For this assignment, you will now use the information and findings from your community needs assessment to complete the second p
For this assignment, you will now use the information and findings from your community needs assessment to complete the second phase of this project: development of a program/intervention implementation plan. Your program/intervention implementation plan will include: a description of the program, logic model outlining the intervention, implementation timeline and action plan, and a budget and budget justification for your intervention. Use the "Program Implementation Plan" template to complete this assignment.
You are required to cite to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and public health content.
Benchmark – Program Implementation Plan
Part 1 – Description of Program and Logic Model
Describe an evidence-based intervention based on your completed needs assessment. Your intervention should be population-based and informed by your chosen theory and SMART goals and objectives. Population-based interventions can be directed at the entire population within a community, the systems that affect the health of those populations, and/or the individuals and families within those populations known to be at risk. Use the Logic Model to design your proposed intervention.
1. Description of the Intervention
0. Describe the population-based, evidence-based program/intervention.
0. Discuss how the intervention will support improving the health issue for the target population.
1. Goal and Objectives
1. Goal:
1. Process Objectives (the activities to be completed in a specific time period):
1. Outcome Objectives (changes in knowledge, attitudes, behaviors, policy, environment systems, etc.):
1. Complete the Logic Model. Design your intervention using the template on the following page:
Inputs
Long-Term Outcomes
Intermediate Outcomes
Short-Term Outcomes
Outputs
Activities
Legend
Inputs: What resources do you need to make this happen? (e.g., staff, space, funding)
Activities: What are you going to do? (e.g., educate and establish partnerships)
Outputs: What will happen because of your activities? (e.g., 100 people trained)
Short-Term Outcomes: Immediate changes you expect to occur (e.g., changes in knowledge)
Intermediate Outcomes: (e.g., changes in behavior)
Long-Term Outcomes: How will this program help in the future (e.g., obesity prevention)?
Target Population (as identified by needs assessment):
Health issue affecting target population:
Theory or model used to inform an intervention:
Logic Model
Part 2 – Implementation Timeline and Action Plan
Develop a program timeline and action plan using a Gantt chart, depicting the key tasks, activities and people involved in the first 12 months (1 year) of implementing your program and the projected timeframe for completion of each task. Use the objectives you defined in Part 1.
Example :
Objective: By the end of the school year, district health educators will have delivered lessons on tobacco refusal skills to 90% of youth participants in the middle school tobacco prevention curriculum. |
|||||||||||||
Timeline for Tasks/Activities |
|||||||||||||
Task/Activity |
Personnel Responsible |
Jan |
Feb |
Mar |
Apr |
May |
Jun |
Jul |
Aug |
Sep |
Oct |
Nov |
Dec |
Train volunteers on curricula |
Program coordinator |
X |
X |
||||||||||
Deliver education classes |
Volunteers |
X |
X |
X |
1. Complete the table below for your intervention (add rows, as needed):
Objective 1: |
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Timeline for Tasks/Activities |
|||||||||||||
Task/Activity |
Personnel Responsible |
Jan |
Feb |
Mar |
Apr |
May |
Jun |
Jul |
Aug |
Sep |
Oct |
Nov |
Dec |
Objective 1: |
|||||||||||||
Timeline for Tasks/Activities |
|||||||||||||
Task/Activity |
Personnel Responsible |
Jan |
Feb |
Mar |
Apr |
May |
Jun |
Jul |
Aug |
Sep |
Oct |
Nov |
Dec |
Objective 1: |
|||||||||||||
Timeline for Tasks/Activities |
|||||||||||||
Task/Activity |
Personnel Responsible |
Jan |
Feb |
Mar |
Apr |
May |
Jun |
Jul |
Aug |
Sep |
Oct |
Nov |
Dec |
Objective 1: |
|||||||||||||
Timeline for Tasks/Activities |
|||||||||||||
Task/Activity |
Personnel Responsible |
Jan |
Feb |
Mar |
Apr |
May |
Jun |
Jul |
Aug |
Sep |
Oct |
Nov |
Dec |
Objective 1: |
|||||||||||||
Timeline for Tasks/Activities |
|||||||||||||
Task/Activity |
Personnel Responsible |
Jan |
Feb |
Mar |
Apr |
May |
Jun |
Jul |
Aug |
Sep |
Oct |
Nov |
Dec |
Part 3 – Budget and Budget Justification
Review the "Program Budget Resource" to complete your budget and justification. Identify a potential source of funding for your project. Add or remove rows from the tables below, as needed, to complete your budget.
Source of Funding:
1. Personnel
Staff Position |
Yearly Salary |
% of Time |
Fringe Benefits (as % or additional cost) |
Total Amount (Do not add fringe benefits twice.) |
Total |
1. Travel
Item |
Description of Travel Event Expenses |
Amount |
Item 1 |
||
Item 2 |
||
Item 3 |
||
Total |
1. Equipment
Equipment Item |
Description |
Amount |
Total |
Total |
1. Supplies
Supply Item |
Description |
Amount |
Total |
Total |
1. Consultant
Consultant/ Organizational Affiliation |
Services to Be Rendered and Relevance to Service Project |
Number of Days |
Expected Rate of Compensation |
Total |
Total |
1. Other
Item |
Description |
Amount or Amount/Month |
Total |
Total |
Total |
1. Total Direct Costs
Budget Item |
Total Amount |
Personnel |
|
Fringe |
|
Travel |
|
Equipment |
|
Supplies |
|
Contractual |
|
Consultant |
|
Other |
|
Total |
1. Budget Proposal and Justification
Write a 250-500 word justification for your budget. The justification summarizes the resources needed and why. Provide relevant rationale and evidence to support your summary.
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