Community-Based Organizations Capacity Building Assistan

Developing a Responsive Plan for Building the Capacity of Community Based Organizations (CBOs) to Implement HIV Prevention Services

Att 3 CBO Assessment Tool

Community-Based Organizations Capacity Building Assistance Needs Assessment--CBOs only funded under PS11-1113

OMB: 0920-0948

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Form Approved

OMB No. 0920-New

Expiration Date 00/00/2015





Developing a Responsive Plan for Building the Capacity of Community Based Organizations (CBOs) to Implement HIV Prevention Services





Community-Based Organizations (CBO)

Capacity Building Assistance (CBA)

Needs Assessment













Public reporting burden of this collection of information is estimated to average 3 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: OMB-PRA (0920-New)






Community-Based Organizations (CBO)

Capacity Building Assistance (CBA)

Needs Assessment

PS11-1113




Name of CBO: __________________________________


Date: _________________________________________



Check box if dually funded under both PS11-1113 and PS10-1003

Table of Contents


Topic

Page

About the Assessment Process

3

Organizational Summary

5

Domain #1: Program Implementation

8

  1. Risk-Reduction Interventions and Services

8

  1. Adaptation

12

  1. Recruitment and Retention

14

  1. Enhanced HIV Testing

17

  1. Linkage to Care and Coordinated Referral Networks

19

  1. Condom Distribution

23

  1. Youth Advisory Board

24

  1. Summary

25

Domain #2: Monitoring and Evaluation

27

Summary

36

Domain #3: Organizational Infrastructure

39

  1. Strategic Planning

39

  1. Governance

41

  1. Fiscal Management

45

  1. Resource Development and Grant Writing

48

  1. Human Resource Management and Staff Development

50

  1. Technology

53

  1. Summary

56

CBA Provider Summary Sheets

59

Program Implementation

60

Monitoring and Evaluation

61

Organizational Infrastructure

62


About the Assessment Process


Why is my organization being asked to participate in this assessment process?

This assessment is designed to assist Capacity Building Assistance (CBA) Providers and CDC in identifying areas of need by your organization to implement your HIV prevention programs and services, as required under Funding Opportunity Announcement (FOA) PS11-1113.

My organization already has a strategic plan. Do we still need to participate in this process?

Yes. Even though your organization may have already developed a strategic plan, all CBOs funded under PS11-1113 are required to participate in this process. Many organizations’ existing strategic plans focus on goals and objectives to achieve program outcomes. The Strategic Plan for Enhanced CBO Capacity (a.k.a. “CBA Plan”) developed via this process will focus on capacity building goals and objectives recommended to help ensure successful implementation of your program.

How will this process help my organization?

Information collected via this process will be used to construct a Strategic Plan for Enhanced CBO Capacity (a.k.a., “CBA Plan”) for your organization in collaboration with CDC’s Capacity Building Branch (CBB) CBA Providers funded under PS09-906. CDC and CBA Providers will work with you to ensure that your organization has the support it needs to successfully implement its CDC-funded HIV prevention program.

Who should be involved in this process?

The ideal respondents for this process should be staff most familiar with information representative of the specific domains (Program Implementation, Monitoring and Evaluation, and Organizational Infrastructure) included within the tool. We recommend inclusion of those staff and individuals with relevant roles, responsibilities, and knowledge of your HIV prevention program.

How long will this process take?

Several CBOs found it helpful to reserve one week for completing this organizational needs assessment tool. Although it may actually take only a few hours to type your responses to the questions, you may want to consult with several members of your staff who are most familiar with different aspects of your program as you complete the tool. Such consultation may take one week, depending on the availability of your staff. Please provide detailed responses to each question. This will help to ensure that the CBA Providers have a complete picture of your program prior to the field visit so that more time can be spent during the field visit on strategic planning and less time on simple information gathering. The face-to-face field visit will be completed within one business day (i.e., 8 hours). After your field visit, your assigned CBA provider will discuss with you how long it will take to develop your CBA Plan. However, this step in the process is typically completed within 2-4 weeks of the field visit.

Who will have access to the information gathered via this process?

Your organization, your Project Officer, PS09-906 CBA Providers, and CDC staff (e.g., CBB’s Program Consultants) will have access to your information. This is necessary to help facilitate the assignment of the most appropriate CBA Provider(s) to help you to implement and sustain your CDC-funded HIV prevention program effectively.

If I am dually funded under both PS10-1003 and PS11-1113 and completed the CBO CBA Assessment Tool last year, do I have to go through the process again for PS11-1113?

Yes. We’ve revised the tool since last year to incorporate questions specific to your PS11-1113 program. The new questions relate to enhanced HIV testing, linkage to care and treatment, coordinated referral networks, and youth advisory boards. In addition, the Monitoring and Evaluation domain has been updated to reflect the latest National HIV Prevention Program Monitoring and Evaluation (NHM&E) guidance. All grantees funded under PS11-1113 must respond to the new and/or revised questions as well as complete the Organizational Summary. If you also are funded under PS10-1003, you don’t have to complete the remainder of the tool, since you completed it under PS10-1003. However, please update any sections that may have changed since PS10-1003.


