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Office of the Assistant Secretary for Planning and Evaluation |
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Policy Information Center |
MISSION: To promote health and quality of life by preventing and controlling disease, injury, and disability.
Evaluation Program
The Centers for Disease Control and Prevention (CDC) conducts evaluation studies designed to provide information essential for CDC's 11 strategies to achieve its mission:
CDC places high priority on evaluations to answer policy, program, and strategic planning questions related to the goals and objectives of Healthy People 2000. Performance improvement studies, such as those focusing upon the development of indicators consistent with the Government Performance and Results Act (GPRA), are of particular interest and import to the Agency. With the support of 1-percent evaluation funds, the GPRA planning process began at CDC in FY 1995 and is continuing. CDC's commitment to performance measurement is exemplified by this year's requirement that each project proposal be linked to one of CDC's strategic goals. These goals were identified through the GPRA strategic planning process.
Diabetic end-stage renal disease (ESRD) is a serious and costly complication of diabetes. Renal protective benefits have been demonstrated for angiotensin converting enzyme (ACE) inhibitors, leaning the American Diabetes Association (ADA) to recommend that patients receive treatment with ACE inhibitors after the onset of microalbuminuria. The primary objective of this study was to evaluate the economic benefits of early, widespread treatment with ACE inhibitors for patients with Type 1 diabetes using a computer simulation model. The model developed for the study was based on the natural history of Type 1 diabetes. The model parameters were based on the findings from the major population surveys, clinical trials, and other clinical studies of individuals with diabetes as reported in the medical literature. The results show that the cost-effectiveness estimate from the base case analysis is at the high end of the acceptable range to support the strategy of early treatment with ACE inhibitors. The results also show that when good glycemic control is achieved and ACE treatment begins after onset of microalbuminuria, the lifetime incidence of diabetic ESRD is reduced from over 20% to a rate of under 2%. In addition, the estimated benefits of early ACE treatment are higher for patients who have an earlier age at onset for diabetes. This would suggest that children should be treated with ACE.
AGENCY SPONSOR: National Center for Chronic Disease Prevention and Health
Promotion
FEDERAL CONTACT: Stephen W. Sorenson, 770-488-1271
PIC ID: 7388
PERFORMER: Battelle Memorial Institute, Centers for Public Health Researchand Evaluation, Rockville, MD
This project was a study of issues surrounding the successful replication of effective approaches to teen pregnancy prevention. The main objective of the project was to develop a set of publication-ready guidelines for the replication of adolescent pregnancy prevention programs for use by local program implementers. The final report drew on the lessons learned by leaders in the adolescent pregnancy prevention field, including the program development and evaluation staff of the community demonstration teen pregnancy prevention programs funded by the Centers for Disease Control and Prevention (CDC) and other organizations. A core group of "key" elements surrounding successful efforts to replicate programs to prevent teen pregnancy emerged from data collection activities in this project, including: quality and attractiveness of the program being replicated; local context; organizational investment; financing; leadership; partnerships/collaborative efforts; fidelity of implementation and evaluation. Findings showed that program planners and implementers must address these key elements in each of three stages of development: preparation for the replication, implementation of the replication, and continuation/sustainability of the replication. Sustainability, for example, requires stable funding, local recognition of the program's value, ongoing support and continued recruitment to the local group of program champions.
AGENCY SPONSOR: National Center for Chronic Disease Prevention and Health
Promotion
FEDERAL CONTACT: Michael Dalmat, 404-488-5136
PIC ID: 6274.1
PERFORMER: Battelle Corporation, Arlington, VA
The National Institute for Occupational Safety and Health's (NIOSH's) Health Hazard Evaluation (HHE) program responds to approximately 450 requests for on-site health evaluations from various agencies per year. Each on-site evaluation report contains recommendations to address health hazards identified. This study's purpose was to determine if the report recommendations were implemented to reduce the hazards in a cost-effective manner. Through meetings with HHE staff and stakeholder interviews the study documented program strengths and accomplishments. There were a number of instances where HHE reports identified new hazards, initiated wider studies, and issued alerts resulting in regulatory or procedural changes that improved worker health and safety. Some reports lacked sufficient timeliness and the recommendations were impractical. The study findings suggest that NIOSH should regularly gather information about the implementation of HHE report recommendations, optimally with a telephone follow-up survey. In addition, NIOSH should develop an evaluation system to document the impact of HHE reports on reduction of health hazards.
