Participatory Evaluation of a Community Mobilization Effort to Enroll Wyandotte County, Kansas, Residents Through the Affordable Care Act

Fawcett, Stephen B.; Sepers, Charles E.; Jl, Jones; Jones, Lucia; McKain, Wesley

doi:10.2105/ajph.2014.302505

Cited by 16 publications

(12 citation statements)

References 1 publication

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“…A participatory M&E system 11 was used to capture, code, characterize, and communicate the Ebola response effort in Lofa County, similar to the M&E systems used to evaluate a community mobilization effort for health insurance enrollment 10 and a diabetes prevention effort among those experiencing health inequities. 15 The aim in this study was to capture implementation of Ebola response activities that were associated with a reduction in new cases of Ebola.…”

Section: Methodsmentioning

confidence: 99%

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Participatory Monitoring and Evaluation of Ebola Response Activities in Lofa County, Liberia: Some Lessons Learned

Hassaballa

Fawcett

Sepers

et al. 2019

Int Q Community Health Educ

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To address the Ebola outbreak in West Africa, the World Health Organization and the United Nations Children’s Fund led a multilevel and multisectoral intervention known as the Ebola response effort. Although surveillance systems were able to detect reduction in Ebola incidence, there was little understanding of the implemented activities within affected areas. To address this gap, this empirical case study examined (a) implementation of Ebola response activities and associated bending the curve of incidence of Ebola virus disease and (b) candidate factors associated with fuller implementation of the Ebola response effort. A mix of qualitative and quantitative methods were used to address these questions. A participatory monitoring and evaluation system was used to capture, code, characterize, and communicate nearly a hundred Ebola response activities implemented in Lofa County, a highly affected area in Liberia. The Ebola response effort was enabled by community engagement and collaboration across different sectors. Results showed fuller implementation corresponded with a marked reduction in Ebola virus disease. This report concludes with a discussion of how monitoring and evaluation can strengthen implementation of activities needed to address disease outbreaks.

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Section: Methodsmentioning

confidence: 99%

“…Consistent with participatory approaches to evaluation, 9 this M&E approach featured sense-making—collaborative review of data and dialogue on what it means—to help understand the pattern and potential contributors to implementation. 10,11…”

Section: Introductionmentioning

confidence: 99%

Participatory Monitoring and Evaluation of Ebola Response Activities in Lofa County, Liberia: Some Lessons Learned

Hassaballa

Fawcett

Sepers

et al. 2019

Int Q Community Health Educ

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“…Based on prior experience of Enroll Wyandotte (http://wycohealth.com/get-healthy/find-insurance) in enrolling residents in health insurance, this lead partner refined and adapted a playbook for implementation. Enroll Wyandotte, with support from the Community Health Council of Wyandotte County (www.wycohealth.com), offered technical support to partnering organizations and health care providers in Wyandotte County interested in improving access to health care and health insurance via the Affordable Care Act (ACA; Fawcett, Sepers, Jones, Jones, & McKain, 2015).…”

Section: Health Access Intervention Components and Playbooks For Implmentioning

confidence: 99%

Assuring Health Access and Culturally Competent Health Services Through the Latino Health for All Coalition

Fawcett

Torres

Jones³

et al. 2018

Health Promotion Practice

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Although the importance of health care access is widely acknowledged, less is known about how partnerships can help assure access to quality health services for those experiencing health inequities. This report describes implementation of collaborative efforts through the Health Access Committee of the Latino Health for All Coalition (Wyandotte County/Kansas City, Kansas) to address its three goal areas (1) improving cultural competence through organizational change, (2) improving access to quality health services through access to diabetes prevention services, and (3) improving access and linkage to care via enrollment in health insurance. Using community-based participatory approaches, we documented and reflected on the pattern of activities facilitated by the coalition and its partners for each goal area over a 1-year period. This case report outlines strategies, activities, and lessons learned by coalition partners. This article offers practical guidance about how to structure and implement a coalition that provides technical support for increasing health care access and cultural competency.

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“…Public health practitioners who are committed to community mobilization have learned to balance the use of best practice evidence while allowing for local innovation and creativity ( 34 , 35 ). While community buy-in has been successfully implemented in recent health interventions ( 36 , 37 ), successful long-term assessment is uncommon.…”

Section: Public Health Innovation Model (Phim)mentioning

confidence: 99%

The Public Health Innovation Model: Merging Private Sector Processes with Public Health Strengths

Lister

Payne

Hanson

et al. 2017

Front. Public Health

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Public health enjoyed a number of successes over the twentieth century. However, public health agencies have arguably been ill equipped to sustain these successes and address the complex threats we face today, including morbidity and mortality associated with persistent chronic diseases and emerging infectious diseases, in the context of flat funding and new and changing health care legislation. Transformational leaders, who are not afraid of taking risks to develop innovative approaches to combat present-day threats, are needed within public health agencies. We propose the Public Health Innovation Model (PHIM) as a tool for public health leaders who wish to integrate innovation into public health practice. This model merges traditional public health program planning models with innovation principles adapted from the private sector, including design thinking, seeking funding from private sector entities, and more strongly emphasizing program outcomes. We also discuss principles that leaders should consider adopting when transitioning to the PHIM, including cross-collaboration, community buy-in, human-centered assessment, autonomy and creativity, rapid experimentation and prototyping, and accountability to outcomes.

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Participatory Evaluation of a Community Mobilization Effort to Enroll Wyandotte County, Kansas, Residents Through the Affordable Care Act

Cited by 16 publications

References 1 publication

Participatory Monitoring and Evaluation of Ebola Response Activities in Lofa County, Liberia: Some Lessons Learned

Participatory Monitoring and Evaluation of Ebola Response Activities in Lofa County, Liberia: Some Lessons Learned

Assuring Health Access and Culturally Competent Health Services Through the Latino Health for All Coalition

The Public Health Innovation Model: Merging Private Sector Processes with Public Health Strengths

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