GPH-GU 2349-002 PROGRAM PLANNING AND EVALUATION Instructor: Yesim Tozan, PhD NYU Steinhardt School 411 Lafayette Street, 5th floor Email: tozan@nyu.edu Course schedule: Wed 6:45PM - 8:25PM Course location: Class Location: Building GODD; Room B06 Office hours: By appointment COURSE DESCRIPTION: This course will introduce the major principles, concepts and methods used to plan, monitor and evaluate public health interventions and programs. Emphasis is placed on helping students develop the essential skills required in developing program plans, monitoring program implementation, and conducting evaluations for public health practice. COURSE OBJECTIVES: By the end of this course, students will be able to: 1. Describe the basic elements and principles of program planning in public health 2. Identify the principal barriers to successful implementation of public health programs 3. Identify the principal methods for overcoming barriers to program implementation 4. Describe the major concepts and principal methods in program evaluation 5. Demonstrate the ability to plan, monitor, and constructively evaluate public health programs PRE-REQUISITES: Epidemiology (PUHE-GE 2306 or GPH-GU 2106) and Research Methods (PUHE-GE 2361 or NUTR-GE 2190) COMPETENCIES COVERED IN THE COURSE: Objective # 1 2 3 4 5 Competency* Comp #3, Comp #15, Comp #16 Comp #4 Comp #5 Comp #12, Comp #18 Comp #9, Comp #12, Comp #16 *Competencies may be viewed at http://giph.nyu.edu/academic-programs/mph/academics/core-competencies.html. 1 COURSE FORMAT: Lectures by the instructor and guest lecturers, readings, in-class quizzes, in-class discussions, short assignments, group project and presentations Through lectures, readings, discussions, quizzes, assignments, group projects and presentations, students will gain the skills needed to engage in the processes of public health planning and evaluation. Using these skills, students will work in teams to develop a public health program plan and a plan to evaluate the program. COURSE REQUIREMENTS AND EXPECTATIONS: Short assignments (20% of course grade): There will be 4 (four) short assignments to be completed by each student individually, which are aimed towards building a skillset in program planning, monitoring and evaluation in pace with the materials presented in lectures. Students will be given a case study to draw upon for gaining practical experience in developing and/or critiquing SMART objectives; logic models, evaluation questions and indicators. The individual assignment with worksheet template will be posted a week before the date they are due. Each individual assignment carries a maximum of 5% of grade. (see Grading of Assignment section below). Quizzes (30% of course grade): There will be 2 (two) quizzes testing your knowledge of the assigned readings and your understanding of the materials presented and discussed at lectures. If you miss a quiz without notifying the instructor, you will be not allowed to make up for it and will receive 0 points. The quiz may comprise a combination of multiple choice, fill-in-the-blank, matching, short answer and true or false questions. Group project (40% of course grade): For the group project, students will work in teams (4-5 students per team; students will be randomly assigned to teams by the instructor) and develop an evaluation plan for a global health intervention/program. Overall, there will be a total of 4 sections in the evaluation plan. Teams will identify their top three interventions/programs during the first session from a list of interventions provided by the instructor, and the instructor will assign the projects to the teams taking into account these choices. Throughout the semester, teams will turn in the different sections of their plans to the instructor for feedback (see below). Submissions will be made via the course website by 12 pm on the due date (see course schedule). Each section can be revised based on the instructor’s feedback. These sections will culminate into a final plan and will be submitted via the course website as a report due on the last day of classes (see course schedule) by 12 pm. Each team will present their final plans during the last two sessions of the semester (see course schedule). Section 1 (5% of course grade): Describe the global health program: the public health challenge the program is trying to alleviate or resolve, the goal and outcomes the program aims to achieve, the target population and the number of target beneficiaries of the program, the time frame for the program, the setting in which the program is 2 being implemented, the primary interventions and principal activities of the program, and the funding and the implementing agency and implementation partners of the program (free write-up, max 4 pages, excluding references and figures / tables, 1.5 line spacing, font size 12). Section 2 (5% of course grade): Present a stakeholder analysis for your program, using the template introduced in class and posted on the course website. Section 3 (5% of course grade): Develop a logic model (inputs, activities, outputs and outcomes) using the template introduced in class and posted on the course website and provide process and impact evaluation questions for your program. Section 4 (5% of course grade): Develop a list of indicators and propose and justify an evaluation design for our program, using the guidelines introduced in