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The software executive noticed that deeply committed and competent community leaders periodically emerged out of the "volunteer" armies that were the backbone of America's charity work.
Using the concept of "the AIDS competent community", we analysed 44 interviews and 11 focus groups with local people.
Data were subjected to interpretative content analysis, guided by the six dimensions of an "HIV competent community" outlined below.
We conceptualise adherence within our wider conceptualisation of the 'AIDS competent community', understood as those local community resources that best facilitate effective responses to HIV/AIDS.
They conceptualise HIV competent community contexts as social environments that support and enable people to act in ways that enhance their health and wellbeing [ 1, 8].
Using the concept of the "AIDS competent community", we present a study of local community responses to HIV/AIDS in Kumahuswa, a rural Zimbabwean community which was one of several sites of an HIV-prevention programme.
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A culturally competent community-based participatory research process adopted to help build a relationship of trust and partnership between the researchers and communities involved and to maximise the acceptability of the programme and the uptake of research findings.
At the national level, the Healthy People 2010 initiative of the U.S. Department of Health and Human Services[ 2] recognizes people with disabilities as a vulnerable and at-risk population, subject to health care disparities and deserving of equal access to comprehensive, culturally competent, community-based health care.
Similarly, competent communities could contribute to better CHW performance through sound governance of community resources, promotion of inclusiveness and cohesion, engagement in participatory decision-making and mobilization of local resources for community welfare [ 94].
Consistent with Nhamo et al.'s (2010) conceptualisation of "HIV Competent Communities", more than half of the female community group members interviewed between 2003 and 2005 reported that they still discussed HIV prevention in their groups.
A growing body of social research has underscored the role of CM in building HIV competent communities, ensuring interventions are relevant and accessible to local people, and enabling people to work collectively to create health-enabling environments [ 18, 26, 27].
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