ORGANIZATIONAL SUMMARY

Date: _____________________

Name of Organization: ____________________________________________________________

Name of Executive Director: ____________________________________________________________

Name and Title of Lead Program Contact: ____________________________________________________________

Name of Person Completing the Assessment Tool: ____________________________________________________________

E-mail: _____________________________________

Phone Number: ______________________________

Organization Address: ______________________________________________________________

City: __________________________ State: ____________ Zip Code: _______________

Phone Number: ________________________ Fax Number: _______________________

Website: _________________________________

Location of Services: Rural Suburban Urban

UNDER WHICH CATEGORY OR CATEGORIES ARE YOU FUNDED FOR PS11-1113:

Category A: HIV prevention services for high-risk YMSM of color and their partners

Category B: HIV prevention services for high-risk YTG persons of color and their partners

SERVICES FUNDED TO IMPLEMENT WITH HIV+ CLIENTS:

Locally-developed intervention

CRCS with CLEAR

Healthy Relationships

Partnership for Health (PfH)

WILLOW



SERVICES FUNDED TO IMPLEMENT WITH HIGH-RISK HIV- CLIENTS:

Locally-developed intervention

CRCS with CLEAR

Community PROMISE

d-up! Defend Yourself

Many Men Many Voices (3MV)

MPowerment

Popular Opinion Leader (POL)

SISTA


Please indicate your organization’s funding source(s) and amounts for HIV prevention activities.

Source of Revenue

Contract/Grant Period

Interventions/Activities Funded

Amount

CDC PS11-1113



$

CDC PS10-1003



$

Other CDC PA/PS number(s): ___________________

___________________



$

Additional Federal Government Funds (e.g., HRSA, SAMSHA, etc.): Please Specify: _______

___________________

___________________



$

State, City or Local Health Department Funds



$

Private Funds



$

Other:



$

Other:



$

TOTAL:


$



Names of staff participating in assessment process:

Print Name

Position

Contact Info (Email/Phone)
























DOMAIN #1: PROGRAM IMPLEMENTATION



The purpose of this section is to assess the organization’s experience with and ability to effectively and efficiently implement the funded program.

A. RISK-REDUCTION INTERVENTIONS AND SERVICES

A1. Please indicate whether your agency has implemented each of your currently funded evidence-based interventions (EBIs) and/or services under a previous funding cycle. If your agency has implemented the EBI or service before, please indicate for how many years you have been implementing the intervention or service and whether it was with current staff.



EBI/Service Name

Implemented during previous funding cycle?

# of years agency has been implementing

Implemented with current staff?


Yes No

_____ yrs or N/A

Yes No N/A


Yes No

_____ yrs or N/A

Yes No N/A


Yes No

_____ yrs or N/A

Yes No N/A


Yes No

_____ yrs or N/A

Yes No N/A

A2. Where are you in the process of implementing the EBI(s) or service funded through PS11-1113?

EBI/Service Name

Phase of Implementation

Current key activities (please list)


Pre-implementation

Implementation



Pre-implementation

Implementation



Pre-implementation

Implementation



Pre-implementation

Implementation


A3. Please list the staff that will be implementing the funded EBI or service.

Name

Position

Name of EBI or service

% Effort of Time






















A4. What trainings (if any) have your staff attended or plan to attend regarding the specific EBI(s) you are funded to implement?


EBI Training Topic

Staff Name(s) and Positions

Attended ()/

Plan to Attend ()

Date of Attendance

EBI TOF:



Attended

Plan to Attend


EBI TOF:



Attended

Plan to Attend


CRCS for Program Managers


Attended

Plan to Attend


CRCS for Case Managers


Attended

Plan to Attend


Fundamentals of HIV Prevention Counseling


Attended

Plan to Attend


Fundamentals of Waived Rapid HIV Testing and Prevention Services


Attended

Plan to Attend


Counseling, Testing, and Linkage for Program Managers


Attended

Plan to Attend


Quality Assurance for Program Managers


Attended

Plan to Attend


Group facilitation


Attended

Plan to Attend


Selecting an EBI


Attended

Plan to Attend


Using Focus Groups to Adapt EBIs


Attended

Plan to Attend


Interviewing and Observations for Adapting EBIs


Attended

Plan to Attend


Bridging Theory and Practice


Attended

Plan to Attend


Motivational Interviewing


Attended

Plan to Attend


Other: _________________________


Attended

Plan to Attend


Other: _________________________


Attended

Plan to Attend


Other: _________________________


Attended

Plan to Attend




A6. How many cycles of each intervention do you intend to implement per year?

A6a. EBI #1: ____________________________________ _____ cycles

Name #

A6b. EBI #2: ____________________________________ _____ cycles

Name #



A7. How many clients do you intend to reach per year? ________ clients

A8. Please indicate your organization’s CBA needs (i.e., training and technical assistance) related to EBIs by following the instructions below.

Instructions:

1. First, review the list of topics in the table below and put a check in the box next to any topic on which you would like CBA.

2. Next, for every topic that you checked off, indicate how pressing that need is. Is addressing that need a high, moderate, or low priority for your agency?

3. Finally, out of all of the needs that you just prioritized, which three are the most important to you? In other words, which three would you like to address first? Please do not assign tied rankings.

