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Sustaining Local Public Health and
Built Environment Programs
Fit Nation NYC
November 3, 2011
Annaliese Calhoun
Overview
Defining Sustainability Sustainability Framework and Tool Action Planning
Acknowledgements
Development of the framework was led by a team at the Center for Tobacco Policy Research, Washington University in St. Louis Input was provided by a panel of funders, researchers,
and practitioners
Funded by the National Association of Chronic Disease Directors
What is Sustainability?
What is Sustainability?
Sustainability is…
the existence of structures and processes which allow a program to leverage resources to most effectively implement evidence-based policies and activities.
Everything a program needs to keep it going over time
Sustainability is…
NOT just
Why Sustainability?
The Sustainability Challenge
Episodic nature of public health funding and prioritization
The capacity for programs to plan for and maintain their efforts over time
Determining what and how to sustain- everyone speaks a different sustainability language
Framework Development
How Was the Framework Developed?
Formative Work: Evaluation of over 20 state tobacco control
programs Why were some programs able to sustain efforts despite
significant cuts to program funding?
Evaluation of community obesity prevention programs and policy efforts Lessons learned translate well to other public health programs
6
How Was the Framework Developed?
LITERATURE REVIEW
EXPERT INPUT
FRAMEWORK DEVELOPMENT
EXPERT PANEL
CONCEPT MAPPING
Sustainability Framework
Sustainability Framework
Sustainability Framework
StrategicPlanning
FundingStability
PoliticalSupport
Partnerships
OrganizationalCapacity
ProgramImprovement
Surveillance& Evaluation
Communications
Public HealthImpacts
Sustainability Framework
StrategicPlanning
FundingStability
PoliticalSupport
Partnerships
OrganizationalCapacity
ProgramImprovement
Surveillance& Evaluation
Communications
Public HealthImpacts
Sustainability Domains
Funding Stability
The ability to make long-term plans based on a stable funding environment
FundingStability
Political Support
An internal and external political environment which influences program funding, initiatives, and acceptance
FundingStability
PoliticalSupport
Partnerships
The connection between program and community
FundingStability
PoliticalSupport
Partnerships
Organizational Capacity
The resources to effectively manage the program and its activities
FundingStability
PoliticalSupport
Partnerships
OrganizationalCapacity
Program Improvement
The ability to adapt and enhance the program to ensure its effectiveness
FundingStability
PoliticalSupport
Partnerships
OrganizationalCapacity
ProgramImprovement
Surveillance and Evaluation
The monitoring and evaluation of process and outcome data associated with program activities
FundingStability
PoliticalSupport
Partnerships
OrganizationalCapacity
ProgramImprovement
Surveillance& Evaluation
Communications
The strategic dissemination of program outcomes and activities with stakeholders, decision-makers, and the public
FundingStability
PoliticalSupport
Partnerships
OrganizationalCapacity
ProgramImprovement
Surveillance& Evaluation
Communications
Public Health Impacts
Effect on the health attitudes, perceptions, and behaviors in the area it serves
FundingStability
PoliticalSupport
Partnerships
OrganizationalCapacity
ProgramImprovement
Surveillance& Evaluation
Communications
Public HealthImpacts
Strategic Planning
The process to define program direction, goals, and strategies
StrategicPlanning
FundingStability
PoliticalSupport
Partnerships
OrganizationalCapacity
ProgramImprovement
Surveillance& Evaluation
Communications
Public HealthImpacts
A Sustainable Program...
Has a supportive environment Is able to plan ahead due to stable funding Has broad and deep organizational and
community ties Uses surveillance and evaluation tools to guide
program activities and enhance political and public support
Is able to recover more quickly from challenges
Sustainability Assessment Tool
Sustainability Assessment Tool
STRATEGIC PLANNINGTo little or no extent
To a very great extent
Not able to
answer
1. The program plans for future resource needs.
1 2 3 4 5 6 7 NA
2. The program has a long-term financial plan.
1 2 3 4 5 6 7 NA
3. The program has a sustainability plan.
1 2 3 4 5 6 7 NA
4. The program’s goals are understood by all stakeholders.
1 2 3 4 5 6 7 NA
5. The program clearly outlines roles and responsibilities for all stakeholders.
1 2 3 4 5 6 7 NA
6. Strategic planning is done in coordination with partners and other programs.
1 2 3 4 5 6 7 NA
How do you Complete the Tool?
