State and Com Awardee Proj Dir Pro Coordinator Needs Ass

Process Evaluation of "Teenage Pregnancy Prevention: Integrating Services, Programs, and Strategies through Community-Wide Initiatives"

Att 7 State and Com Awardee Proj Dir Pro Coordinator Needs Assmt.Revised

State and Community Awardee Project Director/Project Coordinator Needs Assessment

OMB: 0920-0952

Document [docx]
Download: docx | pdf

Form Approved

OMB No. 0920-xxxx

Exp. xx/xx/xxxx

















State and Community Awardee Project Director/Project Coordinator Needs Assessment















Public reporting burden of this collection of information is estimated to average 45 minutes 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, MS D-74, Atlanta, GA 30333, ATTN: PRA (0920-xxxx).



Staff Needs Assessment


The purpose of this assessment is to help your organization identify strengths and areas of potential growth regarding your ability to support the implementation of this project. This assessment is aligned with the key components of this project and requests information on your organizational background, partnerships, community mobilization, evidence-based programs, training and technical assistance for program implementation, contraceptive services for youth, educating stakeholders, and cultural competence and diversity.


Please respond to only those sections that apply to your project role. Please answer as honestly as possible. Results from this assessment will be used by CDC and the five funded National Organizations to develop a targeted training and technical assistance plan for your organization.


Thank you for your candor in completing this important assessment.


Section I. Individual Information


  1. Please select your organization.


Alabama Department of Public Health

Adolescent Pregnancy Prevention Campaign of North Carolina

Family Planning Council

Fund for Public Health New York

Georgia Campaign for Adolescent Pregnancy Prevention Campaign

City of Hartford

Massachusetts Alliance on Teen Pregnancy

SC Campaign

University of Texas Health Science Center at San Antonio


2. Which of the following describes your role/title? (select all that apply)


Clinical technical assistance provider

Program technical assistance provider

Youth leadership team coordinator

Evaluator

Other (please specify) ______________________________________________


3. For how many years have you held your position?


< 2 years

3-5 years

> 5 years


4. For how many years have you worked in teen pregnancy prevention?


< 2 years

3-5 years

> 5 years



5. For how many years has your organization worked to prevent teen pregnancy?


< 2 years

3-5 years

> 5 years


6. How many hourly or salaried personnel in your organization work on this teen pregnancy prevention cooperative agreement?


Full time personnel

1-3 full time individuals

4-5 full time individuals

5-7 full time individuals

>7 full time individuals

Part time personnel

1-3 part time individuals

4-5 part time individuals

5-7 part time individuals

>7 part time individuals


7. How many external consultants do you use on this cooperative agreement?


0 external consultants

1 external consultants

2 external consultants

> 2 external consultants


8. What topic area(s) do the external consultant(s) cover?


Topic area ___________________________________

Topic area ___________________________________

Topic area ___________________________________

Topic area ___________________________________



9. Does your organization routinely do the following?

Skill set

Yes

No

Use logic models in planning the organization’s projects

Use adult learning theory or other applicable theory to enhance TA and training effectiveness

Monitor its program activities (e.g., who and how many you serve, quality assurance)

Evaluate program outcomes





Section II: Partnerships

Core Partner Leadership Team (CPLT)

10. How many times did your CPLT meet in the past year?

1-2 times

3-4 times

5-6 times

7-8 times

9-10 times

> 10 times


11. How many people serve on the CPLT?


< 5 people

5-10 people

11-15 people

16-20 people

21-25 people

> 25 people


12. Please indicate each group that is represented on the CPLT.


Local school board

Local department of health

Funders

Foundations

Elected officials

Teen pregnancy prevention program implementers (with MOU/MOA)

Health service providers (with MOU/MOA)

Teen pregnancy prevention program implementers (without MOU/MOA)

Health service providers (without MOU/MOA)

Other (please specify) __________________________________________


13. Does your CPLT include diversity in the following characteristics?


Skill set

Yes

No

Gender

Age

Race/ethnicity

Geographic location in the community

Type of organization (e.g., schools, governmental, community-based)

Other characteristic (please specify) ____________________________________


14. Please describe any current gaps in CPLT membership. Which members and roles you still would like to add to your group?