class and posted on the course website. Also develop an evaluation timeline, using the template introduced in class and posted on the course website. Final report and presentation (20% of course grade): Compile all sections into one final report. Each section can be revised throughout the semester based on the instructor’s feedback. Each group will present their project. The presentation should be addressed to a relevant ‘stakeholder’ (such as, the Ministry of Health of a resource poor country, international development organization [as such, USAID], implementing organizations [such as, BRAC]). Class attendance and participation (10% of course grade): Class meeting time is limited; students are expected to attend all sessions, be on time, and be in class for the entire duration of the lecture. If you must miss a class, please let the instructor know in advance. Please note that more than 1 unexcused absence or more than 2 absences (excused and unexcused; regardless of reason) throughout the semester will result in 5 full-point reduction from the overall grade. Grading of class participation will be based on instructor’s assessment of student’s preparedness for and involvement in classroom discussions throughout the semester. Comments should be inquisitive and insightful and should contribute to the overall learning experience. If you have concerns about class participation, please see the instructors in person early in the semester. Inactive presence in class will result in full five-point reduction from the overall grade, whereas students who make significant contributions in class showing mastery of concepts and methods will receive full five-points for participation. As a class, we will stay away from comments that are vague, repetitive, unrelated to the current topic, disrespectful of others, or without sufficient foundation. Students are expected to have read all required reading materials prior to each lecture and be prepared to pose 1-2 questions related to these materials for class discussion at each lecture. Instructor will call randomly on students to ensure lively and participatory discussions each lecture. 0 Inactive presence (no participation in class exercises and discussions), no evidence of preparation for lectures (no questions/comments on readings) 3 1-2 2-3 3-4 4-5 Inactive presence (no participation in class exercises and discussions) but some evidence of preparation for lectures through questions and comments on readings Some active presence through participation in class exercises but no contribution to class discussions, some evidence of preparation for lectures through questions and comments on readings Active presence through participation in class exercises and contribution to class discussions, and evidence of preparation for lectures through questions and comments on readings, raising thoughtful issues or questions in class Exceptional and consistent contribution to class exercises and discussions throughout the semester, leading to interaction among students and/or with the instructor, and demonstration of good preparation for lectures through inquisitive questions and insightful comments on readings, showing mastery of concepts and methods Peer evaluation (as part of class participation grade): In the professional world, project assignments, job recommendations and other opportunities come to those who work well with others, offer fresh ideas, and get things done. We will ask students to provide constructive references for their classmates. GRADING RUBRIC: Item Percentage Assignments (4 in total, 5% each) Quizzes (2 in total, 15% each) Group project (4 sections in total, 5% each; final report and ppt, 20%) Class attendance and participation Total GRADING SCALE: A: 93-100 A-: 90-92 B+: 87-89 B: 83-86 B-: C+: C: C-: 20 30 40 10 100 80-82 77-79 73-76 70-72 D+: D: F: 67-69 60-66 <60 NYU CLASSES: NYU Classes will be used extensively throughout the semester for assignments, announcements and communication. NYU Classes is accessible through at https://home.nyu.edu/academics. TECHNOLOGY POLICY: If you need a laptop, tablet, or any other device for taking notes or otherwise participating in class, that’s fine. However, please do not use a personal device for any purpose unrelated to our class. Cell phone use for the purposes of texting, email or other social media is not permitted. All devices should be silenced. 4 COURSE OUTLINE: Topics Course introduction: overview and expectations Introduction to program planning and evaluation: key concepts and importance Week Sep 9 Program planning: 2 Guest Adapting evidence lecture based programs Week Sep 16 Program planning: 3 Stakeholder analysis Week 1 Date Sep 2 Week 4 Sept 23 Week 5 Sept 30 Week 6 Oct 7 Week 7 Oct 14 Week 8 Week 9 Week 10 Oct 21 Oct 28 Nov 4 Program Planning: program theory and interventions, key considerations and conditions for success Program implementation: setting SMART program objectives and targets Program implementation: developing a program logic model Program evaluation: Developing evaluation questions Quiz 1 Process evaluation: measuring program implementation Impact evaluation: indicators and measurement considerations Impact evaluation: evaluation designs and considerations in choosing a design Readings Issel textbook Ch 1 Citation list: [1, 2] Due Dates Group project - Section 0: Meet and greet your group members and identify