7/29/2019 HESC 400 Ch3

1/8

1/31/20

11

HESC400

Dr.MicheleWood

Planning

Toplanistoengageinaprocessoraproceduretodevelopamethodofachievinganend

(Breckonet al.,1998,p.145)

3

same:

y Sometimeobvious need

y Successfulprogrammayneedtobereworked

y Mayhavetheautonomy&authority tostart

y Oftenneedtogainsupport ofkeypeople

4

7/29/2019 HESC 400 Ch3

2/8

1/31/20

WaysofUnderstandingHealth

y Absenceofdisease

y Balance

y Transcendence

y Empowerment

7

y Growth

y Abilitytofunction

y Independence

y Aresource

WHODefinition(WorldHealthOrganization)

yAstateofcompletephysical,mental,and

8

soc a we e ng,an notmere yt eabsenceofdiseaseorinfirmity.

PoliticalEconomic

System

National&

StatePolicies

Stratification

SocialNetworks

9

CommunityandOccupations Health

Behaviors

Genetics

Health

CareAtwhatlevelwillweintervene?

7/29/2019 HESC 400 Ch3

3/8

1/31/20

CreatingaRationaletoGainSupportofDecisionMakers

y Importanttohavesupportfromthehighestlevel

y Decisionmakers

y Provide&allocatethenecessaryresources

10

y Resources $thatcanbeturnedintostaff,supplies,etc.

y Support e.g.,policies,value,decisionmaking

y Gainingsupport

y Easywhentheideaforaprogramcomesfromthetop

y Difficultwhenideadoesnotcomefromtop(havetosellit)

y CreateaProgramRationale

y Writtenproposaltoselltheprogram

StepsinCreatingaProgramRationale 1

yAnimportantprocess

yNeedasoundrationalebeforemakingappealtodecisionmakers

11

yNoformula

yAlogicalformatispresentedonnextslide

y Invertedtriangle rationalegoesfromdescribinga

generalproblem topresentingafocusedsolution

Titleit,Arationaleforthedevelopmentofandindicatewhoissubmittingthework.

Identifythehealthprobleminglobalterms,backingitupwithdata. Ifpossible,includetheeconomiccostsoftheprogram.

Narrowthehealthproblembyshowingitsrelationshiptotheproposedprioritypopulation. Statewhyitisaproblemandwhyitshouldbedealtwith. Again,backupyourstatementswithdata.

Stateaproposedsolutiontotheproblem(nameandpurposeoftheproposedhpprogram).

Provide

eneral

ro ramoverview.

12

Statewhatcanbegainedfromsuchaprogramintermsofvaluesandbenefitstothedecision

makers.

Statewhytheprogramwillbesuccessful.

Listreferencesused.

Fig. 3.1, p. 61

CREATING APROGRAMRATIONALE:I nvertedTr iangleA roach

Also seeexamples atend of Ch. 2

7/29/2019 HESC 400 Ch3

4/8

1/31/20

ArationaleforNoButtsAboutIt:AcampaigntocreateasmokefreeordinanceintherestaurantsofDelawareCounty,Indiana

Theglobaltobaccopandemicisresponsiblefor4.9million

deaths

a

year

world

wide

(WHO,

1998).

TheUnitedStatesranksasthesecondhighestconsumerofcigarettesintheworldwith451billionconsumedeach

Example

13

year(WHO,1998).

Tobaccousehasbeenlabeledthesinglemostimportantpreventable causeofdeathanddiseaseintheUnitedStates,causingmorethan440,000deathsandresultinginmorethan$75billionindirectmedicalcostsannually.

Nationallysmokingresultsinmorethan5.6millionyearsofpotentiallifelosteachyear.

Seepp.7377formoreexamples.