Local school board

Local department of health

Funders

Foundations

Elected officials

Teen pregnancy prevention program implementers (with MOU/MOA)

Health service providers (with MOU/MOA)

Teen pregnancy prevention program implementers (without MOU/MOA)

Health service providers (without MOU/MOA)

Other (please specify) __________________________________________


15. Please describe any successes your organization has had in engaging key stakeholder groups in the CPLT.


Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________



16. Please describe any challenges your organization has had in engaging key stakeholder groups in the CPLT.


Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________



Community Action Team (CAT)

17. How many times did your CAT meet in the past year?


1-2 times

3-4 times

5-6 times

7-8 times

9-10 times

> 10 times


18. How many people serve on the CAT?


< 5 people

5-10 people

11-15 people

16-20 people

21-25 people

> 25 people


19. Please indicate each group that is represented on the CPLT.


Public sector

Nonprofit sector

Business sector

Health services (e.g., providers for adolescents)

Education (e.g., school board, PTA, teachers)

School and mental health services

Minority health groups

Juvenile justice

Media members or those with media access

Parents

Youth from the Youth Leadership Team

Religious leaders

Researchers

Civic leaders and public servants

Neighbors

Representatives from funding organizations

Service organization members (e.g., Kiwanis, Rotary, sororities and fraternities)

Other (please specify) _________________________________________________

20. Does your CAT include diversity in the following characteristics?


Skill set

Yes

No

Gender

Age

Race/ethnicity

Geographic location in the community

Type of organization (e.g., schools, governmental, community-based)

Other characteristic (please specify) ____________________________________


21. Please describe any current gaps in CAT membership. Which members and roles you still would like to add to your group?


Public sector

Nonprofit sector

Business sector

Health services (e.g., providers for adolescents)

Education (e.g., school board, PTA, teachers)

School and mental health services

Minority health groups

Juvenile justice

Media members or those with media access

Parents

Youth from the Youth Leadership Team

Religious leaders

Researchers

Civic leaders and public servants

Neighbors

Representatives from funding organizations

Service organization members (e.g., Kiwanis, Rotary, sororities and fraternities)

Other (please specify) _________________________________________________


22. Please describe any successes your organization has had in engaging key stakeholder groups in the CAT.


Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________



23. Please describe any challenges your organization has had in engaging key stakeholder groups in the CAT.


Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________




Youth Leadership Team (YLT)


24. How many times did your YLT meet in the past year?


1-2 times

3-4 times

5-6 times

7-8 times

9-10 times

> 10 times


25. How many people serve on the CAT?


< 5 people

5-10 people

11-15 people

16-20 people

21-25 people

> 25 people




26. Have you taken steps to assess whether the group represents the diversity of youth in your community?


Yes (please describe) _________________________________________________________

No


27. Please indicate which of the following groups of youth are represented on your YLT.


Youth younger than 15

Youth aged 15-17 years

Youth aged 18-19 years

Youth older than 19 years

Out of school youth

Youth in post-secondary institutions

Other (please specify) _________________________________________________

28. Please describe any successes your organization has had in involving youth in the YLT.


Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________

Success (please specify) ______________________________________________________


29. Please describe any challenges your organization has had in involving key youth in the YLT.


Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________

Challenge (please specify) ______________________________________________________



Section III. Community Mobilization


30. Do you lead organizational efforts to work with community partners (e.g., core partner leadership team) in developing action plans and implementing community initiatives?


Yes, please continue to question 31

No, please skip to question 33, page 10


31. Please indicate whether you received training on certain topics related to leading/facilitating collaborative community wide efforts. Formal training refers to planned teaching of standard knowledge and/or skills related to specific capacities.


Skill set

Never

< 2 years

3-5 years

> 5 years

Conducting a comprehensive community needs and asset assessment in support of TPP

A theoretical justification for community mobilization in support of TPP

Developing a long-range community mobilization plan

Identifying and recruiting participants for a Core Partner Leadership Team

Identifying and recruiting participants for a Community Action Team

Identifying and recruiting participants for a Youth Leadership Team

Supporting community participants to develop TPP goals and identify strategies to address them

Preparing for possible opposition to TPP within communities

Identifying strategies for long-term sustainability of TPP activities within communities

Supporting community team members to evaluate their mobilization efforts


32. How confident are you in your ability to lead a community group through the following activities?


Skill set

Not at all Confident

1

2

Somewhat Confident

3

4

Extremely Confident

5

Conducting a comprehensive community needs and asset assessment in support of TPP

