community tool box overview & creating and maintaining partnerships dialogue nicole c. keene...
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Community Tool Box Overview & Creating and Maintaining Partnerships Dialogue
Nicole C. KeeneUniversity of Kansas
2008 Health Literacy Conference
KU Work Group for Community Health & Development
• Mission: Enhance community health and development globally
through networking,
capacity development, and
collaborative research
• Team• Projects
Health Literacy & the Community Tool Box
• Defined: The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions (Ratzan and Parker, 2000)
• Community Tool Box– Building capacity of
individuals and communities
– A free information resource
– Facilitates communication on multiple levels
Context and Collaborative Partners in Learning
• Since 1990, the KU Work Group has used a common measurement system with over 30 community-led change and improvement efforts
• Focus on intermediate outcome—community and systems change– population-level outcomes often too delayed to be
useful in making adjustments
KU Work Group Working Hypothesis
Community Change
(IntermediateOutcome)
Population-Level Outcomes
(Longer-TermOutcomes)
–Programs
–Policies
–Practices
Some examples include:
–Risk/Protective Factors
–30-Day Use Outcomes –is there an example outcome related to health-literacy we could use?
When Sufficient:
-Goal -Strategy -Duration
-Penetration (reach) Targets (via) Sectors (in) Places
Building Capacity through the Community Tool Box (CTB)
• Mission of CTB• Promoting community health and development by
connecting people, ideas, and resources• Freely available Internet-based resource• Started in 1994—writing one section at a time• Comprehensive
• Over 7,000 pages of how-to information for bringing about community change and improvement (e.g., planning, evaluation)
• Other capabilities: Customized WorkStations for documenting and evaluating efforts, analyzing the contribution, and making adjustments
Some Components of the CTB
• Best Processes for the work• Tools to support the work• Problem Solving• Collaboration
Some Valued Functions and Existing Features of the CTB
• Learn a skill—300 CTB how-to sections
• Do the work—Toolkits for 16 core competencies
• Solve a problem—Troubleshooting guide
• Use promising approaches—Explore best processes and practices
• Connect with others—Ask an advisor and links to related websites
• Document and evaluate initiatives— (optional) Online Documentation and Support System
1. Creating and maintaining coalitions and partnerships2. Assessing community needs and resources3. Analyzing problems & goals4. Developing a framework or model for change5. Developing strategic and action plans6. Building leadership7. Developing an intervention8. Increasing participation and membership 9. Enhancing cultural competence• Advocating for change• Influencing policy development• Evaluating the initiative• Implementing a social marketing effort• Writing a grant application for funding• Improving organizational management and development• Sustaining the work or initiative
16 Core Competencies
CTB Curriculum• 16 Module Curriculum aligned with core
competencies in community work (e.g., assessment, planning, intervention, evaluation)
• Each Module includes:– Participant’s Guides and experiential activities– Facilitator’s Guide and PowerPoint presentation– A competence assessment that requires developing a plan
related to a particular skill (such as a strategic plan or evaluation plan)
• The Community Tool Box serves as an ongoing resource during and after the training
Global Community of Practice—Some illustrative users of the CTB• Community organizer and village pastor
Sumatra Island, Metro, Indonesia• Regional Prevention Centers
Statewide Kansas, United States• Trainer and community development worker
Birmingham, Great Britain (U.K.)• Head Start educator
Crowley, Louisiana, United States• Master’s in Public Health Student at Emory University
Atlanta, Georgia, United States / Kenya, Africa• Leadership trainer for local organizations
Caracas, Venezuela• Instructor and researcher at the University of Balamand
Balamand, Lebanon
Marked growth—What is the usage of the CTB?
Visitor Sessions to CTB
304 6,495 17,187 33,789
258,515
573,142
1,068,878
359,945
192,678149,221
122,901
0
200,000
400,000
600,000
800,000
1,000,000
1,200,000
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Year
Nu
mb
er o
f V
isit
ors
Marked growth—What is the usage of the CTB?
Average Visits/Day to CTB
0.83 18 47 93
528708
986
1,570
2,928
409337
0
500
1,000
1,500
2,000
2,500
3,000
3,500
1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Year
Ave
rag
e V
isit
s/D
ay
What are CTB users saying?
“CTB proved over and over again that it is a great resource for both teaching and conducting community-based programs. I refer my students to CTB as the first choice for resources relevant to our work.
