Module 6: HIV Prevention Evaluation for Native Communities

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 3b1 Logic Model

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

It includes information on:

1.


Key Concepts to Guide Evaluation

2.
Hands-On Considerations
3.
Evaluation Steps

A logic model is a graphical representation of how a program operates. A logic model can be useful in the many stages of program planning and implementation. It guides the planner through the logical progression of activities (based on the stated goals and objectives) that lead to the desired outcome. It displays the connection between resources, activities, and outcomes. A simple logic model consists of inputs (resources required to provide a service/program), activities (actions using the inputs), outputs (results of the activities), and outcomes (the impact of the activities or action). It also provides a way to identify opportunities for data collection within the scope of the program’s activities.

Using our case study, here is an example of the logic model used to describe the education program.

Inputs
Activities
Outputs
Outcomes
Short-term
Intermediate
Long-term

Tribe provides education manuals, videos, and other teaching tools. HIV is worked into the current class curriculum.

Teachers are trained to deliver the HIV education classes. Classes are offered.

Students attend HIV education classes.

Teens are more knowledgable about HIV and prevention methods. Teens know more about making healthy choices for themselves.

Teens are making better choices and reducing the rates of teen infections.

The incidence of HIV among Tribal members is reduced from 1.9 cases per 100,000 population to no more than 0.5 cases per 100,00 population.

 

Tribe provides a nurse educator, manuals, videos, and other teaching tools to area clinic.

Nurse educator identifies process for educating clinic clients.

Tribal members at clinic receive same education.

Tribal members are more knowledgeable about HIV, testing, and prevention methods. Tribal members are better able to make safe choices for themselves and educate their children.

Tribal members get tested, know their status, and begin to make safer choices.

Short-term outcomes: Short-term outcomes are usually measured by knowledge or skills. In the example above, our short-term outcome is that teens have gained more HIV knowledge. To arrive at this short-term outcome we had to ask ourselves: what is the impact of the program activities or actions in 6 to 12 months?
Consider the next 6-12 months when developing short-term outcomes.
Intermediate outcomes: Intermediate outcomes often are measured by changes in attitudes and behaviors. In regards to the example above our intermediate outcome is that teens have changed their behavior by making better choices thus reducing rates of teen HIV infections. We asked ourselves: what is the impact of the program activities or actions in 12-24 months?
Think 12-24 months when deciding intermediate outcomes.
Long-term outcomes: Changes in status and conditions are often what we base our long-term outcomes on. We asked: what would we like to see in terms of the impact of the program activities or actions in 24 plus months? Our long-term outcome here is to change the status of HIV incidence rates: to reduce the HIV incidence rates among tribal members.
Consider 24 plus months when coming up with long-term outcomes.

Creating your own Logic Model
Using the chart in the example above, create a logic model of your program. Please download the blank chart here. Your first step is to plug in the desired outcomes (initial, intermediate, long-term) of your program in the right-hand columns. Working from right to left, complete the information in each column for each objective.

Links to Logic Models and logic model development:
http://www.uwex.edu/ces/pdande/evaluation/evallogicmodel.html
http://www.wkkf.org/Pubs/Tools/Evaluation/Pub3669.pdf
http://www.insites.org.documents/logmod.pdf
http://www.cdc.gov/eval/logic%20model%20bibliography.PDF