A theoretical justification for community mobilization in support of TPP

Developing a long-range community mobilization plan

Identifying and recruiting participants for a Core Partner Leadership Team

Identifying and recruiting participants for a Community Action Team

Identifying and recruiting participants for a Youth Leadership Team

Supporting community participants to develop TPP goals and identify strategies to address them

Preparing for possible opposition to TPP within communities

Identifying strategies for long-term sustainability of TPP activities within communities

Supporting community team members to evaluate their mobilization efforts



34. Do you lead organizational efforts to facilitate one or more of the 3 partnership groups (i.e., Core Partner Leadership Team, Community Action Team, or Youth Leadership Team)?


Yes, please continue to question 34

No, please skip to question 37, page 11


35. With which of the three groups you are involved as a facilitator/group leader? (please select all that apply)


Core partner leadership team

Community action team

Youth leadership team


36. How confident are you in your ability to do the following activities?

Skill set

Not at all Confident

1

2

Somewhat Confident

3

4

Extremely Confident

5

Facilitate the goal setting process within your project team to achieve community mobilization in support of TPP

Work within your project team to identify, recruit and retain the best “mix” of persons for your community teams

Work within your project team to help community teams establish their legitimacy as spokespersons for TPP within their communities

Work within your project team to help community teams rally support for TPP within their communities

Work within your project team to evaluate the functioning of the community teams to achieve their goals


Section IV. Contraceptive Services for Youth


37. Has your organization completed an assessment that has served to identify and describe the components of the health care delivery system in your target community?


Yes

  1. Methods used to complete assessment _____________________________________

  2. Assessment start/end date _______________________________________________

No

Planned

  1. Methods to complete assessment _________________________________________

  2. Anticipated start/end date _______________________________________________

In process

  1. Methods used to complete assessment _____________________________________

  2. Anticipated start/end date _______________________________________________


38. Does your Core Partner Leadership team (CPLT) or Community Action Team (CAT) include professionals from the community with expertise in the following areas?


Group

Yes

No

Adolescent Contraceptive and Reproductive Health

Health Care Reform

Health Care Financing


39. Please indicate which of the following health care delivery settings you have an MOU with.


Setting

Yes, with

MOU

Yes, without

MOU

No

Family Medicine Practice

Adolescent Health Practice

Private Ob/Gyn Practice

Public funded family planning clinics

Hospital-based Health Centers

Mobile Health Units

Health Department Clinics

Community Health Centers

School Based Health Centers

School Linked Health Centers

Other (please specify) ____________________________________


40. Please indicate whether your organization has an established referral network to link youth to reproductive health services. Referral refers to any mechanism or medium that directs clients to care. Referral sources may include friends, family members, Internet sources, schools, as well as linkage partner organizations/agencies/institutions.

Yes we have an established network

Yes, we developed a network for this initiative

No

Other (please specify) _______________________________________________




41. Please indicate which of the following steps you took to develop this referral network. Please select all that apply.


Identified reproductive health service providers/clinics in the community

Assessed the capacity and quality of reproductive health service providers/clinics

Contacted those reproductive health service providers/clinics identified as appropriate for meeting program goals/objectives

Developed agreements with these reproductive health service providers/clinics on processes for referring youth to services

Other (please specify) ____________________________________________________________


42. Does your community-wide initiative have a resource for youth that describes available reproductive health services in your target community? Please select all that apply.

Yes, a website

Yes, a pamphlet

Yes, a call center

Yes, other (please specify) _______________________________________

Planned

In process of developing


43. Does your organization have a referral network in place to help direct providers of adolescent services in your community to providers of reproductive health services?


Yes

No, please skip to question 46

Planned

In process


44. Please indicate which of the following steps you took to develop your referral network. Please select all that apply.


Identified youth-serving organizations/centers in community

Assessed the capacity and quality of youth-serving organizations/centers

Contacted those organizations/centers identified as appropriate for meeting program goals/objectives

Developed agreements with these organizations/centers on processes for referring youth to services

Developed agreements with these organizations/centers on how to track referrals made and referrals resulting in receipt of care

Other, please specify ___________________________________________________



45. Please indicate which of the following groups you involved in the development of your referral network.


Community Partner Team

Community Advisory Team

Youth Leaders Team

Other, please specify ___________________________________________________




46. Please select the institutions that you have partnered with to build a sustainable source of support for clinical partners in your community. Please select all that apply.

