HEALTHY NATIVE COMMUNITIES FELLOWSHIP (HNCF) PILOT CASE STUDY: PARTICIPATORY EVALUATION OF CULTURAL AND COMMUNITY CAPACITIES

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HEALTHY NATIVE COMMUNITIES FELLOWSHIP (HNCF)
PILOT CASE STUDYPARTICIPATORY EVALUATION OF
CULTURAL AND COMMUNITY CAPACITIES

• Marita Jones MPH Becca Rae MCRP, MWR
• Nina Wallerstein, Dr.PH, PI

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Healthy Native Communities Fellowship

• Vision Native Communities Realize Their Own
  Vision of Wellness
• Mission Building Leadership and Sharing
  Resources to Promote Native Community Wellness
• HNCF develops and supports teams of change agents
  to lead creative wellness strategies in Native
  communities.  Native Teams from across the
  country gather three times a year for intensive
  learning that is hands-on, collaborative and
  grounded in Native cultural and spiritual
  teachings.
• www.hncpartners.org

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HNCF Fellows

• 2005 2011
• Number of Teams 102
• Number of Fellows 255
• Navajo Teams 12
• States Represented - 19

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HNCF Curriculum Framework
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HNCF Theory of Change Logic Model
I feel more confident about my ability to share
what I have learned with my peers, supervisors
and community. I know that I am an integral
part of my community and that I can make a ripple
in my community.
The fellowship experience was wonderful. It came
at a time in my life that I really needed it. It
made me a better person and gave me tools to make
my world a better place. Thank you so much to
everyone that had a part in making this happen
for me.
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Hypothesis of Pilot Case Study

• 1. The activities resulting from the HNCF will
  increase social cohesion and social capital of
  the community leading to better health and
  well-being of the community
• 2. The activities resulting from the HNCF will
  increase cultural connectedness leading to better
  health and well-being of the community
• 3. The activities resulting from the HNCF will
  increase the presence of positive healthy
  policies/practices/programs leading to better
  health and well-being of the community

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Research Questions

• 1. What evaluation design and methods
  (quantitative and qualitative) will be feasible
  to implement within a small tribal community that
  will be based on Fellows and alumni tracking the
  data in each community?
• 2. What measures will be acceptable and
  appropriate to assess the impact of the
  Fellowship on social cohesion, cultural
  connectedness, other community and cultural
  capacities, programs, policies, and health
  impacts?
• 3. Who should be the sample from each community,
  ie., the Fellows, their teams, other participants
  within healthy community activities, tribal
  program managers, tribal leaders?
• 4. How should data be tracked and maintained at
  both a local level to enable tribal and
  intertribal agency decision-making to improve
  their health, and on a national level to
  aggregate data to assess outcomes of HNCF Program
  nationwide?

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Case Study Design and Methods
NOVEMBER (10) - JANUARY FEBRUARY JULY FEBRUARY JULY SEPTEMBER
Literature Review Instrument Development National Committee Local Committee Instruments Recruitment
How does the HNCF contribute to community health/wellness? Literature Review Social Cohesion Cultural Connectedness Policy/Program Changes Draft Instruments Focus Group guide Interview guide Questionnaire National Alumni Advisory Committee Provided oversight on instruments and process Naatani Nez Local Community Advisory Team (LCAT) 1. Focus Groups Local Coalition Community members Youth Group
How does the HNCF contribute to community health/wellness? Literature Review Social Cohesion Cultural Connectedness Policy/Program Changes Draft Instruments Focus Group guide Interview guide Questionnaire National Alumni Advisory Committee Provided oversight on instruments and process Naatani Nez Local Community Advisory Team (LCAT) 2. Interviews Tribal Leaders Program providers Community members
How does the HNCF contribute to community health/wellness? Literature Review Social Cohesion Cultural Connectedness Policy/Program Changes Draft Instruments Focus Group guide Interview guide Questionnaire National Alumni Advisory Committee Provided oversight on instruments and process Naatani Nez Local Community Advisory Team (LCAT) 3. Questionnaire Community members Program providers
How does the HNCF contribute to community health/wellness? Literature Review Social Cohesion Cultural Connectedness Policy/Program Changes Draft Instruments Focus Group guide Interview guide Questionnaire Review and revise instruments Monthly conference calls/webinar Navajo Nation IRB University of New Mexico IRB Review and revise instruments Monthly conference calls/webinar Navajo Nation IRB University of New Mexico IRB Community Site visit to Shiprock
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HNCF Community ChangeConceptual Model
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Themes

• Participation
• Sense of Community/Social Capital
• Communication
• Critical Reflection/Social Actions
• Leadership
• Youth
• Elders
• Cultural Core Values and Connectedness
• Skills and Knowledge/Resources
• Community and Outside Links (Networks)

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Data Analysis Qualitative

• Transcribing Focus Group and Interviews
• Code qualitative data into themes
• Examples of questions we asked in Focus Group
• Can you describe how you think collaboration with
  the HNC Fellowship and other community groups may
  have changed the types of actions people or
  programs have taken
• to increase community participation and
• to engage in your Indigenous cultural practices
  and beliefs?

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Data Analysis Qualitative

• Examples of questions we asked in Interview
• Now we would like to ask about tribal leadership
  in the community.
• How well does the tribal leadership support
  community wellness programs and activities? Can
  you provide examples of where this is working
  well and where this is not working well?
• Do tribal leaders nurture involvement of informal
  leaders in your community wellness activities
  (youth/elders/others?)

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Data Analysis Quantitative
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Next Steps and Expectations

1. Share learnings and outcomes with Case Study
   communities
2. Share learnings and outcomes with the broader
   Native community
3. To be able to share instruments with HNCF Fellows
   and Native communities
4. Help establish baseline data for community health
   initiative
5. Incorporating the instruments in the Year One and
   Year Two of the Fellowship

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Questions?