Program Implementation Plan Assignment
Prior assignments have focused on the planning aspect of your public health project. For this assignment, you will now use the information and findings from your community needs assessment to complete the second phase of this project: development of a program/intervention implementation plan. Your program/intervention implementation plan will include: a description of the program, logic model outlining the intervention, implementation timeline and action plan, and a budget and budget justification for your intervention. Use the “Program Implementation Plan” template to complete this assignment
You are required to cite five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and public health content.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines,
Benchmark – Program Implementation Plan
Part 1 – Description of Program and Logic Model
Describe an evidence-based intervention based on your completed needs assessment. Your intervention should be population-based and informed by your chosen theory and SMART goals and objectives. Population-based interventions can be directed at the entire population within a community, the systems that affect the health of those populations, and/or the individuals and families within those populations known to be at risk. Use the Logic Model to design your proposed intervention.
1. Description of the Intervention
0. Describe the population-based, evidence-based program/intervention.
0. Discuss how the intervention will support improving the health issue for the target population.
1. Goal and Objectives
1. Goal:
1. Process Objectives (the activities to be completed in a specific time period):
1. Outcome Objectives (changes in knowledge, attitudes, behaviors, policy, environment systems, etc.):
1. Complete the Logic Model. Design your intervention using the template on the following page:
Inputs
Long-Term Outcomes
Intermediate Outcomes
Short-Term Outcomes
Outputs
Activities
Legend
Inputs: What resources do you need to make this happen? (e.g., staff, space, funding)
Activities: What are you going to do? (e.g., educate and establish partnerships)
Outputs: What will happen because of your activities? (e.g., 100 people trained)
Short-Term Outcomes: Immediate changes you expect to occur (e.g., changes in knowledge)
Intermediate Outcomes: (e.g., changes in behavior)
Long-Term Outcomes: How will this program help in the future (e.g., obesity prevention)?
Target Population (as identified by needs assessment):
Health issue affecting target population:
Theory or model used to inform an intervention:
Logic Model
Part 2 – Implementation Timeline and Action Plan
Develop a program timeline and action plan using a Gantt chart, depicting the key tasks, activities and people involved in the first 12 months (1 year) of implementing your program and the projected timeframe for completion of each task. Use the objectives you defined in Part 1.
Example :
Objective: By the end of the school year, district health educators will have delivered lessons on tobacco refusal skills to 90% of youth participants in the middle school tobacco prevention curriculum.
Timeline for Tasks/Activities
Task/Activity
Personnel Responsible
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Train volunteers on curricula
Program coordinator
X
X
Deliver education classes
Volunteers
X
X
X
1. Complete the table below for your intervention (add rows, as needed):
Objective 1:
Timeline for Tasks/Activities
Task/Activity
Personnel Responsible
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Objective 1:
Timeline for Tasks/Activities
Task/Activity
Personnel Responsible
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Objective 1:
Timeline for Tasks/Activities
Task/Activity
Personnel Responsible
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Objective 1:
Timeline for Tasks/Activities
Task/Activity
Personnel Responsible
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Objective 1:
Timeline for Tasks/Activities
Task/Activity
Personnel Responsible
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Part 3 – Budget and Budget Justification
Review the “Program Budget Resource” to complete your budget and justification. Identify a potential source of funding for your project. Add or remove rows from the tables below, as needed, to complete your budget.
Source of Funding:
1. Personnel
Staff Position
Yearly Salary
% of Time
Fringe Benefits
(as % or additional cost)
Total Amount
(Do not add fringe benefits twice.)
Total
1. Travel
Item
Description of Travel Event Expenses
Amount
Item 1
Item 2
Item 3
Total
1. Equipment
Equipment Item
Description
Amount
Total
Total
1. Supplies
Supply Item
Description
Amount
Total
Total
1. Consultant
Consultant/
Organizational Affiliation
Services to Be Rendered and
Relevance to Service Project
Number of Days
Expected Rate of Compensation
Total
Total
1. Other
Item
Description
Amount or
Amount/Month
Total
Total
Total
1. Total Direct Costs
Budget Item
Total Amount
Personnel
Fringe
Travel
Equipment
Supplies
Contractual
Consultant
Other
Total
1. Budget Proposal and Justification
Write a 250-500 word justification for your budget. The justification summarizes the resources needed and why. Provide relevant rationale and evidence to support your summary.