American Academy of Pediatrics

American Academy of Pediatrics Section on Adolescent Health

American Academy of Family Physicians

Society for Adolescent Health and Medicine

American Congress of Obstetricians and Gynecologists

Federally Qualified Health Center Health Disparities Collaborative

State Office of Minority Health Initiatives

Public Health Associations

Practice-based Research Networks


47. Has your organization identified any of the following groups of youth?


Group

Yes

No

Planned

In progress

Foster youth

Youth relying primarily on ER for care

Youth enrolled in Medicaid but who have not received preventative care

Uninsured youth

Undocumented immigrant youth

Youth not enrolled in school

Youth participating in EBIs

Non-English speaking youth

Other (please specify) ________________________________


48. Have you identified organizations that serve the above groups of youth?


Yes

No

Planned

In process


49. Have you supported the development of Linkage Agreements between the youth serving organizations and reproductive health providers? Linkage refers to a formal partnership between community organizations, agencies, or other institutions (which may include but are not limited to health centers, schools, and churches). The partnership is formalized through a written agreement (e.g., a MOU) that clearly defines how partners will share resources and services related to teen pregnancy prevention.

Yes

No

Planned

In process





50. Have you completed an assessment of attitudes and beliefs related to youth access to contraceptive and reproductive health care without parental consent for the following community members?


Group

Yes

No

Planned

In progress

Parents/Caregivers

Youth

Health care providers

School nurses

Teachers

School administrators

Local government officials

Other (please specify) ________________________________

51. Have you completed an assessment of attitudes and beliefs about youth and utilization of highly reliable contraception (IUD and Implants) among the following community members?


Group

Yes

No

Planned

In progress

Parents/Caregivers

Youth

Health care providers

School nurses

Teachers

School administrators

Local government officials

Other (please specify) ________________________________


52. Please indicate whether or not your organization has provided technical assistance or training in the past 2 years to health center partners on utilizing the following performance improvement tools and methods.


Group

Yes

No

Planned

In progress

Conducting Clinical Provider Practice Assessment

Analyzing and Sharing Provider Practice Assessment Results with Health Center

Conducting a Work Flow Analysis (ie: Process Mapping, Mapping Steps in Visit)

Examining Capacity of Health Center to Serve Clients (ie: examine current number of clients served compared to staff FTE’s)

Examining and Re-aligning Staff Roles/Responsibilities to Increase Access to Contraceptive and Reproductive Health Care (ie: Task Shifting, scope of practice)

Examining Patient Appointment Scheduling Practices (ie: Appointment No Show Rates, Appointment Types, Appointment Framework)

Conducting a Health Center Walk Through

Using the IHI Model for Improvement to define and establish a performance improvement project

Using the Plan Do Study Act (PDSA) method to test small changes to improve health center performance

Developing a Work Plan (CQI Plan) to Improve Access to Contraceptive and Reproductive Health Care for Adolescents Using Information from the Clinical Provider Assessment

Establishing a set of performance measures related to the health center improvement plan and data systems and tools to support collection and analysis of relevant data

Facilitating and supporting the collection and analysis of performance measurement data

Facilitating the development of a health center improvement team

Facilitating and supporting health center improvement team meetings

Designing and running a collaborative among health center partners

Examining health center billing and reimbursement practices to support efforts to ensure fiscal sustainability of health center operations and maximize third party revenue opportunities

Other (please specify) ________________________________




Section VI. Contraceptive Services for Youth


53. Do you lead organizational efforts to provide training and technical assistance to clinic partners as part of the Teen Pregnancy Prevention project?


Yes, please continue to question 54

No, please skip to question 54, page 18


54. Please indicate whether you have received formal training and the time frame in which the formal training on certain topics related to reproductive health services was received. Formal training refers to planned teaching of standard knowledge and/or skills related to specific capacities.


