A Monitoring And Evaluation Plan For Willow Wellness L.L.C., Willow Branch: A Project Focused On Minimizing The Barriers To Accessing Health Services For A Refugee Population Open Access

Sandoe, Corban (2016)

Permanent URL: https://etd.library.emory.edu/concern/etds/6d56zx55c?locale=en
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Abstract

Background. Willow Branch Apartment Complex, situated in metro-Atlanta, contains high proportions of refugee residents and thus is an ideal location for a refugee specific intervention. These resettled refugees face a disproportionally high burden of disease and barriers in accessing health services. These barriers include difficulty accessing health services, language limitations, unfamiliarity with the U.S. healthcare system, minimal financial resources, and trouble in attaining health insurance. In order to reduce the health disparities with Willow Branch residents this project aims to address these barriers and increase use of existing health resources. A monitoring and evaluation plan (M&E), as an essential tool for assessing the success of a health intervention, became a crucial part of the Willow Wellness (WW) project.

Objective. To develop an M&E plan to ensure Willow Wellness L.L.C., Willow Branch project is relevant, impactful, effective, and successful for the community.

Methods. A comprehensive literature review was performed using Pubmed in order to understand refugee status in the U.S., refugee health problems, and barriers to accessing health services. The community needs assessment conducted by Emory University students was utilized in the formation of the WW project. The design process included the following sections: conceptual framework, results framework, narrative summary, Gantt timeline, and log frame. Each section was created and approved by WW staff in summer 2014.

Results. A culturally appropriate M&E plan was developed for the Willow Wellness L.L.C., Willow Branch project. The conceptual framework is a visual depiction used to acknowledge, evaluate, and analyze the underlying determinates of health. The results framework, narrative summary, and Gantt timeline organized and thoroughly describe the WW project. The log frame displays an unbiased systematic approach to measure and evaluate the project interventions.

Discussion. This M&E plan is a feasible, quantifiable, and efficient tool to measure the impact of the WW project because it is evidence based, follows a methodology recommended by well-respected organizations, and contains objective monitoring/evaluation markers. It has potential to diminish accessibility and affordability health barriers in the Willow Branch community. If successful, this same approach can be expanded to other neighboring refugee populations and eventually to national refugee communities.

Table of Contents

Chapter I - Introduction

Chapter II - Review of Literature

2.1 Refugee Status

2.2 Refugee Health Problems

2.3 Refugee Barriers to Accessing Healthcare Services

2.4 Monitoring and Evaluation (M&E) in Public Health Interventions

2.5 Preliminary Analysis

2.6 Summary

Chapter III - Methods

Chapter IV - Results

4.1 Conceptual Framework

4.2 Results Framework & Narrative Summary

4.3 Gantt Timeline

4.4 Log Frame

Chapter V - Discussion and Recommendations

5.1 Discussion of the M&E Plan

5.2 Comparison to other M&E Plans

5.3 Public Health Implications

5.4 Recommendations for the Future

5.5 Conclusion

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