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CDC HomeHIV/AIDS > Topics > Evaluation > Evaluating CDC-Funded Health Department HIV Prevention Programs

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Monitoring and Evaluating the Implementation of HIV Prevention Programs
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Introduction
Requirements
Methods
Worksheet: Determining Which Intervention Plan Data to Submit

Introduction

The purpose of implementation evaluation and monitoring, also referred to as process evaluation and monitoring, is to examine objectively the qualities of intervention implementation and to improve implementation activities if necessary. More specifically, it includes routine documentation of characteristics of the people served, the services that were provided, and the resources used to provide those services. The intervention plan serves as one reference point with which progress made in achieving the intended objectives of the intervention can be compared.

Requirements

Data to Report

A core set of data elements to be reported by the health department to CDC in the aggregate by type of intervention and risk population includes the following:

  • Type of agency
  • Number of people served, categorized by race/ethnicity and sex (except for Health Communications/Public Information [HC/PI] and Other Interventions). Reporting data on age is encouraged but not required.
  • Intervention-specific implementation data (see data elements in the example report forms at the end of this chapter
  • Number of FTE staff used to provide the intervention
  • Expenditures for the intervention

A complete list of required variables for each type of intervention is provided in the table, Variables Required for Aggregate Intervention Plans and Process Evaluations, at the end of this chapter.

How to Report Data

At the end of the budget year for the health department’s externally allocated funds, the health department should provide a report that summarizes the process data for all interventions of a particular type that it funds, grouped by behavioral risk population (see Table 2.1). A separate set of data should be provided for each type of intervention provided to each of the six behavioral risk populations (see Table 2.2) defined by risk of exposure to HIV.

Table 2.1

Types of Interventions
  • Individual-Level Counseling
  • Group-Level Counseling
  • Outreach
  • Health Communication and Public Information
  • HIV-Antibody Counseling and Testing2
  • Partner Counseling and Referral Services
  • Prevention Case Management
  • Other Interventions

Table 2.2

Behavioral Risk Populations
MSM Men who have sex with men and are at risk through unsafe sex
MSM/IDU Men who are at risk from both unsafe sex with other men and unsafe drug injection practices
IDU Men and women who are at risk through unsafe drug injection practices
Heterosexual Men and women who are at risk through unsafe heterosexual sex
Mother with or at Risk for HIV Infection Women at risk for transmitting HIV during pregnancy, at birth, or during infancy
General Population Reserved for interventions not targeting a specific population at risk for HIV

Note (as shown in the example on the next page) that the data to be reported are an aggregate for all the interventions of a particular type funded for a particular population throughout the jurisdiction. For example, if a state funds five different outreach interventions for injection drug users, one form should be submitted that reflects all five interventions. If that same state funds three other outreach interventions to serve men who have sex with men, one report should be submitted that reflects those three MSM outreach activities. The example in the box on the next page expands on this example for further clarification.

The worksheet found at the end of the chapter, Determining Which Process Evaluation Data to Submit, can also be used to determine which reports should be submitted.

Methods

Data for each intervention funded with CDC Announcement 99004 funding should be collected and reported in increments of one budget year. That is, the data should reflect the prevention services implemented during one year of funding. In order to aggregate intervention data, health departments should obtain data for each intervention funded and implemented. However, grantees should continue to use the existing “HIV Counseling and Testing Report Form” for counseling and testing activities.

The worksheet, Determining Which Process Evaluation Data to Submit, can be used to determine which particular reports should be submitted. All interventions funded with CDC Announcement 99004 funding, including those implemented by health department staff, should be included. The example forms in this chapter are provided as resources for grantees and their subcontractors to use for reporting information about these interventions. There is one form for each of the major types of intervention (e.g., individual-level, outreach). These forms can be modified or added to as needed to meet the particular needs of each jurisdiction as long as the core variables are submitted in a format consistent with that shown.

Notably, because some programs for a single target population may consist of multiple interventions, each intervention should have separate process data.

Note: Some grantees may choose to submit data for individual interventions as well as aggregate data.

In addition to the required data, grantees may submit narrative data that supports, clarifies, or amplifies their submission. Examples of such optional information are a discussion of secondary populations and the perceived impact of that category on counts of people to be served or the “translation” of local categories for populations or interventions.

Individual- and Group-Level Interventions
  I2 P3   I P   I P
Jurisdiction identification Evidence basis   Settings  
# of interventions Service plan   Staffing  
Types of agencies Statewide def./guidelines   Expenditures  
Risk population # of counseling sessions        
Demographics of clients to be received served                
Demographics of clients served              
Outreach
Jurisdiction identification Evidence basis   Settings  
# of interventions Service plan   Staffing  
Types of agencies Statewide def./guidelines   Expenditures  
Risk population Prevention materials        
Demographics of clients to be received served                
Demographics of clients served              
Prevention Case Management
Jurisdiction identification Statewide def./guidelines   Staffing  
# of interventions # of PCM sessions received   Expenditures  
Types of agencies Average # of PCM sessions per client        
Risk population            
Demographics of clients to be received served              
Demographics of clients served              
Partner Counseling and Referral Services
Jurisdiction identification Statewide def./guidelines   Staffing  
# of interventions # of partners identified   Expenditures  
Types of agencies # of notified partners counseled        
Risk population # of notified partners tested        
Demographics of clients to be received served # of notified partners testing positive        
Demographics of clients served              
Health Communications / Public Information
Jurisdiction identification Evidence basis   # of presentations  
# of interventions Service plan   Electronic/print media exposure  
Type of HC/PI intervention Statewide def./guidelines   Staffing  
Types of agencies # of hotline callers   Expenditures  
Risk population # of clearinghouse materials requested        
Other Interventions
Jurisdiction identification Description of “Other Intervention”      
# of interventions Staffing        
Types of agencies Expenditures        
Type of “Other Intervention”            

Worksheet: Determining Which Intervention Plan Data to Submit

  1. If you fund at least one of the following Intervention Types for a particular Risk Population with CDC Announcement 99004 funds, put a check mark (✓) in the corresponding cell.
  2. Submit a separate set of data (or use one of the example forms found in this chapter) for each “intervention type by risk population” with a check mark.

Risk Population*

Intervention Type

MSM MSM/IDU IDU Hetero-sexual Mother With or at Risk for HIV General Public
Individual-Level            
Group-Level            
Outreach            
Prevention Case Management            
Partner Counseling and Referral Services            
Health Communication and Public Information            
Other Interventions
(including community-level)
           

* MSM: Men who have sex with men

MSM/IDU: Men who have sex with men and are also injection drug users

IDU: Injection drug users

See Instructions and Definitions for Reporting Intervention Plan Data, for more detailed definitions of the risk populations.

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Go to Instructions and Definitions for Reporting Process Monitoring Data


1 This document contains no new process monitoring requirements for Counseling and Testing. Grantees who currently use the HIV Counseling and Testing Report Form should continue to do so. The CTS Guidelines contains instructions for completing the form and reporting the data. Both of these are found in this chapter.
2 I = Data requested for Intervention Plans
3 P = Data requested for Process Evaluations
Last Modified: September 17, 2007
Last Reviewed: September 17, 2007
Content Source:
Divisions of HIV/AIDS Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
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