Understanding the structure of community collaboration: the case of one Canadian health promotion network

Abstract

In 2004, over 6.8 million Canadians were considered overweight, with an additional 2.4 million labeled clinically obese. Due to these escalating levels of obesity in Canada, physical activity is being championed by politicians, physicians, educators and community members as a means to address this health crisis. In doing so, many organizations are being called upon to provide essential physical activity services and programs to combat rising obesity rates. Yet, strategies for achieving these organizations' mandates, which invariably involve stretching already scarce resources, are difficult to implement and sustain. One strategy for improving the health and physical activity levels of people in communities has been the creation of inter-organizational networks of service providers. Yet, little is known about whether networks are effective in addressing policy issues in non-clinical health settings. The purpose of this investigation was 2-fold; to use whole network analysis to determine the structure of one health promotion network in Canada, and to identify the types of ties shared by actors in the health network. Findings revealed a network wherein information sharing constituted the basis for collaboration, whereas efforts related to sharing resources, marketing and/or fundraising endeavors were less evident.