AGENCY SPONSOR: National Institute for Occupational Safety and Health
FEDERAL CONTACT: David S. Sundin, 513-841-4382
PIC ID: 5922
PERFORMER: Research Triangle Institute, Research Triangle Park, NC
Group B Streptococcus (GBS) is the leading cause of bacterial infection in newborns in the United States. To address the problem CDC developed prevention guidelines in collaboration with the American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP) and published the guidelines in the Morbidity and Mortality Weekly Report in 1996. This evaluation assessed the management of GBS disease in the United States, looking at the extent to which the guidelines were followed and factors associated with poor compliance. Results showed that implementation of the new GBS prevention guidelines was successful at the test site (Group Health Cooperative of Puget Sound) and was accomplished in a short time period. More complete compliance with GBS guidelines helped to improve clinical outcomes for mothers with GBS infections. A cost benefit analysis showed that the costs of delivering antibiotics is minimal compared with the potential health and economic benefits from reduced infant mortality. This population-based evaluation is a good example of collaboration between managed care organizations and public health agencies to determine the impact of national disease prevention guidelines on health care providers.
AGENCY SPONSOR: National Center for Infectious Diseases
FEDERAL CONTACT: Anne Schuchat, 404-639-2215
PIC ID: 6333
PERFORMER: American Association of Health Plans, Washington, DC
In 1995, NCIPC published recommendations on the use of bicycle helmets in preventing head injuries, including information on the magnitude of related head injuries, potential impact of increased helmet use, helmet standards and crash performance, barriers to increased helmet use by the public, and approaches to increase community-level bicycle helmet use. The evaluation purpose was to measure effective use of the recommendations by NCIPC's injury prevention constituents (state and local health officials and national bicycle safety advocate organizations) and access the process of developing the recommendations. The study's survey of constituents showed that 90% of respondents found the recommendations useful for their efforts to increase bicycle helmet use, such as directing a bicycle helmet promotion program, advocating for a injury prevention program, and disseminating information to other injury prevention constituents. Eighty percent of respondents also said that CDC should develop additional recommendations to address prevention service problems. Survey results have helped CDC to improve the development and dissemination of recommendations.
AGENCY SPONSOR: National Center for Injury Prevention and Control
FEDERAL CONTACT: Jeffrey Sacks, 770-488-4652
PIC ID: 6700
PERFORMER: Battelle Corporation, Arlington, VA
The National Telecommunications System for Surveillance (NETSS) is a computerized public health surveillance system that assembles, analyzes and disseminates weekly data on about 50 nationally notifiable diseases, provided by state and territorial health agencies and transmitted to CDC's Epidemiology Program Office (EPO). Providers, clinical laboratories, and public health officials collect NETSS data at the state and local level. The evaluation purpose was to examine the effective use of communicable disease data transmitted to CDC over NETSS by state and local public health officials, as well as CDC officials. In addition, the study sought to identify barriers to effective use and ways to make improvements. State officials responding to a national survey said they are making effective use of NETSS data to track trends in communicable diseases, detect epidemiological patterns, and compare observed levels of disease to expected levels. Technical barriers to the use of NETSS data were mentioned in open-ended comments on surveys and in all focus groups. Major problems cited have to do with outdated computer technology or incompatibilities with other electronic disease surveillance systems, including unresolved software malfunctions. The state epidemiologies recommended that disease data from other states be available for analysis.
