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Community-based Organizations’ Capacity to Plan, Implement, and Evaluate Success

Community-based Organizations’ Capacity to Plan, Implement, and Evaluate Success. Robert M. Mayberry, M.P.H., Ph.D. Chairman and CEO χ 2 Health Research Consultants AcademyHealth June 9, 2008. What are the Objectives?. …improve access and quality of care. …improve health status.

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Community-based Organizations’ Capacity to Plan, Implement, and Evaluate Success

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  1. Community-based Organizations’ Capacity to Plan, Implement, and Evaluate Success Robert M. Mayberry, M.P.H., Ph.D. Chairman and CEO χ2 Health Research Consultants AcademyHealth June 9, 2008

  2. What are the Objectives? • …improve access and quality of care. • …improve health status. • …prevent disease onset. • …insure fairness and justice.

  3. Reducing the Racial/Ethnic Disparities: Framework?

  4. Improving Quality, Reducing Disparities Sehgal JAMA 2003; 289(8): 996-1000.

  5. Hypothetical Framework

  6. Social Support Intervention to Prevent Low Weight Birth among African American Women Birthweight Intervention Group Control Group 2500 grams or more 50 (90.9%) 45 (77.6%) Less than 2500 grams 5 (9.1%) 13 (22.4%) Fisher’s Exact Test (1-tail), P < 0.05 Norbeck JS et al. Soc. Sci. Med. 1996;43(6):947-954.

  7. A Three-Level Approach to Promoting Community Health

  8. Pfizer Southern HIV/AIDS Prevention Initiative A 3-year initiative (2004 to 2006) designed to address the growing epidemic of HIV/AIDS in the Southern region of the U.S., primarily among racially/ethnically diverse communities in urban and rural areas. Funds granted to small and mid-size community-based organizations (CBOs) supporting underserved multi-cultural communities in nine southern states: AL, FL, GA, LA, MS, NC, SC, TN, TX. Partnership with Morehouse School of Medicine Prevention Research Center (MSM PRC) to strengthen the evaluation capacity of Initiative CBOs.

  9. Characteristics of CBOs of the Pfizer Foundation Southern HIV/AIDS Prevention Initiative

  10. Survey Responses of Program Staff Regarding the Technical Assistance Needs of Community-Based Organizations

  11. Cross-site Program Assessment Survey (C-PAS) Knowledge Level† for Steps in Community Program Development †Item mean score on a Likert scale of 0 (none) to 4 (extensive).

  12. Cross-site Program Assessment Survey (C-PAS) Skills Level† for Steps in Community Program Development †Item mean score on a Likert scale of 0 (none) to 4 (extensive).

  13. Cross-site Program Assessment Survey (C-PAS) Summary Scores of Organizational Skills, Knowledge, and Abilities †Skills and knowledge based on a Likert scale of 0 (none) to 4 (extensive); summary score of six items. ‡Abilities based on Likert score of 1 (low) to 5 (high); summary score of 20 items. IQR = interquartile range. SD = standard deviation.

  14. Pfizer InitiativePrivate-Academic-Community Partnership • Initiative CBOs • Community-based Programs and Partners • Innovative Approaches to Health Promotion and Prevention • MSM PRC • Evaluation Expertise • Cultural Competence • Pfizer Foundation • Fiscal Resources • Organizational Will

  15. Evaluation Capacity BuildingRecommended Approaches Conduct Systematic Needs Assessment Adopt Practical Hands-on Learning Opportunities Employ Quantitative and Qualitative Methods Facilitate On-Going TA Provide Opportunities to Share Evidence-based Practice

  16. Pfizer InitiativePrivate-Academic-Community Partnership • Critical partnership processes included: • Cooperative Decision-making • Systematic Communication Strategies • Navigation of Unique Needs of Each Collaborative Partner.

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