and continuity
[1][2].
References (research sources)
- [1]
Can communities be mobilised to build capacity to respond to the COVID-19 pandemic? A qualitative process evaluation.Research articleHarris J, Ramirez P, Arnold F, Redgrave P (2024) · DOI: 10.1136/bmjopen-2023-078671
- [2]
Building capacity for citizen science in health promotion: a collaborative knowledge mobilisation approach.Research articleRowbotham S, Walker P, Marks L, Irving M, Smith BJ, Laird Y (2023) · DOI: 10.1186/s40900-023-00451-4