AGENCY SPONSOR: Epidemiology Program Office
FEDERAL CONTACT: Roy Baron, 404-639-2697
PIC ID: 6332
PERFORMER: Battelle Corporation, Arlington, VA
ZAP Asthma is a public-private partnership in Atlanta to decrease asthma morbidity and mortality in the Atlanta Empowerment Zone by demonstrating the effectiveness of environmental control and health education strategies, such as use of community health workers, public/private collaboration, and systems improvement and capacity building. The evaluation found program stakeholders and participants to have mixed opinions about the success of the program in achieving community collaboration and capacity building goals. The study conclusions identified barriers to successful implementations, such as the demands of the program's science protocol (impact of program on health of target families), the environmental focus of the strategies, unmet commitments, and inadequate funding. ZAP Asthma did demonstrate successfully with qualitative data that community health workers can engage and assist families with the care of their children with asthma . The results of the science protocol will be presented in a subsequent report. The evaluation report contains recommendations for addressing the implementation challenges faced by ZAP Asthma in Atlanta for future replications.
AGENCY SPONSOR: National Center for Environmental Health
FEDERAL CONTACT: James Rifenburg, 770-488-7322
PIC ID: 7048
PERFORMER: Macro International, Inc., Atlanta, GA
The Nixon Group was contracted by the partnership for Prevention and the Centers for Disease Control and Prevention to conduct audits to determine the direction for future marketing efforts for the Prevention Effectiveness Fellowship Program (CDC/Teutsch Fellowship Program). These audits included interviews with past fellows, current fellows, and prospective fellows. The information obtained from these audits enabled the Nixon Group to discover a series of key insights about how the various audiences view the fellowship and CDC and to suggest marketing strategies and tactics for the future. One suggestion called for nurturing and maintaining relationships with professors in the academic community Other insights included the ability to link the fellowship opportunity directly to university websites and specific graduate programs. Based on stakeholder audits and research, The Nixon Group determined it would be appropriate to develop a glossy, vibrant brochure to communicate the benefits of the fellowship and allow it to stand out from its competitors. Finally, The Nixon Group determined that preparing fellows to conduct fellow-to-fellow recruitment would be an essential aspect of the future marketing campaign
AGENCY SPONSOR: Epidemiology Program Office
FEDERAL CONTACT: Mark Messonnier
PIC ID: 7431
PERFORMER: The Nixon Group, Miami, FL
The U.S. Public Health Service commissioned a Task Force on Community Preventive Services to develop a Guide to Community Preventive Services (the Community Guide). The Guidel summarizes what is known about the effectiveness of population-based interventions for prevention and control. The Centers for Disease Control and Prevention (CDC), in an effort to create greater access to the Guide, developed an online version. The primary target audience will be people involved in the planning, funding, and implementation of population-based services and policies to improve health at the community and state levels. This project's goal was to interview potential members of the target audience after they reviewed the Guide's web site and ask them to provide feedback as to its usefulness to them and their organization and the types of information they hoped to glean from the web site. The majority of interviewees rated the web site an 8, 9 or 10 (very helpful) with an average of 8.2 because of its easy navigation, event listing, and the search function. Most respondents found the site useful, informative, and easy to use. The features of the site, such as the search function and the searchable databases, most found very helpful and useful. The features most would like to see added to the site included an alerts of updates; direct links to other web sites within chapters; and direct links to journals for references.
AGENCY SPONSOR: Public Health Practice Program Office
FEDERAL CONTACT: Pomeroy Sinnock, 770-488-2469
PIC ID: 7043
PERFORMER: Mathematica Policy Research, Inc., Princeton, NJ
HIV prevention community planning, implemented in January 1994, represented a major policy change in CDC requirements of health departments seeking financial assistance from CDC for HIV prevention. Prior to the change, the majority of federal funds available to the 65 health department recipients of CDC HIV prevention funding (under program announcement 300) were for HIV counseling and testing services. Now, via the HIV prevention community planning process, recipients set their own priorities which they document in a Comprehensive HIV Prevention Plan. Activities carried out under this study include technical and expert assistance through the pilot testing, by State and local health department grantees, of tools and a methodology for monitoring the implementation of their Comprehensive HIV Prevention Plan. The system to be pilot tested is based on a set of management and operational indicators developed over the past year. This system is intended to provide a measurable overview of how community planning is impacting HIV prevention programs. the Contractor is requested to support the pilot test (1) by preparing the pilot test sites to field test the tools and methods; (2) by refining the methods, tools, and associated indicators, based on the experience of the pilot sites; (3) by participating in the analysis and interpretation of the collected data; (4) by documenting the changes made to the methods, tools, and associated indicators; and (5) by developing recommendations for broader implementation of the tools and methods.
