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Breaking barriers and building bridges: Increasing community engagement in program evaluation.

Mary Roach1, Jonathan Fritz1

  • 1Michigan Department of Health and Human Services, 109 W. Michigan Ave, Lansing, MI, 48933, United States.

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Community engagement in Project PrIDE improved PrEP awareness in Wayne County, MI. Addressing barriers like funding and communication enhanced collaboration and campaign effectiveness.

Keywords:
Community based participatory researchCommunity engagementHIV preventionPrEPProgram evaluationSocial marketing

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Area of Science:

  • Public Health
  • Health Communication
  • Community-Based Participatory Research

Background:

  • Project PrIDE by MDHHS aimed to boost PrEP awareness in Wayne County, MI (2015-2018).
  • Strained relationships between MDHHS and the community hindered effective engagement.
  • A local evaluation (LE) was conducted to identify engagement barriers and facilitators.

Purpose of the Study:

  • To determine barriers and facilitators to community engagement in Project PrIDE activities.
  • To understand factors influencing the project's goal of increasing PrEP awareness.
  • To assess the impact of community engagement on program effectiveness.

Main Methods:

  • A mixed-methods participatory evaluation approach was employed.
  • Data collection included meeting surveys (quantitative), focus groups, and a photovoice project (qualitative).
  • Data analysis involved descriptive statistics and deductive thematic coding.

Main Results:

  • Community Advisory Board (CAB) engagement enhanced collaboration, feasibility, utility, appropriateness, and sustainability.
  • Barriers identified included restrictive funding, service delivery issues, and underutilized CAB feedback.
  • Ineffective campaign messages resulted from a lack of integrated community input.

Conclusions:

  • Initial strained relationships improved through interagency collaboration in program and evaluation activities.
  • Encouraging collaborative development, implementation, and utilization strengthened the community-MDHHS relationship.
  • Addressing identified barriers is crucial for sustained and effective community engagement in public health initiatives.