Check the box if this is a need

Topic

Priority Level for Addressing the Need

Ranking of Top 3 Priorities (1, 2, 3)



High

Moderate

Low


Population-based Needs Assessment





Selection of Evidence Based Intervention





Recruitment and Retention





Adaptation of an EBI





Implementation of an EBI (please specify: ________________________________)





Group Facilitation





Bridging Behavioral Science and Practice





Cultural Competence in Prevention Activities





Intervention Development





Motivational Interviewing





Monitoring and Evaluation





Integrating CLEAR into CRCS (i.e., using a CLEAR model for CRCS)





Policies and Procedures





HIV Rapid Testing





Other: _______________________________






(Before you move on, did you remember to complete each of the three steps for the table above?)





Comments:








B. ADAPTATION

B1. Do you intend to adapt the EBI(s) that you have been funded to implement?

B1a. EBI#1: _________________________________________ Yes No

B1b. EBI#2: _________________________________________ Yes No

Note: If you respond “no” to both sections, please skip to Section C: Recruitment and Retention.

B2. Have you reviewed CDC’s document entitled “The Adaptation Guide: Adapting HIV Behavioral Change Interventions for Gay and Bisexual Latino and Black Men” or a similar comprehensive guidance on the adaptation process? Yes No

B3. Please describe plans your organization has to adapt your funded intervention(s) for your target population and location.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

B4. How did you assess the need for adaptation?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

B5. Have you adapted an intervention in the past? Yes No

B5a. If yes, please give an example of a successful adaptation. What made it successful?

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

B5b. If yes, please give an example of a challenging adaptation for your agency. What were the barriers?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

B6. What support do you think your agency will need in order to adapt your funded EBIs?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



Comments:








C. RECRUITMENT AND RETENTION

C1. Who is/are your target population(s) for each EBI and/or service? (Race/Ethnicity, Risk, Age)

C1a. Target population(s) for EBI #1 (_________________________):

EBI Name

_______________________________________________________________

Target Population(s)

C1a. Target population(s) for EBI #2 (_________________________):

EBI Name

_______________________________________________________________

Target Population(s)

C2. Please describe your recruitment strategy (e.g., outreach, social networks, referrals, other) for the EBIs and/or services that you are implementing. What worked well in previous recruitment efforts?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



C3. What factors might positively affect the recruitment of participants into your program? How do you intend to capitalize on those factors?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

C4. What factors might negatively affect the recruitment of participants into your program? How do you intend to address those factors?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


C5. What strategies will you use to retain participants in your program?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

C6. Do you use incentives to retain participants? Yes No

C6a. If yes, please list your incentives: __________________________________________________________________________________________________________________________________________________________________________________________________________________

C7. What factors might positively affect the retention of participants in your program? How do you intend to capitalize on those factors?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

C8. What factors might negatively affect the retention of participants in your program? How do you intend to address those factors?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

C9. What support do you need around recruitment and retention of program participants?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Comments:








D. ENHANCED HIV TESTING

D1. Please list staff trained in Personalized Cognitive Counseling (PCC).

Name

Position

Name of EBI or service

% Effort of Time






















D2. How will you plan, implement, monitor, and evaluate recruitment efforts among YMSM and YTG communities to meet the minimum testing targets specified in the Funding Opportunity Announcement (FOA)? Please describe your plans to use both traditional (i.e., non-Internet-based) and/or innovative approaches.

D2a. Plan: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

D2b. Implement:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

D2c. Monitor:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

D2d. Evaluate:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

D3. Please describe your plans to use social marketing and/or Internet-based outreach to promote HIV testing among YMSM and YTG of color communities by responding to the questions below.

D3a. What types of new media will you use to engage YMSM/YTG communities?

Facebook

Twitter

Webinars

Fotonovelas

Texting

Other __________________________________________________

D3b. How will you use the selected new media to promote HIV testing?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

D3c. What support do you need around Internet-based outreach to promote HIV testing?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

D4. What support do you need around social marketing to promote HIV testing?

Formative evaluation

Designing the campaign

Implementing the campaign

Evaluating the campaign

Other __________________________________________________









E. LINKAGE TO CARE AND COORDINATED REFERRAL NETWORKS

Linkage to Care

E1. How will you plan, implement, monitor, and evaluate recruitment efforts to increase linkage to care and treatment among YMSM and YTG communities? Please describe your plans to use both traditional (i.e., non-Internet-based) and/or innovative approaches.

E1a. Plan: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

E1b. Implement:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

E1c. Monitor:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

E1d. Evaluate:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

E2. How do you plan to work with community stakeholders and other service providers to promote and ensure access to and uptake of culturally appropriate HIV care, treatment, and medication adherence for HIV positive individuals?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________







E3. Please describe your plans to use social marketing and/or Internet-based outreach to promote linkage to care and medication adherence among YMSM and YTG of color communities by responding to the questions below.

E3a. What types of new media will you use to engage YMSM/YTG communities?

Facebook

Twitter

Webinars

Fotonovelas

Texting

Other __________________________________________________

E3b. How will you use the selected new media to promote linkage to care and medication adherence?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

E3c. What support do you need around Internet-based outreach for linkage to care and medication adherence efforts?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



E4. What support do you need around social marketing related to linkage to care and medication adherence?

Formative evaluation

Designing the campaign

Implementing the campaign

Evaluating the campaign

Other __________________________________________________







Coordinated Referral Networks

Please describe your plans to develop and sustain a coordinated referral network that responds to the unique circumstances of YMSM and YTG communities by responding to the questions below.

E5. Do you have a protocol for making referrals to Partner Services?

Yes (answer questions below) No (skip to E6)

If yes, please answer the following questions:

E5a. Does your protocol include multiple referral sources? Yes No

E5b. Does your protocol track MOUs? Yes No

E5c. Does your protocol track referrals? Yes No



E6. Do you have a protocol to ensure effective linkage to care (e.g., ARTAS, navigator models)? Yes No



E7. How will you track whether clients successfully accessed referral services?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



E8. What support do you need around development and sustainability of referral networks?

Identification of stakeholders

Garnering stakeholder buy-in

Ongoing maintenance of the network

Referral tracking system development and maintenance

Other _________________________________________________________

















E9. For which types of referrals do you have established Memoranda of Understanding/Agreement (MOU/MOA)? For which types of referrals do you need assistance establishing a partnership?

Referral Type

Have Current MOU/MOA

Need Assistance Establishing Partnership

a. Linkage to HIV/AIDS care and treatment services

b. Linkage to CD4 cell count and viral load screening

c. Linkage to treatment adherence services

d. Partner Services

e. Integrated screening and treatment (i.e., screening and treatment for STDs, hepatitis, and TB)

f. Drug treatment programs

g. Mental health counseling programs experienced in working with YMSM and/or YTG youth and young adults

h. Pre-exposure prophylaxis and post-exposure prophylaxis

i. Housing

j. Basic education continuation/completion services

k. Employment readiness



Comments:








F. CONDOM DISTRIBUTION

Please describe your plans to implement culturally appropriate condom distribution programs that increase access to and use of condoms by YMSM of color and YTG persons of color by responding to the questions below.

F1. What are your plans for promoting and distributing condoms at the individual, organizational, and community levels? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

F2. How will you use social marketing to promote condom use, increase awareness of condom benefits, increase condom use acceptability, and normalize condom use among YMSM and YTG communities?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

F3. Will you partner with community stakeholders and service providers in the design and implementation of your condom distribution program?

Yes No

F3a. If yes, with whom will you partner?

________________________________________________________________________________________________________________________________

F3b. If yes, what will be your role and what will be the role of the partner agency? ________________________________________________________________________________________________________________________________________________________________________________________________

F4. What support do you need around your condom distribution program?

Designing the program

Implementing the program

Managing the program

Evaluating the program

Other ___________________________________________________

Comments:




G. YOUTH ADVISORY BOARD

G1. Do you have a Youth Advisory Board (YAB)? Yes No (Please explain and then skip to G3 below): __________________________________________________________________________________________________________________________________________________________________________________________________________________

G1a. How many people are on the YAB? _______

G1b. What is the age range of members? ____ to ____ years

G1c. What percentage (%) of YAB membership is comprised of YMSM of color?

<25% 25 to 50% 51 to 75% 76-99% 100%

G1d. What percentage (%) of YAB membership is comprised of YTG persons of color?

<25% 25 to 50% 51 to 75% 76-99% 100%

G1e. What percentage (%) of YAB membership is comprised of HIV+ persons?

<25% 25 to 50% 51 to 75% 76-99% 100%

G2. What types of activities are conducted by and/or with your YAB members?

Reviewing program materials

Providing input about appropriate participant incentives

Locating culturally and age appropriate safe spaces for program activities

Identifying program participant recruitment and retention strategies

Hosting events

Other ways your YAB is involved in program development: ________________________________________________________

G3. What support do you need around your YAB?

Recruitment & retention of YAB members

Facilitation of YAB meetings

Evaluation of YAB functioning

Skills building for YAB members (please specify: _____________________)

Other ________________________________________________________

Comments:








H. SUMMARY

H1. What are your organization’s primary strengths related to program implementation?

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



H2. What are your organization’s primary challenges related to program implementation?

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


H3. In what ways would you like to see your organization’s HIV prevention program strengthened in the next 12 months?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



DOMAIN #2: MONITORING AND EVALUATION (M&E)

This section of the tool is intended to assess your organization’s ability to collect, manage, store and report process data on the services your organization provides and to use these data to plan future interventions and improve available programs. In addition we would like to understand your organization’s level of program evaluation expertise and to make sure you are aware of the M&E resources and tools offered by CDC’s Division of HIV/AIDS Prevention (DHAP).

Q1. Which agency staff members are responsible for your HIV prevention program’s monitoring and evaluation (M&E) activities?

(First list responsible staff by position and percent time and then identify the main point of contact for M&E for the agency.)

M&E Activity

Responsible Staff – Position(s)

Total # of Staff

Total FTE

(% Effort)

Data collection




Data entry




Data management




Data analysis




Data reporting




Data review/use




Data security




Data quality assurance




Other:      







Main point of contact for M&E:

Name:      

Position:      

Phone Number:      

E-mail address:      

Q2. On what topics related to M&E has your agency’s current staff previously received training? (Check all that apply)

Yes

M&E training topic

Process monitoring and evaluation

CDC data collection and reporting requirements

Conducting quality assurance for the intervention/service

Data collection methods

Maintaining client records

Data management

Data analysis

Data review and use

Data quality assurance

Data security

Other topics:      



Q3. What evaluation trainings have your staff attended?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Q4. Does your agency have a written M&E plan for current HIV prevention EBIs and/or public health strategies?

No

Yes – In progress

Yes – Completed plan (please attach a copy of the plan)

What interventions/services does the plan address? (Check all that apply)

EBIs (Specify which interventions are addressed in the plan): ____________________________________________________________

CRCS

CTR



Q5. Which of the following components does the evaluation plan address?

(Check all that apply)

Addressed in the plan? (X = yes)

Component of M&E plan

Program goals based on formative/ needs assessments

Measurable (SMART) objectives

Activities conducted to meet objectives

Data collection plan

Data collection timelines

Data collection tools/instruments

How data will be used and by whom

How progress toward objectives is measured

Data quality assurance

Data security/confidentiality

Data reporting and dissemination


Other:     


Q6. What are your agency’s current process monitoring activities? If you have not begun process monitoring activities for your PS11-1113 funded-interventions, what have you done in the past and how will they apply to your PS11-1113 interventions?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

(This is an open-ended question. After responding to the open-ended questions, please check all that apply below.)

Yes

Process monitoring activity

Observe service delivery

Assess appropriateness of venues where prevention activities are implemented

Collect and analyze data to plan and respond to target population needs

Monitor progress made on overall program goals and objectives

Other comments & questions:      





Q7. How does your agency determine if your HIV prevention program meets its goals and objectives? If you have not begun process monitoring activities for your PS11-1113 funded-interventions, what have you done in the past and how will they apply to your PS11-1113 interventions?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

(This is an open-ended question. After you have answered the open-ended questions, please check all that apply below.)

Yes

Approach used to determine if goals/objectives are met

Establish baselines (before start of intervention)

Assess progress toward objectives by tracking number of clients recruited

Assess progress toward objectives by percent of clients completing all sessions

Assess progress toward objectives by percent of tested clients who receive their test result

Assess client satisfaction (e.g., surveys, focus groups, interviews)

Track linking positives to care

Other comments & questions:      

Q8. What types of HIV prevention data does your agency collect (in general)? (Check all that apply)

Yes

HIV prevention data collected

Agency data (i.e. agency name, budget data)

HIV testing data

Aggregate data for outreach

Aggregate data for recruitment

Activities associated with each session/intervention

Number of clients enrolled (or served)

Other comments & questions:      



Q9. What information does your agency collect about individual clients served by HIV prevention activities?

(Check all that apply)

Yes

Client-level data collected

Demographic characteristics

Previous HIV test results

Behavioral risk characteristics

Number of sessions the client completes

Health services utilization

Referrals (e.g., to medical or prevention services)

Behaviors before and after the intervention (e.g., 3 or 6 month f/u)

Other comments & questions:      

Q10. What system(s) has your agency used in the past for managing HIV prevention program data (including client-level data)? What system(s) does your agency currently use?

Yes,

In past

Yes,

Currently

Data management system

Paper system

Electronic system (specify):      

Web-based system (specify):      

Other comments & questions:     



Q11. Is your agency familiar with the National HIV Monitoring and Evaluation (NHM&E) Plan?

No

Yes

Don’t know

Q12. Has anyone at your agency participated in a webinar to describe the new, reduced NHM&E data collection and reporting burden for CDC-funded CBOs?

No

Yes

Don’t know

Q13. Is your agency aware of the two types (collected data and projected data) that will be collected and reported?

No

Yes

Don’t know

Q14. Does your agency understand the different types of collected data that are required (test level variables, client level variables, and aggregate variables)?

No

Yes

Don’t know

Q15. Has anyone at your agency participated in a webinar to present the new HIV testing variables?

No

Yes

Don’t know





Q16. Does your agency have a written quality assurance (QA) plan or protocol for PS11-1113 HIV prevention program data? (If yes, please attach a copy of the QA plan)

No

Yes (Please attach a copy of the QA plan and note which of the following components are addressed.)

Addressed in the plan? (X = yes)

Component of QA plan/protocol

Client record maintenance

Data management

Client confidentiality

Data security and web-based reporting

Referral tracking systems to ensure timely access to referrals

Internet/Web based protocols

Other comments & questions:     



Q17. What processes does your agency have in place to ensure data quality and completeness?

(Check all that apply)

Yes

Process to ensure data quality/completeness

Performance standards for staff

Tracking system to document client access to referrals

Activities to assess quality of data collection

Activities to assess quality of data entry

Other comments & questions:      



Finally, the last questions address your agency’s reporting and use of HIV prevention program data.

Q18. How has your agency used M&E data to strengthen HIV prevention programs?

(Check all that apply)

Yes

Use of data

Develop program materials

Modify strategic plans

Modify program structure

Develop/improve procedures and policies

Improve intervention activities and services

Redefine venues/target areas and populations

Work with other agencies to improve referrals

Seek additional funding

Assess staff performance

Other comments & questions:      

Q19. To what funding sources and/or sponsors has your agency reported data about HIV prevention activities? (Check all that apply)

Yes

Funding source/sponsor

CDC

State or local government

Non-governmental agency

Advocacy/Policy Group

Board of Directors

Other sponsors:      



SUMMARY

S1. What do you feel is working well regarding your HIV prevention M&E activities?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

S2. What are the main areas of improvement regarding your HIV prevention M&E activities?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



















S3. Please indicate your organization’s CBA needs (i.e., training and technical assistance) related to M&E by following the instructions below.

