Community-based Organizations’ Capacity to Plan, Implement, and Evaluate Success
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Community-based Organizations’ Capacity to Plan, Implement, and Evaluate Success. Robert M. Mayberry, M.P.H., Ph.D. Chairman and CEO χ 2 Health Research Consultants AcademyHealth June 9, 2008. What are the Objectives?. …improve access and quality of care. …improve health status.

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Community-based Organizations’ Capacity to Plan, Implement, and Evaluate Success

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Community-based Organizations’ Capacity to Plan, Implement, and Evaluate Success

Robert M. Mayberry, M.P.H., Ph.D.

Chairman and CEO

χ2 Health Research Consultants

AcademyHealth

June 9, 2008


What are the Objectives?

  • …improve access and quality of care.

  • …improve health status.

  • …prevent disease onset.

  • …insure fairness and justice.


Reducing the Racial/Ethnic Disparities: Framework?


Improving Quality, Reducing Disparities

Sehgal JAMA 2003; 289(8): 996-1000.


Hypothetical Framework


Social Support Intervention to Prevent Low Weight Birth among African American Women

Birthweight Intervention Group Control Group

2500 grams or more 50 (90.9%) 45 (77.6%)

Less than 2500 grams 5 (9.1%) 13 (22.4%)

Fisher’s Exact Test (1-tail), P < 0.05

Norbeck JS et al. Soc. Sci. Med. 1996;43(6):947-954.


A Three-Level Approach to Promoting Community Health


Pfizer Southern HIV/AIDS Prevention Initiative

A 3-year initiative (2004 to 2006) designed to address the growing epidemic of HIV/AIDS in the Southern region of the U.S., primarily among racially/ethnically diverse communities in urban and rural areas.

Funds granted to small and mid-size community-based organizations (CBOs) supporting underserved multi-cultural communities in nine southern states: AL, FL, GA, LA, MS, NC, SC, TN, TX.

Partnership with Morehouse School of Medicine Prevention Research Center (MSM PRC) to strengthen the evaluation capacity of Initiative CBOs.


Characteristics of CBOs of the Pfizer Foundation Southern HIV/AIDS Prevention Initiative


Survey Responses of Program Staff Regarding the Technical Assistance Needs of Community-Based Organizations


Cross-site Program Assessment Survey (C-PAS) Knowledge Level† for Steps in Community Program Development

†Item mean score on a Likert scale of 0 (none) to 4 (extensive).


Cross-site Program Assessment Survey (C-PAS) Skills Level† for Steps in Community Program Development

†Item mean score on a Likert scale of 0 (none) to 4 (extensive).


Cross-site Program Assessment Survey (C-PAS) Summary Scores of Organizational Skills, Knowledge, and Abilities

†Skills and knowledge based on a Likert scale of 0 (none) to 4 (extensive); summary score of six items.

‡Abilities based on Likert score of 1 (low) to 5 (high); summary score of 20 items.

IQR = interquartile range.

SD = standard deviation.


Pfizer InitiativePrivate-Academic-Community Partnership

  • Initiative CBOs

  • Community-based Programs and Partners

  • Innovative Approaches to Health Promotion and Prevention

  • MSM PRC

  • Evaluation Expertise

  • Cultural Competence

  • Pfizer Foundation

  • Fiscal Resources

  • Organizational Will


Evaluation Capacity BuildingRecommended Approaches

Conduct Systematic Needs Assessment

Adopt Practical Hands-on Learning Opportunities

Employ Quantitative and Qualitative Methods

Facilitate On-Going TA

Provide Opportunities to Share Evidence-based Practice


Pfizer InitiativePrivate-Academic-Community Partnership

  • Critical partnership processes included:

    • Cooperative Decision-making

    • Systematic Communication Strategies

    • Navigation of Unique Needs of Each Collaborative Partner.


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