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Journal of Public Health Management & Practice:
doi: 10.1097/PHH.0b013e3181903c11
Evaluating Impacts of Community Health Assessments

Effective Community Health Assessments in King County, Washington

Solet, David PhD; Ciske, Sandra MN; Gaonkar, Rujuta MPH; Horsley, Kathryn DrPH; McNees, Molly PhD; Nandi, Parijat MPH; Krieger, James W. MD, MPH

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Abstract

Background: Community health assessment (CHA) is widely practiced in public health, but its effectiveness has seldom been evaluated.

Method: We present three examples of successful CHAs, carried out by Public Health—Seattle & King County, with diverse strategies: a quantitative assessment of asthma hospitalizations; Communities Count, a set of social and health indicators paired with qualitative data; and Growing Up Healthy, an assessment using qualitative methods to provide guidance for a statewide media campaign on youth sexual abstinence.

Findings: These assessments were successful in attracting new resources, forming and sustaining new partnerships, and/or providing guidance or resources for program and policy development. They also illustrate the difficulties of evaluating the effects of CHA in at least three ways: untangling its effects from other important community and political factors; documenting outcomes that are distant in time from and indirectly related to the assessment; and cultural or political restrictions on collecting sensitive evaluation data. We suggest common characteristics of an effective assessment, potential effectiveness indicators, and evaluation strategies.

Conclusions: Despite barriers to documenting the relative contribution of a CHA, a set of rigorous evaluation methods needs to be developed and tested to document the benefits of a CHA in a competitive funding environment.

© 2009 Lippincott Williams & Wilkins, Inc.

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