Skip to ContentGo to accessibility pageKeyboard shortcuts menu
OpenStax Logo

20.1 Facilitators and Barriers to Program Implementation

To successfully implement community health programs, the program team strategizes to decrease potential barriers and enhance facilitators of implementation. Facilitators and barriers are identified based on community needs assessments; intended target population assessment of sociocultural, linguistic, and literacy needs; literature and research; and previous experience with program implementation.

20.2 Recruitment and Retention of Program Participants

The program team utilizes strategies to enhance participant recruitment and retention. Common recruitment strategies include the target population in planning, develop culturally and linguistically appropriate materials, and utilize strategic marketing and partnerships to promote programs. Common retention strategies are facilitating participant motivation, ensuring program implementers have the skills and knowledge to deliver the program, soliciting participant feedback, and reducing transportation, childcare, location, and timing barriers. Strategies vary based upon the population.

20.3 Evaluation Strategies

Evaluation of community health programs occurs to improve processes of implementation and program outcomes, assist in decision-making regarding the program, and meet funder requirements. A systematic process is used to evaluate the efficacy, effectiveness, and efficiency of the program components and the program as a whole. Formative, process, outcome, and impact are types of program evaluation that may be conducted. The CDC’s Framework for Program Evaluation in Public Health, Public Health Ontario’s steps for evaluating health promotion programs, and logic models are common frameworks and tools used in community health program evaluation. These tools direct the program team to align goals and objectives with type of evaluation, evaluation question, and data collection technique. The evaluation results are shared to make decisions, revisions, and recommendations for the program.

20.4 Communication Strategies

The program team develops a communication plan to deliver effective and appropriate messages and materials. Various communication tools and technologies are used to expand the reach of communication. A communication plan includes developing and testing messages and materials, implementing communication, and assessing effectiveness and revising messages and materials as needed. Cultural, linguistic, and literacy needs of the intended target population are considered when developing communication. It is recommended that plain language and concepts, images, and languages that represents the target population are used in messages and materials.

20.5 Funding and Sustainability

The program team must plan for funding and sustainability in order to continue community health programs. Sustainability planning includes evaluation of the efficiency, value, and cost of a program. Diversification of funding streams enhances sustainability efforts. Potential funding streams include grants, indirect funding, contributions or sponsorships, government budget lines, fundraising, and earned income. Sustainable community health programs are flexible, have strong leadership, include cross-sector partnerships, incorporate community needs and demand, use evidence to show program impact, and align with the current political and social environment.

Citation/Attribution

This book may not be used in the training of large language models or otherwise be ingested into large language models or generative AI offerings without OpenStax's permission.

Want to cite, share, or modify this book? This book uses the Creative Commons Attribution License and you must attribute OpenStax.

Attribution information
  • If you are redistributing all or part of this book in a print format, then you must include on every physical page the following attribution:
    Access for free at https://openstax.org/books/population-health/pages/1-introduction
  • If you are redistributing all or part of this book in a digital format, then you must include on every digital page view the following attribution:
    Access for free at https://openstax.org/books/population-health/pages/1-introduction
Citation information

© Apr 26, 2024 OpenStax. Textbook content produced by OpenStax is licensed under a Creative Commons Attribution License . The OpenStax name, OpenStax logo, OpenStax book covers, OpenStax CNX name, and OpenStax CNX logo are not subject to the Creative Commons license and may not be reproduced without the prior and express written consent of Rice University.