AGENCY SPONSOR: National Center for HIV, STD, and TB Prevention
FEDERAL CONTACT: Robert D. Moran, 770-639-0952
PIC ID: 5518
PERFORMER: Macro International, Inc., Atlanta, GA
This study explores individual and social factors associated with patients' decision to initiate and adhere to HIV treatment regimens and Prophylaxis for Pneumocystis carinii (PCP). Data was collected from HIV patients from three Community-Based Organizations (CBO's) and Women of HIV Clinic at San Juan, Puerto Rico. A Focus Group interview was utilized to collect the informations. Questions included information about knowledge, experiences, opinions and recommendations about HIV medical treatments and prevention of PCP. The mean age of participants was 36.9 with a diagnosis ranging from 1985 to 1999. The majority of participant (57%) reported receiving public assistance as a main source of income and most had completed high school and reported "some years of college"(66%). There have been several medical treatments developed to improve the quality of life for people living with HIV. Participants reported they had full knowledge of the latest modalities of treatments and most were excited about the availability of antiretroviral therapy but not all were currently utilizing the antiretroviral regiments. One important concern to participants is the side effects such as severe gastritis, kidney problems, diahrrea, nausea, and anemia. The principal reasons identified by the participants for taking treatments as prescribed were: accessibility, medicine free of charge, positive medication results, confidentiality, family support, co-worker support and after work services offered by clinic's staff, and participation in CBO's programs.
AGENCY SPONSOR: National Center for Infectious Diseases
FEDERAL CONTACT: Vance Dietz, 770-488-7771
PIC ID: 6704
PERFORMER: University of Puerto Rico Medical Services, San Juan, Puerto Rico
The purpose of this study was to provide baseline information on current physician practices relating to STD diagnosis, treatment and control practices including partner management and notification. The STD contact survey was designed collaboratively by Battelle and CDC researchers. The objective was to provide baseline data necessary to characterize infection control practices, especially partner notification practices, for syphilis, gonorrhea, HIV, and chlamydia, and to measure the contextual factors that influence those practices. The data will help CDC to better focus STD control and partner notification program efforts and to allocate program resources. Battelle and CDC collaborated in designing the 21- page survey instrument; five medical specialties were selected for the survey based on evidence that they account for 85% of STDs diagnosed in the US; surveys were sent to a randomly selected sample of 7,300 physicians from the American Medical Association's Physician Master File. Physicians were selected who specialized in obstetrics/gynecology, internal medicine, general or family practice, emergency medicine, or pediatrics; who spent at least 50% of their professional time in direct care; and cared for patients between the ages of 13 and 60. Completed surveys were received from 4,226 physicians. This project comprised the data collection phase of this research project. Subsequent reports will provide results of the survey.
AGENCY SPONSOR: National Center for HIV, STD, and TB Prevention
FEDERAL CONTACT: Janet St. Lawrence, 404-639-8376
PIC ID: 6711
PERFORMER: Battelle, Seattle, WA
The National Vital Statistics System represents the Nation's capacity to collect data and maintain statistics on birth, deaths, fetal deaths, marriages, and divorces. These data come from State vital registration systems where standardize certificates are filed. The evaluation purpose was to assess current certificates for usefulness and quality for statistical and legal purposes; identify unmet data needs and determine whether the standard certificates should be changed; make recommendations for a standard vital statistics data base. Based on survey data from State vital registration and statistics executives and representative national health organizations and the work of an expert panel, the study found that substantial changes were needed for the standard birth certificate, particularly the medical portion. Additional data items are needed on the mother's health which could linked to other health data sources. Changes were also recommended for the standard certificates on death and fetal deaths to include data items that could permit linkages to other health data systems and would improve the quality of "cause-of-death" data.
