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Target Population Encounters

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PUBH 8890: Worksheet 4
Program Strategies and Administrative Assessment

1. State the following from your previous worksheets (update as needed based on feedback):

Program Goal
The program goal is to improve the target population’s quality of life by increasing utilization of medical, behavioral, and social services.
Program Objective
The utilization of integrated services (medical, behavioral, and social) by the target population, will increase by 50% in one year and 75% in two years.
Behavioral Objective
65% of program participants will have an increase in condom use over the next 6 months Predisposing Objective The target population’s protected sexual encounters will increase by 33% within a 3 month period. Reinforcing Objective 35% of target population will leave abusive relationships with 3 months of very first encounter. Enabling Objective (for behavior) The target population incidence of STIs will decrease by 42% within 2 months.
Environmental Objective
60% of participants will have an increase in their knowledge of HIV transmission with 3 months. Enabling Objective (for environment) 75 % of the target population will be able to identify three community resources within a 1 month period.

2. Describe the specific Intervention Strategies you will use to reach EACH of the objectives listed below. These strategies should utilize methods of health promotion, such as education, health communication, health engineering, community engagement, advocacy, etc.. Be specific. This is the very heart of your actual program activities, so this part should contain a fair amount of detail about what services your program will offer directly to participants or to others on their behalf. All strategies should be designed/selected based on research evidence and relevant theory. Predisposing Objective
The intervention strategy for the predisposing objective will consist of handouts and power point presentation based on the facts of HIV incidence rates worldwide, statewide and locally. The information will be broken down by race and gender to give a more personal affect on the trend of HIV and African American Women. Open discussion will also be utilized so that participants can discuss their concerns in an open forum with women who have the same commonality. Buddy system will also be introduced as a method of accountability and support for the women. Everyone participant will be given a prepaid cellphone for the purposes of keeping in contact with program facilitators and their peers. Role playing between facilitator and participants to demonstrate how to negotiate safe sexual encounters with their partners. Identification of organizations that issue free methods of contraception for those in need.. Open discussion about planning for sexual encounters on a daily basis.

Reinforcing Objective Guest speakers from the Women’s advocacy groups will speak about the dangers of abused relationships. Program coordinators from different agencies will speak about to utilize their organizations as safe havens from abusive relationships as well as give an overview of the additional services that they offer such as Employment and Training as well as counseling services. A police officer will also speak about the importance of leaving abused relationships as well as given statistics from a monthly stand point to a yearly stand point. Special highlights will be given on the death statistics for many women who become victims to domestic violence.

Enabling Objective (for behavior) Power point presentations on STI and how HIV is associated with increased STI along with presentations by county public health professionals and epidemiologists discussing incidence and prevalence in Chatham County by zip coes

Enabling Objective (for environment) Community representative will discuss their agencies outlining the services provided along with location and contact information. Pamplets will be provided by each organization. The program will develop their own directory of resources available called “Get to KNOW”. Tours will be given of the different facilities at various times to ensure clients are aware of each organizations location.

3. Re-state your target population. Describe how you will recruit people from that population to participate in your program. Remember that most of the time, not all of your target population will be able to actually participate in the program. Usually, only a percentage will actually participate on a regular basis. Estimate the number/percent of actual participants you expect to participate.
The population for this program will consist of 100 low income African American women ages 20-24 living in the 31401 zip code of Savannah, Georgia, who are HIV positive. The participant’s educational level will be that of a 6-7th grade level and each participant will be living below the poverty level as defined by U.S. poverty guidelines. The participants will be experiencing socio-economic challenges due to lack of awareness and ability to adequately locate available resources. Due to no lack of insurance, the participants will utilize federally qualified health centers such as J C Lewis Primary Health Care Center, Curtis V. Cooper Health Center, and the Chatham County Health Department. Participants will be recruited by surveys at their time of visit. 85% percent of the target population is expected to participate and complete the program.

