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Session Title: Utilizing Conceptual Frameworks to Define and Evaluate Public Health Infrastructure
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Panel Session 576 to be held in Huntington C on Friday, Nov 4, 8:00 AM to 9:30 AM
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Sponsored by the Government Evaluation TIG
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| Chair(s): |
| Cassandra Martin Frazier, Centers for Disease Control and Prevention, bkx9@cdc.gov
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| Discussant(s):
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| Maryann Scheirer, Scheirer Consulting, maryann@scheirerconsulting.com
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| Abstract:
Building the infrastructure of state and local public health systems is vital to promoting the health of the nation. Evaluation can be used as a tool to better understand the multifaceted and broad nature of infrastructure and its role in influencing systems change. Yet, it is challenging to systematically evaluate national-level infrastructure development initiatives. This session explores the use of theory, consensus-building and practice to develop conceptual frameworks to guide efforts to evaluate infrastructure programs. In this panel, presenters from three programs at the Centers for Disease Control Prevention will discuss the following: the development of their respective conceptual frameworks, creation of standardized evaluation tools, application of the conceptual framework to evaluate infrastructure and utilizing evaluation results to revise the framework.
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Evaluating Environmental Health Systems as They Relate to Food and Water Safety Programs: Developing a Framework and Instrument
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| Vernon Garalde, Centers for Disease Control and Prevention, ivg1@cdc.gov
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| Kristin Delea, Centers for Disease Control and Prevention, gqi7@cdc.gov
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| Denita Williams, Centers for Disease Control and Prevention, uzk4@cdc.gov
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Since the Institute of Medicine Report in 1988, public health has been described as "in disarray." Environmental public health departments providing food and water safety services need to be evaluated to ensure adequate and quality services to the jurisdictions they serve. This presentation will discuss the utilization of a conceptual framework to guide the evaluations of environmental public health systems as they relate to food and water safety. We will be discussing the need for measuring environmental public health infrastructure, associated challenges, development of a framework, its application, and development of the subsequent instrument. In addition, we will briefly discuss how the evaluation will be implemented and used. This evaluation seeks to address how environmental public health infrastructure affects environmental health specialists' abilities to provide services and how those services impact community health.
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Evaluating Organizational and State Capacity to Support Violence Prevention Initiatives
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| Kimberley Freire, Centers for Disease Control and Prevention, hbx8@cdc.gov
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| Sally Thigpen, Centers for Disease Control and Prevention, sti9@cdc.gov
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As evidence emerges on effective violence prevention strategies, the Division of Violence Prevention (DVP) has increased its focus on building state and local infrastructure to support and deliver such strategies. DVP has used the Interactive Systems Framework (ISF) to conceptualize and distinguish general and prevention-specific capacities for programs aimed at building and evaluating prevention system infrastructure. This presentation will describe the ISF Framework and focus on its support system, which defines the infrastructure or functional system needed to deliver and disseminate violence prevention strategies. In addition, we will discuss DELTA PREP, a national program that defines and measures part of this infrastructure as organizational and state (i.e., system) capacity. The program's evaluation is designed to link organizational capacity improvements to increased state capacity to support violence prevention within and between the ISF's three systems.
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Using Evaluation to Understand Infrastructure Development in State Oral Health Programs
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| Cassandra Martin Frazier, Centers for Disease Control and Prevention, bkx9@cdc.gov
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| Kisha-Ann Williams, Centers for Disease Control and Prevention, evi9@cdc.gov
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In 2003, the CDC Division of Oral Health (DOH) developed a performance measurement-based conceptual framework to plan, implement and evaluate the development of state oral health program infrastructure. This framework was used in evaluation to track and monitor process-level data that proved useful in providing guidance in developing infrastructure. During program implementation, stakeholder interests shifted from process evaluation to outcome evaluation for a more robust understanding of infrastructure development and its effects. As a result, DOH adjusted the evaluation of the infrastructure program and utilized the results to build a more complex, outcome-oriented conceptual framework for infrastructure development. This presentation will discuss how stakeholder values influenced the scope and design of the infrastructure evaluation, how the evaluation was used to enhance the infrastructure conceptual framework, and how the revised conceptual framework will add value to and shape future evaluation efforts.
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