StepsinCreatingaProgramRationale 2

y Step1: IdentifyingAppropriateBackgroundMaterial

y Step2: TitlingtheRationale

14

y Step3: WritingtheContentoftheRationale

y Step4: ListingtheReferencesUsedtoCreatetheRationale

StepsinCreatingaProgramRationale 3

y Step1:IdentifyingAppropriateBackgroundMaterial

y Reviewtheliteraturey Understandtheproblem&approachesfordealingwithit

y Usefulinformation

&

data:

15

y Needs&wantsoftheprioritypopulation(i.e.,needsassessment)

y Statusofthehealthproblem(i.e.,epidemiologicaldata,save$)

y Showhowoutcomesalignwithwhatdecisionmakersfeelisimportant(i.e.,whatdotheyvalue?)

y Showcompatibilitywithhealthplans(i.e.,HealthyPeople)

y Provideevidencethattheprogramwillmakeadifference(i.e.,evidencebasedpractice)

y Showhowprogramprotectsthegreatestresourcethepeople

7/29/2019 HESC 400 Ch3

5/8

1/31/20

StepsinCreatingaProgramRationale 4

yStep

2:

Titling

the

Rationale

16

y ARationalefor___________:AProgramtoEnhance

theHealthof___________.

StepsinCreatingaProgramRationale 5

y Step3:WritingtheContentoftheRationale

y Whatisthebiggerproblem

y

17

problem

y Whyisitaproblem&whyshoulditbedealtwith?

y Proposeasolutiontotheproblemtheprogram!

y Whatwillitinclude?

y Whywill

the

proposed

program

be

successful?

y Timingisright!

StepsinCreatingaProgramRationale 6

y Step4:ListingtheReferencesUsedtoCreatetheRationale

y Showsdecisionmakerstheproblemhasbeenstudied

18

7/29/2019 HESC 400 Ch3

6/8

1/31/20

Whatistheproblem?

y Mortality?

y Lifeexpectancy?

y Diabetes?

y Loneliness?

y Stress?

y Depression?

19

y Unemployment?

y Illiteracy?

y Homelessness?

y Lossofculture?

y Poortransportation?

y War?

ForWhom?

ProblemStatement 1

y Ashortparagraphthatexplainsaspecificissueforresearchorintervention

y FunctionsasintroductiontotheProgramRationale

20

ProblemStatement 2y Basicstructure(somewhatflexible)

y Overallintroduction

y Compellingfacts

21

y u c ea t ust cat on

y Gaps/needs

y Knowledge

y Population

7/29/2019 HESC 400 Ch3

7/8

1/31/20

ProblemStatement 3y Beauthoritative

y Confident,but

circumspect

y Justify,cite

22

y Buildonfacts

y Alliedissues,populations

y Compel

y Noteunmetguidelinesorgoals

y Inequities

ProblemStatement 4

y Focusonthechangeable

y E.g.,DomesticViolence: Menaretheproblem

23

y Citerelevantdatathatarecompelling

PlanningCommittee 1

y Numberofpeopleinvolveddependsonresources&circumstances

y Variousnames:

24

y ann ngcomm eey Steeringcommittee

y Advisorycommittee

y Noidealsize

y Severalguidelinestohelpinsettingupthecommittee

7/29/2019 HESC 400 Ch3

8/8

1/31/20

PlanningCommittee 2

y Committeemembersshould:

y Representavariety

of

sub

groups

y Bewillingtoserve

y Haveinterestinseeingprogramsucceed

26

y Includesomeonewhohasakeyroleintheorganization

y Worktowardprogramownership

y Candeterminemembershipseveralways:

y Volunteers

y Election

y Invitation

y Appointment

PlanningCommittee 3

Priority

Population

Reps

Doersand

Influencers

Sponsor

Agency

Reps

Other

Stake

holders

Good

Leadership

Solid

Committee

27

y Dontforget:

y Needstobelargeenoughtogetworkdonebutsmallenoughtomakedecisions

y Importanttoreevaluateregularly

y

Should

consider

term

limitsy Beawareofpolitics

PlanningParameters

yWhatisaParameter?

yArestrictionorlimitingfactor,e.g.:

y Decisionmakersphilosophy

29

y

y Financialsupport

y Decisionmakerswillingtochangeorganizationalculture?

y Forallofprioritypopulation?

y Authorityofcommittee;AdvisoryorDecisionmaking?