‘While participatory processes make up the base of empowerment, participation alone is insufficient if strategies do not also build capacity of community organisations and individuals in decision-making and advocacy... The most effective empowerment strategies are those that build on and reinforce authentic participation ensuring autonomy in decision-making, sense of community and local bonding, and psychological empowerment of the community members themselves’.  N. Wallerstein, What is the evidence on effectiveness of empowerment to promote health? Health Evidence Network, WHO Regional Office for Europe, Feb 2006