Module 6: HIV Prevention Evaluation for Native Communities


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Goal of Module 6: To provide an evaluation framework for your HIV prevention intervention program.

In order to provide an effective HIV prevention intervention for Native people, you will need to ensure that a solid, culturally relevant evaluation plan informs your program from beginning to end. Program evaluation can help determine whether your HIV prevention intervention program is accomplishing what it set out to accomplish. This module includes an overview of helpful cultural components that effect evaluation, hands-on considerations, evaluation steps and tools, and avenues to share lessons learned to help you build an effective evaluation for your HIV prevention intervention program.

Contents Introduction to HIV Program Evaluation for Native Communities

This module helps you to create and conduct evaluation of your HIV/AIDS prevention and intervention program.

It includes information on:


Key Concepts to Guide Evaluation

Hands-On Considerations

Evaluation Steps

There are over 560 Native tribes in the United States. Each of these tribes has its own unique social norms and customs. Each also has community-level differences in acculturation and traditional practices. When working with these diverse Native communities, there are some important steps to guide your evaluation work in a culturally appropriate way.Research in the field of Native caregiving identifies key concepts that cross Native cultures and guide effective evaluations for Native programs. 1 These key concepts are caring, tradition, respect, connection, holism, trust, and spirituality. The concepts are general enough to provide a good theoretical background for your program. However, these concepts will need to be tailored to fit your own community’s norms.What is Program Evaluation?
Evaluation should be used as a tool to assess the implementation and outcomes of a program, to increase the efficiency of a program and to demonstrate accountability to stakeholders. An evaluation can reveal any of the following characteristics of a program: how it was carried out, what services were offered, who received services, whether the services were satisfactory, whether the services made a difference to an individual or to the community, what about the program worked, what about the program did not work, and so on. Begin your planning in the conceptualization stages of the program so that the evaluation gets interwoven throughout programmatic activities.Often the utilization-focused evaluation is the best model to use when evaluating programs in Native communities. The participatory, inclusive nature of the evaluation serves to engage stakeholders and generate buy-in.2 In addition, research-model evaluations are linear in nature which is not in keeping with Native concepts of cosmology, community, health, and the like. Utilization-focused evaluations are, by definition, circular, holistic-oriented processes. Click here to view and download a chart which illustrates the differences between research-based evaluations and utilization-focused evaluations.

How Will This Module Help?
Module 6 asks you to gather information to design an evaluation of your HIV prevention intervention program. To do this, you can talk to elders, community leaders, and community members; you can read and seek out local history and stories; and you can compare published/written materials to verbal feedback from local Native people. With this information on hand, you can gain a better understanding of how to conduct an evaluation of your HIV prevention intervention program. This information will also help you identify specific prevention gaps within your community and areas of improvement in your HIV prevention intervention program.

1 Lowe, J., & Stuthers, R. (2001). A conceptual framework of nursing in Native American culture. Image: Journal of Nursing Scholarship, 33(3), 279-283.

2 Patton M. (2002). Qualitative research and evaluation methods (3rd ed.). Thousand Oakes, CA: Sage Publications, Inc.