Skill set

Never

< 2 years

3-5 years

> 5 years

The use of the Quick Start Method for dispensing hormonal contraception to adolescents

The use of the Quick Start Methods for dispensing IUDs

Pap smear guidelines for adolescents

Healthcare delivery system budgeting

Business planning including maximizing coding, billing, and reimbursement strategies

Coding confidentiality in billing for adolescent reproductive health services

Work flow processes for patient visits

Health care delivery systems productivity standards

Appointment scheduling practices

Contraceptive methods for adolescents

Performance improvement or quality improvement methodologies

Performance measurement

Strategies for supporting time-alone between a provider and an adolescent client

Strategies for supporting confidentiality in the delivery of contraceptive and reproductive services for adolescents

Addressing social determinants of health in the clinical setting

Male sexual and reproductive health services


55. How knowledgeable are you about each of the following?


Skill set

Not at all

1

2

Somewhat

3

4

Extremely

5

Intrauterine devices (IUDs)

  1. Efficacy

  1. Costs

  1. Side effects

  1. Dispensing procedures

Contraceptive implant (Implanon)

  1. Efficacy

  1. Costs

  1. Side effects

  1. Dispensing procedures

Injectable contraception (Depo-provera)

  1. Efficacy

  1. Costs

  1. Side effects

  1. Dispensing procedures

Birth control pills

  1. Efficacy

  1. Costs

  1. Side effects

  1. Dispensing procedures

Emergency contraception

  1. Efficacy

  1. Costs

  1. Side effects

  1. Dispensing procedures

Male condoms

  1. Efficacy

  1. Costs

  1. Side effects

  1. Dispensing procedures

Female condoms

  1. Efficacy

  1. Costs

  1. Side effects

  1. Dispensing procedures

Other methods (please list) ______________________

  1. Efficacy

  1. Costs

  1. Side effects

  1. Dispensing procedures




SECTION V -Educating Stakeholders


56. Has your organization conducted an assessment of knowledge regarding evidence-based teen pregnancy prevention strategies for any of the following stakeholder groups?


Group

Yes, formal assessment

Yes, informal assessment

No

Adolescents

Parents

Local youth serving coalitions or task forces

Local organizations that directly serve youth

Local organizations that serve underserved or at-risk youth (e.g., juvenile justice, juvenile court, welfare agency)

Postsecondary educators/leadership (e.g., community colleges, colleges)

K12 school educators/leadership

Local school board

Health care providers/clinics

Local/County Health Department

Funders, such as community foundations

Members of the media

Faith-based leaders

Community organizations such as voluntary civic organizations

Members of the business community

Policymakers at the local level

Mayor

Regional youth serving organizations

State youth serving organizations

Title XX directors

Title X directors

Title V directors

State Education Agency

State Health Department

State Human Service Agency

State Medicaid directors/officials

Legislators at the state or local level

Other policymakers in state or local government

Governor

Other (please specify) _________________________________





57. To which types of key stakeholders have you disseminated information on teen pregnancy prevention in the past 12 months? Please select all that apply.



Group

Adolescents

Parents

Local youth serving coalitions or task forces

Local organizations that directly serve youth

Local organizations that serve underserved or at-risk youth (e.g., juvenile justice, juvenile court, welfare agency)

Postsecondary educators/leadership (e.g., community colleges, colleges)

K12 school educators/leadership

Local school board

Health care providers/clinics

Local/County Health Department

Funders, such as community foundations

Members of the media

Faith-based leaders

Community organizations such as voluntary civic organizations

Members of the business community

Policymakers at the local level

Mayor

Regional youth serving organizations

State youth serving organizations

Title XX directors

Title X directors

Title V directors

State Education Agency

State Health Department

State Human Service Agency

State Medicaid directors/officials

Legislators at the state or local level

Other policymakers in state or local government

Governor

Other (please specify) _________________________________


58. Which of the following methods have you used during the last 12 months to disseminate information on teen pregnancy prevention? Please check all that apply.



Group

Contact with local media

Issued press releases

Distributed fact sheets, reports, or journal articles on TPP

Offered an electronic newsletter with information on TPP

Regularly published a printed newsletter that highlights TPP

Held an annual conference that included TPP

Held meetings, roundtables, or symposia related to TPP

Used social media (e.g., Twitter, Facebook)

Held briefings on your program

Hosted a site visit

Provided latest scientific information

Reported on a community needs assessment

Responded to questions and requests for information

Testified (if invited to a hearing)

Told a story about how your program impacted a member of the community

Given an award

Other (please specify) ________________________________________


59. Do any of your core partners maintain a website that includes information on the community wide initiative?


Yes (please specify) _______________________________________

No




60. Does your organization currently have (or do you expect to have) a dedicated person besides the Executive Director who will focus on educating stakeholders (i.e., community leaders, parents, and other constituents) about relevant evidence-based and/or evidence-informed strategies to reduce teen pregnancy and data on needs and resources in the target communities?


