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Program and Policy Research, Planning, and Evaluation Support

LTG Associates has a long history of thoughtful, consistent collaboration with clients. Because we believe that we are in a partnership to achieve mutually desired ends, we engage in discussions on an ongoing basis.

Healthy People 2010 and Healthy People 2020.LTG provided a range of technical support to the first Healthy People (HP 2010) Mental Health (MH) and Substance Abuse (SA) Progress reviews, and continues this work on HP 2020. LTG worked closely with the HP 2010 workgroup coordinator, and with HP 2010 workgroup leads from the National Institute for Mental Health, National Institute for Drug Abuse, and the National Institute for Alcohol Abuse and Alcoholism, to provide current data for HP 2010 objectives and to identify data sources for all objectives for which data sources had not been identified. LTG staff activities included:

  • Conducted research into data sources and policy issues related to objectives, and provided reports to the workgroups.
  • Facilitated workgroup meetings and provided minutes of meetings, creating a detailed record of each workgroup's progress.
  • Conducted research and drafted sections for the Progress Review briefing books.

LTG supported the workgroups during the HP 2010 Midcourse Review, facilitated meetings with MH/SA workgroups, documented workgroup activities, conducted research on new data sources, supported the workgroups as they modified objectives, and helped draft the Midcourse Review chapters. LTG provided support in the drafting of an HP 2010 Mental Health and Substance Abuse Companion document that supplied state and local level policy makers and practitioners with a better understanding of the policy implications of HP 2010. For three years LTG provided support for the second round of HP 2010 Progress Reviews. Currently, LTG has researched emerging MH and SA issues and has assisted the SAMHSA HP 2020 workgroup in the development of new MH and SA objectives that directly affect the design of HP 2020.
SERVICES DELIVERED: Research, report writing, policy planning.

AHRQ Womens Health. LTG conducted a gap analysis project to examine the gender sensitivity of research funded by the Agency for Healthcare Research and Quality (AHRQ.) To evaluate and contribute to AHRQ's ongoing refinement of its gender-sensitive and women specific research efforts, LTG used a mixed qualitative, quantitative, and interdisciplinary approach. The methodology consisted of searching for relevant data with specific search terms, analyzing the harvested content by means of a coding scheme, and evaluating the data in relation to funding mechanisms, funding levels, and AHRQ portfolios and research priorities. The team also studied numerous reports related to women's health. At each stage of the process, the evaluation was informed by the expertise of a group of leading women's health researchers familiar with AHRQ's mission. LTG's subcontractor for this work was the George Washington University School of Public Health and Health Services, Department of Health Policy, Jacobs Institute of Women's Health. The final report, "Women's Health and Gender-Sensitive Health Services Research: Looking at the AHRQ Health Services Research Portfolio Through a Gender Lens," was deemed as excellent by the funder.
SERVICES DELIVERED: Design, evaluation, policy development.

MEDS and POPTECH Projects. LTG provided support through the Monitoring, Evaluation, Design and Support (MEDS) Project to the Office of Health, Infectious Diseases and Nutrition, Global Bureau of Health (GH/HIDN) at U.S. Agency for International Development (USAID.) LTG worked closely and collaboratively with USAID Washington and with Missions to design and evaluate program activities and explore new technical directions in: maternal/child health, MCH/HIV/AIDS, nutrition, infectious diseases, tuberculosis, and child survival. LTG provided similar support to the Population Bureau at USAID focused on family planning and reproductive health and HIV/AIDS in the POPTECH project. In both, LTG provided flexible design, monitoring, assessment, evaluation, and technical assistance to USAID Global Bureau Washington and to Regional Bureaus and Missions around the world. LTG conducted nearly 400 assessment, design, monitoring, or evaluation tasks for USAID over six years in 51 countries. Each task required design, team recruitment, budgeting, field implementation and management, data analysis, and product development. POPTECH was a performance-based contract and LTG was awarded high marks in every reporting period over the five years of the 20 million dollar contract. LTG made a significant contribution to USAID's goal of improving the availability, quality, and use of key interventions.
SERVICES DELIVERED: Design, monitoring, assessment, evaluation support, technical assistance.

California State Library. Under a Federal grant, the California State Library (CSL) sought to understand how libraries in California could better serve the needs of the 36 million people in a highly diverse state. Five key research questions were undertaken:

  • What are public libraries currently doing with regard to consumer health information?
  • What would be standards for reliable health information?
  • What kinds of challenges do library users face when searching for health information?
  • How can libraries reach out to communities and providers in order to be an effective force for improving health literacy?
  • What resources and capacity building do libraries need in order to better serve the health information needs of their users?

The underlying policy issue concerned how the California State Library can support health literacy across the State. LTG Associates, in collaboration with the CSL program consultant and the state-wide project advisory committee, conducted three phases of research for this study, each with a different set of stakeholders with a vested interest in improving health literacy among consumers. The first phase consisted of a survey of public library staff about the existing capacity of libraries to provide accessible and appropriate consumer health information. The second phase consisted of focus groups with library users, including those with low literacy, to identify and address the challenges that library users encounter in seeking health information. Focus groups also elicited consumers' strategies for improving the content, form, and means of delivering health information. The third phase surveyed health providers and focused on the types of materials and strategies used when educating patients. In this phase providers' awareness of libraries as a source of accurate, high-quality, consumer health information was also assessed.
SERVICES DELIVERED: Research, policy planning, capacity building.

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