new Web-based Survey

State and Community Awardee Staff Needs Assessment
State and Community Awardee Staff Needs Assessment

 

Form Approved 
OMB No. 0920­0952 
Exp. 12/31/2015  
 
 
Public reporting burden of this collection of information is estimated to average 45 minutes per response, including the 
time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and 
completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not 
required to respond to a collection of information unless it displays a currently valid OMB control number. Send 
comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for 
reducing this burden to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road, MS D­74, Atlanta, GA 30333, ATTN: 
PRA (0920­0952).  

 

Introduction

The purpose of this assessment is to help your organization identify strengths and areas of potential growth regarding your ability to support the 
implementation of this project. This assessment is aligned with the key components of this project and requests information on your organizational 
background, partnerships, community mobilization, evidence­based programs, training and technical assistance for program implementation, 
contraceptive services for youth, educating stakeholders, and cultural competence and diversity.  
 
Please respond to only those sections that apply to your project role. Please answer as honestly as possible. Results from this assessment will be 
used by CDC and the five funded National Organizations to develop a targeted training and technical assistance plan for your organization. 
 
Thank you for your candor in completing this important assessment. 

Section I. Individual Information

 

*1. Please select your organization.
j Alabama Department of Public Health
k
l
m
n

 

j Adolescent Pregnancy Prevention Campaign of North Carolina
k
l
m
n
j Family Planning Council
k
l
m
n

 

 

j Fund for Public Health New York
k
l
m
n

 

Other 

j Georgia Campaign for Adolescent Pregnancy Prevention Campaign
k
l
m
n
j City of Hartford
k
l
m
n

 

 

j Massachusetts Alliance on Teen Pregnancy
k
l
m
n

 

j South Carolina Campaign to Prevent Teen Pregnancy
k
l
m
n

 

j University of Texas Health Science Center at San Antonio
k
l
m
n

 

Page 1

State and Community Awardee Staff Needs Assessment

*2. Which of the following describes your role/title? (Select all that apply)
c Clinical technical assistance provider
d
e
f
g

 

c Program technical assistance provider
d
e
f
g
c Youth leadership team coordinator
d
e
f
g
c Evaluator
d
e
f
g

 

 

 

c Other (please specify)
d
e
f
g

 
 

*3. For how many years have you held your position?
j < 2 years
k
l
m
n

 

j 3 to 5 years
k
l
m
n
j > 5 years
k
l
m
n

 

 

*4. For how many years have you worked in teen pregnancy prevention?
j < 2 years
k
l
m
n

 

j 3 to 5 years
k
l
m
n
j > 5 years
k
l
m
n

 

 

Section II. Community Mobilization

 

*5. Do you lead organizational efforts to work with community partners (e.g., core partner

leadership team) in developing action plans and implementing community­wide
initiatives?
 

j Yes
k
l
m
n
j No
k
l
m
n

 

Section II. Community Mobilization (continued)

 

Page 2

State and Community Awardee Staff Needs Assessment

*6. Please indicate whether you have received formal training and the time frame in which

the formal training on leading/facilitating collaborative community­wide efforts was
received. Formal training refers to planned teaching of standard knowledge and/or skills
related to specific capacities.
Never

< 2 years

3 to 5 years

> 5 years

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

A theoretical justification for community mobilization in support of TPP

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Developing a long­range community mobilization plan

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Identifying and recruiting participants for a Core Partner Leadership 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Identifying and recruiting participants for a Community Action Team

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Identifying and recruiting participants for a Youth Leadership Team

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Supporting community participants to develop TPP goals and identify 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Preparing for possible opposition to TPP within communities

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Identifying strategies for long­term sustainability of TPP activities within 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Conducting a comprehensive community needs and asset assessment in 
support of TPP

Team

strategies to address them

communities
Supporting community team members to evaluate their mobilization 
efforts

*7. How confident are you in your ability to lead a community group through the

following activities?

1 ­ Not at all 

2

Confident

3 ­ Somewhat 
Confident

4

5 ­ Extremely 
Confident

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

A theoretical justification for community mobilization in support of TPP

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Developing a long­range community mobilization plan

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Identifying and recruiting participants for a Core Partner Leadership 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Identifying and recruiting participants for a Community Action Team

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Identifying and recruiting participants for a Youth Leadership Team

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Supporting community participants to develop TPP goals and identify 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Preparing for possible opposition to TPP within communities

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Identifying strategies for long­term sustainability of TPP activities within 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Conducting a comprehensive community needs and asset assessment in 
support of TPP

Team

strategies to address them

communities
Supporting community team members to evaluate their mobilization 
efforts

Section II. Community Mobilization (continued 1)

 

Page 3

State and Community Awardee Staff Needs Assessment

*8. Do you lead organizational efforts to facilitate one or more of the 3 partnership groups

