NGO ESHE Measures

Form Approved

OMB No: 0920-1049

Exp. Date: 02/28/2018

“Promoting Adolescent Health through School-Based HIV/STD Prevention”

Att. 3c

NGO ESHE Items

Public reporting burden of this collection of information is estimated to average 30 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 NE, MS D-74, Atlanta, Georgia 30333; Attn: OMB-PRA (0920-1049)

NGO Evaluation Measures – ESHE SEA

Evaluation Measures	Data Reporting System	Questions for Collection of Evaluation Measures
ESHE Process Measure 1: % of funded SEAs that received assistance on ESHE	PERS	In the past six months, how often did you interact with [FUNDED SEA NAME] to provide assistance (e.g., professional development events, technical assistance, guidance or resource materials, and referrals to other agencies or organizations) on ESHE? _____ Never _____ 1 time _____ 2 times _____ 3 - 5 times _____ 6 - 10 times _____ 11 - 15 times _____ 16 - 20 times _____ 21 or more times On what ESHE topics did you provide assistance to [FUNDED SEA NAME]? (Check all that apply) Assess curricula with the Health Education Curriculum Analysis Tool (HECAT) Select an appropriate curriculum (including evidence-based interventions, if appropriate) Implement a specific curriculum with appropriate fidelity (including evidence-based interventions, if appropriate) Make appropriate adaptations to curricula (including evidence-based interventions, if appropriate) Implement a viable scope-and-sequence for sexual health education Assess sexual health and/or HIV education policies Monitor the implementation of sexual health and/or HIV education policies Manage controversy around sexual health education Build instructional competencies and techniques for sexual health education Assess school policies with School Health Index Establish and maintain a state- or district-level school health advisory council (SHAC)

NGO Evaluation Measures – ESHE LEA

Evaluation Measures	Data Reporting System	Questions for Collection of Evaluation Measures
ESHE Process Measure 1: % of funded LEAs that received assistance on ESHE	PERS	In the past six months, how often did you interact with [FUNDED LEA NAME] to provide assistance (e.g., professional development events, technical assistance, guidance or resource materials, referrals to other agencies or organizations) on ESHE? _____ Never _____ 1 time _____ 2 times _____ 3 - 5 times _____ 6 - 10 times _____ 11 - 15 times _____ 16 - 20 times _____ 21 or more times On what ESHE topics did you provide assistance to [FUNDED LEA NAME]? (Check all that apply) Assess curricula with the Health Education Curriculum Analysis Tool (HECAT) Select an appropriate curriculum (including evidence-based interventions, if appropriate) Implement a specific curriculum with appropriate fidelity (including evidence-based interventions, if appropriate) Make appropriate adaptations to curricula (including evidence-based interventions, if appropriate) Implement a viable scope-and-sequence for sexual health education Assess sexual health and/or HIV education policies Monitor the implementation of sexual health and/or HIV education policies Manage controversy around sexual health education Build instructional competencies and techniques for sexual health education Assess school policies with School Health Index Establish and maintain a school health advisory council (SHAC)