Program Planning: Goals, Purpose Statements, Objectives and Logic Models

1. Program Planning: Goals, Purpose Statements, Objectives and Logic Models 2005

3. Goals

4. Goals: • Identify & clarify what you want to do or achieve • Define what needs to be accomplished without getting bogged down in issues of measurement and timing • Are described with an action verb & a noun phrase

5. Healthy People 2010 • Department of Health and Human Services • Designed to serve as a road map for improving the health of all people in the United States during the first decade of the 21st century • Comprehensive, nationwide health promotion and disease prevention agenda

6. HP 2010 Contents • 28 focus areas - nutrition appears in several • 467 objectives • Key Indicators

7. Focus Areas at a Glance (28)1. Access to Quality Health Services2. Arthritis, Osteoporosis and Chronic Back Conditions3. Cancer4. Chronic Kidney Disease5. Diabetes6. Disability and Secondary Conditions7. Educational and Community-Based Programs8. Environmental Health9. Family Planning and Sexual Health10. Food Safety11. Health Communication12. Heart Disease and Stroke13. HIV14. Immunizations and Infectious Diseases

8. 15. Injury and Violence Prevention16. Maternal, Infant, and Child Health17. Medical Product Safety18. Mental Health and Mental Disorders19. Nutrition20. Occupational Safety and Health21. Oral Health22. Physical Activity and Fitness23. Public Health Infrastructure24. Respiratory Diseases25. Sexually Transmitted Diseases26. Substance Abuse27. Tobacco Use28. Vision and Hearing

9. Leading Health Indicators • Physical Activity • Overweight and Obesity • Tobacco Use • Substance Abuse • Responsible Sexual Behavior • Mental Health • Injury and Violence • Environmental Quality • Immunization • Access to Health Care

10. HP 2010 Goals • Increase quality and years of healthy life • Eliminate health disparities

11. Purpose Statements

12. Can be used for: • Mission statements • Program Description • As a first step in the development of Performance Measures

13. Purpose Statement Template The purpose of the ________________________ (name of service, program or line of business) is to provide (or produce)______________________ (service or product -what) for _______________________________________ (customer - who ) so that____________________________________ (RESULT / benefit - why)

14. Program Purpose Statement The purpose of the Nutrition Public Health Practice Program is to provide planning, coordination, demonstration and policy development assistance to communities. So thatthey can develop, implement, and evaluate programs and policies to promote nutrition and physical fitness behavior change.

15. Objectives

16. Many Kinds of Objectives • Learning • Process • Outcome • Others

17. RUMBA - Objective Checklist

18. Program Planning Objectives • Outcome Objective: a statement of the amount of change expected for a specified population within a given time frame. • Process Objective: a statement that measures the amount of change expected in the performance and utilization of interventions that impact on the outcome.

19. Outcome Objectives Are…... • Long term • Realistic • Measurable: • levels of mortality, morbidity, disability • levels of health conditions • behavioral measures

20. Examples of Outcome Measures from Healthy People 2010

21. Weight Status and Growth • Healthy weight in adults • Obesity in adults • Overweight or obesity in children and adolescents • Growth retardation in children

22. Food and Nutrient Consumption • Fruit intake • Vegetable intake • Grain product intake • Saturated fat intake • Total fat intake • Sodium intake • Calcium intake

23. Iron Deficiency and Anemia • Iron deficiency in young children and in females of childbearing age • Anemia in low-income pregnant females • Iron deficiency in pregnant females

24. Schools, Worksites, and Nutrition Counseling • Meals and snacks at school • Worksite promotion of nutrition education and weight management • Nutrition counseling for medical conditions

25. Food Security • Food Security

26. Increase the proportion of adults who are at a healthy weight. • Target: 60 percent. • Baseline: 42 percent of adults aged 20 years and older were at a healthy weight (defined as a body mass index [BMI] equal to or greater than 18.5 and less than 25) in 1988–94 (age adjusted to the year 2000 standard population). • Target setting method: Better than the best. • Data source: National Health and NutritionExamination Survey (NHANES), CDC, NCHS.

27. Process Objectives Are…….. • Short-term • Realistic • Measurable • Related to outcome measures • there may be several process measures for one outcome measure

28. Example of Process Objectives • By December 2002, 40 female students who seek services at the teen health center will receive brief counseling interventions from the clinic nurse about use of folic acid supplements to prevent NTD.

30. Logic Models

32. What is a Logic Model? • Tool for program planning and evaluation • Picture of a program • graphic representation of “theory of action” • Relationship between what we put in (inputs), what we do (outputs), and what results (outcomes) • Logical chain of if-then relationships

34. Why Develop Logic Models? • Visual displays are effective learning instruments for all involved • Shows why planned actions are likely to lead to desired results • Assures that process is not overlooked in evaluation • Enhances ability to use on-going evaluation for mid-course corrections

35. Logic Models Promote a Shared Vision • Provide common language and reference point for all involved • Fundamental purpose is clear • Role of actions are clear • Desired results at each step are clear

36. Step 1: Determine Scope • Can be good overview of whole program • Smaller pieces of program can be shown in more detail

39. Step 2: Identify Components • Inputs: what you do to make the program possible, resources applied • Outputs: what happens during the implementation • Outcomes: the direct result of your program activities

40. Step 3: Draft Model • Should be single page • “Landscape” layout • write left to right, not top to bottom • use thin lines, don’t alter thickness • avoid abbreviations • use simple font, avoid italics • show “if - then” visually

41. If Then

42. Step 4: Develop Evaluation Indicators • Process: measure activities • ex: numbers of trainings, meetings, technical assistance provided • Outcome: measure short, medium, and long term outcomes • ex: increased understandings, behavior change, health outcomes

43. Good Indicators Are….. • Relevant • Measurable • Available or collectable • Acceptable to participants, planners, funders and other stakeholders

44. Step 5: Revisit the Model Frequently • Lay indicator data directly onto model • Determine what’s working and what isn’t • Modify model if change theory isn’t working • Modify activities if unable to complete as planned