Abstract
Program planning and evaluation are critical steps in using a population health approach. This paper outlines how logic models have been adapted within a health promotion framework to guide public health programs and facilitate program description. It is important that we take the time to describe clearly what we are doing, reflect on practice and elaborate the conceptual base for the new public health programs so that we can evaluate the impact of our work. Ongoing research is required to identify appropriate and measurable indicators that capture the process, as well as the outcome, of population-based health promotion.
Résumé
La planification et l’évaluation de programmes constituent des étapes importantes d’une approche axée sur la santé de la population. Ce document décrit comment les modèles de logique ont été adaptés à un contexte de promotion de la santé afin de servir de guide aux programmes de santé publique et de faciliter la description des programmes. Il est important que nous prenions le temps de décrire clairement ce que nous faisons, de réfléchir sur la pratique et d’élaborer la base conceptuelle des nouveaux programmes de santé publique; nous pourrons, de cette manière, évaluer l’impact de notre travail. La recherche continue est nécessaire afin d’identifier les indicateurs appropriés et mesurables qui cernent le processus, ainsi que le résultat, de la promotion de la santé axée sur la population.
References
- 1.Chambers LW, Underwood J, Halbert T, et al. 1992 Ontario survey of public health nurses: Perceptions of roles and activities. Can J Public Health. 1994;85(3):175–79. [PubMed] [Google Scholar]
- 2.Murphy M, Dunkley G, Edwards N, et al. Shifting public health programs to foster supportive environments: Professionals and services in transition. Yellowknife, NWT: Canadian Public Health Association Conference; 1992. [Google Scholar]
- 3.World Health Organization, HealthWelfare Canada,Canadian Public Health Association. Ottawa Charter for Health Promotion. Can J Public Health. 1986;77(6):425–27. [PubMed] [Google Scholar]
- 4.McKinlay JB. The promotion of health through planned socio-political change: Challenges for research and practice. Soc Sci Med. 1993;36(2):109–17. doi: 10.1016/0277-9536(93)90202-F. [DOI] [PubMed] [Google Scholar]
- 5.Mustard F, Frank J. CIAR Publication No. 5. Toronto: Canadian Institute of Advanced Research; 1991. The Determinants of Health. [Google Scholar]
- 6.Premier’s Council on Health . Well-being and Social Justice. Nurturing Health. Toronto: Queen’s Printer for Ontario; 1993. [Google Scholar]
- 7.Ontario Ministry of Health. Mandatory Health Programs and Services Guidelines. Ottawa: Queen’s Printer for Ontario; 1989. [Google Scholar]
- 8.Ontario Ministry of Health. Healthy Growth and Development. Healthy Elderly: Principles and Program Strategies. Ottawa: Ministry of Health; 1991. [Google Scholar]
- 9.Ottawa-Carleton Health Department Adult Directorate Strategic Plan: 1991–1994. Regional Municipality of Ottawa-Carleton, Ottawa, Ontario. 1995. [Google Scholar]
- 10.Ottawa-Carleton Health Department Strategic Plan, 1994–1997. Regional Municipality of Ottawa-Carleton, Ottawa, Ontario. 1994. [Google Scholar]
- 11.Edwards N, Murphy M, Moyer A, et al. Community Health Research Publication No. DP95-1. 1995. Building and sustaining collective health action: A framework for community health practitioners. [Google Scholar]
- 12.Green LW, Kreuter MW. Health Promotion Planning: An Educational and Environmental Approach. 2nd edition. Mountain View: Mayfield Publishing; 1991. [Google Scholar]
- 13.Suchman E. Evaluative Research: Principles and Practice in Public Service and Social Action Programs. New York: Russell Sage Foundation; 1967. [Google Scholar]
- 14.Weiss C. Evaluation Research: Methods for Assessing Program Effectiveness. Englewood Cliffs, NJ: Prentice-Hall; 1972. [Google Scholar]
- 15.Wholey JS. Evaluability assessment. In: Rutman L, editor. Planning Useful Evaluations: Evaluability Assessment. Beverly Hills, CA: Sage Publications; 1977. [Google Scholar]
- 16.Wholey JS. Evaluation and Decision Making for Health Services. 2nd edition. Ann Arbor, MI: Health Administration Press; 1983. [Google Scholar]
- 17.Corbeil R. Improving federal evaluation and planning. Can J Program Evaluation. 1989;4:23–28. [Google Scholar]
- 18.Rutman L. Evaluability assessment: Program analysis. In: Rutman L, editor. Planning Useful Evaluations: Evaluability Assessment. Beverly Hills, CA: Sage Publications; 1980. [Google Scholar]
- 19.Rush B, Ogborne A. Program logic models: Expanding their role and structure for program planning and evaluation. Can J Program Evaluation. 1991;6(2):95–106. [Google Scholar]
- 20.Baskerville B, Stewart P. Ottawa-Carleton Health Department. 1991. Program evaluation workshop. [Google Scholar]