Developing Logic Models to Prevent Infant Mortality in Kansas Facilitators: Steve Fawcett, Jeffrey Colvin, Vicki Collie-Akers, Marvia Jones, and Kaston Anderson Kansas Blue Ribbon Panel on Infant Mortality, November, 2010

KS BRP: Working Together for Healthy Infants in Kansas  Collaboration among partners from relevant sectors  Use local knowledge and experience  Assuring conditions—at state and community levels—for better outcomes for all infants

(Health Promotion: WHO def.)—People working together to create conditions for improved health and wellbeing for all babies Focus on prevention and promotion Attention to equity Seeking change in conditions: Multiple sectors Multiple levels Assuring Conditions for Healthy Babies in Kansas

Assuring Conditions for Healthy Babies A. Assessment and Collaborative Planning B. Targeted Action and Intervention C. Community and Systems Change D. Widespread Behavior Change E. Improvement in Population Health and Health Equity Source: Adapted from the Institute of Medicine’s framework for collaborative public health action in communities (2003).

Logic Model as Picture

Wha t Makes a Logic Model Effective Visual representation Naming factors “known” to influence desired outcomes Provoking questions about what works Linking activities and intended effects

Intervention Components and Activities Personal and Environmental Factors Specific Behaviors Intended Outcomes Affect That Affect Which in turn Affect Developing a Logic Model Seeing the Logical Links…..

Components of a Logic Model Purpose or mission -What the group is going to do, why? Context and conditions under which the problem or goal exists and which may affect the outcome (e.g., history of the effort, broad cultural and environmental factors, political situation, economic conditions). Inputs: Resources and barriers – include both supports available and constraints to meeting objectives. Activities or interventions - what the initiative or program does to bring about change and improvement (e.g., information, enhancing services, modifying access). Outputs - direct results or products of the group’s activities (e.g., number of activities conducted). Effects - outcomes or results (immediate, intermediate and longer-term effects).

Intervention Mapping

Today’s Workshop AGENDA Review Draft state-level logic model Review sample logic model for a particular risk/protective factor Small Group/Team Work: Refine draft logic models Presentations of draft logic models by Small Groups/Teams Next steps

Small Group Team Work: Refining Draft Logic Models State Systems Logic Model (Leader: Linda Kenney; Facilitator/Recorder: Steve Fawcett) Safe Sleep Logic Model (Leader: Christy Schunn; Facilitator/Recorder: Marvia Jones) Access to Health Care and Social Supports (Leader: Diane Daldrup; Facilitator/Recorder: Jeffrey Colvin.

We should make things as simple as possible, but not simpler. --Albert Einstein