Evaluation Framework

Section V: State Grantee Levels

CDC funds state programs at Capacity Building and Basic Implementation support levels. Although the expectations for states funded at these different levels overlap, they are somewhat different.

Capacity Building Programs

States funded at the capacity building level build capacity through the eight activities described below.

1. Develop and coordinate partnerships.
2. Develop the scientific capacity to define the cardiovascular disease burden within the state and to evaluate programs.
3. Develop an inventory of policy and environmental supports.
4. Develop or update a state CVH plan.
5. Provide training and technical assistance.
6. Develop population–based strategies.
7. Develop culturally competent strategies for priority populations.
8. Develop a CVH infrastructure within the state health department.

Capacity building states build a core capacity that allow them to implement effective interventions. These capacity building activities are indicated under the "process" heading and the first two columns under "short–term outcomes" in the expanded logic model.

Basic Implementation Programs

States funded at the basic-implementation level conduct the following activities:

1. Continue, strengthen, and enhance the eight core state activities.
    
2. Implement, disseminate, and evaluate intervention activities throughout the state, including those of state–level organizations and those at specified settings (communities, worksites, schools, health care facilities).
    
3. Implement strategies for addressing priority populations.
    
4. Monitor secondary prevention strategies (e.g., hypertension and cholesterol control, aspirin and drug therapy, hormone replacement therapy, dietary changes) by monitoring data collected by peer reviewed organizations (PRO), and other appropriate groups.
    
5. Implement professional education activities for health care providers and change agents (e.g., politicians, school principals) to promote the use of appropriate primary and secondary prevention practices and standards of care.

The goal of basic implementation states is to implement and/or influence policy and environmental changes (the intermediate outcome in the expanded logic model) that promote CVH and reduce rates of CVD.

The vision underlying the State Heart Disease and Stroke Prevention Program is that all states will become Basic Implementation states and conduct CVH interventions. As their CVH capacity and infrastructure increase and as resources become available, Capacity Building states can apply to become Basic Implementation states. It should be noted that although CDC's expectations for Capacity Building and Basic Implementation states differ, the activities of states occur along a continuum as shown in the expanded logic model. However, there is no standard for how long a state should or will take to move from "Capacity Building" to "Basic Implementation" status.

Date last reviewed: 05/12/2006
Content source: Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion