sustaining local public health and built environment programs

Sustaining Local Public Health and

Built Environment Programs

Fit Nation NYCNovember 3, 2011

Annaliese Calhoun

Overview

Defining Sustainability Sustainability Framework and Tool Action Planning

Acknowledgements

Development of the framework was led by a team at the Center for Tobacco Policy Research, Washington University in St. Louis Input was provided by a panel of funders, researchers,

and practitioners

Funded by the National Association of Chronic Disease Directors

What is Sustainability?

What is Sustainability?

Sustainability is…

the existence of structures and processes which allow a program to leverage resources to most effectively implement evidence-based policies and activities.

Everything a program needs to keep it going over time

Sustainability is…

NOT just

Why Sustainability?

The Sustainability Challenge

Episodic nature of public health funding and prioritization

The capacity for programs to plan for and maintain their efforts over time

Determining what and how to sustain- everyone speaks a different sustainability language

Framework Development

How Was the Framework Developed?

Formative Work: Evaluation of over 20 state tobacco control

programs Why were some programs able to sustain efforts despite

significant cuts to program funding?

Evaluation of community obesity prevention programs and policy efforts Lessons learned translate well to other public health programs

6

How Was the Framework Developed?

LITERATURE REVIEW

EXPERT INPUT

FRAMEWORK DEVELOPMENT

EXPERT PANEL

CONCEPT MAPPING

Sustainability Framework

Sustainability Framework

Sustainability Framework

StrategicPlanning

FundingStability

PoliticalSupport

Partnerships

OrganizationalCapacity

ProgramImprovement

Surveillance& Evaluation

Communications

Public HealthImpacts

Sustainability Framework

StrategicPlanning

FundingStability

PoliticalSupport

Partnerships

OrganizationalCapacity

ProgramImprovement

Surveillance& Evaluation

Communications

Public HealthImpacts

Sustainability Domains

Funding Stability

The ability to make long-term plans based on a stable funding environment

FundingStability

Political Support

An internal and external political environment which influences program funding, initiatives, and acceptance

FundingStability

PoliticalSupport

Partnerships

The connection between program and community

FundingStability

PoliticalSupport

Partnerships

Organizational Capacity

The resources to effectively manage the program and its activities

FundingStability

PoliticalSupport

Partnerships

OrganizationalCapacity

Program Improvement

The ability to adapt and enhance the program to ensure its effectiveness

FundingStability

PoliticalSupport

Partnerships

OrganizationalCapacity

ProgramImprovement

Surveillance and Evaluation

The monitoring and evaluation of process and outcome data associated with program activities

FundingStability

PoliticalSupport

Partnerships

OrganizationalCapacity

ProgramImprovement

Surveillance& Evaluation

Communications

The strategic dissemination of program outcomes and activities with stakeholders, decision-makers, and the public

FundingStability

PoliticalSupport

Partnerships

OrganizationalCapacity

ProgramImprovement

Surveillance& Evaluation

Communications

Public Health Impacts

Effect on the health attitudes, perceptions, and behaviors in the area it serves

FundingStability

PoliticalSupport

Partnerships

OrganizationalCapacity

ProgramImprovement

Surveillance& Evaluation

Communications

Public HealthImpacts

Strategic Planning

The process to define program direction, goals, and strategies

StrategicPlanning

FundingStability

PoliticalSupport

Partnerships

OrganizationalCapacity

ProgramImprovement

Surveillance& Evaluation

Communications

Public HealthImpacts

A Sustainable Program...

Has a supportive environment Is able to plan ahead due to stable funding Has broad and deep organizational and

community ties Uses surveillance and evaluation tools to guide

program activities and enhance political and public support

Is able to recover more quickly from challenges

Sustainability Assessment Tool

Sustainability Assessment Tool

STRATEGIC PLANNINGTo little or no extent

To a very great extent

Not able to

answer1. The program plans for future

resource needs. 1 2 3 4 5 6 7 NA

2. The program has a long-term financial plan. 1 2 3 4 5 6 7 NA

3. The program has a sustainability plan. 1 2 3 4 5 6 7 NA

4. The program’s goals are understood by all stakeholders. 1 2 3 4 5 6 7 NA

5. The program clearly outlines roles and responsibilities for all stakeholders.

1 2 3 4 5 6 7 NA

6. Strategic planning is done in coordination with partners and other programs.

1 2 3 4 5 6 7 NA

How do you Complete the Tool?