1. First, review the list of topics in the table below and put a check in the box next to any topic on which you would like CBA.

2. Next, for every topic that you checked off, indicate how pressing that need is. Is addressing that need a high, moderate, or low priority for your agency?

3. Finally, out of all of the needs that you just prioritized, which three are the most important to you? In other words, which three would you like to address first? Please do not assign tied rankings.

Check the box if this is a need

Topic

Priority Level for Addressing the Need

Ranking of Top 3 Priorities (1, 2, 3)



High

Moderate

Low


CDC Data Collection and Reporting Requirements





Conducting Quality Assurance for the Intervention/Service





Data Collection Methods





Maintaining Client Records





Data Management





Data Analysis





Data Review and Use





Data Quality Assurance





Data Security





Process Monitoring and Evaluation





Outcome Monitoring





NHM&E Training





Other:      





S4. In what ways would you like to see your organization’s HIV prevention program strengthened with respect to monitoring and evaluation activities in the next 12 months?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________




DOMAIN #3: ORGANIZATIONAL INFRASTRUCTURE

The purpose of this section is to assess the organization’s capacity to effectively and efficiently sustain the funded program.

A. STRATEGIC PLANNING

A1. Has your agency ever conducted a strategic planning process that included your HIV prevention program? Yes No (Skip to Section B. Governance)

A2. When was the last time your organization conducted a strategic planning process that involved your HIV prevention program?       (year)

A3. Who was involved in the strategic planning process? [Check all that apply]

Executive Director

Program Director

Program Staff

Board of Directors

Advisory Group

Volunteers

Other: ______________________________________

A4. Does your organization have a written strategic plan from your latest strategic planning session? Yes (If yes, please attach a copy of it) No

A5. Please describe the process your organization used to develop the most recent strategic plan.

A5a. To what degree was your HIV prevention program explicitly addressed in the planning process?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________





A5b. To what extent was lead HIV prevention staff involved in the planning process?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

A5c. What worked well during that process?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

A5d. What would you change about the process?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

A6. To what extent has your organization developed an operational plan that translates the strategic goals into concrete activities at the HIV prevention program level?

Have not started developing an operational plan

Have partially developed an operational plan (If yes, please attach a copy of the plan)

Have fully developed an operational plan (If yes, please attach a copy of the plan)



A7. Please describe how you use the strategic plan.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



Comments:






B. GOVERNANCE

B1. Do you have a Board of Directors? Yes No

B2. How are board members recruited?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

B3. How many people currently serve on your board?       people

B4. What percentage of your board members are experts in HIV/AIDS related services?

<25% 25 to 50% 51 to 75% 76-99% 100%



B5. How, if at all, does the board address gaps in board member expertise?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

B6. Does your board have written bylaws? Yes No

B6a. If yes, does your bylaws…

State the role and function of the board

Clearly specify the roles and responsibilities of board members

State how officers are selected

State the frequency of meetings

Describe policy related to Conflict of Interest

Describe fiscal policies (e.g., start and end date of fiscal year)

B6b. According to your bylaws, how many members should comprise your board? _______ members

B6c. How frequently (e.g., quarterly, annually) are your bylaws reviewed? ____________________

B7. Do you have an orientation for board members? Yes No

B7a. If yes, what topics are covered in the orientation? (Check all that apply)

Overview of organization

Overview of specific programs

Roles and responsibilities of governing board

Overview of board structure (e.g., officers, committees)

Overview of board operations (e.g., bylaws)

Review of strategic plan

Other: ___________________________________________________







B8. How often does the board meet? (Check only one)

Monthly

Quarterly

Semi-Annually

Annually

Other: _______________________________________________________

B9. Are minutes of the board meetings maintained?

Yes (If yes, attach a copy of minutes from the previous 12 months) No

B10. What are typical activities at board meetings? (Check all that apply)

Review current HIV program reports

Review financial reports

Discuss/Plan needed programs

Discuss fundraising and/or other grant opportunities

Other: _______________________________________________________

B11. Please describe in detail the involvement of the board in fundraising and fund development.

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

B12. Do board members have an annual target to “give or get?” Yes No

B9a. If yes, what is the annual individual target? $__________

B13. How involved is your board in your organization’s day-to-day operations?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



B14. What role does the board play in the evaluation of the Executive Director’s performance?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

B15. How, if at all, does the board evaluate its own performance?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

B16. How, if at all, does the board identify training/development needs? What board development needs have been identified over the past 12 months?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



Comments/Recommendations:








C. FISCAL MANAGEMENT

Accounting System and Budgetary Controls

C1. What type(s) of financial/accounting system(s) does your organization use? (Check all that apply)

Electronic tracking system software

(Software Name: _____________________)

Manual tracking system

C2. Who is responsible for the oversight/review of the accounting system, including bookkeeping?

