4 Can be used for: Mission statements Program Description As a first step in the development of Performance Measures
5 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)
6 Program Purpose Statement The purpose of the Nutrition Public Health Practice Program is to provide planning, coordination, demonstration and policy development assistanceto communities. So that they can develop, implement, and evaluate programs and policies to promote nutrition and physical fitness behavior change.
8 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 timingAre described with an action verb & a noun phrase
9 Healthy People 2020 GoalsAttain high-quality, longer lives free of preventable disease, disability, injury, and premature death.Achieve health equity, eliminate disparities, and improve the health of all groups.Create social and physical environments that promote good health for all.Promote quality of life, healthy development, and healthy behaviors across all life stages.
11 Many Kinds of Objectives LearningProcessOutcomeOthers
12 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.
13 Outcome Objectives Are…... Long termRealisticMeasurable:levels of mortality, morbidity, disabilitylevels of health conditionsbehavioral measures
14 Examples of Outcome Objectives & Measures from Healthy People 2020 Nutrition & Weight Status
15 Healthier Food AccessNWS–1 State nutrition standards for child careNWS–2 Nutritious foods and beverages offered outside of school mealsNWS–3 State-level incentive policies for food retailNWD–4 Retail access to foods recommended by Dietary Guidelines for Americans
16 Health Care and Worksite Settings NWS–5 Primary care physicians who measure patients’ body mass index (BMI)NWS–6 Physician office visits with nutrition or weight counseling or educationNWS–7 Worksite nutrition and weight management classes and counseling
17 Weight StatusNWS–8 Healthy weight in adultsNWS–9 Obesity in adultsNWS–10 Obesity in children and adolescentsNWS–11 Inappropriate weight gain
18 Food InsecurityNWS–12 Food insecurity among childrenNWS–13 Food insecurity among households
19 Food and Nutrient Consumption NWS–14 Fruit intakeNWS–15 Vegetable intakeNWS–16 Whole grain intakeNWS–17 Solid fat and added sugar intakeNWS–18 Saturated fat intakeNWS–19 Sodium intakeNWS–20 Calcium intake
20 Iron DeficiencyNWS–21 Iron deficiency in young children and in females of childbearing ageNWS–22 Iron deficiency in pregnant females
21 Nutrition Related Objectives in Other Categories Maternal, Infant & Child HealthLow birth weight (LBW) & very low birth weight (VLBW)Recommended weight gain in pregnancyPreconceptual folic acid intake & folate statusHealthy weight prior to pregnancyBreastfeedingDiabetesGlycemic controlLipid controlBlood pressure controlPrediabetes treatmentPhysical activitySchools & Child CareScreen timeHeart Disease & StrokeCholesterol levelsTreatment of pre hypertension (BMI, sodium, sat fat)Education & community-Based Programs“Unhealthy dietary patterns” addressed in: Head Start, schools, colleges, community-based organizations
22 Eliminate Very Low Food Security Among Children Baseline1.3 percent of households with children had very low food security among children in 2008Target0.2 percent Target Setting MethodConsistent with the Department of Agriculture’s policy to eliminate childhood hunger by 2015Data SourceFood Security Supplement to the Current Population Survey, U.S. Department of Commerce, Bureau of the Census
23 Process Objectives Are…….. Short-termRealisticMeasurableRelated to outcome measuresthere may be several process measures for one outcome measure
24 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.
27 What is a Logic Model? Tool for program planning and evaluation Picture of a programGraphic 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
30 Why Develop Logic Models? Visual displays are effective learning instruments for all involvedShows why planned actions are likely to lead to desired resultsAssures that process is not overlooked in evaluationEnhances ability to use on-going evaluation for mid-course corrections
31 Logic Models Promote a Shared Vision Provide common language and reference point for all involvedFundamental purpose is clearRole of actions are clearDesired results at each step are clear
32 Step 1: Determine Scope Can be good overview of whole program Smaller pieces of program can be shown in more detail
33 Step 2: Identify Components Inputs: what you do to make the program possible, resources appliedOutputs: what happens during the implementationOutcomes: the direct result of your program activities
34 Step 3: Draft Model Should be single page “Landscape” layout Write left to right, not top to bottomUse thin lines, don’t alter thicknessAvoid abbreviationsUse simple font, avoid italicsShow “if - then” visually
35 Step 4: Develop Evaluation Indicators Process: measure activitiesex: numbers of trainings, meetings, technical assistance providedOutcome: measure short, medium, and long term outcomesex: increased understandings, behavior change, health outcomes
36 Good Indicators Are….. Relevant Measurable Available or collectable Acceptable to participants, planners, funders and other stakeholders
38 Step 5: Revisit the Model Frequently Lay indicator data directly onto modelDetermine what’s working and what isn’tModify model if change theory isn’t workingModify activities if unable to complete as planned
39 Group WorkUse the purpose statement template to describe the purpose of your projectDevelop a logic model for your projectDevelop at least one process objective and indicate where it fits on the logic modelDevelop at least one outcome objective and indicate where it fits on the logic model