Online Program

Future of the infertility prevention project: Using the impact assessment methodology to understand change on a local level

Tuesday, November 5, 2013

Yvonne Hamby, MPH, Health Services, JSI Research & Training Institute, Denver, CO
Ellen Teig, MSPH, Boulder Valley Women's Health Center, Boulder, CO
The IPP is an STD prevention program focused on reducing the prevalence of PID through enhanced and targeted chlamydia and gonorrhea (CT/GC) screening. Passed in May 2010, PPACA will open new screening opportunities for young/adult females which will carry substantial consequences for the program moving forward. JSI utilized a multifaceted research approach, combining qualitative and quantitative methodologies. Qualitative data were collected from FP and STD field experts. Quantitative data was collected through three distinct national surveys. A total of 955 surveys were completed. Additionally, 90 qualitative interviews with FP and STD field experts were completed. The most universal sentiment expressed was that of uncertainty. Conducting strategic planning in an uncertain, changing and confusing environment is extremely difficult on the local level due to a lack of resources such as staff expertise, funding and training opportunities. In addition, economic pressures continue to affect programmatic decision-making and most local agencies will likely not be in a position to hire or continue contracting with external consultants to help them understand and prepare for change. Local agencies need to develop strategies for understanding (a) the most pertinent sections of PPACA which will directly affect their agency (b) how, exactly, their agency will be impacted by those sections and (c) how they should adapt in order to mitigate threats to sustainability while capitalizing on new opportunities. Building capacity to conduct local level strategic impact assessments is an integral step towards achieving sustainability of the public health service sector in a changing healthcare landscape.

Learning Areas:

Administration, management, leadership
Program planning
Public health or related public policy
Public health or related research

Learning Objectives:
Describe the methodology of the Health Impact Assessment conducted on the IPP in order to convey both what worked about the assessment and lessons learned.

Keyword(s): Assessments, Planning

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Four years of experience working in public health/health reform policy; member of team that conducted qualitative interviews for project; third author on the report: Hamby, Y., Smith, G., Barron, C., McCrimmon, M. & Teig, E. (2012). Policy implications and recommendations in light of passage of the PPACA: Health impact assessment of healthcare reform on the infertility prevention project. Published by the Centers for Disease Control, Washington, DC.
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.