1. 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

2. 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?

3. 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?

4. 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

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

6. 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

7. 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

8. 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

10. 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?

11. 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?

12. 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).

13. 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?

14. 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?

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

18. 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

19. 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

20. 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

21. 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

22. 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

23. Youth Retreat August 2009
Undoing Racism Activity

24. March and Rally February 2010

25. 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