Health Promotion Evaluation
Determine a health issue you wish to address using a community-based health promotion programme. Complete the programme plan and evaluation using the following headings:
1. Project title – one sentence title to describe your programme

2. Locality – briefly describe where this programme will take place

3. Commencement and completion date

4. Issue (need) to be addressed – in one sentence describe the key issue

5. Rationale for target group – provide a rationale for your chosen target group

6. Relevant NZ strategies – list and briefly explain 2 strategies which are aligned to your programme

7. Needs assessment – describe the methods you would use to understand the needs of your community in relation to the issue to be addressed. The information must come from a range of sources and use a variety of methods.

8. Stakeholders and partners – describe the key stakeholders, likely interest in the programme and the methods to achieve participation and engagement

9. Formative evaluation – in addition to the stakeholder analysis and needs assessment describe other activities you would perform as part of your formative evaluation. Include reference to at least 2 other effective programmes similar to your programme.

10. Programme logic model – draw the programme logic model for the proposed health promotion intervention/programme – it must include program assumptions, activities, and short, medium and long term outcomes.

11. Process evaluation – describe 5 key questions for your process evaluation and the methods you would use to collect the data

A detailed outline of the expectations for the assessment are on the following page.
Purpose:
To be able to design a rigorous and sound evaluation plan for a community-based health promotion programme.

Assignment Structure
• This is NOT an essay, so it is probably different to what you have been used to.
• I expect to see you use the given headings, and then write under each heading, just as you would do in a report to a client.
Assignment component Detailed outline of expectations Expected word count Information sources
1. Project title – one sentence title to describe your programme.
I am looking for a title that very succinctly tells me what the programme is. 25 words maximum.
2. Locality – briefly describe where this programme will take place
The current case study has a made up locality.
The kind of description I expect to see here, is one where at least some of the following information is presented:
• Name of the locality
• Population size
• Demographic make up of the population – age structure, ethnic structure etc
• What sort of place it is, i.e., urban, rural, main industries, work places, services etc.
A really good answer here would include something that gave the reader a sense of the uniqueness of the area, its special characteristics etc. 100 – 200 words For more information see the note at the end, with website information.
For other programmes, most councils have websites that include useful information about the locality
3. Commencement and completion date
The purpose of this small section is to get some sense for the reader of how long the programme will be running for / or has been running for.

Funding periods for health promotion programmes differ. A programme that has only been up and running a short time is less likely to have significant outcomes to report. Similarly, if a health promotion programme is only funded for a 1 – 2 year period, then it could only be expected to have limited success. A programme that has been around a long time should be able to demonstrate its success (although often this isn’t the case!).
2 – 3 sentences expected here. For example if you are interested in community garden; there are several gardens under the initiative. Included are:
• Mangere Community Food Forest Gardens
Mangere
Manukau Parks Teaching Gardens (four teaching gardens in total)
Middlemore Reserve, Papatoetoe
Stadium Reserve, Papatoetoe
Walter Massey Park, Mangere East
Old School Reserve, Mangere
• Monte Cecilia Housing Trust, Mangere
• Tuakau Community Gardens
Tuakau Water Tower Reserve, Tuakau
4. Issue (need) to be addressed – in one sentence describe the key issue

I expect to see you identify the primary need(s) that the programme is supposed to be addressing.
For example, The programme’s goal is to address the ‘poor sexual health outcomes’ for teenage girls in Dunedin central city; or The programme intends to address the ‘low levels of physical activity’ in middle age men engaged in office based occupations.
There may be two or three needs, and that’s ok, but I don’t want to see lots of waffle. Be clear about what the primary need (s) is / are. 25 – 30 words maximum.
5. Rationale for target group – provide a rationale for your chosen target group
Being clear about who your target group is, and why they are the target group is essential for good programming and also for evaluation. So I expect to see a detailed description of who the target group(s) is (age, ethnicity, age, health status, housing and economic status etc) or are; as well as a detailed explanation of why they are the target group, i.e., why have this group been chosen as needing a health promotion programme intervention?. 300 – 400 words For the given case study:
See the website at the bottom of this outline.
Ministry of Health data (www.moh.govt.nz )
Statistics New Zealand (www.stats.govt.nz )

For other programmes, councils usually have good population profiles, but also Ministry of Health and Statistics New Zealand data will be helpful here.
6. Relevant NZ strategies – list and briefly explain 2 strategies which are aligned to your programme
Most health promotion programmes are aligned to other strategies the government has. I expect to see you (1) identify at least 2 strategies that the programme is aligned to, and (2) explain why you think the programme is aligned.
For example, the ‘fruit in schools’ programme, where schools in low socioeconomic (decile) areas were given funding to be able to provide fruit everyday free to children in their school, was aligned to the government’s HEHA strategy, as well as NZ Health Strategy. The reason it was aligned to these strategies is that the needs being addressed by the programme were ‘low levels of access (affordability) to fresh food’ and ‘increasing rates of obesity’ in school age children from low socioeconomic areas.
Both HEHA and the NZ Health strategy aim to try and address these needs, (provide an example from the strategy documents as to how they do this).
100 – 250 words Most government agencies have strategies, many of which will be aligned in some way to health promotion programmes. Below are links to the Ministry of Health, Social Development, Education and Maori Development.

www.moh.govt.nz
www.msd.govt.nz
www.minedu.govt.nz
www.tpk.govt.nz

7. Needs assessment – describe the methods you would use to understand the needs of your community in relation to the issue to be addressed. The information must come from a range of sources and use a variety of methods.
There are two major components of a needs assessment:
• Who, what, how much
• Why?
Both require you to use a range of methods to find the answers to these questions.