your global health program Issel textbook Ch 2 Citation list: [3] Issel textbook Ch 1 & Ch 2 Citation list: [4, 5] Group project - Section 1: Describe the global health program of your choice Issel textbook Ch 5 [pp 141-164] & Ch 6 & Issel textbook: Ch 7 [pp 215-226] & Ch 8 Citation list: [6] Group project - Section 2: Present a stakeholder analysis for your program Issel textbook Ch 8 & 10 Assignment 1: SMART objectives Issel textbook Ch 10 Citation list: [7, 8] Quiz 1 Issel textbook Ch 12 Citation list: [9] Assignment 3: Evaluation questions Issel textbook Ch 12 Group project - Section 3: Develop a logic model and formulate evaluation questions for your program Assignment 4: Indicator development Citation list: [10, 11] Issel textbook Ch 13 Assignment 2: Logic model Citation list: [12] 5 Week 11 Nov 11 Guest lecture Week 12 Nov 18 Guest lecture Week 13 Week 14 Nov 25 Dec 2 Dec 9 Impact evaluation: Sampling designs and data sources for effect evaluations and issues with quantification of program effect Impact evaluation: Practical constraints and ethical issues in evaluation and presenting and communicating results Group project ppts (3 teams – see ppt schedule @NYU Classes) Quiz 2 Group project ppts (3 teams – see ppt schedule @NYU Classes) Course wrap-up Issel textbook Ch 14 & 15 Issel textbook Ch 17 Citation list: [13-15] No class - Group project - Section 4: Propose a list of indicators and develop an evaluation design for your program and justify the design chosen; Develop a timeline for the evaluation plan Quiz 2 Group project PPT file - Group project - Final report Group project PPT file TEXTBOOK AND ASSIGNED READINGS: Required textbook: Issel, L. Michele. (2014) Health program planning and evaluation: a practical and systematic approach for community health. Sudbury, Mass.: Jones and Bartlett Publishers. Please get your copy! Additional required readings are listed in the course schedule, and full citations of the journal articles are provided below. All journal articles are available through NYU Library's subscription databases, E-Journals and E-Books, including when you are off-campus. You need to log in using your NYU NetID and password to conduct a search. Book chapters will be posted on the course website – pls note that this does not apply to the Issel textbook. Pls get your own copy! In the event that there is a change in weekly reading assignments, an announcement will be made at least a week in advance of the lecture. Required readings: 1. Hossain SM, Duffield A, Taylor A. An evaluation of the impact of a US$60 million nutrition programme in Bangladesh. Health policy and planning. 2005;20(1):35-40. Epub 2005/02/04. doi: 10.1093/heapol/czi004. PubMed PMID: 15689428. 2. White H. Comment on contributions regarding the impact of the Bangladesh Integrated Nutrition Project. Health policy and planning. 2005;20(6):408-11; author reply 11. doi: 10.1093/heapol/czi061. PubMed PMID: 16249209. 6 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Brownson RC, Fielding JE, Maylahn CM. Evidence-based public health: a fundamental concept for public health practice. Annual review of public health. 2009;30:175-201. Epub 2009/03/20. doi: 10.1146/annusrev.publhealth.031308.100134 Ancker S, Rechel B. HIV/AIDS policy-making in Kyrgyzstan: a stakeholder analysis. Health Policy and Planning. 2013. doi: 10.1093/heapol/czt092. World Bank. Stakeholder Analysis from http://www1.worldbank.org/publicsector/anticorrupt/PoliticalEconomy/stakeholderana lysis.htm Washington, D.C.: The World Bank (WB); 2001. W.K. Kellogg Foundation. Logic Model Development Guide from http://www.wkkf.org/resource-directory/resource/2006/02/wk-kellogg-foundationlogic-model-development-guide 2004. Available from: http://www.wkkf.org/resourcedirectory/resource/2006/02/wk-kellogg-foundation-logic-model-development-guide. Saunders RP, Evans MH, Joshi P. Developing a process-evaluation plan for assessing health promotion program implementation: a how-to guide. Health promotion practice. 2005;6(2):134-47. doi: 10.1177/1524839904273387. PubMed PMID: 15855283. Olapade M. [Internet]. International Initiative for Impact Evaluation2013. Glennester and Takavarasha. Running Randomized Evaluations. Chapter 3 [pages. 66— 73; 81—96]. 2013. Glennester and Takavarasha. Running Randomized Evaluations. Chapter 5 [pages 180— 212]. 2013. Zwane AP, Zinman J, Van Dusen E, Pariente W, Null C, Miguel E, et al. Being surveyed can change later behavior and related parameter estimates. Proceedings of the National Academy of Sciences. 2011;108(5):1821-6. doi: 10.1073/pnas.1000776108. Glennester and Takavarasha. Running Randomized Evaluations. Chapter 7 [pages 298— 323]. 2013. Bamberger M, Rugh J, L M. Overview: Real World Evaluation and the contexts in which they are used. Real World Evaluation: Sage Publications, Inc.; 2012. p. Chapter 1[pages 2-16]. Glennester and Takavarasha. Running Randomized Evaluations. Chapter 9 [pages 410— 419]. 2013. Poverty Action Lab. Showing up is the First Step from http://www.povertyactionlab.org/publication/absenteeism-showing-first-step 2009. Optional Readings 1. Zimmerman, M.A., & Holden, D.J. (2009). A Practical Guide to Program Evaluation Planning: Theory and Case Examples. Thousand Oaks, CA Sage Publications, Inc. Chapter 4. 