208831 Door-to-door outreach in New Orleans: A community-academic partnership expands in-house capacity to monitor and evaluate the Health Care For All program in Katrina's aftermath

Monday, November 9, 2009

Bridget K. Ambrose, MPH , Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Luanne S. Francis, Bsc, MPH , Health Care For All, Kingsley House, New Orleans, LA
Fannie Fonseca-Becker, DrPH, MPH , Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Background: The Kingsley House Health Care For All (HCFA) Program, through its Walker/Talker outreach model has connected New Orleans families in need with access to healthcare and social service programs. The HCFA facilitates applications for Food Stamps, Medicaid and SCHIP, as well as providing referrals to local social services. The HCFA Program has recently extended its services and implemented home-based health and nutrition education sessions, utilizing social networks and peer education to increase knowledge and influence behavioral change regarding nutrition and exercise. This expansion provides an opportunity for a joint partnership in monitoring and evaluating the HCFA program.

Methods: HCFA program evaluation was jointly conceived by the HCFA staff and J&J Community HealthCare Scholars Program. A conceptual framework was developed, identifying intended outcomes and informing the development of project goals, objectives and indicators. In addition, a data management system was developed. HCFA staff received bi-annual trainings in evaluation design, database creation, analysis and data reporting.

Results: HCFA resulted in over 1,000 successful applicants to assistance programs, up more than 20 % from the preceding year. Preliminary results show improved nutrition knowledge and increased self-efficacy in preparing healthy meals among program participants. Proficiency in monitoring and evaluation methods was realized by Kingsley House staff.

Conclusion: Expanding in-house capacity in evaluation methods promotes the sustainability of organizations addressing critical gaps in healthcare access, and expands the skill sets of community healthcare workers.

Learning Objectives:
Describe the benefits of expanding capacity in evaluation methods for Community-Based Participatory Projects.

Keywords: Community Health, Evaluation

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been actively involved in the evaluation process of the Health Care for All Program
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.