Yes

No


61. Do you have a system in place for when controversial or unexpected issues arise, to prepare spokespeople within your organization to publicly respond in a timely manner?


Yes

No, please skip to question 63, page 22


62. How confident are you that the plan mentioned in question 61 will be successful?



Confidence Level

1 - Very confident

2 -

3 - Somewhat confident

4 -

5- Not at all confident

SECTION V. Educating Stakeholders


63. Do you lead/co-lead organizational efforts to educate stakeholders in your community?


Yes, please continue to question 64

No, please skip to question 67, page 23


64. How knowledgeable are you about each of the following?


Skill set

Not at all

1

2

Somewhat

3

4

Extremely

5

How to identify important stakeholders in your community

How to determine your target audiences for stakeholder education

How to determine goals and objectives and an action plan for stakeholder education using data from your community needs assessment

Methods for raising awareness of your community-wide initiative

How to educate on statistics and trends in teen pregnancy, by age and race/ethnicity and for special populations

Methods for educating on evidence-based and/or evidence-informed strategies to reduce teen pregnancy and data on needs and resources in target communities

Methods for crisis communication and managing controversy


65. How confident are you in your ability to conduct the following activities?


Skill set

Not at all Confident

1

2

Somewhat Confident

3

4

Extremely Confident

5

Identify important stakeholders in your community

Determine your target audiences for stakeholder education

Determine goals and objectives and an action plan for stakeholder education using data from your community needs assessment

Raise awareness of your community-wide initiative

Educate on evidence-based and/or evidence-informed strategies to reduce teen pregnancy and data on needs and resources in target communities

Manage controversy through communication techniques/strategies


66. What resources or tools would increase your capacity to work with stakeholders in your community?


Specific talking points

Additional training

Resources and fact sheets

Individual technical assistance

Other (please specify) ______________________________________________________

SECTION VI. Working with Diverse Communities


67. Please indicate how often your organization does the following activities.


Skill set

Never

1

2

Sometimes

3

4

Often

5

Technical assistance and training activities are routinely and systematically reviewed to enhance delivery the culturally competent practices and strategies

Input from community members reflective of cultural composition is actively sought and utilized when assessing need for technical assistance and consultation.

Efforts are made to involve consultants who have knowledge of and experience with the cultural groups receiving technical assistance or consultation.

Representatives of diverse cultures are actively sought to participate in the planning and implementation of training activities.

Representatives of the diverse cultures are actively sought to participate in the planning of outreach activities. Training curriculum, materials, and activities are systematically evaluated to determine if they achieve cultural competence.

Learning opportunities to enhance staff understanding of diverse cultures of community youth (i.e. attitudes toward disability, LGBTQ youth, cultural beliefs and values, and health, spiritual, and religious practices) are provided.


68. Please indicate the extent to which the following are consistent with your current project’s practices.


Skill set

Not at all

1

2

Somewhat

3

4

Great Extent

5

Representatives of ethnic communities actively incorporate their knowledge and experience in organizational planning

Supports involvement with and/or utilization of the resources of regional and/or national forums that promote cultural competence.

Personnel recruitment, hiring, and retention practices reflect the goal to achieve ethnic diversity and cultural competence.

Resources are in place to support initial and ongoing training for personnel to develop cultural competence.

Fiscal resources are available to support translation and interpretation services.



69. Do you lead/co-lead organizational efforts for working with diverse communities?


Yes, please continue to question 70

No, please skip to question 72, page 25


70. How knowledgeable are you regarding each of the following topics?


Topic

Not at all

1

2

Somewhat

3

4

Extremely

5

Health equity


Health disparities

Social determinants of health


Frameworks for examining and addressing social determinants of health

Cultural competency

Strategies for engaging marginalized youth (i.e. foster care, homeless, GLBTQ) in teen pregnancy prevention efforts

Strategies for engaging non-traditional partners (i.e. business leaders, social service agencies) in teen pregnancy prevention efforts


71. How confident do you feel about providing technical assistance or training to individuals in your community around the following areas?