(Check one)

Certified Public Accountant on staff

Certified Public Accountant outsourced

Staff accountant or bookkeeper with at least 2 years of experience

Staff accountant or bookkeeper with less than 2 years of experience

Executive Director or board member

Other: _______________________________________________________

C3. Does your organization have written fiscal management policies and procedures (e.g., travel and procurement, accountability, internal controls)?

Yes No

C4. Does the accounting system adequately identify receipt and disbursement for each grant or contract? Yes No

C5. Does the accounting system provide for the recording of expenditures for each program by required budget cost categories? Yes No

C6. Does the accounting system provide for recording the non-Federal share and in-kind contributions? Yes No

C7. Are all accounting entries supported by appropriate documentation (e.g., purchase orders, vouchers, and vendor payments)? Yes No









C8. Are all checks approved by an authorized official before they are signed?

Yes No

Please explain.

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

C9. Have the financial statements been audited within the last 2 years by an independent public accountant? Yes No

C10. Does your organization use an operating budget to control project funds?

Yes No

C11. What budgetary controls are in effect to preclude incurring obligations in excess of (a) total funds available and (b) total funds available for a budget cost category?

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

C12. What works well in terms of your accounting system?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

C13. What areas of your accounting system could be improved?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

C14. Who signs and certifies time and attendance? (Name and Position) ______________________________________________________________________

C15. Is the payroll verified at regular intervals against time sheets?

Yes No

C15a. If yes, at what intervals? _____________________________

C16. Is the payroll double-checked as to:

C16a. Hours? Yes No

C16b. Rates? Yes No

C16c. Deductions? Yes No

C16d. Extensions? Yes No

C17. Is the payroll signed prior to payment by:

C17a. The employee preparing the payroll? Yes No

C17b. The employee rechecking the payroll? Yes No

C18. Is there a separate payroll bank account? Yes No

C19. Is the payroll bank account reconciled by someone other than payroll staff or personnel who sign or distribute the paychecks? Yes No

C19a. If yes, who reconciles the account? (Name and position) _______________________________________________________________

C20. Have there been any delays in your payroll process?

Yes No

C20a. If yes, please describe.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



C20b. If yes, how were the problems resolved?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



Comments:






D. RESOURCE DEVELOPMENT AND GRANT WRITING

D1. Please describe your organization’s fundraising plan and the extent to which it addresses fundraising for your HIV prevention program.

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

D1a. Who is responsible for carrying out your organization’s fundraising plan? To what extent is your HIV prevention program staff involved in the fundraising plan?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

D1b. What are your organizations fundraising goals? To what extent has your organization been successful in achieving your goals?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

D2. How many grant proposals did your organization write and submit during the last fiscal year to support your HIV prevention program?       proposals

D2a. Approximately how many of those applications were funded?

None

Less than half

About half

More than half

All

N/A

D3. Does your organization have a lead grant writer or grant writing team?

Yes No

D4. Who is involved in reviewing the grant applications prior to submission?

__________________________________________________________________________________________________________________________________________________________________________________________________________________

D5. What has been the most difficult aspect of the grant process for your organization?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



Comments:






E. HUMAN RESOURCE MANAGEMENT AND STAFF DEVELOPMENT

E1. Does your organization have a personnel policy manual?

Yes (If yes, please attach copy of manual) No

E1a. Has the manual been disseminated to all staff? Yes No

E1b. Does the policy manual require signature statements? Yes No

Does your manual cover…

E1c. Staff expectations and responsibilities related to maintaining client confidentiality? Yes No

E1d. Non-discrimination policies? Yes No

E1e. Policies to address employee safety in the workplace? Yes No

E1f. Policies to address employee safety in the community? Yes No

E2. Do you have written job descriptions for each staff position?

Yes (If yes, please submit copies of job descriptions) No

E3. Please describe the current process used by your organization for evaluating staff performance.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________





E4. Does your organization conduct regular employee performance reviews?

No

Yes, quarterly

Yes, biannually

Yes, annually

Yes, at some other interval (please specify: __________________________)

E5. How does your organization assess staff development needs?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

E6. Does each staff member have a training/staff development plan?

Yes No

E7. How are staff development needs addressed?

Mentoring by peer

Mentoring by senior staff

In-service training

External face-to-face training

Distance learning

Other (please specify: ____________________________________)

E8. Has your organization been through a major leadership transition (e.g., departure/replacement of Executive Director, Program Director, etc.) within the last 12 months? Yes No

E8a. If yes, please explain the transition and your plans for filling key positions. In addition, please provide an updated organizational chart.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________





E9. Has your organization downsized staff within the last 12 months?

Yes No

E9a. If yes to E9 above, please describe what led to the change.

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________



E9b. If yes to E9 above, what percentage of your staff was downsized in the last 12 months?

None

Less than half

About half

More than half

All

E10. What percentage of your staff was hired in the last 6 months?

None

Less than half

About half

More than half

All

E11. How does your organization ensure continuity of services in case of staff turnover?

Cross training of staff

Standard operating procedures in place

Two-week notification prior to resignation

Recruitment plan to replace staff

Other (please specify: ___________________________________________)

E12. Does your organization have a written succession plan to sustain the program in the event of the departure of key staff?

Yes (If yes, please attach copy of plan) No

E13. Does your organization conduct exit interviews when employees vacate their positions? Yes No

E13a. If yes, how is this information used?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

E14. What incentives does your organization use to retain key staff?

