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42 Cards in this Set

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CH.9

Community Organizing
Mobilizing resources
Identifying problems/goals
Develop and Implement strategies
CH.9

Categories for
Community Organizing
locality Development: Self help community development
Social Planning:Task oriented, focused on problem solving by outside expert
Social Action: task and process oriented. Fix imbalances of power & privilage
CH.9

Characteristics of Successful Coalition
-Continuity of staff, positions
-Ownership of problem
-Active Involvement
-Community leader support
-Trust and Reciprocity
-Task groups
-Rules & procedures
-Strategic action plan
-Consenus instead of voting
-break larger problems into smaller ones
Ch.9

Mapping Community Capacity
1st Building blocks: mast accessible assests, controlled by inside people
2nd Building Blocks: Police, fire, schools. Controlled by outside people
Potential Building Blocks: Originate outside (welfare, public svcs/info
CH.9

Models for Community Mapping
MAPP: mobilizing for action through planning and partnerships
HEALTHY COMMUNITIES:
PATCH: Planned approach to community health
CH.9

PATCH MODEL
1. Mobilizing the community
2. Collecting + organizing data
3. Choosing health priorities
4. Developing a comprehensive intervention plan
5. Evaluation
CH.10

Define Internal Personnel
Individuals from within the planning agency/organization or people from within the priority population to supply the needed labor
CH.10

Define Peer Education
Individuals who have specific knowledge , skills or understanding of concept to help educate peers
CH.10

Define External Personnel
Outside individuals not from priority pop. or planning process to conduct part or all of the program.
CH.10

Advantages/Disadvantages of Internal Personnel
Advantages
1. Reduced cost
2. Internal arrangements can be made to free needed personnel
3.More control over those involved

Disadvantages
1.Limited interest and ability of staff
2.May need training or limited by experience
3.Might be slow, reach fewer people
CH.10

Advantages/Disadvantages of External Personnel
Advantages
1.Known expertise
2.Responsiblity becomes work of another
3.Can request product guarantees
4.More respected
5.Bring global knowledge to the program
6.Have sophisticated tools
7.Can reach geographically dispersed groups.

Disadvantages
1.More costly
2. Subject to limitation
3. Less control over the program
CH.10

Define Budget
A formal statement of the estmated profit and lost for a program.
CH.10

Common thing that may be included in a budget
Personnel
Profit margin
curriculum material
equipment
CH.11

Social Marketing
Attempts to change behavior from improved health or social outcomes.
CH.11

Key Principles in Social Marketing
-Have a product that meets consumers needs
-Offer affordable product
-Available in convienent place
-Promoted to attract consumers
CH.11

Marketing Segmentation
a way to divide the priority population into smaller, more homogeneous group.

Helps narrow and focus your marketing strategy
CH.11

Factors to base segmentation on
Demographics
Geographics
Psychographic
behavioral
Benefit Sought
Constructs ob Behavior Theories
CH.11

Diffusion Theory
Theory that provides explanation for diffusion of innovations in populations
Look like a Bell Curve

Innovators, <35
Early Adopters, 14%
Early Majority, 34%
Late Majority, 34%
Laggards, 16%
CH.11

The 4 P's of Marketing
Product
Price
Place
Promotion
CH.11

Informative, Persuasive Communication Flow
1. What are the media habits of the priority pop?
2. What medium should be used?
3. what are the costs of ea. medium vs. benefit?
4. Can medium's capability build on or mulitply the effects of another medium?
5. Will the message reach a significant portion of the priority pop?
6.Can the message be sent through several channels?
7.Is the message culturally appropriate
8. through how many intermediaries must the message travel to reach the priority pop?
9. How frequently should the message be delivered?
10. Can a medium be overused to the point that it will turn off the priority pop to the message?
CH.12

Define Ethical Issues
Situations where competing values are at play and need judgement about what is the most appropriate course of action.
CH.12

Example of ethical problem
Planners want to provide incentive for program in low SES population. What dollar value doe the incentive cross from encouraging to join to manipulating to join?
CH.12

Code of Ethics for the Health Education Profession
The health educator is to aspire to the highest possible standards of conduct and to encourage the ethical behavior of those with whom they work
CH.12

3 Ethical Principles from Belmont Report
1. Respect for Persons
2. Beneficence
3. Justice
CH.12

Define Ethical Principle: Respect for Persons
acknowledges the dignity and autonomy of individuals, and requires that people with diminished autonomy be provided special protection
CH.12

Define Ethical Principle: Beneficence
Requires program planners to protect participants by maximizing anticipated benefits and minimizing harm
CH.12

Define Ethical Principle: Justice
Requires that program planners treat participants fairly.
CH.12

Negligence
Failing to act in a reasonable manner. Can arise from 2 acts:

Omission: Not doing what you should
Commission: Doing something you should not be doing.
CH.12

Reducing Risk of Liability
1. Be aware of legal liabilites
2. Select certified instructors
3. Use good judgment in setting up programs and providing written guidlines
4. Inform participants about risks
5. Require participants to obtain medical clearance
6.Instruct staff not to "practice medicine"
7.Provide safe environment and area
8. Purchase adequate liability insurance for all staff.
CH.13

Process Evaluation
Combo of measurements obtained during the implementation of program activities to control, assure, or improve quality of performance or delivery.
CH.13

Impact Evaluation
Focuses on immediate observable effects of a program, leading to intended outcome of a program; immediate outcomes. Measures awareness, knowledge, attitudes, skills, etc.
CH.13

Outcome Evaluation
Focuses on ultimate goal or product of program. Measured by mortality, morbidity, vital measures, symptoms, signs, etc.
CH.13

Formative Evaluation
combo of measurements obtained before or during implementation to control, assure or improve quality of performance or delivery.
CH.13

Summative Evaluation
Combo of measurements that permit conclusions to be drawn about impact, outcome, or benefits of a program.
CH.13

Purpose of Evaluation
1. Determine achievement of objectives
2. Improve program implementation
3. Provide accountability to funders, community, and other stakeholders
4. Increase community support
5. Contribute to scientific base for community public health interventions
6. Inform policy decisions
CH.13

Internal Evaluation
When a person involved with the program planning conducts the evaluation
CH.13

External Evaluation
Conducted by someone who is not connected with the program
CH.13

Pilot Testing
Assesses programs in limited areas and/or time periods
CH.14

Selecting an Evaluation Design
1. Orient oneself to the situation
2. Define problem
3. Make decision about design (qualitative or quantitative)
4. Choose how to measure the dependent variable, collect data, how to analyze data, and how to report results.
CH.14

Quantitative Method
Deductive. Evaluation produces numeric data, such as counts, ratings, scores
CH.14

Qualitative Methods
Inductive. Produces narrative data, such as descriptions. Provide depth of understanding, study motivation, enable discovery, are exploratory and interpretive, allow insight into behavior and trends. etc.
CH.9

Steps in Community Organizing and Building
1. Recognizing the issue
2. Gaining entry into community
3. Organizing the people
4. Assessing the community
5. Determining the priorities and setting goals
6. Arriving at a solution and selecting intervention strategies
7. Implementing the plan
8. Evaluating the outcomes of the plan of action
9. Maintaining the outcomes in the community
10. Looping back