Chapter Five: Developing a Coalition Plan and Evaluation A variety of approaches that will lead to better coalition planning and evaluation: A Passport to the Future (Tearless Logic Model) to guide the development Actual planning steps and tools Actual work of Task Groups Coalition barriers and how to overcome them Coalition evaluation framework and tools

Passport to the Future – Tearless Logic Model I. Who are you (as a program)? II. What needs are you addressing? How do you know they are needs? III. Where do you want to get to? (What are your goals and anticipated outcomes?) What is the ultimate goal, or the end you have in mind? What immediate and intermediate changes do you expect? What resources do you need?

A. What are you doing now? (What are your activities?) IV. How are you getting there? A. What are you doing now? (What are your activities?) What is your plan? What are the activities of your program/organization? Of your coalition? What does your program look like? B. How will your activities lead to your expected outcomes? Why will doing your planned activities get you to your goals? V. How will you know if you are on the right road/path and getting to the right destination? (How will you evaluate?) How will you know when you reach your goal? What will it look like? What will happen when you do get there?

Actual Planning Steps and Tools (from Chapter on Start Up)   What is our focus? How would you state the issues/problems for your community? Understanding our issues on a deeper level to ascertain the root causes- Root Cause Analysis Visioning: Tool for Creating a Common Vision Developing a Plan- Force Field Analysis that examines the forces that support and oppose reaching your identified goal Brainstorm and prioritize: Based on the Force Field Analysis brainstorm ideas for an action plan? And Prioritize the ideas (Priority dots) Then decide who you need to engage in your coalition so that you can achieve your goal? In light of the Vision who else do you need to engage in the coalition. Deciding on Governance and Structure create mechanisms for: Communication,& Decision making Convening a first gathering Set time for next meeting and develop an agenda – choose ad-hoc conveners

Coalition Task Force Process Identify stakeholders Define the problem Investigate options Design a response

Coalition Task Force Process (cont) Secure resources Implement the plan Evaluate and adapt Spin off Source: B.L.Hathaway “Growing a Health Community” American Journal of Community Psychology, Vol.29, No 2, 2001

Barriers Turf and Competition Bad history Failure to Act Lack of a Common Vision Failure to provide and create collaborative leadership Minimal organizational structure Costs outweigh the benefits Not engaging self-interest

Coalition Evaluation Coalition Member Assessment Survey Instrument (Wolff) This instrument involves rated questions on key coalition variables: Vision Planning Implementation and Progress Leadership and Membership Structure and Communication Activities Outcomes Relationships Systems Outcomes Benefits from participation And selected open ended questions

Evaluation questions at each of the five phases are: Assessment and collaborative planning How has the coalition developed its organizational capacity? Does the coalition have a vision and a plan for community mobilization? Is the coalition membership inclusive of all community sectors?

Targeted action intervention Has the coalition developed measurable and targeted action steps? Is the coalition taking actions to reach its goals? Will these action steps help the coalition reach its goals and meet its objectives?

Evaluation questions at each of the five phases are: Community and systems change Does the coalition create community changes, defined as changes in programs, policies, and practices? Have participating organizations changed programs, policies, and practices? (These are the intermediary outcomes that seem to be able to predict the ultimate population-level change).

Widespread behavior change How widespread is the change? Where have these changes occurred and what form do they take? Are changes happening in many sectors and systems?

Improvement in population-level outcomes How are community/system changes contributing to the efforts to improve the community? Are community/system changes associated with improvements in population- level outcomes?

Community Story from the US REACH 2010 Boston Racial and Ethnic Approaches to Community Health

A Health Equity Framework Social Capital A Health Equity Framework Education Transportation Employment Food Access Socioeconomic Status Health Outcomes Racism Environmental Exposure Health Behaviors Access to Health Services Housing Public Safety

Jamaica Plain Youth Health Equity Collaborative - Goals Involve residents, organizations and youth Examine health disparities Identify causes including social determinants Common language and framework Define and implement programs

Healthy youth have/are… High Quality Education That Helps Them Achieve Their Dreams Meaningful Living Wage Jobs Safe and Connected Community Environment High Quality and Affordable Housing Engaged in High Quality and Comprehensive Health Care High Quality Food Access and an Environment that Promotes Physical Activity

Bucket Meetings Case Study Employment inequities for low income African American/Latino youth – role of institutional racism Employment Health impacts for low income African American/Latino youth Possible Action Steps/Strategies

Case Study: A JP Youth finding it impossible to get a job Bucket Meetings: Assessing the Social Determinants of Health Case Study: A JP Youth finding it impossible to get a job Role of Institutional Racism: Employment inequities for low income African American/Latino youth Health impacts: Employment inequities for low income African American/Latino youth Possible Action Steps/Strategies Assessing the social determinants of health: bucket meetings Case study 22 22

Youth Retreat August 2009 Undoing Racism Activity

March and Rally February 2010

Summary of Community Engagement - Rules for Success Embrace the value and benefits of community engagement Go out into the community Recruit from those most affected in the informal sector Share decision making Work to retain those you recruit Give example of door to door