Factors Associated with Beneficiary Outcomes from Community Health Programs in Predominantly Low-Income African American Communities in Mississippi USA.

The negative relationship between participation in program activities and satisfaction, and the large size of participants (42-57%) who are less likely to report satisfaction with services, calls for an investigation of the causes of low levels of satisfaction. Immediate and long-term improvements needed to strengthen the fit between CHP services and beneficiary needs in Belzoni and Jackson are recommended.