STRATEGIC PLANNINGTo little or no extent

To a very great extent

Not able to answer

1. The program plans for future resource needs. 1 2 3 4 5 6 7 NA

2. The program has a long-term financial plan. 1 2 3 4 5 6 7 NA

3. The program has a sustainability plan. 1 2 3 4 5 6 7 NA4. The program’s goals are understood

by all stakeholders. 1 2 3 4 5 6 7 NA

5. The program clearly outlines roles and responsibilities for all stakeholders. 1 2 3 4 5 6 7 NA

6. Strategic planning is done in coordination with partners and other programs.

1 2 3 4 5 6 7 NA

STRATEGIC PLANNINGTo little or no extent

To a very great extent

Not able to answer

1. The program plans for future resource needs. 1 2 3 4 5 6 7 NA

2. The program has a long-term financial plan. 1 2 3 4 5 6 7 NA

3. The program has a sustainability plan. 1 2 3 4 5 6 7 NA4. The program’s goals are understood

by all stakeholders. 1 2 3 4 5 6 7 NA

5. The program clearly outlines roles and responsibilities for all stakeholders. 1 2 3 4 5 6 7 NA

6. Strategic planning is done in coordination with partners and other programs.

1 2 3 4 5 6 7 NA

Strategic Planning Score: 3.8

How do you Complete the Tool?

How Can You Use the Tool?

Prioritizing areas for improvement Sustainability planning Ongoing evaluation

Questions

It’s your turn!

Key Definitions

Program What do you want to sustain?

Organization Who has oversight for your program?

Community Who are your stakeholders?

Sustainability Planning

Sustainability Planning

What are the benefits of completing a plan? What will be the challenges? How can you leverage work you’re already

doing?

Where to Start

Assess program capacity for sustainability Identify the highest priority domains Determine which components should be sustained Plan actions that may enhance sustainability Monitor progress Re-assess needs

Action Planning

Template

Action Planning

Priority Domain: Communications Indicator(s) to focus on :

#5—Program staff communicate the benefit of the program to policymakers

Action Planning

What are next 3 steps to address this domain? (include timeframe)1. Offer individual communications technical assistance on an ongoing

basis to local partners and Local Public Health/Statewide Health Improvement Program grantees to increase their capacity to communicate their work to stakeholders and decision makers. Technical assistance will include Great Trays workshops, communications planning, key messaging, story collection and dissemination, and product creation. Timeframe: beginning June, 2011—ongoing

2. Create an Office of Statewide Health Improvement Initiatives GovDelivery newsletter. …

3. Improve storytelling capacity through better organization, collection, and training of ABC staff, local partners and ABC grantees. ..

Action Planning

Which agencies or individuals need to be involved? ABC evaluation team, communications team, staff

meeting team, leadership team Local partners and local public health/ABC grantees

What resources will be needed? We have collected all the tools and information

needed via NPAO communications channels and the 2009 assessment of local public health capacity and the 2010 communications best practices report.

Prioritizing Issues to Address

Sustainability Framework

Priority Domains

Which 1 domain do you most need to address?

Which domain seems to be the most modifiable?

Keep in mind- which program components should be sustained, which should not?

Small Group Discussions

What indicators do you think you need to focus on the most in order to sustain your program? (You can think about this question from the perspective of your agency/organization or your CPPW Built Environment team overall)

What are the next three steps to address these indicators/domain? How can you use your existing CPPW Built Environment workplan to help address these indicators/domain?

What agencies, organizations, or individuals need to be involved?

What resources will be needed and how could you obtain these resources?

How will you know you have succeeded?

Session Recap

Today we… Defined sustainability Assessed sustainability Action planned for sustainability

CONTACT INFORMATION:

Center for Tobacco Policy ResearchAnnaliese Calhoun314.935.3740acalhoun@brownschool.wustl.eduhttp://ctpr.wustl.edu