Centers for Disease Control and Prevention, Atlanta, Georgia (Drs Jayapaul-Philip, Kumar, Barbero, Rohan, Mensa-Wilmot, and Soler and Ms Moeti); and IHRC, Inc, Atlanta, Georgia (Ms Shantharam).
J Public Health Manag Pract. 2022;28(2):E333-E339. doi: 10.1097/PHH.0000000000001183.
The Centers for Disease Control and Prevention supports the engagement of community health workers (CHWs) to help vulnerable populations achieve optimum health through a variety of initiatives implemented in several organizational units.
This article provides a unified and comprehensive logic model for these initiatives that also serves as a common framework for monitoring and evaluation.
We developed a logic model to fully describe the levels of effort needed to effectively and sustainably engage CHWs. We mapped monitoring and evaluation metrics currently used by federally funded organizations to the logic model to assess the extent to which measurement and evaluation are aligned to programmatic efforts.
We found that the largest proportion of monitoring and evaluation metrics (61%) currently used maps to the "CHW intervention level" of the logic model, a smaller proportion (37%) maps to the "health system and community organizational level," and a minimal proportion (3%) to the "statewide infrastructure level."
Organizations engaging CHWs can use the logic model to guide the design as well as performance measurement and evaluation of their CHW initiatives.
疾病控制与预防中心支持社区卫生工作者（CHW）的参与，通过在几个组织单位实施的各种举措，帮助弱势群体实现最佳健康。
本文为这些举措提供了一个统一和全面的逻辑模型，也作为监测和评估的共同框架。
我们开发了一个逻辑模型，以充分描述有效和可持续地让 CHW 参与所需的努力程度。我们将联邦资助组织目前使用的监测和评估指标映射到逻辑模型上，以评估衡量和评估与项目工作的一致性程度。
我们发现，目前使用的监测和评估指标最大比例（61%）映射到逻辑模型的“CHW 干预水平”，较小比例（37%）映射到“卫生系统和社区组织水平”，最小比例（3%）映射到“全州基础设施水平”。
参与 CHW 的组织可以使用逻辑模型来指导其 CHW 举措的设计以及绩效衡量和评估。
