Multilevel Approach to Community Health
(Simons-Morton et al, 1988)

 a health programme planning model
 it was developed in 1980s (Simons-Morton et al, 1988)
 MATCH has also been used in a variety setting, including in the developmentof several intervention hand-books created by
CDCP

 Phase I Goals Selection
 Step 1: Select health-status goals
 Step 2: Select high-priority target population
 Step 3: Identify health behavior goals
 Step 4: Identify environmental factor goals

 Phase II Intervention Planning
 Step 1: Identify the targets of the intervention
 Step 2: Select intervention objectives
 Step 3: Identify mediators of the intervention objectives
 Step 4: Select intervention approaches

 Phase III Program Development
 Step 1: Create programme
 Step 2: Select or developt curiccula and create intervention guides
 Step 3: Develop session plans
 Step 4: Create or acquire instructional materials, products, and resources

 Phase IV Implementation Preparation
 Step 1: Facilitate adoption, implementation, and maintenance
 Step 2: Select and train implementors

 Phase V Evaluation
 Step 1: Conduct process evaluation
 Step 2: Measure impact
 Step 3: Monitor outcomes

Based on the epidemical data
HEALTH PROBLEM available below:
FACTORS
ENVIRONMENTAL RISK
FACTORS
Heart Disease
1. Lack of exercise
2. Poor eating habits
1. Lack of exercise facilities
2. School lunch program

Objectives, mediators, intervention approaches by societal level (PHASE
2)
STEP 1 TARGET OF
THE INTERVENTION
STEP 2
OBJECTIVES
STEP 3
MEDIATORS
STEP 4
INTERVENTION
APPROACHES
Individual
Students
- 5th grades
- 6th grade
Organizational
-Board of education
-Teachers
-School Cafetaria
Workes
Health Behavior
- Exercise
- Eating habits
Programs
-Practice
-Policy
-Resources
Knowladge
Attitudes
Skills
Behavior
Knowladge
Attitudes
Skills
Behavior
Educational
- Teaching
- Positives reinforcment
Organizational
Change
- Curricula change
- School lunch menu policy
- In service training
Governmental
-City council
-City parks and recreation board
- City parks and recreation workers
Programs
-Practice
-Policy
-Resources
Knowladge
Attitudes
Skills
Behavior
Political Action
- Lobbying
- Policy advocacy
-Interest group pressure

Will focus on several programme components
 The training of teacher for classroom instruction for fifth and sixth grades in physical activity and nutrition
 The training of cafetaria workers to creat healthier school lunches
 etc

 Technically procedures
 the action

 How was the quality of in the services session?
 what was good about them?
 How could they improved?
 The immediate learning outcomes