(i.e., Core Partner Leadership Team, Community Action Team, or Youth Leadership
Team)?
 

j Yes
k
l
m
n
j No
k
l
m
n

 

Section II. Community Mobilization (continued 2)

 

*9. ith which of the three groups you are involved as a facilitator/group leader? (Select all 
that apply)
c Core partner leadership team
d
e
f
g
c Community action team
d
e
f
g
c Youth leadership team
d
e
f
g

 

 

 

*10. How confident are you in your ability to do the following activities?
1 ­ Not at all 
Confident
Facilitate the goal setting process within your project team to achieve 

2

3 ­ Somewhat 
Confident

4

5 ­ Extremely 
Confident

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

community mobilization in support of TPP
Work within your project team to identify, recruit and retain the best 
“mix” of persons for your community teams
Work within your project team to help community teams establish their 
legitimacy as spokespersons for TPP within their communities
Work within your project team to help community teams rally support for 
TPP within their communities
Work within your project team to evaluate the functioning of the 
community teams to achieve their goals

Section IV. Contraceptive Services for Youth

 

*11. Do you lead organizational efforts to provide training and technical assistance to
clinic partners as part of the Teen Pregnancy Prevention project?
 

j Yes
k
l
m
n
j No
k
l
m
n

 

Section IV. Contraceptive Services for Youth (continued)

 

Page 4

State and Community Awardee Staff Needs Assessment

*12. Please indicate whether you have received formal training and the time frame in
which the formal training on certain topics related to reproductive health services was
received. Formal training refers to planned teaching of standard knowledge and/or skills
related to specific capacities.
Never

< 2 years

3 to 5 years

> 5 years

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

The use of the Quick Start Methods for dispensing IUDs

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Pap smear guidelines for adolescents

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Healthcare delivery system budgeting

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Business planning including maximizing coding, billing, and 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Work flow processes for patient visits

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Health care delivery systems productivity standards

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Appointment scheduling practices

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Contraceptive methods for adolescents

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Performance improvement or quality improvement methodologies

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Performance measurement

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Strategies for supporting time­alone between a provider and an 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Addressing social determinants of health in the clinical setting

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Male sexual and reproductive health services

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

The use of the Quick Start Method for dispensing hormonal contraception 
to adolescents

reimbursement strategies
Coding confidentiality in billing for adolescent reproductive health 
services

adolescent client
Strategies for supporting confidentiality in the delivery of contraceptive 
and reproductive services for adolescents

Page 5

State and Community Awardee Staff Needs Assessment

*13. How knowledgeable are you about each of the following?
1 ­ Not at all

2

3 ­ Somewhat

4

5 ­ Extremely

a. Efficacy of Intrauterine devices (IUDs)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

b. Costs of Intrauterine devices (IUDs)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

c. Side effects of Intrauterine devices (IUDs)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

d. Dispensing procedures of Intrauterine devices (IUDs)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

e. Efficacy of Contraceptive implant (Implanon)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

f. Costs of Contraceptive implant (Implanon)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

g. Side effects of Contraceptive implant (Implanon)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

h. Dispensing procedures of Contraceptive implant (Implanon)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

i. Efficacy of Injectable contraception (Depo­provera)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j. Costs of Injectable contraception (Depo­provera)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

k. Side effects of Injectable contraception (Depo­provera)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

l. Dispensing procedures of Injectable contraception (Depo­provera)

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

m. Efficacy of Birth control pills

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

n. Costs of Birth control pills

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

o. Side effects of Birth control pills

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

p. Dispensing procedures of Birth control pills

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

q. Efficacy of Emergency contraception

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

r. Costs of Emergency contraception

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

s. Side effects of Emergency contraception

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

t. Dispensing procedures of Emergency contraception

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

u. Efficacy of Male condoms

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

v. Costs of Male condoms

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

w. Side effects of Male condoms

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

x. Dispensing procedures of Male condoms

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

y. Efficacy of Female condoms

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

z. Costs of Female condoms

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

aa. Side effects of Female condoms

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

bb. Dispensing procedures of Female condoms

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

cc. Efficacy of other method

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

dd. Costs of other method

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

ee. Side effects of other method

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

ff. Dispensing procedures of other method

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Other (please specify) 

 
Page 6

State and Community Awardee Staff Needs Assessment
Section V. Educating Stakeholders

*14. Do you lead/co­lead organizational efforts to educate stakeholders in your
community?
 

j Yes
k
l
m
n
j No
k
l
m
n

 

Section V. Educating Stakeholders (continued)

 

*15. How knowledgeable are you about each of the following?
1 ­ Not at all

2

3 ­ Somewhat

4

5 ­ Extremely

How to identify important stakeholders in your community

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

How to determine your target audiences for stakeholder education

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

How to determine goals and objectives and an action plan for 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Methods for raising awareness of your community­wide initiative

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

How to educate on statistics and trends in teen pregnancy, by age and 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

stakeholder education using data from your community needs 
assessment

race/ethnicity and for special populations
Methods for educating on evidence­based and/or evidence­informed 
strategies to reduce teen pregnancy and data on needs and resources in 
target communities
Methods for crisis communication and managing controversy

*16. How confident are you in your ability to conduct the following activities?
1 ­ Not at all 
Confident

2

3 ­ Somewhat 
Confident

4

5 ­ Extremely 
Confident

Identify important stakeholders in your community

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Determine your target audiences for stakeholder education

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Determine goals and objectives and an action plan for stakeholder 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Raise awareness of your community­wide initiative

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Educate on evidence­based and/or evidence­informed strategies to 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

education using data from your community needs assessment

reduce teen pregnancy and data on needs and resources in target 
communities
Manage controversy through communication techniques/strategies

Page 7

State and Community Awardee Staff Needs Assessment

*17. What resources or tools would increase your capacity to work with stakeholders in
your community? (select all that apply)
c Specific talking points
d
e
f
g
c Additional training
d
e
f
g

 

 

c Resources and fact sheets
d
e
f
g

 

c Individual technical assistance
d
e
f
g
c Other (please specify)
d
e
f
g

 

 
 

Section VI. Working with Diverse Communities ­ Project Lead/Co­Lead

 

*18. Do you lead/co­lead organizational efforts for working with diverse communities?
 

j Yes
k
l
m
n
j No
k
l
m
n

 

Section VI. Working with Diverse Communities ­ Project Lead/Co­Lead (contin...

*19. How knowledgeable are you regarding each of the following topics?
1­ Not at all

2

3 ­ Somewhat

4

5 ­ Extremely

Health equity

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Health disparities

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Social determinants of health

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Frameworks for examining and addressing social determinants of health

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Cultural competency

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Strategies for engaging marginalized youth (i.e. foster care, homeless, 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

GLBTQ) in teen pregnancy prevention efforts

Page 8

 

State and Community Awardee Staff Needs Assessment

*20. How confident do you feel about providing technical assistance or training to
individuals in your community?
1 ­ Not at all 
Confident

2

3 ­ Somewhat 
Confident

4

5 ­ Extremely 
Confident

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Utilize community­based participatory approaches to evaluation

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Assess and evaluate progress on strategies to address social 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Increase awareness around the impact of social determinants of teen 
pregnancy with community partners
Actively engage informal community leaders and other influential 
community stakeholders (i.e. business leaders) around the significance 
of addressing social determinants of teen pregnancy
Assess attitudes and beliefs around social determinants among different 
audiences
Facilitate a process to identify key social determinants of teen 
pregnancy with community partners
Identify feasible strategies to address key social determinants of teen 
pregnancy
Enhance levels of cultural competence for clinical providers and 
program facilitators

determinants of teen pregnancy.

Section VII. Evidence­Based Programs ­ Training and Technical Assistance fo...

 

*21. Do you provide training and technical assistance to support program
implementation as part of the Teen Pregnancy Prevention project?
 

j Yes
k
l
m
n
j No
k
l
m
n

 

Section VII. Evidence­Based Programs ­ Training and Technical Assistance fo...

Page 9

 

State and Community Awardee Staff Needs Assessment

*22. Please indicate whether you have received formal training and the time frame in
which the formal training on certain topics related to evidence­based approaches to
planning, selection, implementation, and evaluation of evidence­based programs and
practices was received. Formal training refers to planned teaching of standard knowledge
and/or skills related to specific capacities.
Never

< 2 years

3 to 5 years

> 5 years

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Using logic models to plan general organizational activities

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Using logic models that link risk and protective factors to intervention 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Knowing how to conduct process evaluation

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Knowing how to conduct outcome evaluation

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Understanding the benefits of using evidence­based approaches such as 
the Getting To Outcomes (GTO) approach to prevent teen pregnancy
Knowing which evidence­based programs and/or practices have reduced 
sexual behaviors leading to teen pregnancy, STI, and/or HIV

activities for the purpose of selecting an appropriate TPP 
program/curriculum or practice.
Knowing how to plan and conduct effective trainings on evidence­based 
or evidence­informed programs to others
Knowing how to assess an evidence­based program for fit with one's 
priority population and community

23. We are interested in the amount of experience you have providing technical assistance
and training on the topics listed in the previous question. Experience providing training
and TA refers to working with one or more client organizations on a particular topic.
Please indicate if you have at least 6 months of experience providing technical assistance
and training on the following.
Yes

No

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Using logic models to plan general organizational activities

j
k
l
m
n

j
k
l
m
n

Using logic models that link risk and protective factors to intervention 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

