1 Minority SA/HIV Initiative MAI Training SPF Step 3 – Planning Presented By: Tracy Johnson, CSAP’s Central CAPT Janer Hernandez, CSAP’s Northeast CAPT Marcus Bouligny, CSAP’s Southeast CAPT

Learning Objectives Review capacity building Define components of planning Explore planning in context of MAI grant Discuss the role of cultural competency in planning Explore sustainability as it relates to planning

SPF – Step 2: Capacity Building Review SPF Process Step 2: The ability to mobilize stakeholders and resources… Management Reporting Tool (MRT)

4 Planning Involves: Creating a logic model Developing a comprehensive, logical, and data- driven plan to address: The problem(s) and related risk and protective factors and other underlying conditions Gaps in resources and capacity Further identification of risk and protective factors and other underlying conditions The selection of strategies that will impact the risk and protective factors and other underlying conditions and the problem

SPF Logic Model for Reducing Binge Drinking Consequence/ Consumption Patterns Risk and Protective Factors Strategies Media advocacy to increase community concern about binge drinking Social marketing Young Adult Binge Drinking Social norms accepting and/or encouraging binge drinking

SPF Logic Model for Reducing Binge Drinking Consequence/ Consumption Patterns Risk & Protective Factors Strategies Media advocacy to increase community concern Social marketing Enforce underage retail sales law Social event monitoring and enforcement Parental education Restrictions on alcohol advertising Young Adult Binge Drinking Young Adult Drinking and Driving Early Intervention Low perceived risk of alcohol Social norms accepting and/or encouraging underage drinking Low enforcement Easy social access Parental Monitoring/ Family Cohesion Promotion and pricing Availability of screening/early intervention

Goals Goals are the long-term measurable changes that you are trying to achieve based on your needs and resources assessment & the identified priorities.

Example of a Logic Model - Goals Goal Objectives Strategies Activities Outcomes There is a decrease in STI among year olds in the community of Freeport

Objectives Objectives are the specific, measurable results that you plan to achieve with specific strategies. They serve as the basis by which to evaluate your initiative: A good objective includes Who or what is to change a date by when the change will be accomplished describes how much change you hope to see whether that indicator will increase or decrease who will be affected

Example of a Logic Model - Objectives Goal Objectives Strategies Activities Outcomes Product Availability By June 2008 a 15% increase in the number of adults who gain access to Info and product health organizations There is a decrease in STI among year olds in the community of Freeport

Additional Sample Objective Product Availability By June 2008, there will be a 25% increase in number of health organizations that encourage participation in products that prevent STI

Example of a Logic Model - Strategies Goal Objectives Strategies Activities Outcomes Health Information Product Availability By June 2008 a 15% increase in the number of adults who gain access to Info and product health establishments There is a decrease in STI among year olds in the community of Freeport Outreach Tactics Health Education

13 Selecting Prevention Strategies Key Questions How will the selected strategies address the risk and protective factors and objectives identified in the assessment process? Are the strategies evidence-based? What other strategies/programs exist in your community to address the identified problem? Can the strategies selected achieve your desired outcomes?

14 Sample Criteria for Selecting Strategies Effectiveness Matching strategy/program requirements with agency capacities Resources Cultural assumptions Target population Organizational climate Community climate Evaluability Future sustainability

15 Selecting Best Fit Prevention Interventions Select Specific Programs, Practices & Policies Ensure Effectiveness Identify Types of Strategies Best Fit Prevention Interventions Demonstrate Conceptual Fit Demonstrate Evidence of Effectiveness Demonstrate Practical Fit Relevant?Practical?Effective?

Activities Activities are the specific steps and actions that are necessary to implement each strategy

Example of a Logic Model - Activities Goal Objectives Strategies Activities Outcomes Health Education Product Availability By June 2008 a 15% increase in the number of adults who gain access to Info and product health establishments There is a decrease in STI among year olds in the community of Freeport - Determine content of program -Determine incentives -Assess who to train, barriers to training -Outreach to participants

Short-Term Outcomes What are the measurable changes you expect to see in the identified risk and projective factors (i.e. objectives) Outcomes should contain the following elements: What will change? For Whom? By how much (magnitude of change) By when (what time period) will the change occur?

Example of a Logic Model - Activities Goal Objectives Strategies Activities Short-term Outcomes Health Education Health interventions used by participants will increase by 30% by 2008 as measured survey Product Availability By June 2008 a 15% increase in the number of adults who gain access to Info and product health establishments There is a decrease in STI among year olds in the community of Freeport - Determine content of program -Determine incentives -Assess who to train, barriers to training -Outreach to participants

Long-Term Outcomes Describe the extent of the change (the percentage of increase or decrease) you hope for; Identify the target population or group you want to impact; Specify the behavior, condition, or knowledge you hope to change; and, Include a timeframe in which the change can be expected.

Example of a Logic Model - Activities Goal Objectives Strategies Activities Short-term Long-term OutcomesOutcomes Health Education Health interventions used by participants will increase by 30% by 2008 as measured survey Product Availability By June 2008 a 15% increase in the number of adults who gain access to Info and product health establishments There is a decrease in STI among year olds in the community of Freeport -Determine content of program -Determine incentives -Assess who to train, barriers to training -Outreach to participant s A increase in six month use among ages as measured by the program survey

Guiding Principles related to planning Cultural Competency Sustainability Participatory Involvement Continuous Quality Improvement

Culturally Competent Goals, Objectives, Strategies, Activities, & Evidence Based Approaches How do we ensure that cultural awareness exists in effective program planning? How do we ensure that cultural awareness exists in effective program planning? How do the decisions made by the planning process directly affect people’s lives? How do the decisions made by the planning process directly affect people’s lives? How would you involve your priority population in their development?

Culturally Competent Goals, Objectives, Strategies, and Activities ■ Is the process reflective of the interests of the priority population? What are some of the cultural beliefs and attitudes towards prevention and how may they be different in diverse sub-populations? ■ What are some of the cultural beliefs and attitudes towards prevention and how may they be different in diverse sub-populations? Do they account for cultural elements such as language, attitudes, rites of passage, gender roles, values, norms, customs, etc? ■ Do they account for cultural elements such as language, attitudes, rites of passage, gender roles, values, norms, customs, etc? Are there cultural considerations that need to be considered in the adaptation and tailoring of evidence- based approaches? ■ Are there cultural considerations that need to be considered in the adaptation and tailoring of evidence- based approaches?

Elements of sustainability in SPF step 3 Planning - What elements of sustainability are present in Step 3? - How do we know if those elements are present? - What indicators might be present? >>>What are some guiding questions…

1.Structures and Formal Linkages 2.Policies and Procedures 3.Resources 4.Expertise 5.Quality and Accountability 6.Effectiveness (step 3) 7.Reach and Alignment (step 3) 8.Relationships 9.Champions 10.Ownership Action areas for SPF step 3 Planning …

Guiding questions Does the strategy address problems identified through the data-driven process? Does the strategy match the characteristics of the target population? What, if anything, needs to be done to increase alignment between the needs of the target population and the strategies implemented to address these needs?