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Justeen Hyde for SAC 08, August 5, 2014
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Justeen Hyde, PhDInstitute for Community Health
Harvard Medical School
If you don’t know where you are going, how will you know when you
get there?Project Planning and Evaluation
Workshop
Institute for Community Health
• Vision is to improve community health by uniting academic research with real world practice
• Utilize a participatory research and evaluation approach– Partnership and collaboration– Long-term commitment– Co-learning– Deep appreciation for diverse
experiences, practices, values, and resources
Institute for Community Health
Focus for Today• Overview of Evaluation– Purpose– Basic steps– Logic models and other visual depictions
Theory of Change
• Workshop your projects– Problem to be addressed– Underlying assumptions– Visual depiction of your Theory of
Change
What is Evaluation?
Evaluation is the systematic investigation of
merit, worth or significance of an object
In other words…
Addresses question of whether an initiative has been worthwhile in terms of delivering what was intended and expected?
What is Evaluation?
Can also…– Inform future program planning and
design– Provide lessons learned– Ensure transparency and accountability– Provide broader lessons learned about
good practice
Typical Participatory Evaluation Cycle
First step
• What is the problem you are trying to address?–What are your assumptions about why
this problem exists?–What are these assumptions based on?–Whose perspectives are
included/excluded?
The Importance of Assumptions
It’s a matter of reliability and validity
Access to and Retention in HIV Care in Metro Boston
• New HIV infections in the U.S. have remained stable for the last decade– Estimated 20% of people living with HIV
are unaware of their status– Estimated 20-30% of people with HIV
are not engaged in HIV care
• HIV is increasingly viewed as a chronic disease– Shift in thinking about appropriate
interventions for persons living with HIV
HIV as a Chronic Disease• Shift from preparing people to die to
helping people manage chronic disease
• Most people living with HIV in the U.S. are connected to care and on medication
• Focus on the 20-30% who are not managing their disease–What are the assumptions about this
group?
Possible Explanations• Limited access to quality care• Shame/stigma associated with HIV
infection• Problems with self management
associated with substance use or mental illness
• Fatalism• Others?
Importance of Assumptions
Project LEAP Assumptions• Poverty is a primary determinant of
health– HIV is one of many issues– Sense of overwhelm– Access to quality physical and mental
health care
• Social isolation associated with having a disease that is still highly stigmatized – Affects traditional sources of support– Suppression of identity to remain in
community
What is the Problem?
• Succinct statement about the problem your group is addressing
• What are your assumptions about why this problem exists?
• What informs these assumptions?• What perspectives may be missing?
Engage Stakeholders
Describe Program/Service/Intervention
Goals and Objectives
What is the Goal of the program, service, intervention, policy? – A broad statement that describes what you hope to achieve through your efforts
How will you achieve your goal? (Objectives) –Specific, measurable steps that can be taken to meet the goal
Be SMART
Examples of GoalsPoor
• To be healthier
• To change the world and make it a better place
SMARTer• To improve my health by
exercising at least 3 times per week and eating fruits and vegetables at every meal
• To cultivate international leaders who are committed to social change by creating an environment open to critical dialogue, providing hands on experience engaging in social problems, and building capacity to use different forms of media to communicate with
others.
Your group’s goals
• Write a succinct statement describing the goal of your project– Problem you seek to address– Target audience– Primary strategy or approach
Intended Effects
Outcomes• Specific changes in behavior,
knowledge, skills, status and level of functioning resulting from activities – Short-term outcomes – immediate
changes, often knowledge and attitudes– Intermediate outcomes – several months
to a few years, often skills, beliefs, behavior change
– Long-term outcomes – lasting changes that may take several years to realize
Logic Models• Graphic depictions of the relationship
between activities and intended effects– Inputs– Outputs– Outcomes– Impact
Workshop
Develop a logic model for your project• Inputs• Activities• Outputs• Outcomes– Short-term outcomes– Intermediate (if appropriate)– Long-term impact
“If you think you’re toosmall to be effective, youhave never been in bedwith a mosquito.”
Bette Reese