Appendix B - SRHP Logic Model.pdf
PDF 211 KB Posted
- Solicitation number
- BD-27-1031-BCHAP-BCH01-133140
- Issued by
- Massachusetts
About this file
This is a Logic Model document for the Sexual and Reproductive Health Program (SRHP) developed by the Massachusetts Department of Public Health (MDPH). The model outlines a comprehensive framework designed to prevent unintended pregnancies and support families in safe, healthy communities through clinical care and community resources. The program's primary goal is to increase client autonomy around reproductive choices while reducing unintended pregnancy rates and sexual health inequities. Key activities include providing comprehensive, client-centered, non-coercive clinical services; conducting outreach and marketing to priority populations; establishing community and clinical linkages through referral networks; implementing training in reproductive and racial justice; offering patient navigation and case management; and promoting quality improvement processes across the service delivery network. The model addresses short-term outcomes (1-11 months), intermediate outcomes (1-3 years), and long-term outcomes (3+ years), with expected deliverables including standardized protocols and guidelines, community education sessions delivered in non-traditional settings, clinical quality assurance and data reporting, and the development of public information resources.
The SRHP Logic Model is supported by multiple inputs including MDPH program staff expertise, trained clinical and community-based staff, training and technical assistance providers, data system infrastructure, clinic facilities with required and optional sexual and reproductive health services, medications and medical supplies, successful evidence-based models and strategies rooted in reproductive justice and client-centered care, and established community partnerships through coalitions, community-based organizations, and referral networks. Key outcomes focus on decreasing STI and HIV incidence, reducing barriers to service access, increasing equitable payment models for sexual and reproductive health services, expanding preconception care and infertility services, and creating a coordinated community of practice among Massachusetts sexual and reproductive health providers. The program emphasizes reducing racism and bias in service delivery, supporting policy changes at state and national levels, and building a sustainable service delivery network that prioritizes confidentiality and serves low-income residents and adolescents.
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Text version
Sexual and Reproductive Health Program Logic Model Goal: Massachusetts residents prevent unintended pregnancies & plan and raise families in safe, healthy communities through accessing clinical care & community resources that support autonomy
With
INPUTS
Short-Term:
1-11 months
Intermediate:
1-3 years
ACTIVITIES
Long-Term:
3+ years
Expertise:
• MDPH Program
Staff
• Trained clinical & community based staff
• Training & TA provider
• Data system provider
Clinic Facilities:
• Required, optional, & associated SRH clinical services
• Medications and medical supplies
Successful models & strategies:
• Reproductive justice approach
• Client-centered health care
• Current national evidence-based standards of SRH care & guidelines
• Evaluation tools
• SRH Program data
Community partnerships:
• Community coalitions
• CBOs
• Strong referral networks
Clinical Services
OUTCOMES OUTPUTS
Increase the sustainability of the MA sexual & reproductive health service delivery network
• Comprehensive, client-centered, non-coercive, confidential SRH & supported clinical services
Decrease STI incidence
SRPH provides a safety net for clients who are low-income/need confidentiality /adolescents
Community/Clinical Linkage
Decrease sexual and reproductive health inequities
Outreach and marketing conducted among priority populations
Decrease inequities in accessing SRH services
•Cross-referrals between community & clinical programs •Community coalition networking
Increase client autonomy around reproductive choices
Reduce unintended pregnancy
Decrease incidence of sexually transmitted conditions in priority populations
Clients are screened for STIs, HIV, and reproductive-related cancer
Increase the quality of linkages to primary/preventive care
Same day access for a broad range of contraceptive methods
Standards/protocols developed & used across MA SRH providers
Decrease racism & bias in SRH service delivery
Policy development
• Support equitable payment for SRH
• Support state & national policy change to improve SRH
Community members provide input on SRH programming
Continuous QI process is implemented
Increase use of STI prevention methods
Increase diagnosis & treatment of
STIs/HIV/HPV-related cancer
Reduce number of underinsured residents in MA
Strong referral relationships with clinical & community partners
Staff is trained in racial justice, reproductive justice, & SRH services
Program Infrastructure
• Promoting SRH services via marketing and outreach
• Translation and interpretation
• Patient navigation/Case management
• Transportation assistance
Community Education
• Promote SRH services to identified priority populations in non-traditional settings via 3+ education sessions
Technical Assistance & Training
• Training in reproductive & racial justice, SRH services, evaluation, and other best practices
• Clinical QA and QI data collection & reporting
• Develop & disseminate public information resources
• Update SRH program standards & support adoption of evidence-informed SRH practices
Increase in coordinated & responsive SRH services
Reduce barriers to accessing SRH services
Quality information and education SRH resources are disseminated
Community of practice is created among MA SRH providers
Clients access patient navigation & case management
Education sessions are implemented in non-traditional settings
Programs report clinical data
MA SRH network creates products supporting equitable SRH payment
SRH payment is more equitable
Programs sustainably increase scope of services
Increase access to preconception care & infertility services
Increase accessibility of SRH services
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