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

3. Goals

4. 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

5. 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

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

7. 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 Food Safety Health Communication Heart Disease and Stroke HIV Immunizations and Infectious Diseases

8. 15. Injury and Violence Prevention 16
15. Injury and Violence Prevention Maternal, Infant, and Child Health Medical Product Safety Mental Health and Mental Disorders Nutrition Occupational Safety and Health Oral Health Physical Activity and Fitness Public Health Infrastructure Respiratory Diseases Sexually Transmitted Diseases Substance Abuse Tobacco Use Vision and Hearing

9. 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

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

11. Purpose Statements

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

13. 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)

14. 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.

15. Objectives

16. Many Kinds of Objectives
Learning
Process
Outcome
Others

17. RUMBA - Objective Checklist

18. 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.

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

20. Examples of Outcome Measures from Healthy People 2010

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

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

23. 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

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

25. Food Security
Food Security

26. 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 standard population).
Target setting method: Better than the best.
Data source: National Health and Nutrition Examination Survey (NHANES), CDC, NCHS.

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

28. 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.

30. Logic Models

32. 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

34. 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

35. 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

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

39. 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

40. 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

41. If
Then

42. 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

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

44. 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