Skill set

Not at all Confident

1

2

Somewhat Confident

3

4

Extremely Confident

5

Increase awareness around the impact of social determinants of teen pregnancy with community partners

Actively engage informal community leaders and other influential community stakeholders (i.e. business leaders) around the significance of addressing social determinants of teen pregnancy

Assess attitudes and beliefs around social determinants among different audiences

Facilitate a process to identify key social determinants of teen pregnancy with community partners

Identify feasible strategies to address key social determinants of teen pregnancy

Enhance levels of cultural competence for clinical providers and program facilitators

Utilize community-based participatory approaches to evaluation

Assess and evaluate progress on strategies to address social determinants of teen pregnancy.







Section VII. Evidence-based Programs


72. Do you provide training on evidence-based teen pregnancy prevention programs?


Yes, please continue to question 73

No, please skip to question 76, page 27


73. Please list any evidence-based or evidence-informed programs on which you are able to provide a training of facilitators.

Program: _____________________________________________________________________________________

  1. Have you received formal training as a trainer of this program? ____________________________________

  2. What organization provided the training? ______________________________________________________

  3. Number of Trainings you conducted in the past 2 yrs? ____________________________________________

Program: _____________________________________________________________________________________

  1. Have you received formal training as a trainer of this program? ____________________________________

  2. What organization provided the training? ______________________________________________________

  3. Number of Trainings you conducted in the past 2 yrs? ____________________________________________

Program: _____________________________________________________________________________________

  1. Have you received formal training as a trainer of this program? ____________________________________

  2. What organization provided the training? ______________________________________________________

  3. Number of Trainings you conducted in the past 2 yrs? ____________________________________________

Program: _____________________________________________________________________________________

  1. Have you received formal training as a trainer of this program? ____________________________________

  2. What organization provided the training? ______________________________________________________

  3. Number of Trainings you conducted in the past 2 yrs? ____________________________________________

Program: _____________________________________________________________________________________

  1. Have you received formal training as a trainer of this program? ____________________________________

  2. What organization provided the training? ______________________________________________________

  3. Number of Trainings you conducted in the past 2 yrs? ____________________________________________

Program: _____________________________________________________________________________________

  1. Have you received formal training as a trainer of this program? ____________________________________

  2. What organization provided the training? ______________________________________________________

  3. Number of Trainings you conducted in the past 2 yrs? ____________________________________________




74. Do you have partners who can provide training of facilitators on evidence-based or evidence-informed programs?


Yes, please answer the following questions.

  1. Which partner? ____________________________________

  2. Which programs? ________________________________________________________

  3. Where were the trainers trained? _______________________

No, please skip to question 24


75. Please list any evidence-based or evidence informed programs that will likely be implemented in your community that you have not received training on.



Program ___________________________________


Program ___________________________________


Program ___________________________________


Program ___________________________________


Program ___________________________________


Program ___________________________________



76. Do you provide training and technical assistance to support program implementation as part of the Teen Pregnancy Prevention project?

Yes, please continue to question 77

No, please skip to question 81, page 30


77. Please indicate whether you have received formal training and the time frame in which the formal training on certain topics related to evidence-based approaches to planning, selection, implementation, and evaluation of evidence-based programs and practices was received. Formal training refers to planned teaching of standard knowledge and/or skills related to specific capacities.


Skill set

Never

< 2 years

3-5 years

> 5 years

Understanding the benefits of using evidence-based approaches such as the Getting To Outcomes (GTO) approach to prevent teen pregnancy

Knowing which evidence-based programs and/or practices have reduced sexual behaviors leading to teen pregnancy, STI, and/or HIV

Using logic models to plan general organizational activities

Using logic models that link risk and protective factors to intervention activities for the purpose of selecting an appropriate TPP program/curriculum or practice.

Knowing how to plan and conduct effective trainings on evidence-based or evidence-informed programs to others

Knowing how to assess an evidence-based program for fit with one's priority population and community

Knowing how to conduct process evaluation

Knowing how to conduct outcome evaluation


78. We are interested in the amount of experience you have providing technical assistance and training on the topics listed in question 77. Experience providing training and TA refers to working with one or more client organizations on a particular topic. Please indicate if you have at least 6 months of experience providing technical assistance and training on the following.

