The Foundation's program, Old Disease, New Challenge: Tuberculosis in the 1990s, was designed to stimulate effective collaborations between state and health departments and other public and private agencies serving people at risk of tuberculosis exposure and infection to develop and test new approaches to the problem of tuberculosis.This grant supports a process evaluation of the Old Disease, New Challenge Program. Five studies of the implementation in each of the five Program sites will be conducted, using locally based evaluators who will work as part of each project's staff. An overall evaluator will coordinate the five local evaluators. The studies will examine the nature of procedures for individual, group, and institutional change, and describe the organizational interactions necessary to develop and implement effective strategies. It is expected that this qualitative descriptive data will complement the quantitative data being collected and analyzed by the National Program Office, and will improve our understanding of the target populations, the communities in which they live, and the agencies that try to work with them. Information about the culture of the service providers, community-based organizations, communities, and patients will help with the implementation of the proposed strategies, as well as serving to monitor and evaluate the approaches themselves. This information also will be important for potential replications of the strategies developed, strategies that could prove useful for other vulnerable populations at high risk for TB, or for reaching vulnerable populations with other types of health problems. The products of the site-specific evaluations will be periodic reports to the projects, to the National Program Office, and to Foundation staff. The product of the overall evaluation will be an integrated narrative focusing on the lessons learned about extending TB control to high-risk populations, including a study of the adaptation of the goals of the five projects as they negotiate the extension of TB control to the hard to serve.
Amount Awarded $324,994.00
Awarded on: 7/28/1995
Time frame: 8/1/1995 - 7/31/1997
Grant Number: 26838