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Description

use information and files i sent you from previous question to answer deliverable #3 
Deliverable #3: Determinants of the Target Health Problem 
Suggested Length: 2 pages (may be presented in chart format). Content:  
Identify the key determinants of your target health problem; i.e., factors that increase the risk for, or contribute to the development of the health problem. Include references to the scientific literature. Include determinants at these 3 levels:  
Individual risk factors and behaviors that contribute to the problem, as well as factors related to behaviors, such as knowledge, beliefs, skills, etc. Consider theory (i.e., what are the risk factors for the problem outlined by health behavior theories?) 
Health care-related factors that contribute to the problem, such as access to and quality of health care. 

Environmental/social factors that contribute to the problem, such as the social environment (networks; peer and family factors), physical (built) environment, organizational factors, community context, societal factors, policy environment, etc. 

Consider which of the determinants listed above are most important and modifiable. 
Consider which determinants you would like to address in your intervention. 

The chart below may be used as a template for your presentation.Health Promotion Planning Project
Introduction
The semester-long project described in this document will take you through the key steps of developing a written
plan for a health promotion project. Although your final product will not be a grant proposal, per se, it will include
most of the elements of a typical proposal that might be submitted to a foundation or government agency for
financial support for a community intervention project.
The planning project is divided into 8 separate assignments or “deliverables,” all of which are focused on the
same health problem and target community/population group.
You have the option of either completing this project (8 deliverables) on your own or as a member of a twoperson team. Your decision to work in a pair or on your own must be reported to your instructor by the end of
Module 02 of the class. In addition, your target health problem must be identified by the end of Module 02. It will
be approved by your instructor by the end of Module 03.
Across the deliverables, you will:





provide a description of the target community;
present data on the target health problem, its significance, and its determinants;
present data on existing health care and social services, including gaps in services, in the target
community;
develop a needs assessment survey and other methods that could be used to gather additional
information; and
develop a plan for a health promotion intervention that is designed to help resolve the health problem,
including:
o measurable health promotion objectives,
o strategies and methods to achieve these objectives,
o a description of the theoretical basis for the program approach,
o an implementation plan;
o an evaluation plan, and
o a budget (with justification).
Deliverables will be evaluated for conceptual and intellectual design and the required elements
as noted above. Each of the deliverables is described below.
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Deliverable #1: Community Description and Project Needs
Statement
Suggested Length: 3-4 pages, double-spaced. Include tables/figures as appropriate.
Content:
A. The Community
Choose a community that will be the site for implementation of your proposed health promotion program.
Include these elements in the description of your community:
1. Show the geographic boundaries of the community (i.e., it is helpful to include a map).
2. Briefly, describe the administrative structure of the community. In other words, is
it a city? Neighborhood within a city? Unincorporated area? County? Planning
district within a county or city? Etc.
3. Present data on the demographic characteristics of its residents, per U.S. Census
data. (These data may be presented in charts/graphs):
o Total population (in numbers)
o Sex, race/ethnicity, and age distribution (in percentages)
o Percent foreign born
o Rates of poverty
B. Health Problem
Choose a target health problem that will be the focus of your program planning efforts.
The problem should be one that is prevalent and important enough to merit being the
focus of a public health intervention in your target community.
1.
Describe:
a. The prevalence of the target health problem. Present local data on the prevalence of the
problem, if available. If local data are not available, use data at the next highest level
(e.g., if data for your city are not available, present data for the county or state in which
the city is located).
b. Address: How does the prevalence of the problem locally compare to the prevalence at
the county, state, and/or national level?
c. What are the trends in prevalence of the problem? (i.e., increasing? Decreasing?
Stable?)
d. Which demographic subgroup(s) are most affected by, or most at risk for developing the
problem (e.g., age groups, racial/ethnic groups, and/or gender)?
2.
Be sure to explain the significance of this health problem. Address:
a. What are the consequences of this health problem (for individuals, society, the economy,
etc.)?
b. Why is it important that this problem be the focus of a public health intervention?
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C. Summary/Rationale
Write a concise summary paragraph that addresses:
1. The scope of the health problem (i.e., prevalence).
2. The population subgroup that is most affected by the problem and therefore, which will be the target
group for your intervention problem (i.e., the population subgroup defined by age, ethnicity/race,
and/or other demographic characteristics).
3. The community in which you will implement your public health intervention.
4. Why you have selected this population subgroup and community (e.g.” In this area of County X, teen
birth rates are double the national rate.”)
5. Your proposed solution (i.e., in one or two sentences, state that you are proposing X intervention that is
designed to achieve Y).
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Deliverable #2: Needs Assessment: Analysis of Service Gaps, Survey,
and Methods
Suggested Length: 4-5 pages, double-spaced for Parts A, C, and D (combined). Attach Part B (Needs
Assessment Survey) as an Appendix.
Content:
A. Analysis of Service Gaps
Discuss existing resources and services in your target community that relate to your target health problem. You
will need to do some research on the community. Address:
1. What types of health care and community services/programs currently are available to address your
target health problem? (For example, clinics, community-based health and/or mental health services;
school-based programs and/or services; social services; existing prevention or health promotion
programs.)
2. What are the barriers to receiving services? What are the gaps in services? For example, is there a
lack of access to program/services due to location, hours, transportation, eligibility, language skills, etc.?
(This may involve making a phone call to a key informant at the program/services.)
3. What types of changes or improvements in service delivery or program availability are needed? (Note:
this is your opinion, based on your understanding of the health problem.)
B. Needs Assessment Survey
Develop a needs assessment survey that you would administer, hypothetically, to a sample of people in your
target population. See the PM 528 Instructional Materials regarding survey design. (They include suggestions
for the types of questions that a well-designed needs assessment survey should contain.) In general, the
survey should address any gaps in the secondary data you have collected and address key determinants of
your health problem.
Turn in an actual survey instrument, formatted as discussed in the Instructional Materials.
Suggested Length for Survey: Maximum of 40 questions.
C. Sample and Methods for Survey Administration
1. Describe the sample you propose to draw for your needs assessment survey. How many participants
do you aim to include? How will you select the participants? What are the characteristics (i.e.,
demographic) of the individuals you will sample?
2. Address: Where and how will the survey be administered?
D. Additional Needs Assessment Methods
Propose additional needs assessment methods you would use to gather additional primary data, specifically:
1. Key Informant Interviews
a. Describe at least 3 key informants you would interview (positions of people, not specific names)
to gather additional needs assessment information.
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b. Describe the position/role of the informants and list examples of the types of questions you
would ask them.
2. Focus Groups
a. Describe at least 3 focus groups you would conduct to gather additional needs assessment
information.
b. Describe the composition of the groups (e.g., age, gender, race/ethnicity, etc.)
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Deliverable #3: Determinants of the Target Health Problem
Suggested Length: 2 pages (may be presented in chart format).
Content:
1. Identify the key determinants of your target health problem; i.e., factors that increase the
risk for, or contribute to the development of the health problem. Include references to the
scientific literature. Include determinants at these 3 levels:
a. Individual risk factors and behaviors that contribute to the problem, as well as
factors related to behaviors, such as knowledge, beliefs, skills, etc. Consider
theory (i.e., what are the risk factors for the problem outlined by health behavior
theories?)
b. Health care-related factors that contribute to the problem, such as access to and
quality of health care.
c. Environmental/social factors that contribute to the problem, such as the social
environment (networks; peer and family factors), physical (built) environment,
organizational factors, community context, societal factors, policy environment,
etc.
2. Consider which of the determinants listed above are most important and modifiable.
3. Consider which determinants you would like to address in your intervention.
4. The chart below may be used as a template for your presentation.
Level of Determinant
Key Determinants
Which of these are most
important & modifiable?
Which of the
determinants at this
level, if any, will you
address in your
intervention?
1. Individual risk factors
(health behaviors; factors
related to behaviors;
exposures)
2. Health-care related factors
(access and quality of health
care)
3. Environmental/Social
environment factors (e.g.,
social networks; community
context; built environment;
policies; organizational)
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Deliverable #4: Intervention Goals and Objectives
Suggested Length: 3-4 pages, double-spaced.
Content:
1. State the goal of the intervention.
2. Using your list of determinants to guide you and focusing on the determinants that are important and
modifiable, write SMART objectives for your project.
Include the following:
a. The ultimate (health) objective that you want your program to achieve, even if the time it would
take to achieve those changes is too far down the road for you to actually observe or document
the changes.
b. Final behavioral objectives. What behaviors is your project trying to change? What behavioral
outcomes can your project achieve and measure within its time frame?
c. Final environmental objectives. Which environmental factors are you trying to change? What
environmental outcomes can your project achieve and measure within its time frame?
3. Make sure that your objectives are SMART, including: who, what, when, and to what extent.
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Deliverable #5: Intervention Strategies
Suggested Length: 4 pages, double-spaced (for narrative).
Content:
1. Before you propose your intervention strategies, you will need to review the scientific literature on
interventions that have been tested and shown to be successful for changing your target individual and
environmental outcomes.
2. Design an intervention that includes at least one strategy that addresses (1) individual risk factors and
behaviors; and at least one strategy that addresses (2) environmental/social factors.
3. For each strategy, identify the activities, target group, setting, and whether/how the strategy will need to be
adapted for use in your community.
4. Present a chart that summarizes the strategies. You may use the template shown below. Note that you
do not need to include each type of strategy that is listed below in the chart. Just make sure that you
include one individual-level and one environmental-level strategy in your intervention.
5. Include a narrative section (text) that provides more details about the strategies you have designed (e.g.,
what is involved, proposed dosage of the strategy, how participants will be recruited, etc.), and the
evidence base for the strategies.
6. In the narrative section, describe the theory or group of theories that your intervention is built upon. How
are you applying the concepts from these theories?
Type of Strategy
Activities
Are you using a
specific
evidence-based
program
model? If so,
which one?
Does the
evidence-based
model need to be
adapted for use
in your
community?
How?
Individual Level
Setting
for the
strategy
Target
Group
Which
determinant(s) of
the health
problem does
this strategy
address?
Health communication
(e.g., mass media, social
media, print materials)
Health education (these
are more in-depth than
health communications,
such as workshops or oneon-one counseling)
Environmental/Social Level
Policy
Environmental change
(e.g., community
mobilization; organizational
change)
Health care-related and
social (community-based)
services
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Deliverable #6: Program Implementation Plan
Suggested Length: 3 pages (for first two sections). No page limit on work plan (single-spaced)
and budget documents (single-spaced).
Content:
1. Organization and Organizational Capacity
a. Select a real-world organization that serves residents of your
target community (i.e., addresses public health issues in that
community). This organization will be the “home” for the
intervention, i.e., it will oversee implementation of the intervention.
b. Briefly describe the organization (e.g., location, mission,
number of employees, etc.)
c. Briefly describe the types of work the organization has
done in the past (i.e., capacity). Specifically, what type of
experience does it have that is related to the type of
intervention you are proposing?
2. Program Implementation Plan
Address the following elements:
a. How will you gain acceptance/buy-in for the program (including
by participants, staff, the community, etc.)?
b. How will you market or promote the program? (4 P’s)
c. How will you establish ongoing linkages among the participating
organizations?
3. Work Plan
Create a work plan for your project activities. The work plan
should identify the primary tasks associated with the activities
and a timeline for each task. Be as specific and realistic as
possible. (See examples in Instructional Materials.)
4. Budget and Budget Justification
a. Include a budget summary for the entire project.
i.
Total length of the project should be a maximum of 3 years
ii.
Total budget per year should not exceed $400,000
(directs + indirect costs)
iii.
Use an indirect cost rate of 15% of total direct costs
b. Include a budget justification. (See example in Instructional Materials.)
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Deliverable #7: Logic Model and Program Evaluation Plan
Suggested Length: 1 page for Logic Model + 3-4 pages (double-spaced) for Evaluation Plan.
Content:
A. Evaluation Logic Model
Develop a logic model for your intervention. Be sure it includes these elements:
1. Program inputs (what is invested – human and other resources)
2. Strategies/ Activities (key strategies and activities of the program)
3. Outputs (what is done, who/how many are reached, what is produced)
4. Outcomes
a. Short-term outcomes (immediate impacts on target community)
b. Mid-term outcomes (intermediate impacts)
c. Long-term outcomes (longer-term and ultimate impacts)
Format. This is a schematic that should fit on one page. You may create it in WORD, Excel,
PowerPoint, or any software that allows you to show a schematic.
B. Evaluation Plan
Develop an evaluation plan for your project. It is critical that the evaluation approach be directly
related to your program objectives and expected outcomes. Include:
1. Your evaluation design (i.e., randomized control, one-group pre-posttest, etc.)
2. Your evaluation methods
a. Process evaluation
i.
What measures and methods will you use to assess program process
and implementation?
ii.
How will you collect the data?
b. Outcome evaluation
i.
What measures and methods will you use to assess program outcomes?
ii.
How will you collect data on those measures?