I expect to see you (1) describe the range methods you would use to understand the needs of the target group for your programme; as well as (2) provide an explanation as to why you chose these methods. 150 – 350 words Lecture notes
Information gathering methods are discussed in more detail in reading 6 – (Waa, Holibar and Spinola) pages 58 -75.
A list of methods is referred to in reading 4 – (Duignan) on page 79.
Also, there is an article on focus groups – reading 32 – (Berkowitz).
A discussion about needs assessment is also available in reading 17 – Developing a Plan for Identifying Local Needs and Resources.
8. Stakeholders and partners – describe the key stakeholders, likely interest in the programme and the methods to achieve participation and engagement

Here I expect you to differentiate between program stakeholders and evaluation stakeholders.
I expect you to refer to (not duplicate) the handout given in lecture 4, and create your own table (s) that list who you consider to be the primary program (at least 3) and primary evaluation stakeholders (at least 3) are, giving clear reasons as to why you decided they were primary stakeholders.
Then for each primary program stakeholder, I expect to see you provide a description of their likely interest and/or stake in the program; and for each primary evaluation stakeholder, I would like you to describe what you consider their interest or stake in the evaluation is.
Then for each primary stakeholder (program and evaluation), I want you to describe what you might need to do to keep them engaged with the evaluation. 300 – 400 words Lecture 1 and 2 notes and resources.
See this resource: Physical Activity Evaluation Handbook, CDC
www.cdc.gov/nccdphp/dnpa/physical/handbook/pdf/handbook.pdf
The first section of this handbook has a good section on engaging stakeholders.

or Review of health promotion practice Aotearoa

http://www.hauora.co.nz/resources/ReviewsofhpPracticeNZ2007to2008.pdf

9. Formative evaluation – In addition to the stakeholder analysis and needs assessment describe other activities you would perform as part of your formative evaluation. Include reference to at least 2 other effective programmes similar to your programme. I would expect to include a list of several other activities (4-5) that you would do in a formative evaluation. In class you were given a ‘evaluability assessment scoping questions’ handout, and an evaluation planning worksheet that will give you clues as to the kinds of activities you would carry out. 200 – 300 words Lecture 3 notes and handouts
Reading by Waa, Holibar & Spinola (1998) attached in Assignment 2 folder (or try to google it)
Reading (see assign 1) – Duignan – pages 84 – 85.
Reading (assignment 1) – Thurston et al – Evaluability assessment.
10. Programme logic model – draw the programme logic model for the proposed health promotion intervention/programme – it must include program assumptions, activities, and short, medium and long term outcomes. I expect to see a model developed, just as you have seen developed in class. I don’t want to see paragraphs of text only.
I would like to see you begin with a bit of text, to list the program assumptions, but the activities, and outcomes should be included in the model. I am happy to see you draw a model with inputs also. 200 – 300 words Lecture 2, 3 and 4 notes.
Reading 12 – (Goldman and Schmalz) is a good basic introduction to logic models (attached in Assignment 2 folder).
Try to use DoView.com
The following link takes you to the University of Wisconsin Extension’s free online material / course on logic models.

http://www.uwex.edu/ces/pdande/evaluation/evallogicmodel.html

www.easyoutcomes.org is a website where you can download free trial some software for drawing outcome / logic models.

http://www.inspiration.com/ is another site where you can download free software for drawing models.
11. Process evaluation – describe 5 key questions for your process evaluation and the methods you would use to collect the data

I would expect that you have selected some process components of your logic model, and justified why you have selected these.
Then for each component, I would expect to see a list of process evaluation questions with the corresponding data collection method alongside these. ( A table is a good idea here).
Finally I would expect to see some rationale for your selection of data collection methods. 250 – 400 words There are several readings available in the reading booklet. There is reference to process evaluation in Waa, Holibar and Spinola Guide for health promotion evaluation (pages 12 – 13)
There is a very good guide to process evaluation in the online course resources – Introduction to Process Evaluation, Centers for Disease Control and Prevention, US.

A discussion about methods is available in the Waa, Holibar and Spinola Guide for health promotion evaluation (pages 58-75).
There is also a discussion about evaluation methods in the Davidson article – The mix of methods: common research techniques used in evaluation.
Discussion about the paradigm debates associated with methods are also available in the Parry Langdon et al article – Process evaluation of health promotion interventions, and the Keith Tones article – Evaluating health promotion: a tale of three errors; and the E.Jane Davidson article – The RCT’s only doctrine: brakes on the acquisition of knowledge?.
* if you are interested : Websites on gardens: http://www.manukau.govt.nz/EN/Yourcommunity/ParksWalksBeaches/ConservationEducation/Pages/growingforhealth.aspx

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