1. Public Health: What It Is and How It Works, Fourth Edition Chapter-by-Chapter Power Point Slides Links to Internet-based resources

2. Chapter 7 Public Health Interventions

3. Chapter 7 Will Help You To: list general categories of public health programs and services describe the difference between community prevention and clinical preventive services describe the major steps in the planning, implementation, and evaluation of a public health program describe how and when planning and evaluation occur during the life of a program define and develop outcome, impact, and process objectives describe the relationships among activities, process measures, impact measures, and outcome measures in the evaluation of a program Explain the difference between doing things right and doing the right things within the context of a public health intervention

4. Interventions, Programs, and Services Are programs different from services? Levels of prevention Clinical preventive services vs. community preventive services Evidence based community preventive services –Task Force on Community Preventive Services

5. Who Does What in the Community?

16. Program Management in Public Health Where are we? Where do we want to be? Should we do something? What should we do? How do we know we are making progress? –Outcome objectives –Impact objectives –Process objectives –Activity measures

17. Discussion A public hearing is being held in your community to determine how to spend money that can be used to address an important environmental health problem facing the community. You are asked to testify at this public hearing. The county health department and the county medical association have provided data demonstrating high levels of lead in the blood of children that have been screened to date and rates of lead poisoning higher than state and national averages. Several civil and community organizations in the community believe that the funds should be used for a campaign to eliminate leaf burning in the community, although they provide no data on illnesses or death from that cause. What would you say in your testimony? Be sure to include arguments, evidence and rationale to support your conclusions.

18. Additional Resources An Ounce of Prevention...What Are the Returns? (PDF format) CDC; 1999An Ounce of Prevention...What Are the Returns? Effectiveness of Disease and Injury Prevention. MMWR 1996;46:No4Effectiveness of Disease and Injury Prevention Framework for Program Evaluation in Public Health. MMWR 1999;48:RR-11Framework for Program Evaluation in Public Health Guide to Community Preventive Services National Guideline Clearinghouse. AHRQ-AMA-AAHP. Evidence-based clinical practice guidelinesNational Guideline Clearinghouse Public Health Innovation Exchange (descriptions of innovative projects). American Public Health AssociationPublic Health Innovation Exchange