Skill set

Yes

No

The benefits of using evidence-based approaches such as the GTO approach to prevent teen pregnancy

Which programs, practices, or policies related to promoting adolescent sexual health have evidence of effectiveness

Using logic models to plan general organizational activities

Using logic models that link risk and protective factors to intervention activities for the purpose of selecting an appropriate TPP program/curriculum or practice.

How to plan and conduct effective trainings on evidence-based or evidence-informed programs to others

How to assess an evidence-based program for fit with one's priority population and community

How to conduct process evaluation

How to conduct outcome evaluation


79. How knowledgeable are you regarding each of the following teen pregnancy prevention activities?


Skill set

Not at all

1

2

Somewhat

3

4

Extremely

5

Develop program goals for a teen pregnancy prevention activity or program

Assess how well program activities fit within other existing program activities offered to the same target population

Define a target population for teen pregnancy prevention program(s) or practices

Measure participant satisfaction with a prevention program or practice

Evaluate an activity to ensure that it is meeting goals and objectives, including completing analysis and interpretation of data

Identify those who will be responsible for each program delivery task

Specify the amount of change to expect in program objectives

Assess community strengths in programming by examining existing resources such as existing programs and availability of volunteers

Determine if an existing program or practice is suited to a community program’s goals and objectives

Develop program objectives that are linked to program goals

Examine how a prevention program fits with the philosophy of a community organization

Measure how well program implementation followed the original program design (i.e., fidelity) for each program activity

Ensure that all new program activities are linked to specific goals and objectives

Determine if any evidence-based programs are applicable to a target/priority population(s)

Specify by when one should expect the change in their objectives to occur

Assess the causes and underlying risk factors for teen pregnancy in a community

Assess the adequacy of resources to implement a (new) program (e.g., staff, technical resources, funding)

Create timelines for completing all program tasks

Develop a budget that outlines the funding required for each program activity

Develop a plan to sustain successful programs or activities (i.e., determine future funding sources, staffing)

Use evaluation results to improve delivery of a teen pregnancy prevention program or practice the next time it is offered

Adapt an evidence-based teen pregnancy prevention program while maintaining the integrity of the program


80. How confident would you be providing training or technical assistance in the following areas to support other organizations as part of the TPP project?


Skill set

Not at all Confident

1

2

Somewhat Confident

3

4

Extremely Confident

5

Develop program goals for a teen pregnancy prevention activity or program

Assess how well program activities fit within other existing program activities offered to the same target population

Define a target population for teen pregnancy prevention program(s) or practices

Measure participant satisfaction with a prevention program or practice

Evaluate an activity to ensure that it is meeting goals and objectives, including completing analysis and interpretation of data

Identify those who will be responsible for each program delivery task

Specify the amount of change to expect in program objectives

Assess community strengths in programming by examining existing resources such as existing programs and availability of volunteers

Determine if an existing program or practice is suited to a community program’s goals and objectives

Develop objectives that are linked to goals

Examine how a prevention program fits with the philosophy of a community organization

Measure how well program implementation followed the original program design (i.e., fidelity) for each program activity

Ensure that all new program activities are linked to specific goals and objectives

Determine if any evidence-based programs are applicable to a target/priority population(s)

Specify by when one should expect the change in their objectives to occur


Assess the causes and underlying risk factors for teen pregnancy in a community

Assess the adequacy of resources to implement a (new) program (e.g., staff, technical resources, funding)

Create timelines for completing all program tasks

Develop a budget that outlines the funding required for each program activity

Develop a plan to sustain successful programs or activities (i.e., determine future funding sources, staffing)

Use evaluation results to improve delivery of a teen pregnancy prevention program or practice the next time it is offered

Adapt an evidence-based teen pregnancy prevention program while maintaining the integrity of the program

Document adaptations made to evidence-based programs to reflect and respond to the youth and community context.

Train program facilitators to develop their understanding around cultural and gender difference with respect to adolescent sexual risk behavior, teen pregnancy and implications of this on engagement and program implementation.



Section VIII. Organizational Technical Assistance Needs

CDC and the funded national organizations will use the following information to plan future TA and training.


81. Please list topics, in order of priority, on which you would most like to receive technical assistance and training through this project over the next year.


Skill set


51


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
Authorhve8
File Modified0000-00-00
File Created2021-01-30

© 2024 OMB.report | Privacy Policy