-Ghazi Kayali, Balamand, Lebanon
“It is really a very helpful site for those who want to contribute in the development of community and society. Very good guidelines for people like me working in this field, particularly in Pakistan where there is no such training…a great job, continue serving humanity with your good ideas.”
-Syed Abid Gilani, Islamabad, Pakistan
“I like your web page because it gives really helpful hints on real activities that can be done at the community level.”
-Dr. Jamilah Hashim Kuching, Sarawak, Malaysia
Capacity Development: Addressing Health Literacy
• Local and global access to training in skills for promoting community health and development (e.g., translated and adapted curriculum)
• Global constellation of online tools for building capacity (e.g., in local languages)
• Regional access to technical assistance in implementing development efforts
Other CTB Features—Customized Workstations
Integrated Online Supports for:o Building capacity (e.g., tailored links to tools)o Documentation and participatory evaluation (e.g.,
recording accomplishments, graphing, analyzing the contribution)
o Co-learning within and across initiatives (e.g., shared sense making, reporting to different audiences)
Online Documentation and Support System
• Components• Features
– Track work over time– Produce reports and graphs– Enhances the success of community work
0
50
100
150
200
250
300
J A J O J A J O J A J O J A J O J A J O J A J O J A J O J A J O
Cu
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han
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Loss of Leadership
Hired New Staff
Renew ed Action Plan
Initial Planning Team Formed
Action Plan Completed
| 1999 | 2000 | 2001 | 2002 | 2003 | 2004 | 2005 | 2006
New Leadership; Documentation & Feedback Begins
Health for All PartnershipCommunity and System Changes
Creating and MaintainingCoalitions and Partnerships
Community Tool Box ToolkitToolkit—Developing a plan with core tasks
Working Together for Community Change
• Community Capacity-– Ability of members to bring about change
and improvement—over time and across different issues
Working Together for Community Change
• Community/Systems Change-– New or modified programs, policies and
practices brought about by the group and related to its purpose.
Working Togetherfor Community Change
• The Nature of Community Work:– Larger than any one person or organization– Dynamic and adaptive– Problems and goals are inter-related– Self-determination – Involves working together on things that matter
Determining the conditions for starting a coalition or partnership
Why start a coalition?– To address an urgent situation– To empower the community– To obtain or provide services– To increase efficiency and effectiveness– To combine resources– To increase communication– To plan community-wide efforts– To develop political clout– To create long-term, permanent social change
Creating a Coalitionor Collaborative Partnership
Establishing a Coalition1. Assemble the coalition’s membership2. Briefly outline a vision and mission for the
group3. State the objectives, needed resources/
relationships, and key agents of change
Creating a Coalitionor Collaborative Partnership
Establishing a Coalition Cont.4. Describe potential barriers or opposition5. Describe the probable structure your
collaborative partnership will take as an organization
Creating a Coalitionor Collaborative Partnership
• Some guidelines:– Communicate!– Be inclusive and participatory– Network– Set concrete, reachable goals– Be creative about meetings– Be realistic about what you can do– Acknowledge diversity among your members, their
ideas and their beliefs– Praise and reward outstanding contributions,– Celebrate your success!
Working Togetherfor Community Change
• Some Factors Affecting Success– Clear Vision and Mission– Action Planning– Leadership– Resources for Community Change Agents– Documentation and Feedback– Technical Assistance– Making Outcomes Matter
Online Tour
• New WorkStations– Online Documentation
and Support System
• Community Tool Box
Health Literacy & the Community Tool Box
• Multiple factors contribute to health literacy (e.g., personal and environmental factors)
• Complex problem • Requires a coalition/partnership collaborative approach to
solve the problem • There is a need to improve coalition functioning and a
scarcity of studies related to their functioning • CTB provides that support (e.g., factors that affect coalition
functioning and the production of changes related to literacy)
Contact Information
Steve Fawcett, KU Workgroup Director [email protected]
Jerry Schultz, Co-Director [email protected]
Christina Holt, Director of Training and Technical support,
Nikki Keene, Graduate Research Assistant, [email protected]
Creating and Maintaining Coalitions and Partnerships
• For more information or inquiries about the Tool Box, the CTB Curriculum, please email [email protected] or call (866) 770-8162.
• Best wishes to you in your collaborative work!