2. Ribeiro, I. C., A. Torres, D. C. Parra, R. Reis, C. Hoehner, T. L. Schmid, M. Pratt, L. R. Ramos, E. J. Simoes and R. C. Brownson (2010). "Using logic models as iterative tools for planning and evaluating physical activity promotion programs in Curitiba, Brazil." J Phys Act Health 7 Suppl 2: S155-162. 3. Hargreaves, J., A. Hatcher, V. Strange, G. Phetla, J. Busza, J. Kim, C. Watts, L. Morison, J. Porter, P. Pronyk and C. Bonell (2010). "Process evaluation of the Intervention with 7 4. Microfinance for AIDS and Gender Equity (IMAGE) in rural South Africa." Health Educ Res 25(1): 27-40. Fernandez, M. E., A. Gonzales, G. Tortolero-Luna, J. Williams, M. Saavedra-Embesi, W. Chan and S. W. Vernon (2009). "Effectiveness of Cultivando la Salud: a breast and cervical cancer screening promotion program for low-income Hispanic women." Am J Public Health 99(5): 936-943. Online resources Logic model development guide: http://www.wkkf.org/resourcedirectory/resource/2006/02/wk-kellogg-foundation-logic-model-development-guide Evaluation handbook_1: http://www.ncela.us/files/rcd/BE020502/Evaluation_Handbook.pdf Evaluation handbook_2: http://www.wkkf.org/resource-directory/resource/2010/w-kkellogg-foundation-evaluation-handbook Evaluation glossary: http://www.oecd.org/development/peer-reviews/2754804.pdf Designing and conducting health systems research project – part 1: http://www.idrc.ca/EN/Resources/Publications/Pages/IDRCBookDetails.aspx?PublicationID =210 Designing and conducting health systems research project – part 2: http://www.idrc.ca/EN/Resources/Publications/Pages/IDRCBookDetails.aspx?PublicationID =208 International initiative for impact evaluation: http://www.3ieimpact.org/ Sample size calculations: https://www.dssresearch.com/KnowledgeCenter/toolkitcalculators.aspx Monitoring and evaluation news and listservs: http://mande.co.uk/ Evaluation portal link connection: http://www.evaluation.lars-balzer.name/links/ American Evaluation Association: http://www.eval.org Community Solutions Planning and Evaluation: http://communitysolutions.ca/web/ Researchers: http://www.theresearch assistant.com/tutorial/4-threat.asp STATEMENT OF ACADEMIC INTEGRITY The NYU College of Global Public Health values both open inquiry and academic integrity. Students in the program are expected to follow standards of excellence set forth by New York University. Such standards include respect, honesty and responsibility. The CGPH does not tolerate violations to academic integrity including: Plagiarism Cheating on an exam Submitting your own work toward requirements in more than one course without prior approval from the instructor 8 Collaborating with other students for work expected to be completed individually Giving your work to another student to submit as his/her own Purchasing or using papers or work online or from a commercial firm and presenting it as your own work Students are expected to familiarize themselves with the CGPH and University’s policy on academic integrity as they will be expected to adhere to such policies at all times – as a student and an alumni of New York University. Plagiarism Plagiarism, whether intended or not, is not tolerated in the CGPH. Plagiarism involves presenting ideas and/or words without acknowledging the source and includes any of the following acts: Using a phrase, sentence, or passage from another writer's work without using quotation marks Paraphrasing a passage from another writer's work without attribution Presenting facts, ideas, or written text gathered or downloaded from the Internet as your own Submitting another student's work with your name on it Submitting your own work toward requirements in more than one course without prior approval from the instructor Purchasing a paper or "research" from a term paper mill. Students in the CGPH and CGPH courses are responsible for understanding what constitutes plagiarism. Students are encouraged to discuss specific questions with faculty instructors and to utilize the many resources available at New York University. Disciplinary Sanctions When a professor suspects cheating, plagiarism, and/or other forms of academic dishonesty, appropriate disciplinary action is as follows: The Professor will meet with the student to discuss, and present evidence for the particular violation, giving the student opportunity to refute or deny the charge(s). If the Professor confirms that violation(s), he/she, in consultation with the Program Director may take any of the following actions: o Allow the student to redo the assignment o Lower the grade for the work in question o Assign a grade of F for the work in question o Assign a grade of F for the course o Recommend dismissal 9 Once an action(s) is taken, the Professor will inform the Program Director and inform the student in writing, instructing the student to schedule an appointment with the Associate Dean for Academic Affairs, as a final step. The student has the right to appeal the action taken in accordance with the CGPH Student Complaint Procedure. STUDENTS WITH DISABILITIES: Students with disabilities should contact the Moses Center for Students with Disabilities regarding the resources available to them, and to determine what classroom accommodations should be made available. More information about the Moses Center can be found here: https://www.nyu.edu/life/safety-health-wellness/students-with-disabilities.html. Students requesting accommodation must obtain a letter from the Moses Center to provide to me as early in the semester as possible. 10