1 / 20

Outline

An Evaluation Model to promote linkages between community-based public health practice and academia. Joseph Telfair, DrPH, MSW/MPH and Beverly Mulvihill, PhD Department of Maternal and Child Health School of Public Health University of Alabama at Birmingham. Outline.

nysa
Download Presentation

Outline

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. An Evaluation Model to promote linkages between community-based public health practice and academia

  2. Joseph Telfair, DrPH, MSW/MPH and Beverly Mulvihill, PhDDepartment of Maternal and Child HealthSchool of Public HealthUniversity of Alabama at Birmingham

  3. Outline • Description of Integrated Model of Community-Based Evaluation model (IMCBE) • Case Example: An overview of the community-based perinatal initiative (CPI) - primary purposes, focus and components and use of the IMCBE, including rationale, purpose and approach used in applying the IMCBE to the evaluation of the CPIs • Lessons learned and future strategies

  4. The Integrated Model of Community-based Evaluation • IMCBE developed and utilized successfully in evaluating community-based health services programs • Emphasis on collaboration and participation • Participants define the problem indicators to be assessed and have a part in the design of the assessment process

  5. The Integrated Model of Community-Based Evaluation BASIC CHARACTERISTICS • Flexibility • Adaptability • Longitudinality • Comprehensiveness

  6. The Integrated Model of Community-Based Evaluation FOUNDATIONAL PRINCIPLES • Services are evaluated at the level of administration • Orientation of the service guides the evaluation • Participants and providers are full partners in the evaluation process

  7. INTEGRATED MODEL OF COMMUNITY-BASED EVALUATION (IMCBE) PREREQUISITES CHARACTERISTICS PHASES OUTCOMES EVALUATOR Assessment of Pre-Existing Conditions Planning & Decision making • SKILLS • TEMPERAMENT • STAKEHOLDER • FUNDING • BUY-IN • FLEXIBLE • ADAPTABLE • LONGITUDINAL • COMPREHENSIVE • INDIVIDUAL • PROGRAM/AGENCY • LOCAL COMMUNITY • STATE OR NATIONAL Report Development and Utilization Data Review, Analysis and Interpretation Implementation and Action Evaluate service at the level(s) it is administered/provided. Underlying orientation of service delivery guides the evaluation process Participants and providers are partners in the evaluation process FOUNDATIONAL PRINCIPLES IMPLEMENTATION • Source: J. Telfair, 1997 - Graphical Representation of the Integrated Model of Community-based Evaluation

  8. CASE EXAMPLE Alabama Perinatal Program’s Community-Based Initiative Projects and the IMCBE

  9. BACKGROUND • Alabama’s infant mortality rate is the lowest in state record -9.5 (579) infant deaths per 1,000 live births , but still ranks among the highest rates in the nation (>20 % higher than the U. S. rate of 7.1 deaths per 1,000 live births in 1997) • The community-based Perinatal Grant initiatives represent efforts by Alabama to decrease perinatal and maternal mortality/ morbidity and child handicapping conditions through community initiatives

  10. DESCRIPTION OF THE ALABAMA PERINATAL PROGRAM • In 1980 legislature approved the Alabama Perinatal Act which established the Alabama Perinatal Prog (APP) under the direction of the State Board of Health and the State Perinatal Advisory Com (SPAC) which represents 5 Perinatal Regional Committees (RPACs) • The purpose of the APP is to identify, recommend and support strategies to effectively decrease infant mortality and morbidity in Alabama • Between 1980 and 1995 the focus, structure and funding for the APP’s initiatives varied

  11. DESCRIPTION OF APP COMMUNITY-BASED INITIATIVES(CPI) • The purpose of CPI grant funds are to encourage innovative community-based projects designed to improve the health status of Alabama’s pregnant women and infants up to one year of age • The 2000 CPI projects were in the following areas: • Family Support and Resource (FSP) Projects • Transportation and Medication Support (TMS) Projects

  12. METHODS • Recognizing the importance of gathering and assessing valid and reliable data on perinatal programs, where possible, questions based on previously tested and standardized instruments were used • CPI Staff had input into and helped revise data collection instruments to capture salient information on high-risk pregnant women and other health disparities • All client and program level instruments were pilot tested and instruments designed specifically for this project were peer reviewed using a three round Delphi methodology prior to implementation

  13. METHODS Data Collection Instruments • Program Questionnaire • Semi-Annual Client Satisfaction Report Form • Psycho-Social Risk Factor Assessment Sheet • Semi-Annual Support and Resource Service/Home Visit Report • Medication Data Information Sheet • Transportation Data Information Sheet • Quantitative & qualitative analyses were used to provide meaningful interpretation of the collected data

  14. IMCBE and APP COMMUNITY-BASED INITIATIVE • Interaction between the community-based programs (at statewide sites) and UAB (academic collaborator) was redefined from an expert-client relationship to a true partnership • Work milieu was refocused to create mutual respect for the knowledge and experience of all participants (health practitioners, intake personnel, and perinatal care recipients, and researchers) and to build trust among them

  15. IMCBE AND APP COMMUNITY-BASED INITIATIVE • Scope and objectives for the work were defined by those involved and key components of community and university agendas were acknowledged and incorporated into the process and the product of the evaluation partnership

  16. PRACTICAL ADVANTAGES OF IMCBE TO PROMOTE LINKAGES • Characteristics of IMCBE and principles that included full participation reduce barriers between public health practice community, the underserved community, and academia • Improved interaction and trust will develop from the application of the IMCBE in promoting linkages between the community and academia

  17. PRACTICAL ADVANTAGES OF IMCBE TO PROMOTE LINKAGES • Creates a true community-oriented, culturally competent approach to partnerships and evaluation

  18. Lessons Learned and Future Strategies • Use of the IMCBE approach in promoting linkages between community and academia may provide policy-makers important information about the efficacy of programs in many areas: • Improving access and satisfaction • Promoting cultural competency • Improving perinatal health outcomes • Guiding and promoting capacity building • Creating opportunities for collaboration by diverse entities on diverse projects

  19. Lessons Learned and Future Strategies • Use of the IMCBE approach in promoting linkages between community and academia helps to guide decision-makers and practitioners in the planning, implementation and future evaluations of state-wide perinatal and similar programs

  20. Acknowledgements JoAna Dodson PERINATAL INITIATIVES PROGRAMS AND AGENCY STAFF COMMUNITY PARTICIPANTS BFHS STAFF, VOLUNTEERS AND OTHER STAKEHOLDERS PROJECT EVALUATION AND OFFICE ASSISTANTS

More Related