So How Did it Go? Sizing Up the Five TB Demonstration Projects

Evaluation of RWJF's Program: Old Disease, New Challenge: Tuberculosis in the 1990s

From 1995 to 1998, researchers at the University of California, San Francisco, carried out a qualitative evaluation of the Old Disease, New Challenge program to monitor and evaluate five demonstration strategies.

The project was part of the Robert Wood Johnson Foundation's (RWJF) national program Old Disease, New Challenge: Tuberculosis in the 1990s.

The evaluation was designed to study all aspects of the model strategies and to examine the nature of the process for individuals, groups, and institutions.

Key Findings

Preliminary findings include:

  • There are factors that facilitate successful collaboration, such as:
    • Recognizing and understanding that all of the participating organizations have their own institutional culture, goals, and target populations.
    • Assuring that organizations selected for participation in the coalition represent the community and understand the community's needs.
  • Some projects needed to pilot-test assumptions and proposed approaches and then make the indicated changes.
  • Project personnel, especially project coordinators, who were willing to take professional risks to change institutionalized processes and push traditional boundaries to establish new procedures, contributed to project success.
  • The role of community health workers/outreach workers was an important component of all the projects.