Class 5

4 STEPS of Program Development

Assessing

Planning

Implementing

Evaluating

Health Program

Consists of a variety of planned activities to address the assessed health concerns of clients over time

Builds on client strengths in order to meet specific goals and objectives

Aims to positively impact knowledge, attitudes and behaviours

Health Program Planning Models for Community Health

PRECED-PROCEED MODEL

Program Logic Model

PRECEDE - PROCEED MODEL

A complex but comprehensive planning model that has 9 phases.

Consists of a Preceed and Proced phase.

It emphasizes two basic assumptions:

Health and health risks are caused by multiple factors

Efforts to effect behavioural, environmental, and social change must be multidimensional or multisectoral and participatory in that the target audience is actively involved in the model

Precede Phase

Phase(1-5): Sets directions and objectives for the ensuing phases

Proceed Phase

Pases (6-9): Adressess the need for health promotion interventions and approaches used to change unhealthy behaviours

Phase 1

Social Assessment

Phase 2

Epidemiologic Assessment

Phase 3

Behavioural & Environmental Assessment

Phase 4

Educational & Ecological Assessment

Phase 5

Administrative Policy Assessment

Phase 6

Implementation

Phase 7

Process Evaluation

Phase 8

Impact Evaluation

Phase 9

Outcome Evaluation

Program Logic Model

Used in health care as a planning and evaluation framework

Depicts the components in diagrammatic form

Depicts a cause-and-effect sequence or path toward a stated outcome

Clarifies logical linkages of program inputs, outputs, and outcomes related to a specific health concern or situation

Formative Evaluation

Assessing whether objectives are met or planned activities completed

Begins with an assessment of the need for a program

Occurs on an ongoing basis while program exists

Summative Evaluation

Assessing program outcomes or as a follow up of the results of the program

Looks at the end result of the program

Evaluates program effectiveness and impact

Aspects of program Evaluation

Relevance

Adequacy

Progress

Efficiency

Effectiveness

Impact

Sustainability