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2008 Health Literacy Conference Community Tool Box Overview & Creating and Maintaining Partnerships Dialogue Nicole C. Keene University of Kansas
KU Work Group for Community Health & Development • Mission: Enhance community health and development globally through networking, capacity development, and collaborative research • Team • Projects
Health Literacy & the Community Tool Box • Defined: The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions (Ratzan and Parker, 2000) • Community Tool Box – Building capacity of individuals and communities – A free information resource – Facilitates communication on multiple levels
Context and Collaborative Partners in Learning • Since 1990, the KU Work Group has used a common measurement system with over 30 community-led change and improvement efforts • Focus on intermediate outcome—community and systems change – population-level outcomes often too delayed to be useful in making adjustments
KU Work Group Working Hypothesis Community Change (Intermediate Outcome) Population-Level Outcomes (Longer-Term Outcomes) –Programs Some examples include: –Policies –Risk/Protective Factors –Practices – 30 -Day Use Outcomes –is there an example outcome related to healthliteracy we could use? When Sufficient: -Goal -Strategy -Penetration (reach) Targets (via) Sectors (in) Places -Duration
Building Capacity through the Community Tool Box (CTB) • Mission of CTB • Promoting community health and development by connecting people, ideas, and resources • Freely available Internet-based resource • Started in 1994—writing one section at a time • Comprehensive • Over 7, 000 pages of how-to information for bringing about community change and improvement (e. g. , planning, evaluation) • Other capabilities: Customized Work. Stations for documenting and evaluating efforts, analyzing the contribution, and making adjustments
Some Components of the CTB • • Best Processes for the work Tools to support the work Problem Solving Collaboration
Some Valued Functions and Existing Features of the CTB • • Learn a skill— 300 CTB how-to sections Do the work—Toolkits for 16 core competencies Solve a problem—Troubleshooting guide Use promising approaches—Explore best processes and practices • Connect with others—Ask an advisor and links to related websites • Document and evaluate initiatives— (optional) Online Documentation and Support System
16 Core Competencies 1. 2. 3. 4. 5. 6. 7. 8. 9. • • Creating and maintaining coalitions and partnerships Assessing community needs and resources Analyzing problems & goals Developing a framework or model for change Developing strategic and action plans Building leadership Developing an intervention Increasing participation and membership Enhancing cultural competence Advocating for change Influencing policy development Evaluating the initiative Implementing a social marketing effort Writing a grant application for funding Improving organizational management and development Sustaining the work or initiative
CTB Curriculum • 16 Module Curriculum aligned with core competencies in community work (e. g. , assessment, planning, intervention, evaluation) • Each Module includes: – Participant’s Guides and experiential activities – Facilitator’s Guide and Power. Point presentation – A competence assessment that requires developing a plan related to a particular skill (such as a strategic plan or evaluation plan) • The Community Tool Box serves as an ongoing resource during and after the training
Global Community of Practice— Some illustrative users of the CTB • Community organizer and village pastor Sumatra Island, Metro, Indonesia • Regional Prevention Centers Statewide Kansas, United States • Trainer and community development worker Birmingham, Great Britain (U. K. ) • Head Start educator Crowley, Louisiana, United States • Master’s in Public Health Student at Emory University Atlanta, Georgia, United States / Kenya, Africa • Leadership trainer for local organizations Caracas, Venezuela • Instructor and researcher at the University of Balamand, Lebanon
Marked growth—What is the usage of the CTB?
Marked growth—What is the usage of the CTB?
What are CTB users saying? “CTB proved over and over again that it is a great resource for both teaching and conducting community-based programs. I refer my students to CTB as the first choice for resources relevant to our work. -Ghazi Kayali, Balamand, Lebanon “It is really a very helpful site for those who want to contribute in the development of community and society. Very good guidelines for people like me working in this field, particularly in Pakistan where there is no such training…a great job, continue serving humanity with your good ideas. ” -Syed Abid Gilani, Islamabad, Pakistan “I like your web page because it gives really helpful hints on real activities that can be done at the community level. ” -Dr. Jamilah Hashim Kuching, Sarawak, Malaysia
Capacity Development: Addressing Health Literacy • Local and global access to training in skills for promoting community health and development (e. g. , translated and adapted curriculum) • Global constellation of online tools for building capacity (e. g. , in local languages) • Regional access to technical assistance in implementing development efforts
Other CTB Features— Customized Workstations Integrated Online Supports for: o o o Building capacity (e. g. , tailored links to tools) Documentation and participatory evaluation (e. g. , recording accomplishments, graphing, analyzing the contribution) Co-learning within and across initiatives (e. g. , shared sense making, reporting to different audiences)
Online Documentation and Support System • Components • Features – Track work over time – Produce reports and graphs – Enhances the success of community work
Health for All Partnership Community and System Changes
Creating and Maintaining Coalitions and Partnerships Community Tool Box Toolkit ØToolkit—Developing a plan with core tasks
Working Together for Community Change • Community Capacity– Ability of members to bring about change and improvement—over time and across different issues
Working Together for Community Change • Community/Systems Change– New or modified programs, policies and practices brought about by the group and related to its purpose.
Working Together for Community Change • The Nature of Community Work: – – – Larger than any one person or organization Dynamic and adaptive Problems and goals are inter-related Self-determination Involves working together on things that matter
Determining the conditions for starting a coalition or partnership Why start a coalition? – – – – – To address an urgent situation To empower the community To obtain or provide services To increase efficiency and effectiveness To combine resources To increase communication To plan community-wide efforts To develop political clout To create long-term, permanent social change
Creating a Coalition or Collaborative Partnership Establishing a Coalition 1. Assemble the coalition’s membership 2. Briefly outline a vision and mission for the group 3. State the objectives, needed resources/ relationships, and key agents of change
Creating a Coalition or Collaborative Partnership Establishing a Coalition Cont. 4. Describe potential barriers or opposition 5. Describe the probable structure your collaborative partnership will take as an organization
Creating a Coalition or Collaborative Partnership • Some guidelines: Communicate! Be inclusive and participatory Network Set concrete, reachable goals Be creative about meetings Be realistic about what you can do Acknowledge diversity among your members, their ideas and their beliefs – Praise and reward outstanding contributions, – Celebrate your success! – – – –
Working Together for Community Change • Some Factors Affecting Success – Clear Vision and Mission – Action Planning – Leadership – Resources for Community Change Agents – Documentation and Feedback – Technical Assistance – Making Outcomes Matter
Online Tour • New Work. Stations – Online Documentation and Support System • Community Tool Box
Health Literacy & the Community Tool Box • • • Multiple factors contribute to health literacy (e. g. , personal and environmental factors) Complex problem Requires a coalition/partnership collaborative approach to solve the problem There is a need to improve coalition functioning and a scarcity of studies related to their functioning CTB provides that support (e. g. , factors that affect coalition functioning and the production of changes related to literacy)
Contact Information Steve Fawcett, KU Workgroup Director [email protected] edu Jerry Schultz, Co-Director [email protected] edu Christina Holt, Director of Training and Technical support, [email protected] edu Nikki Keene, Graduate Research Assistant, [email protected] edu
Creating and Maintaining Coalitions and Partnerships • For more information or inquiries about the Tool Box, the CTB Curriculum, please email [email protected] edu or call (866) 770 -8162. • Best wishes to you in your collaborative work!