401K

Medical insurance

Paid leave

Incentive/recognition programs

Training/professional development

Promotion opportunities

Other: _______________________________________________________

Comments:






F. TECHNOLOGY

F1. What operating system(s) does your organization use? (Check all that apply)

Windows

Macintosh

F2. What version of Windows do computers in your organization have?

Windows 7

Windows Vista

Windows XP

Windows 2000

Windows ME

Windows 98

I don’t know

N/A

F3. What version of Macintosh do computers in your organization have?

Mac OS 9 or earlier

Mac X

Mac 10.5 (“Leopard”)

Mac 10.6 (“Snow Leopard”)

I don’t know

Other: _______________________________________________________

N/A

F4. What type of Internet connection do the computers have?

Modem/Dial up

High-speed connection (e.g., cable, DSL, fiber optic/FIOS)

None

I don’t know

F5. During the past 12 months, did staff report any technical problems accessing or viewing webinars/Net-meetings in “real time” – that is, while they were being given? Yes No

F5a. If yes, what problems were reported?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

F5b. If yes, how were the problems resolved?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

F6. During the past 12 months, did staff report any technical problems accessing or viewing webinars/Net-meetings later – that is, after they were recorded and posted on the Internet? Yes No

F6a. If yes, what problems were reported?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

F6b. If yes, how were the problems resolved?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

F7. During the past 12 months, did staff report any technical problems accessing, viewing or hearing work-related online courses or trainings?

Yes No

F7a. If yes, what problems were reported?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

F7b. If yes, how were the problems resolved?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

F8. Does your organization have in-house Information Technology (IT) staff?

Yes No

F9. Does your organization have a contract for IT support? Yes No

F10. How do staff access IT support, if needed?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Comments:






G. SUMMARY

G1. What do you feel is working particularly well regarding your organization’s infrastructure?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


G2. What are the main areas of improvement regarding your organization’s infrastructure?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________







G3. Please indicate your organization’s CBA needs (i.e., training and technical assistance) related to Organizational Infrastructure by following the instructions below.

1. First, review the list of topics in the table below and put a check in the box next to any topic on which you would like CBA.

2. Next, for every topic that you checked off, indicate how pressing that need is. Is addressing that need a high, moderate, or low priority for your agency?

3. Finally, out of all of the needs that you just prioritized, which three are the most important to you? In other words, which three would you like to address first? Please do not assign tied rankings.

Check the box if this is a need

Topic

Priority Level for Addressing the Need

Ranking of Top 3 Priorities (1, 2, 3)



High

Moderate

Low


Board Development or Governance





Fiscal Management





Grant Writing/Proposal Development





Personnel Management





Resource Development





Strategic Planning





Technology





Information System and Data Management





Leadership Development





Monitoring and Evaluation at the Organizational Level





Policy Development





Program Collaboration and Service Integration (PCSI)





Program Marketing





Public Relations





Quality Assurance





Other:_____________________________







G4. In what ways would you like to see your organization’s infrastructure strengthened in the next 12 months?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________












CBA PROVIDER SUMMARY SHEETS





Name of CBO: ___________________________



Date of Assessment: __________________



Name of CBA Provider Conducting the Assessment: __________________________________________







**Add Additional Sheets as Needed**

Program Implementation

Strengths:












Areas of Improvement:









Identified CBA Needs Related to Program Implementation:









What is/are the best CBA mechanism(s) for addressing the identified need within the next 12 months? (Check all that apply)

Information Transfer

Skills Building/Training

Technical Consultation

Technical Services

Technology Transfer

Identified CBA Needs Related to Program Implementation:

What is/are the best CBA mechanism(s) for addressing the identified need within the next 12 months? (Check all that apply)

Information Transfer

Skills Building/Training

Technical Consultation

Technical Services

Technology Transfer





Monitoring and Evaluation (M&E)

Strengths:











Areas of Improvement:

Identified CBA Needs Related to M&E:











What is/are the best CBA mechanism(s) for addressing the identified need within the next 12 months? (Check all that apply)


Information Transfer

Skills Building/Training

Technical Consultation

Technical Services

Technology Transfer

Identified CBA Needs Related to M&E:

What is/are the best CBA mechanism(s) for addressing the identified need within the next 12 months? (Check all that apply)


Information Transfer

Skills Building/Training

Technical Consultation

Technical Services

Technology Transfer



Organizational Infrastructure

Strengths:










Areas of Improvement:

Identified CBA Needs Related to Organizational Infrastructure:








What is/are the best CBA mechanism(s) for addressing the identified need within the next 12 months? (Check all that apply)

Information Transfer

Skills Building/Training

Technical Consultation

Technical Services

Technology Transfer

Identified CBA Needs Related to Organizational Infrastructure:

What is/are the best CBA mechanism(s) for addressing the identified need within the next 12 months? (Check all that apply)

Information Transfer

Skills Building/Training

Technical Consultation

Technical Services

Technology Transfer


53


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleCOMMUNITY BASED ORGANIZATIONS (CBO) CAPACITY BUILDING ASSISTANCE ASSESSMENT
AuthorHearn Murray, Kimberly (CDC/OID/NCHHSTP)
File Modified0000-00-00
File Created2021-01-30

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