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Evaluation of the Baltimore Health Corps Pilot: An Economic and Public Health Response to the Coronavirus

September 30, 2022

The Baltimore Health Corps was a city-run pilot launched in June 2020 and concluding in December, 2021. The pilot simultaneously addressed two issues: the spread of COVID-19 and the resulting employment crisis faced by Baltimore residents.The Baltimore City Health Department and the Mayor's Office of Employment Development led the Baltimore Health Corps, drawing on their experiences with equitable recruitment and hiring practices, workforce-supporting activities and public health worker training. Together, they led a team of public and private partners that included the Baltimore Civic Fund, Baltimore Corps, HealthCare Access Maryland (HCAM), Jhpiego and the Mayor's Office of Performance and Innovation.The initiative tracked those who contracted the virus at the height of the pandemic and connected COVID-19-positive individuals with testing, resources and other assistance. In doing so, the Baltimore Health Corps also placed unemployed workers on a path to high-quality, lasting careers via temporary positions as community health workers with the Baltimore City Health Department and HealthCare Access Maryland (HCAM). The program hired from a pool of Baltimore residents who reflected the city's racial and ethnic demographics and were unemployed, underemployed or furloughed because of the pandemic. By September 2021, 336 health workers had received training and took on roles within either the Health Corps' contact tracing and outreach program or the care coordination and access program.While these health worker positions were intended to last just eight months, as the pandemic persisted, the jobs were extended thanks to funding from the American Rescue Plan Act. As of May 2022, 126 Baltimore Health Corps workers remain employed with either the health department or HCAM, while 119 former staff members have since moved on to other employment opportunities.This is the Final Report to follow the Early Lessons Report for the Baltimore Health Corps Pilot Study. Readers are encouraged to review the Early Lessons Report for a detailed description of the formation of the Pilot Study, the role of each partner, as well as findings from the first year of the Pilot Study.

Evaluation of the Hewlett Foundation’s Sub-Strategy to Support Local Family Planning and Reproductive Health Advocacy in Sub-Saharan Africa

March 10, 2022

In 2016, the Hewlett Foundation launched its international reproductive health strategy to support local advocacy in sub-Saharan Africa. This strategy continued the foundation's focus on ensuring that women can decide whether and when to have children. The strategy had an ambitious goal: A vibrant sector of local civil society organizations (CSOs) in sub-Saharan Africa that can capably and positively influence the family planning and reproductive health (FPRH) policies and funding decisions of their own national governments and of international donors. To contribute towards this goal, the strategy was grounded in five principles that the foundation expected would inform its own practices as well as the practices of grantees and their CSO partners:Support local advocacy priorities while seeking opportunities to connect these to global advocacy efforts,Strengthen and provide more hands-on and sustained technical assistance tailored to each organization,Support longer-term advocacy partnerships that strengthen and support local advocacy capacity,Encourage mutual accountability among all parties: funders, intermediaries, and local partners, andMeasure progress, document, adapt and share what is learned.The foundation commissioned a five-year developmental evaluation to identify and share emergent lessons about this "principles-based approach" throughout the process of strategy implementation. In this report, we summarize key findings, lessons, and recommendations from the final data collection period of this learning and evaluation process (September 2020 - July 2021). Our analysis draws on interviews with the foundation's grantees and their CSO partners, foundation staff, civil society leaders in Africa, and peer funders, as well as a "context review" of trends and developments in the broader philanthropic and international development field in which the strategy was situated.

Stigma-Free Abortion Services in Ghana: Project summary and pilot results

April 28, 2021

From August 2019 to January 2021, Youth Development Labs (YLabs) partnered with Planned Parenthood Association of Ghana (PPAG) on the Stigma-Free Abortion Services (StigFAS) project, with the goal of increasing access to safe abortion services for young women and girls in Accra, Ghana.The project approach involved exploring the challenge through participatory qualitative research, developing an intervention through a youth-driven design process, and implementing a small pilot program. The intervention consisted of three complementary elements designed to increase girls' awareness of safe abortion options and improve their linkage to sexual health services, including safe abortion care. These elements wereGirl Boss, a future-focused outreach program led by female peer mentorsSister Support, a free phone/text confidential counseling and referral serviceSafe Pass, a partnership with local pharmacists to guide girls to safe abortion services.

