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Marita Jones MPH; Becca Rae MCRP, MWR; Nina Wallerstein, Dr.PH, PI

HEALTHY NATIVE COMMUNITIES FELLOWSHIP (HNCF) PILOT CASE STUDY: PARTICIPATORY EVALUATION OF CULTURAL AND COMMUNITY CAPACITIES. Marita Jones MPH; Becca Rae MCRP, MWR; Nina Wallerstein, Dr.PH, PI. Healthy Native Communities Fellowship.

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Marita Jones MPH; Becca Rae MCRP, MWR; Nina Wallerstein, Dr.PH, PI

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  1. HEALTHY NATIVE COMMUNITIES FELLOWSHIP (HNCF) PILOT CASE STUDY:PARTICIPATORY EVALUATION OF CULTURAL AND COMMUNITY CAPACITIES Marita Jones MPH; Becca Rae MCRP, MWR; Nina Wallerstein, Dr.PH, PI

  2. Healthy Native Communities Fellowship Vision: Native Communities Realize Their Own Vision of Wellness Mission: Building Leadership and Sharing Resources to Promote Native Community Wellness HNCF develops and supports teams of change agents to lead creative wellness strategies in Native communities.  Native Teams from across the country gather three times a year for intensive learning that is hands-on, collaborative and grounded in Native cultural and spiritual teachings. www.hncpartners.org

  3. HNCF Fellows 2005 – 2011 Number of Teams – 102 Number of Fellows – 255 Navajo Teams – 12 States Represented: - 19

  4. HNCF Curriculum Framework

  5. Strengthened Community Capacity Change Individual Changes Team Changes Community Changes Leadership & Transformation of Individuals Increased Ability of Teams to WorkTogether and in Their Communities Increased Capacity of Community Wellness Groups to Make Change -Healthy Policies and Practices -Effective Interventions -Increased Resources -Increased Partnerships -New & Improved Programs -Community Participation -Language & Cultural Capacities -Wellness & Community Capacities -Communication & Dialogue • Health Status Changes • Socio-Economic Changes HNCF Theory of Change Logic Model “I feel more confident about my ability to share what I have learned with my peers, supervisors and community. I know that I am an integral part of my community and that I can make a ripple in my community.” “The fellowship experience was wonderful. It came at a time in my life that I really needed it. It made me a better person and gave me tools to make my world a better place. Thank you so much to everyone that had a part in making this happen for me.”

  6. Hypothesis of Pilot Case Study 1. The activities resulting from the HNCF will increase social cohesion and social capital of the community leading to better health and well-being of the community 2.The activities resulting from the HNCF will increase cultural connectedness leading to better health and well-being of the community 3. The activities resulting from the HNCF will increase the presence of positive healthy policies/practices/programs leading to better health and well-being of the community

  7. Research Questions 1. What evaluation design and methods (quantitative and qualitative) will be feasible to implement within a small tribal community that will be based on Fellows and alumni tracking the data in each community? 2. What measures will be acceptable and appropriate to assess the impact of the Fellowship on social cohesion, cultural connectedness, other community and cultural capacities, programs, policies, and health impacts? 3. Who should be the sample from each community, ie., the Fellows, their teams, other participants within healthy community activities, tribal program managers, tribal leaders? 4. How should data be tracked and maintained at both a local level to enable tribal and intertribal agency decision-making to improve their health, and on a national level to aggregate data to assess outcomes of HNCF Program nationwide?

  8. Case Study Design and Methods

  9. HNCF Community ChangeConceptual Model

  10. Themes Participation Sense of Community/Social Capital Communication Critical Reflection/Social Actions Leadership Youth Elders Cultural Core Values and Connectedness Skills and Knowledge/Resources Community and Outside Links (Networks)

  11. Data Analysis: Qualitative • Transcribing Focus Group and Interviews • Code qualitative data into themes • Examples of questions we asked in Focus Group: • Can you describe how you think collaboration with the HNC Fellowship and other community groups may have changed the types of actions people or programs have taken: • to increase community participation; and • to engage in your Indigenous cultural practices and beliefs?

  12. Data Analysis: Qualitative • Examples of questions we asked in Interview: • Now we would like to ask about tribal leadership in the community. • How well does the tribal leadership support community wellness programs and activities? Can you provide examples of where this is working well and where this is not working well? • Do tribal leaders nurture involvement of informal leaders in your community wellness activities (youth/elders/others?)

  13. Data Analysis: Quantitative

  14. Next Steps and Expectations • Share learnings and outcomes with Case Study communities • Share learnings and outcomes with the broader Native community • To be able to share instruments with HNCF Fellows and Native communities • Help establish baseline data for community health initiative • Incorporating the instruments in the Year One and Year Two of the Fellowship

  15. Questions?

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