STRATEGIC PLANNINGTo little or no extent
To a very great extent
Not able to answer
1. The program plans for future resource needs.
1 2 3 4 5 6 7 NA
2. The program has a long-term financial plan.
1 2 3 4 5 6 7 NA
3. The program has a sustainability plan. 1 2 3 4 5 6 7 NA
4. The program’s goals are understood by all stakeholders.
1 2 3 4 5 6 7 NA
5. The program clearly outlines roles and responsibilities for all stakeholders.
1 2 3 4 5 6 7 NA
6. Strategic planning is done in coordination with partners and other programs.
1 2 3 4 5 6 7 NA
STRATEGIC PLANNINGTo little or no extent
To a very great extent
Not able to answer
1. The program plans for future resource needs.
1 2 3 4 5 6 7 NA
2. The program has a long-term financial plan.
1 2 3 4 5 6 7 NA
3. The program has a sustainability plan. 1 2 3 4 5 6 7 NA
4. The program’s goals are understood by all stakeholders.
1 2 3 4 5 6 7 NA
5. The program clearly outlines roles and responsibilities for all stakeholders.
1 2 3 4 5 6 7 NA
6. Strategic planning is done in coordination with partners and other programs.
1 2 3 4 5 6 7 NA
Strategic Planning Score: 3.8
How do you Complete the Tool?
How Can You Use the Tool?
Prioritizing areas for improvement Sustainability planning Ongoing evaluation
Questions
It’s your turn!
Key Definitions
Program What do you want to sustain?
Organization Who has oversight for your program?
Community Who are your stakeholders?
Sustainability Planning
Sustainability Planning
What are the benefits of completing a plan? What will be the challenges? How can you leverage work you’re already
doing?
Where to Start
Assess program capacity for sustainability Identify the highest priority domains Determine which components should be sustained Plan actions that may enhance sustainability Monitor progress Re-assess needs
Action Planning
Template
Action Planning
Priority Domain: Communications Indicator(s) to focus on :
#5—Program staff communicate the benefit of the program to policymakers
Action Planning
What are next 3 steps to address this domain? (include timeframe)1. Offer individual communications technical assistance on an
ongoing basis to local partners and Local Public Health/Statewide Health Improvement Program grantees to increase their capacity to communicate their work to stakeholders and decision makers. Technical assistance will include Great Trays workshops, communications planning, key messaging, story collection and dissemination, and product creation. Timeframe: beginning June, 2011—ongoing
2. Create an Office of Statewide Health Improvement Initiatives GovDelivery newsletter. …
3. Improve storytelling capacity through better organization, collection, and training of ABC staff, local partners and ABC grantees. ..
Action Planning
Which agencies or individuals need to be involved? ABC evaluation team, communications team, staff
meeting team, leadership team Local partners and local public health/ABC grantees
What resources will be needed? We have collected all the tools and information
needed via NPAO communications channels and the 2009 assessment of local public health capacity and the 2010 communications best practices report.
Prioritizing Issues to Address
Sustainability Framework
Priority Domains
Which 1 domain do you most need to address?
Which domain seems to be the most modifiable?
Keep in mind- which program components should be sustained, which should not?
Small Group Discussions
What indicators do you think you need to focus on the most in order to sustain your program? (You can think about this question from the perspective of your agency/organization or your CPPW Built Environment team overall)
What are the next three steps to address these indicators/domain? How can you use your existing CPPW Built Environment workplan to help address these indicators/domain?
What agencies, organizations, or individuals need to be involved?
What resources will be needed and how could you obtain these resources?
How will you know you have succeeded?
Session Recap
Today we… Defined sustainability Assessed sustainability Action planned for sustainability
