Week 5 - Important Concepts

Question 1

fundamental process used by CHNs for planning, evaluating and monitoring community health programs

Answer 1

program planning and evaluation

Question 2

What are the different reasons for why a plan is chosen over others?

Answer 2

1 - Standard framework used by an agency
2 - Specific frameworks for funding
3 - Specific frameworks to guide theories, or address certain groups

Question 3

What are the 5 main elements of the multiple intervention framework?

Answer 3

1 - Burden of illness and inequities
2 - Socioecological features of the problem
3 - Intervention options
4 - Optimal blend of strategies
5 - Monitor and evaluate

Question 4

What are the different levels of the sociological features of the problem in the multiple intervention framework?

Answer 4

Micro - level of individual
Meso - level of community
Macro - level of society

Question 5

What are the common reasons that programs fail?

Answer 5

Failing to involve the community in planning
Program of too short a duration
No planning for long-term sustainability
Inadequate funding

Question 6

To optimize application of the multiple interventions framework, it needs to be based on what three things?

Answer 6

In-depth knowledge of the community
Expertise with relevant theories
Up to date information on quality, evidence-based research

Question 7

How has the multiple intervention framework shifted?

Answer 7

Started in homes and clinics, but is not targeting multiple layers of the system (communities, policies, organizations)

Question 8

What are the 9 key components of the planning-implementation-evaluation cycle?

Answer 8

analyze situation –> identify problem –> consider alternatives –> select the best alternative –> design program –> implement program –> evaluate program –> analyze findings –> use results

Question 9

anyone affected with policy changes, or interest and concern in the program

Answer 9

stakeholders

Question 10

assets and capacities located inside the neighbourhood/community, largely under neighbourhood/community control

Answer 10

primary stakeholders

Question 11

assets located within the community but largely controlled by outsiders

Answer 11

secondary stakeholders

Question 12

What are the three categories of secondary stakeholders?

Answer 12

Private and non-profit orgs
Public institutions and services
Physical resources

Question 13

skills, talents, and experience of residents; individual businesses

Answer 13

individual assets

Question 14

business associations, financial institutions, cultural organizations

Answer 14

organization assets

Question 15

• Structure for complex health programs and means of documentation – i.e. what the program is supposed to do, with whom and why

Answer 15

logic model

Question 16

What are the two stages of the logic model?

Answer 16

CAT and SOLO

Question 17

What is CAT?

Answer 17

Components, activities, target groups

Question 18

activities clustered for program review

Answer 18

components

Question 19

specific intervention strategies to be used for each component

Answer 19

activities

Question 20

intended recipients

Answer 20

target groups

Question 21

What is SOLO?

Answer 21

Short-term outcomes

Long-term outcomes

Question 22

immediate and direct results of the program

Answer 22

Short-term outcomes

Question 23

reflect ultimate goals of the program

Answer 23

long-term outcomes

Question 24

specific, measurable characteristics or changes that represent achievement of an outcome - answer the question - How will I know it?

Answer 24

indicators

Question 25

: the situation of an individual or family without stable, permanent, appropriate housing, or the immediate prospect, means and ability of acquiring it

Answer 25

homelessness

Question 26

What are the different types of at risk physical living conditions?

Answer 26

unsheltered
emergency sheltered
Provisionally accomodated
At risk of homelessness

Question 27

a culture of pervasive poverty passed on from parents to children. No chance for children to better themselves through education or other means

Answer 27

generational poverty

Question 28

the result of sudden circumstances that plunges a household into poverty – e.g. breadwinner gets laid off, injured or dies

Answer 28

situational poverty

Question 29

inequality of income within an area

Answer 29

relative poverty

Question 30

: families cannot afford the basic necessities required for living

Answer 30

absolute poverty

Question 31

The LIM is based directly on what?

How is it calculated?

Answer 31

Based directly on income
Calcuated based on what a single person requires, with the assumption that food, clothing, shelter should account for 50% of the median income for one person

Question 32

Persistent poverty is concentrated in these groups

Answer 32

o Lone parents (w/ at least one child under 18); aboriginals off reserve, work limiting disabilities, recent (last 10 years) immigrants, unattached individuals between 45-64

Question 33

What is the proportion of child poverty in Canada, before and after income taxes?
How do we rank according to Unicef for developed nations?

Answer 33

1 in 8 before; 1 in 6 after

17 out of 23

Question 34

What is Ontario’s poverty reduction strategy?

Answer 34

Focusing on Ontario’s children to break the intergenerational cycle of poverty

Question 35

What proportion of Canadian households suffers from Food insecurity?

Answer 35

1 in 12

Question 36

What are the predictors of food insecurity?

Answer 36

low income; aboriginal; renting; lone parent and female led

Question 37

survey tool that monitors the cost of healthy eating; household size adjustment factor is applied in order to account for the economies of scale that are associated with family size

Answer 37

Nutritious food basket