If you are using a survey, how will you obtain a sample?

If you are including a control group, how
will you recruit control group participants?
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Deliverable #8: Final Project Presentation
Instructions
Imagine that you have been asked to make a brief, succinct presentation about your health
promotion project plan to your employer, stakeholders, or prospective funding organization.
Your assignment is to create and record a presentation that summarizes the key elements of
your project. Please support your presentation with PowerPointTM slides. You will upload your
recording in the appropriate space in Canvas.
Suggested Content for the Presentation







Brief introduction that describes your community, health problem and target group for your
intervention.
Goals and objectives for the intervention.
Organizational home for the project (brief description).
Intervention strategies, setting, and how you will apply theory.
Implementation plan: briefly describe how you will staff the program, market it and gain
community or organizational acceptance for it.
Evaluation plan:
o Design for the outcome evaluation.
o How will you collect data? (i.e., what are your methods?)
o What are your outcome indicators/measures?
o How will you measure program process?
Show a logic model for your evaluation.
Format and General Guidelines for the Presentation




Presentations should last no more than 15 minutes.
General guidelines for content:
o Introduce and conclude the talk. Use a formal introduction at the beginning and cover
the key points again at the end.
o Present the talk in sections. Build in transition between the sections.
o Keep the content of the talk simple and clear.
Practice the presentation at least once before giving it. Make sure the content can be
covered in the allotted time frame for the talk.
Use PowerPointTM slides. A good rule of thumb is approximately one slide per minute.
Additional suggestions:
o Keep slides as simple and uncluttered as possible.
o Try to follow the “Rule of 8’s”: No more than 8 words per line and no more than 8
lines of text per slide.
o Make the text as large as possible (> 28 font is ideal). Try not to have any text less
than 20 font).
o If graphics are used, make these as large as possible.
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o



Use a simple and pleasing background. Make sure the text can be easily read on the
background in a dark room. Avoid a background with many lines, many colors or
animation which can be distracting.
o Spell-check the presentation!!
Try not to read the talk. Make eye-contact with your audience (in this case, the camera) as
much as possible.
Speak clearly and slowly.
Avoid using slang and colloquialisms. Avoid empty fillers like “ums”, “likes” and “you know.”
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