AGENCY SPONSOR: National Center for Health Statistics
FEDERAL CONTACT: Julia Kowaleski, 301-436-8815
PIC ID: 6699
PERFORMER: Laurel Consulting Group, Laurel, MD
This study was conducted by Macro International for the Centers for Disease Control and Prevention (CDC) to assess the cumulative effects of HIV prevention efforts within a given jurisdiction. Within each of the 65 jurisdictions that CDC supports for HIV prevention, there is an array of interventions for each target population that, when combined, are expected to result in changes in the determinants of HIV risk behaviors and HIV transmission. These HIV Prevention Indicators (HPI) are designed to monitor the key biological, behavioral, socio-political, and service-related "vital signs" of the four primary HIV sub- epidemics and prevention activities at this level. The main intended audience for these indicators is public health officials and HIV prevention community planning groups at the state and local levels. In addition, CDC must also be able to describe and assess the national status of HIV prevention to help guide national policies and programs. Meeting the needs of both these audiences requires a standard set of core indicators that can be addressed with data uniformly available across the country. Thus, the indicators found in this document are limited to those for which data are currently available for at least half of CDC's HIV prevention grantees.
AGENCY SPONSOR: National Center for HIV, STD, and TB Prevention
FEDERAL CONTACT: Deborah Rugg, 404-639-0952
PIC ID: 6707
PERFORMER: Macro International, Inc., Atlanta, GA
The purpose of this project is to begin the process of developing a consensus definition of core capacities for infectious disease surveillance starting with public health laboratories. A contractor will be hired to develop and pilot test a methodology for assessing necessary public health laboratory capacities and capabilities for select infectious diseases. For the purposes of this proposal, capacity refers to the output of testing or services accomplished over a defined time period; capability refers to a specific activity that will ensure the laboratory's success in conducting infectious disease surveillance.
EXPECTED DATE OF COMPLETION:09/30/2001
AGENCY SPONSOR: National Center for Infectious Diseases
FEDERAL CONTACT: Deborah Deppe, 404-639-4668
PIC ID: 7436
PERFORMER: Research Triangle Institute, Research Triangle Park, NC
The Vaccines for Children (VFC) program is a state-operated, federal entitlement program that supplies private and public providers with federally purchased vaccine. This process evaluation of the VFC program allowed the assessment, in a single state, South Carolina, of how many VFC-eligible children are receiving immunizations in HD immunization-only clinics and of factors associated with use of these clinics. The objective was to determine the factors associated with seeking immunizations in health department clinics throughout the state. Research Triangle Institute (RTI) was contracted by the Centers for Disease Control and Prevention (CDC) to interview the primary caretakers of children age 12 and under who bring their children to a health department clinic in South Carolina for immunizations. RTI conducted 706 interviews at 24 randomly selected clinics throughout the state. Data were collected via paper and pencil surveys. It was found that data collection procedures in South Carolina appear to have consider applicability to other states interested in client participation in the VFC program. Active involvement by the staff of the Department of Health played an important part in the success of the survey. The survey was well accepted; it received a 99 percent response rate, and it yielded information about program participants that is proving useful for planning.
EXPECTED DATE OF COMPLETION:12/30/2000
AGENCY SPONSOR: National Immunization Program
FEDERAL CONTACT: Nancy Cheal, 404-639-7095
PIC ID: 7197.1
PERFORMER: Research Triangle Institute, Research Triangle Park, NC
This request for services is to assist in a search for literature and other information that identifies cultural and social-structural characteristics of communities that are associated with HIV/AIDS risk behavior and prevention efforts. Materials and information found in the search will be used to support community-level research on HIV/AIDS prevention.
EXPECTED DATE OF COMPLETION:10/01/2001
AGENCY SPONSOR: National Center for HIV, STD, and TB Prevention
FEDERAL CONTACT: Esther Sumartojo, 404-639-8300
PIC ID: 6701
PERFORMER: Macro International, Inc., Atlanta, GA
An increased level of scrutiny by the Department of Health and Human Services (HHS) has been directed at evaluating the overall impact and the relative cost-effectiveness of tobacco control programs. This project will focus on activities related to implementing a comprehensive and coordinated evaluation of Statewide tobacco control efforts.
