Table 2

Proposed mechanisms

Mobilisation activitiesDescriptionDiscussed by
Group participationCommunity members attend group meetings and become members of their community group.1 30 42–47 49 55 61 62 67 69 70 76 80 107–113
Group deliberationGroup members engage in open, critical dialogue with each other and their facilitator, identify shared problems, decide on and set goals, develop collective solutions and evaluate past initiatives.2 4 22 25 37 42 43 48 49 51–55 57 60 67 75–77 79–81 87 107 109 112–119
Individual acts of information sharingSharing information within the group and across social networks in the wider community.15 30 37 44 46 48 54 57–62 71 86 107
Informal social supportMutual emotional, economic and practical support; referral for health problems; crisis support and protection from violence and harassment.2 4 15 22 30 37 40 44–48 51 55 58 63–66 72 73 77 81 82 84 85 111 114 119–122
Collective actionGroup and community members carry out collective action to address shared health issues, such as protest, self-help or resource mobilisation.1 4 8 15 23 25 30 37 42 44 46–48 52 56 58 60 61 65–67 69–74 78–81 85 109 111 113 116 121–124
Mediating capacitiesDescriptionDiscussed by
Individual level
Critical consciousnessCapacity to critically examine one’s own and others' beliefs and values, relate one’s own vulnerability to wider social forces and question the immutability of everyday reality.4 37 42 43 46–49 55 60 72 79 107 116 118 124 125
Attitudes and norms relevant to a health issueConcern for a health problem; perceived value of addressing a health problem; perceived social disapproval of harmful behaviour; critical personal attitude to harmful behaviour.8 49 51 53 55 61 62 64 71 75 77–79 110 113 119 121 123
Self-conceptA sense of agency, purpose and inspiration in one's own life; a sense of confidence and self-efficacy; self-worth and self-esteem; a sense of entitlement to basic rights; improved self-knowledge.4 8 25 40 46–48 55 60 63 65 66 70 72 75 79–82 84 85 107 109 110 113 114 116 118 122 123
Technical knowledge/skillsKnowledge of the epidemiology of a health problem, knowledge of effective ways to address it, knowledge of legal rights and entitlements.4 22 48 52 53 60 62 71 73 75 77 78 107 108 112 113 122 125
Practical knowledge/skillsLeadership, negotiation and communication skills; problem formulation, decision-making and problem-solving skills; ability to translate theory into action.4 25 37 40 49 61–63 70 79–81 84 115 116
Household level
Women’s position in the householdStatus, respect, support and decision-making power in the household for women.1 59 72 76 79 81 82 109 110 113 119 120 122 123
Collective level
Social cohesionA shared sense of belonging, identity and trust; well connected, mutually supportive social networks; cohesion among group or community members.2 8 15 23 25 40 44–47 50 52 59 61 68 71 74 77 79 80 83 84 86 109–111 113–115 119 121 123 124
Civic attitudes and normsShared attitudes and norms around informal social support and collective action; shared belief in the collective efficacy of one’s group or community.2 8 15 25 40 44–46 50 52 64–66 68 71 73 77 80 84 85 108 111 121 124
Self-governanceSense of ownership over process of addressing a health issue; presence of initiative and leadership; effective management of own resources; ability to discuss, agree and make decisions as a group.8 15 23 25 46 51 61 63 64 68 71 73 78 83 86 111 113 122 126 127
Institutional linkageDialogue and partnership between community and institutions; better accountability and responsiveness of institutions to the community; links between community groups and institutions4 8 25 47 48 51 56 61 63 64 67 68 74 78 115 120 126