Grantee Staff

“Evaluate the Advancing Systems Improvements to

Support Targets for Healthy People 2010 (ASIST2010) Program”

OMB Clearance Application

Office on Women’s Health

July 23, 2009

Attachment F: Round 2 Grantee Interview Protocol

Submitted by:

NORC at the University of Chicago

4350 East-West Highway, Suite 800

Bethesda, MD  20814

(301) 634- 9300

Office on Women’s Health

Department of Health and Human Services

200 Independence Avenue, S.W. 537-H

Washington, DC 20201

Part A: Progress to Date

1. How are your ASIST2010 projects progressing?

2. Have any of the members of your ASIST2010 team changed over the past year?

3. Have you been able to identify best practices from your program?

4. Have any new challenges developed since we last spoke?

1. With implementation?

2. Local evaluation?

3. Other?

4. How have you addressed these challenges?

5. What have been some unanticipated outcomes of your ASIST2010 program that have developed since we last spoke in [Month 2009]?

1. Positive?

2. Negative?

6. What do you feel has been the greatest success of your ASIST2010 program?

7. What steps have you taken towards sustaining your program since we last spoke?

1. How, if at all, has your sustainability plan changed?

2. How have you made progress on your sustainability plan?

Part B: Collaborative/Partnership Questions

8. Could you tell me about your experiences with your partners on the ASIST2010 project?

9. How often do you communicate with your partners about ASIST2010? Daily? Weekly? Monthly?

10. Have your relationships with your ASIST2010 partner changed since the beginning of this grant?

1. If so, how?

11. Have there been any challenges in your partnership?

    1. Can you describe these challenges?

    2. How were they resolved?

12. Have there been any unexpected benefits?

    1. Can you describe these benefits?

13. What other community support, aside from those formally involved in your ASIST2010 project, do you have for this project (e.g. support from political leaders, organizational partners, support from community served)?

    1. What form does this support take?

14. Do you think you will continue to work with some or all of your partners after the ASIST2010 funding expires?

    1. Which partners?

    2. Why?

Part C: Lessons Learned

15. What has the community’s response been to the ASIST2010 program?

16. What sort of response have you received from the individuals who are the target of your program?

17. What have you learned in your efforts to make public health system changes? [Reference policy/system level change which is the focus of individual grantee’s activities]

    1. How would you characterize the change?

18. Overall, has your experience with the ASIST2010 grant been positive or negative?

19. Aside from funding, is there any additional support that you think the Office on Women’s Health could provide to assist you with your program activities?

Termination Script

Is there any additional information about your experiences that you would like to share with us at this time? Thank you for taking the time out of your schedule to speak with us today. The information you provided, and your experiences, will help inform our assessment. We appreciate and value your contribution. Thank you.