ph w4 ch 11

to make change at a community level we need ________

partnerships

pooling resources

community partners work together to share resources

inclusive solutions

ensure diverse voices are heard by invited 12-14 people to be stakeholders at the roundtable

building trust

collaborating w/community helps to build trust and ensures programs address real needs

differing priorities

can lead to misunderstandings or conflicts

will need a lot of compromising

geographic challenges

distance + isolation can make the teamwork harder

especially in rural areas

lack of resources

limited finances = BIGGEST CHALLENGE

leads to need to apply for grants

community gatekeeper

needed at a roundtable

a very influential + resourceful “faith based person”

what does the gatekeeper have the ability to do?

influence the community

data drives decision making so it drives ______

intervention

primary data

subjective data

e.g. interviews, surveys, observations, community forums, windshield surveys

secondary data

objective data

e.g. medical records, government data bases, vital statistics, raw data

which type of data is more important?

BOTH are equally important when speaking about community setting

what is the ecological model?

this model explains how health behaviors are influenced at multiple levels

what do all of the levels of the ecological model determine?

how a person behaves

ecological model: individual level

personal beliefs

ecological model: interpersonal level

interpersonal relationships

ecological model: institutional level

organizational rules e.g. WCU

ecological model: community level

social norms

ecological model: public health level

laws + regualtions

greatest influencer of health

environment

what is the CDC’s change model for?

trying to change community behaviors

how many steps in the CDC’s change model?

8 steps

1. assemble community team

2. developing a team strategy (creating norms)

3. reviewing community sectors (includes our resources, so who are they)

4. gather community data

5. analyze data (what’s urgent)

6. identify community strengths + needs

7. prioritizing goals

8. creating + implementing action plans

when does evaluation take place?

at each step

when determining how healthy a community is realistically you should

consistently look at windshield surveys

CHNA - community health needs assessment

collects + analyzes data to identify key health issues and demands in a community

helps with identifying priority health issues

what is always a priority health issue?

a communicable disease

after data collection what needs to happen?

it needs to be inputted into some sort of database

prioritization needs to be…

structured, realistic, and collaborative using both primary and secondary data

what is effective prioritization based on?

what greatest needs are in community

community health diagnoses need

need to have data embedded into diagnoses

what are the steps to incorporate when trying to implement a new program (7 steps)

1. situation statement

2. define goals

3. identify audience

4. craft message

5. identify incentives

6. outreach methods

7. tools to measure

EVALUATION AT ALL STEPS

what type of people do you want at the roundtable when trying to implement change

12-14 people

• stakeholder team

• community influencers (the VIPS)

• program lead nurse

• evaluation lead (makes sure data is ethical+valid neutral party)

what 2 questions are asked during evaluation?

did the program meet the goals?

and is there an actual impact?

what exist at national levels that help us evaluate effectively?

toolkits