EXPECTED DATE OF COMPLETION:01/03/2000
AGENCY SPONSOR: National Center for Chronic Disease Prevention and Health Promotion
FEDERAL CONTACT: Don Sharp, 770-488-5703
PIC ID: 6714
PERFORMER: Battelle Corporation, Arlington, VA
The objective of this project is to evaluate the impact of STD treatment guidelines in public and private settings, to identify factors associated with compliance with guidelines, and assess the relationship between adherence to guidelines and associated health outcomes.
EXPECTED DATE OF COMPLETION:09/01/2000
AGENCY SPONSOR: National Center for HIV, STD, and TB Prevention
FEDERAL CONTACT: Ruth Irwin, 404-639-8956
PIC ID: 7047
PERFORMER: The HMO Group, New Brunswick, NJ
The State and Local Area Integrated Telephone Survey (SLAITS) is a newly developed survey mechanism which utilizes the sampling frame and screening procedures of the ongoing National Immunization Survey (NIS). The objective of this project was to evaluate SLAITS as a modality for monitoring State performance in implementing the State Children's Health Insurance Program during a period of rapid State restructuring of health and welfare institutions. This final report presents three studies that use an alternative approach to assess the degree of Medicaid underreporting. In Studies 1 and 3, state administrative records were used to create sampling frames consisting of children currently enrolled in Medicaid. In Study 2, data on children selected during a random-digit-dial (RDD) telephone survey were linked back to state Medicaid enrollment records. This paper focused on the magnitude and effect of an underreporting bias and on the difficulties encountered when trying to link telephone surveys and administrative records. The study found that reporting of Medicaid coverage in population-based surveys is lower than the number of persons enrolled in Medicaid according to administrative data. Many health care research experts suspect that about 20% of the parents of Medicaid recipients do not report that their children receive Medicaid. And, linking survey respondents to Medicaid records will be hampered by difficulties in connecting focal children with enrollment lists and records.
EXPECTED DATE OF COMPLETION:09/30/2001
AGENCY SPONSOR: National Center for Health Statistics
FEDERAL CONTACT: Marcie Cynamon, 301-436-7085
PIC ID: 7046
PERFORMER: Robert Wood Johnson Foundation, Princeton, NJ
The objective of this study is to reduce non-response bias in the National Health and Nutrition Examination Survey (NHANES). The central foci of this program assessment are the conduct of interviews and/or focus groups of respondents and non-respondents and potentially of individuals as similar to the non- respondents as possible to evaluate potential reasons for response and non-response to the NHANES.
EXPECTED DATE OF COMPLETION:09/30/2002
AGENCY SPONSOR: National Center for Health Statistics
FEDERAL CONTACT: David Davis, 404-639-0938
PIC ID: 7435
PERFORMER: Research Triangle Institute, Research Triangle Park, NC
This project will conduct national population-based surveys of administrators and clinical providers in family planning programs funded by Titles X and XX, maternal and child health programs funded by Title V, and the federally-funded Primary and Migrant Health Centers. The information obtained from these surveys will be used to develop recommendations for the development of future clinical guidelines.
EXPECTED DATE OF COMPLETION:09/30/2001
AGENCY SPONSOR: National Center for Chronic Disease Prevention and Health Promotion
FEDERAL CONTACT: Alison Spitz, 770-488-5260
PIC ID: 6712
PERFORMER: Battelle Corporation, Arlington, VA
The purpose of this evaluation is to identify the costs of implementing standing orders programs and their components compared to other organized immunization programs in long term care facilities (LTC) and, subsequently, to determine the cost-effectiveness of such programs and their components. This evaluation will require two phases: Phase 1 will include identification of program costs and of effects of program on staff and resident flow at the LTC and, Phase 2 will include determination of cost effectiveness of the programs related to improvement in vaccination coverage rates in the LTC.
