Marita Jones MPH; Becca Rae MCRP, MWR; Nina Wallerstein, Dr.PH, PI
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Transcript of 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 FellowshipVision: 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
HNCF Fellows
2005 – 2011
Number of Teams – 102
Number of Fellows – 255
Navajo Teams – 12
States Represented: - 19
HNCF Curriculum Framework
HNCF Theory of Change Logic Model
Leadership & Transformation of Individuals
Increased Ability of Teams to Work Together 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
Individual Changes
Team Changes Community Changes
Strengthened Community
Capacity Change
“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.”
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
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?
Case Study Design and Methods
NOVEMBER (10’) - JANUARY FEBRUARY – JULY SEPTEMBER
Literature Review & Instrument Development National Committee Local Committee Instruments & Recruitment
How does the HNCF contribute to community health/wellness?
Literature Review *Social Cohesion *Cultural Connectedness *Policy/Program Changes
Draft Instruments * Focus Group guide * Interview guide * Questionnaire
National Alumni Advisory Committee
Provided oversight on instruments and process
Naatani Nez
Local Community Advisory Team (LCAT)
1. Focus Groupsa)Local Coalitionb)Community members c)Youth Group
2. Interviewsa)Tribal Leadersb)Program providersc)Community members3. Questionnairea)Community membersb)Program providers
Review and revise instrumentsMonthly conference calls/webinar
Navajo Nation IRBUniversity of New Mexico IRB
Community Site visit to Shiprock
HNCF Community ChangeConceptual Model
Themes ParticipationSense of Community/Social CapitalCommunicationCritical Reflection/Social ActionsLeadershipYouthEldersCultural Core Values and ConnectednessSkills and Knowledge/ResourcesCommunity and Outside Links (Networks)
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?
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?)
Data Analysis: Quantitative
Next Steps and Expectations 1. Share learnings and outcomes with Case Study
communities2. Share learnings and outcomes with the broader Native
community3. To be able to share instruments with HNCF Fellows and
Native communities4. Help establish baseline data for community health initiative5. Incorporating the instruments in the Year One and Year
Two of the Fellowship
Questions?