4. What human resources are needed to carry out the plan you have developed? Identify the part time and full time staff, volunteers, consultants, and community partners you will need to deliver your program activities. The resources needed to carry out the plan will consist of three full time staff (Executive Director, Program Manager, and full-time case manager), 4 part-time staff (two part-time case managers, 2 Outreach workers.), 10 volunteers (MPH students and Social Workers), 2 consultants (Aretha Jones Executive Director of J C Lewis Primary Health Care Center, Susan Alt Director of HIV Services Coastal Health District), and 6 community partners (J C Lewis Primary Health Care Center, Phoenix Project, Chatham CARE Center, Chatham County Health Department, Union Mission, Curtis V. Cooper).

5. What other resources are needed to carry out the plan you have developed (i.e., money, time, equipment, materials, facilities, etc.)? Other resources needed will include money to purchase supplies for printing and copying items, postage, travel, telecommunications, rent, utilities, refreshments, equipment, stipends, gifts, and miscellaneous.

6. What barriers to implementation do you anticipate? How will you prevent and/or overcome these potential barriers?
Anticipated barriers include compliance, financial instability influencing more bad choices, unwillingness to leave abusive relationships, stigma, and job readiness Behavior change is not easy for many who have been engaged in certain activities for years and in some cases have utilized certain behaviors as their mode of survival. For some it is not easy to consistently engage in sexual encounters with partners who you have once consistently engaged in unprotected sex. This could be for many reasons including not experiencing the same level of intimacy or because it may be seemed as an accusation of not being faithful, since there is a desire to utilize condoms on a regular basis. To enhance compliance mass text messages will be sent out to participants on a daily basis encouraging safe sexual encounters. The text message will read “ Be in Control of your KNOW.” This reminder will serve as an enforcer for the young women to take charge and remain control of their sexual encounters. Financial instability will continue to be a barrier for many until they possess the means of gaining employment or finances to sustain a stable living environment. This is very important for the participants because for them the need for money has caused them to make some of the choices they have made in their past. IN order to prevent and overcome the young women will also be engaged in obtaining their GED, taking college courses of their respective interests, to gain the education and skill set to become gainfully employed. In addition emergency funds for social services will be available to help subsidize expenses for housing, utilities, and food. Another important barrier for the program is fear. Many participants remain in abusive relationships not because they want to be abused but because they are scared what will happen if they choose to leave the individual. This could include future violence and many times has financial constraints attached. In fear of not knowing how they will survive without the provider many women choose to stay and remain susceptible to violence and possible HIV transmission. For those women who choose to leave abuse relationships safe havens will be available to help them until they are able to locate a place of their own or gain assistance to become a consumer of a program that will assist them with housing. Stigma and job readiness is equally important because they each have an affect on the level of compliance the participant will have in the program whether coming to the meetings on a consistent basis or and completing the program.

7. Draft a timeline, using a Gantt chart, for the program implementation.

I. Proposed Timeline KNOW or NO
|Year |2012 |
|Month |Jan |Feb |Mar |
|Personnel | | | |
|Executive Director |$80000 to be included at year 2 | | |
|Program Corrdinator |58,000 | |0 |
|Full time Case manager |38,000 | |0 |
|Part-time Case manager (2) |22,000 | | |
|Part-time Public Health Educator (2) |22,000 | | |
| | | | |
|Total |264,000 | | |
|Direct Operating |0 | |0 |
|Supplies |10,000 | |0 |
|Printing & Copying |5,000 | |0 |
|Telecommunications |30,000 | |0 |
|Travel |7,000 | |0 |
| | | | |
| Total |52,000 | |0 |
| | | | |
| | | | |
| | | | |
|Indirect Costs |0 | |0 |
|Rent and Utilities |60,000 | |0 |
|Equipment |$20,000 | | |
|Marketing and advertising |4,000 | | |
| Total |84,000 | |0 |
| | | | |
| | | | |
| | | | |
| | | | |
|Other cost | | | |
|Online training | | | |
|Refreshments |3,000 | | |
|Equipment | | | |
|Miscellaneous |$8,000 | | |
| Total |0 | |0 |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
|Total Expenses |$411,000 |$0 |$0 |
| | | | |
| | | | |
| | | | |

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