How to conduct process evaluation

j
k
l
m
n

j
k
l
m
n

How to conduct outcome evaluation

j
k
l
m
n

j
k
l
m
n

The benefits of using evidence­based approaches such as the GTO 
approach to prevent teen pregnancy
Which programs, practices, or policies related to promoting adolescent 
sexual health have evidence of effectiveness

activities for the purpose of selecting an appropriate TPP 
program/curriculum or practice.
How to plan and conduct effective trainings on evidence­based or 
evidence­informed programs to others
How to assess an evidence­based program for fit with one's priority 
population and community

Page 10

State and Community Awardee Staff Needs Assessment

*24. How knowledgeable are you regarding each of the following teen pregnancy
prevention activities?
1 ­ Not at all

2

3 ­ Somewhat

4

5 ­ Extremely

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Measure participant satisfaction with a prevention program or practice

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Evaluate an activity to ensure that it is meeting goals and objectives, 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Identify those who will be responsible for each program delivery task

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Specify the amount of change to expect in program objectives

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Assess community strengths in programming by examining existing 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Develop program objectives that are linked to program goals

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Examine how a prevention program fits with the philosophy of a 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Create timelines for completing all program tasks

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Develop a budget that outlines the funding required for each program 

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

j
k
l
m
n

Develop program goals for a teen pregnancy prevention activity or 
program
Assess how well program activities fit within other existing program 
activities offered to the same target population
Define a target population for teen pregnancy prevention program(s) or 
practices

including completing analysis and interpretation of data

resources such as existing programs and availability of volunteers
Determine if an existing program or practice is suited to a community 
program’s goals and objectives

community organization
Measure how well program implementation followed the original 
program design (i.e., fidelity) for each program activity
Ensure that all new program activities are linked to specific goals and 
objectives
Determine if any evidence­based programs are applicable to a 
target/priority population(s)
Specify by when one should expect the change in their objectives to 
occur
Assess the causes and underlying risk factors for teen pregnancy in a 
community
Assess the adequacy of resources to implement a (new) program (e.g., 
staff, technical resources, funding)

activity
Develop a plan to sustain successful programs or activities (i.e., 
determine future funding sources, staffing)
Use evaluation results to improve delivery of a teen pregnancy 
prevention program or practice the next time it is offered
Adapt an evidence­based teen pregnancy prevention program while 
maintaining the integrity of the program

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State and Community Awardee Staff Needs Assessment

*25. How confident would you be providing training or technical assistance in the
following areas to support other organizations as part of the TPP project?
1 ­ Not at all 
Confident

2

3 ­ Somewhat 
Confident

4

5 ­ Extremely 
Confident

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Measure participant satisfaction with a prevention program or practice

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Evaluate an activity to ensure that it is meeting goals and objectives, 

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Identify those who will be responsible for each program delivery task

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Specify the amount of change to expect in program objectives

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Assess community strengths in programming by examining existing 

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Develop objectives that are linked to goals

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Examine how a prevention program fits with the philosophy of a 

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Create timelines for completing all program tasks

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Develop a budget that outlines the funding required for each program 

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Develop program goals for a teen pregnancy prevention activity or 
program
Assess how well program activities fit within other existing program 
activities offered to the same target population
Define a target population for teen pregnancy prevention program(s) or 
practices

including completing analysis and interpretation of data

resources such as existing programs and availability of volunteers
Determine if an existing program or practice is suited to a community 
program’s goals and objectives

community organization
Measure how well program implementation followed the original 
program design (i.e., fidelity) for each program activity
Ensure that all new program activities are linked to specific goals and 
objectives
Determine if any evidence­based programs are applicable to a 
target/priority population(s)
Specify by when one should expect the change in their objectives to 
occur
Assess the causes and underlying risk factors for teen pregnancy in a 
community
Assess the adequacy of resources to implement a (new) program (e.g., 
staff, technical resources, funding)

activity
Develop a plan to sustain successful programs or activities (i.e., 
determine future funding sources, staffing)
Use evaluation results to improve delivery of a teen pregnancy 
prevention program or practice the next time it is offered
Adapt an evidence­based teen pregnancy prevention program while 
maintaining the integrity of the program
Document adaptations made to evidence­based programs to reflect and 
respond to the youth and community context.

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State and Community Awardee Staff Needs Assessment
Train program facilitators to develop their understanding around 

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cultural and gender difference with respect to adolescent sexual risk 
behavior, teen pregnancy and implications of this on engagement and 
program implementation.

Section VIII. Organizational Technical Assistance Needs

 

CDC and the funded national organizations will use the following information to plan future TA and training.  

26. Please list topics, in order of priority, on which you would most like to receive technical
assistance and training through this project over the next year.
1
2
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10

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