Intersection of Disciplines

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2008 Health Literacy Conference
Community Tool Box Overview Creating and
Maintaining Partnerships Dialogue Nicole C.
Keene University of Kansas

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KU Work Group for Community Health Development

• Mission Enhance community health and development
  globally
• through networking,
• capacity development, and collaborative research
  
• Team
• Projects

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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

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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 outcomecommunity and
  systems change
• population-level outcomes often too delayed to
  be useful in making adjustments

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KU Work Group Working Hypothesis
Community Change (Intermediate Outcome)
Population-Level Outcomes (Longer-Term Outcomes)

• 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

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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 1994writing 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

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Some Components of the CTB

• Best Processes for the work
• Tools to support the work
• Problem Solving
• Collaboration

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Some Valued Functions and Existing Features of
the CTB

• Learn a skill300 CTB how-to sections
• Do the workToolkits for 16 core competencies
• Solve a problemTroubleshooting guide
• Use promising approachesExplore best processes
  and practices
• Connect with othersAsk an advisor and links to
  related websites
• Document and evaluate initiatives (optional)
  Online Documentation and Support System

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16 Core Competencies

• 1. Creating and maintaining coalitions and
  partnerships
• 2. Assessing community needs and resources
• 3. Analyzing problems goals
• 4. Developing a framework or model for change
• 5. Developing strategic and action plans
• 6. Building leadership
• 7. Developing an intervention
• 8. 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

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CTB Curriculum

• 16 Module Curriculum aligned with core
  competencies in community work (e.g., assessment,
  planning, intervention, evaluation)
• Each Module includes
• Participants Guides and experiential activities
• Facilitators 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

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Global Community of PracticeSome 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
• Masters 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

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Marked growthWhat is the usage of the CTB?
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Marked growthWhat is the usage of the CTB?
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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
traininga 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
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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

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Other CTB FeaturesCustomized Workstations

• Integrated Online Supports for
• Building capacity (e.g., tailored links to tools)
• Documentation and participatory evaluation (e.g.,
  recording accomplishments, graphing, analyzing
  the contribution)
• Co-learning within and across initiatives (e.g.,
  shared sense making, reporting to different
  audiences)

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Online Documentation and Support System

• Components
• Features
• Track work over time
• Produce reports and graphs
• Enhances the success of community work

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Creating and MaintainingCoalitions and
Partnerships

• Community Tool Box Toolkit
• ToolkitDeveloping a plan with core tasks

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Working Together for Community Change

• Community Capacity-
• Ability of members to bring about change and
  improvementover time and across different issues

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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.

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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

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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

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Creating a Coalitionor Collaborative Partnership

• Establishing a Coalition
• Assemble the coalitions membership
• Briefly outline a vision and mission for the
  group
• State the objectives, needed resources/
  relationships, and key agents of change

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Creating a Coalitionor Collaborative Partnership

• Establishing a Coalition Cont.
• Describe potential barriers or opposition
• Describe the probable structure your
  collaborative partnership will take as an
  organization

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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!

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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

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Online Tour

• New WorkStations
• Online Documentation and Support System

• Community Tool Box

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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)

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Contact Information

• Steve Fawcett, KU Workgroup Director
  sfawcett_at_ku.edu
• Jerry Schultz, Co-Director jschultz_at_ku.edu
• Christina Holt, Director of Training and
  Technical support,
• cholt_at_ku.edu
• Nikki Keene, Graduate Research Assistant,
  nckeene_at_ku.edu

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Creating and Maintaining Coalitions and
Partnerships

• For more information or inquiries about the Tool
  Box, the CTB Curriculum, please email
  toolbox_at_ku.edu or call [phone].
• Best wishes to you in your collaborative work!