EXPECTED DATE OF COMPLETION:09/30/2002
AGENCY SPONSOR: National Immunization Program
FEDERAL CONTACT: Abigail Shefer, 404-639-8333
PIC ID: 7434
PERFORMER: Research Triangle Institute, Research Triangle Park, NC
This project proposes to evaluate the potential of the National Health Interview Survey (NHIS) for the surveillance of sentinel health indicators in the U.S.
EXPECTED DATE OF COMPLETION:09/30/2001
AGENCY SPONSOR: National Center for Health Statistics
FEDERAL CONTACT: Ann Hardy, 301-436-7085
PIC ID: 7040
PERFORMER: TRW Government Information Services, Fairfax, VA
In 1997 the Epidemiology Program Office established the Public Health Prevention Service (PHPS), a new three-year training program, designed to improve the Nation's public health practice by preparing entry- level public health professionals to conduct prevention programs. This evaluation project will establish the foundation for a monitoring and evaluation system designed to provide feedback to the PHPS program for continuous improvement.
EXPECTED DATE OF COMPLETION:09/11/2001
AGENCY SPONSOR: Epidemiology Program Office
FEDERAL CONTACT: Dennis Jarvis, 404-639-4087
PIC ID: 7038
PERFORMER: Macro International, Inc., Atlanta, GA
Currently, at least 22 States have immunization information systems (IIS) functioning either State-wide or in some counties or local communities. At this point in the development cycle, it is important to evaluate how the data in the IIS are used. If it is understood how these data are used and structural and functional barriers to data use can be identified, recommendations can be made to promote the full use of these data resources.
EXPECTED DATE OF COMPLETION:09/30/2001
AGENCY SPONSOR: National Immunization Program
FEDERAL CONTACT: John Stevenson, 404-639-8730
PIC ID: 6713
PERFORMER: Advanced Technology Systems, Johnson City, TN
This project proposes to evaluate the effectiveness of a free folic acid supplement distribution program in a family planning setting using blood folate determinates in conjunction with questionnaires of knowledge and supplement use behaviors.
EXPECTED DATE OF COMPLETION:09/30/2001
AGENCY SPONSOR: National Center for Environmental Health
FEDERAL CONTACT: Margaret Watkins, 770-488-7187
PIC ID: 7042
PERFORMER: Battelle Corporation, Arlington, VA
In light of major changes in funding and further developments of core capacity and infrastructure of State diabetes control programs, there is a need to step back and form a collective vision of the National Diabetes Control Program. This vision will form the basis for the FY 1999-2000 National Diabetes Control Program announcement for cooperative agreement renewals.
EXPECTED DATE OF COMPLETION:09/30/2001
AGENCY SPONSOR: National Center for Chronic Disease Prevention and Health Promotion
FEDERAL CONTACT: Dara Murphy, 770-488-5046
PIC ID: 7051
PERFORMER: Macro International, Inc., Atlanta, GA
The purpose of this project is to conduct a survey of a sample of physicians' diagnosis, treatment, reporting and partner management practices for syphilis and HIV infection. The study will determine when, under what conditions, for which diseases, how and for which patients, practitioners notify and/or treat the sexual partners of patients who are diagnosed with syphilis and HIV infection.
EXPECTED DATE OF COMPLETION:09/30/2001
AGENCY SPONSOR: National Center for HIV, STD, and TB Prevention
FEDERAL CONTACT: Janet St. Lawrence, 404-639-8376
PIC ID: 7054
PERFORMER: Battelle Corporation, Arlington, VA
This project will coordinate a review of the Centers for Disease Control and Prevention's (CDC) analysis of the impact of restructuring on essential public health services in Los Angeles County. It will collect case study data in up to six urban public health systems impacting the capacity to deliver essential public health services. It will also describe a set of predictive relationships applicable to other State and local health departments.
EXPECTED DATE OF COMPLETION:09/30/2001
AGENCY SPONSOR: Public Health Practice Program Office
FEDERAL CONTACT: Pomeroy Sinnock, 770-488-2469
PIC ID: 6276
PERFORMER: Macro International, Inc., Atlanta, GA