Program Planning: Goals, Purpose Statements, Objectives and Logic Models 1/27/04

Goals

Goals: Identify & clarify what you want to do or achieve Define what needs to be accomplished without getting bogged down in issues of measurement and timing Are described with an action verb & a noun phrase

Healthy People 2010 Department of Health and Human Services Designed to serve as a road map for improving the health of all people in the United States during the first decade of the 21st century Comprehensive, nationwide health promotion and disease prevention agenda

HP 2010 Contents 28 focus areas - nutrition appears in several 467 objectives Key Indicators

Focus Areas at a Glance (28) 1. Access to Quality Health Services 2 Focus Areas at a Glance (28) 1. Access to Quality Health Services 2. Arthritis, Osteoporosis and Chronic Back Conditions 3. Cancer 4. Chronic Kidney Disease 5. Diabetes 6. Disability and Secondary Conditions 7. Educational and Community-Based Programs 8. Environmental Health 9. Family Planning and Sexual Health 10. Food Safety 11. Health Communication 12. Heart Disease and Stroke 13. HIV 14. Immunizations and Infectious Diseases

15. Injury and Violence Prevention 16 15. Injury and Violence Prevention 16. Maternal, Infant, and Child Health 17. Medical Product Safety 18. Mental Health and Mental Disorders 19. Nutrition 20. Occupational Safety and Health 21. Oral Health 22. Physical Activity and Fitness 23. Public Health Infrastructure 24. Respiratory Diseases 25. Sexually Transmitted Diseases 26. Substance Abuse 27. Tobacco Use 28. Vision and Hearing

Leading Health Indicators Physical Activity Overweight and Obesity Tobacco Use Substance Abuse Responsible Sexual Behavior Mental Health Injury and Violence Environmental Quality Immunization Access to Health Care

HP 2010 Goals Increase quality and years of healthy life Eliminate health disparities

Purpose Statements

Can be used for: Mission statements Program Description As a first step in the development of Performance Measures

Purpose Statement Template The purpose of the ________________________ (name of service, program or line of business) is to provide (or produce)______________________ (service or product -what) for _______________________________________ (customer - who ) so that____________________________________ (RESULT / benefit - why)

Program Purpose Statement The purpose of the Nutrition Public Health Practice Program is to provide planning, coordination, demonstration and policy development assistance to communities. So that they can develop, implement, and evaluate programs and policies to promote nutrition and physical fitness behavior change.

Objectives

Many Kinds of Objectives Learning Process Outcome Others

RUMBA - Objective Checklist

Program Planning Objectives Outcome Objective: a statement of the amount of change expected for a specified population within a given time frame. Process Objective: a statement that measures the amount of change expected in the performance and utilization of interventions that impact on the outcome.

Outcome Objectives Are…... Long term Realistic Measurable: levels of mortality, morbidity, disability levels of health conditions behavioral measures

Examples of Outcome Measures from Healthy People 2010

Weight Status and Growth Healthy weight in adults Obesity in adults Overweight or obesity in children and adolescents Growth retardation in children

Food and Nutrient Consumption Fruit intake Vegetable intake Grain product intake Saturated fat intake Total fat intake Sodium intake Calcium intake

Iron Deficiency and Anemia Iron deficiency in young children and in females of childbearing age Anemia in low-income pregnant females Iron deficiency in pregnant females

Schools, Worksites, and Nutrition Counseling Meals and snacks at school Worksite promotion of nutrition education and weight management Nutrition counseling for medical conditions

Food Security Food Security

Increase the proportion of adults who are at a healthy weight. Target: 60 percent. Baseline: 42 percent of adults aged 20 years and older were at a healthy weight (defined as a body mass index [BMI] equal to or greater than 18.5 and less than 25) in 1988–94 (age adjusted to the year 2000 standard population). Target setting method: Better than the best. Data source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS.

Process Objectives Are…….. Short-term Realistic Measurable Related to outcome measures there may be several process measures for one outcome measure

Example of Process Objectives By December 2002, 40 female students who seek services at the teen health center will receive brief counseling interventions from the clinic nurse about use of folic acid supplements to prevent NTD.

Logic Models

What is a Logic Model? Tool for program planning and evaluation Picture of a program graphic representation of “theory of action” Relationship between what we put in (inputs), what we do (outputs), and what results (outcomes) Logical chain of if-then relationships

Why Develop Logic Models? Visual displays are effective learning instruments for all involved Shows why planned actions are likely to lead to desired results Assures that process is not overlooked in evaluation Enhances ability to use on-going evaluation for mid-course corrections

Logic Models Promote a Shared Vision Provide common language and reference point for all involved Fundamental purpose is clear Role of actions are clear Desired results at each step are clear

Step 1: Determine Scope Can be good overview of whole program Smaller pieces of program can be shown in more detail

Step 2: Identify Components Inputs: what you do to make the program possible, resources applied Outputs: what happens during the implementation Outcomes: the direct result of your program activities

Step 3: Draft Model Should be single page “Landscape” layout write left to right, not top to bottom use thin lines, don’t alter thickness avoid abbreviations use simple font, avoid italics show “if - then” visually

If Then

Step 4: Develop Evaluation Indicators Process: measure activities ex: numbers of trainings, meetings, technical assistance provided Outcome: measure short, medium, and long term outcomes ex: increased understandings, behavior change, health outcomes

Good Indicators Are….. Relevant Measurable Available or collectable Acceptable to participants, planners, funders and other stakeholders

Step 5: Revisit the Model Frequently Lay indicator data directly onto model Determine what’s working and what isn’t Modify model if change theory isn’t working Modify activities if unable to complete as planned