Reducing Abortion Stigma: Global Achievements since 2014

February 10, 2021

Abortion stigma affects everyone: individuals, communities and service providers. Young women and adolescent girls bear the brunt of abortion stigma. It causes delays in people seeking abortion and stops others from accessing it, leading to unintended pregnancies. Stigma drives abortion underground, where it is more likely to be unsafe.Since 2014, the support of the David & Lucile Packard Foundation has enabled IPPF to reduce abortion stigma affecting young people around the world, working directly with Member Associations in six countries (Bénin, Burkina Faso, India, Pakistan, Ghana and Nepal). Meaningful youth participation has ensured that young people's lived experiences were central in every aspect of this work. This project has also supported smaller ground-breaking youth-led projects in 14 different countries: Albania, Colombia, Ghana, Guinea, Kenya, Macedonia, Nepal, Nigeria, Palestine, Puerto Rico, Sierra Leone, Spain, Tanzania and Venezuela.This document highlights the achievements and learnings from the Abortion Stigma Project between 2014 and 2020, including case studies, research and evidence generated around abortion stigma, and popular resources and tools developed throughout the project, and more.

Quality Measurement and Accountability for Community-Based Serious Illness Care: Synthesis Report of Convening Findings and Conclusions

November 1, 2017

The movement of U.S. health care to value-based payment presents a critical opportunity to improve accountability for the quality of serious illness care, while constraining the growth of spending. The changing incentives in the health care system are driving innovation in the delivery of serious illness care in traditional Medicare, Medicare Advantage and commercial plans. Implementation of an accountability system for serious illness care is vital for ensuring that cost containment efforts do not result in undertreatment or worse quality of care for the seriously ill.In May 2017, the Gordon and Betty Moore Foundation convened 45 serious illness care experts and stakeholders - such as physicians, researchers, patient advocates, policy experts - in Banff, Alberta, Canada, to identify a path forward for building an accountability system for high-quality, community-based serious illness care programs. The group reached consensus on a definition of the serious illness population, the necessary components of an accountability system and guiding principles for quality measurement. In addition, convening participants identified a starter set of quality measures, future pathways for implementation of an accountability system and needed future research.

Project ECHO Evaluation 101: A practical guide for evaluating your program

April 1, 2017

Project ECHO® (Extension for Community Healthcare Outcomes) is a collaborative medical education model that aims to build workforce capacity in rural and underserved areas. Developed by clinicians at the University of New Mexico (UNM), the ECHO model is now being used to address health care shortages all over the world and across diseases and specialties—ranging from autism care for children to palliative care for older adults. With a particular focus on supporting groups with relatively limited evaluation resources, this resource describes evaluation methods that can be used to examine the implementation, outcomes, and value of Project ECHO clinics that aim to address a wide range of challenges related to health care access, delivery, treatment, and prevention, particularly in underserved communities.

Evaluation Framework: Neighborhood Health Status Improvement

March 1, 2017

Neighborhood Health Status Improvement- Launched in 2008 · Asset based, resident driven, locally focused- Emphasis on improving the physical, social, and economic environments of neighborhoods

Tools and Frameworks

Evaluation in Underserved Communities

October 1, 2014

This Healthcare Georgia Foundation publication is designed as a resource for both newly formed and smaller organizations to provide program administrators with a practical guide in applying best practices towards establishing a strong foundation for evaluating community-based programs serving underserved populations. It aims to outline key tasks and strategies for conducting evaluation in organizations working in underserved communities; and thereby contributing to the process of helping promising programs reach their full potential and institutionalize evaluation practices for: (1) proving effectiveness, (2) documenting gaps in services, and (3) making data-driven program improvements over time.

Guidelines and Best Practices

How Do We Know We Are Making a Difference? A Community Alcohol, Tobacco, and Drug Indicators Handbook

January 1, 2005

This is a tool that measures improved policies using a form that records the changes in amount and location of alcohol advertising.

Tools and Frameworks

Program Evaluation

January 1, 2003

This manual describes the importance of program evaluation with regard to the development of HIV/AIDS interventions. The training presents the fundamentals of a successful evaluation to improve the quality of the services. The manual is a guide to assist program planners in building an effective evaluation component within the program to ensure ongoing capacity building and success.