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Colorado Maternal and Child Health Program
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Safe and Connected Built Environments Logic Model
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Overarching Goal: All Coloradans will have increased access to safe places to walk, bicycle, wheelchair roll, and to create community connections.
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INPUTSSTRATEGIESOUTPUTSSHORT-TERM OUTCOMESMEDIUM-TERM OUTCOMESLONG-TERM OUTCOMESIMPACT
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In order to accomplish our set of strategies we have the following:In order to address our problem or asset (priority), we will accomplish the following strategiesWe expect that once accomplish, these strategies will produce the following evidence or service deliveryWe expect that if strategies are accomplished, the following changes should be expectedWe expect that if strategies are accomplished, the following changes should be expectedWe expect that if strategies are accomplished, the following changes should be expectedWe expect that if strategies are accomplished, the following changes should be expected
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Accomplished in
6 months - 1 yr		Accomplished in 1-3 yrs.Accomplished in 3-5 yrs.5-10+ years
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CDC State Physical Activity and Nutrition Funding (2019-2023)

Cancer Cardiovascular and Pulmonary Disease Grants program (2019-2022)

Obesity evidence Review findings 2019

OHE Health Disparities program

Resource
Licensing & Zoning: Local Tools for Managing Alcohol Outlet Density in Colorado

Motor Vehicle Safety Manager

CDPHE GIS

Build cross-sector partnerships to increase capacity for implementing place-based policy strategies that promote equity, community safety, and activity-friendly routes.




→# of partners using community engagement strategies to inform efforts

# of partners receiving information on disparities in physical inactivity .

Best practices, tools, and data (qualitative and quantitative) needed for conducting equity assessment identified		→Strengthen state-level multi-sector partnerships to support the prioritization of two built environment policies or initiatives for state implementation to increase safe and connected communities that will have a positive impact on racial equity.

Strengthen internal collaboration on built environment stategies.

Two equity assessments of built environment strategies completed.




→# of partners implementing strategies to increase access to inclusive, quality playgrounds, parks and recreational facilities.

Increased use of health and equity data to inform policy development, decision making, and evaluation.



→Increased # of state, regional or local plans and policies that include goals and strategies to promote equity, community safety, and activity-friendly routes.


# of new or enhanced inclusive and accessible playgrounds, parks, trails and recreation facilities.


→More local public health agencies in Colorado will integrate the goals of MCH (equity, safety, inclusivity, activity) into local built environment plans and policies leading to more communities having increased access to safe, inclusive, thoughtfully designed, spaces that facilitate social interactions provide activity-friendly access to everyday destinations.

Colorado will see an increase in the percent of children living in supportive neighborhoods.
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Provide technical assistance for the implementation of equity-driven, evidence-based, policy strategies to increase activity-friendly routes, community safety, and opportunities for social interaction. Compile and disseminate resources

# and type of technical assistance provided to local partners


# of success stories about LPHAs engaging in built environment work


# & type of educational resources developed and shared		A minimum of 6 technical assistance supports are developed for local communities implementing equity-driven build environment strategies.

Increased capacity of Built Environment MIT to enable technical assistance to local communities on anti-racist built environment policies and alternatives to punitive enforcement strategies.

Technical assistance assessment and plan completed


Increased awareness of and participation in built environment technical assistance opportunities, tools, and resouces .

# of partners trained / received TA on built environment racial equity assesment processes.





# Shared use policies between local governments, school districts, faith-based organizations, etc

% of schools with a safe routes to school
# Schools implementing safe routes to school (smart source)


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This project was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number B04MC28087, Maternal and Child Health Services. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.
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https://www.mchevidence.org/documents/ESM-Review-National-Summary-2019.pdf
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https://www.mchevidence.org/tools/strategies/8-3.php
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 Sample ESMs. Using the strategy “Promote the use of park-locator apps to increase the access and visibility of community parks,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework:
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Number of students who download the Healthy Parks Healthy Person app.
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Percent of students who download the Healthy Parks Healthy Person app who report increase use of local parks. (We could think about this with COTREX)
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8.2.1 Number of community environmental changes demonstrated as a result of enhanced collaborations. (New York)

Goal: Enhance collaboration with key partners at the state or local levels to advance changes at the community-, environmental- or policy/systems-levels that promote maternal and child health

Significance: As highlighted in the needs assessment, both families and providers identified the critical role that home and community environments play in health outcomes and health behaviors. Factors including access to healthy affordable food and places to engage safely in physical activity have significant impact on families’ health and well-being. These perceptions are consistent with broader and longstanding public health approaches aimed at supporting “healthy communities”, including strong commitments to community-driven change, policy and environmental change strategies (vs. individual-level strategies), and a focus on addressing social determinants of health rather than treating disease.

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The Convention on the Rights of the Child states that “…children have the right to the highest attainable level of health and the right to a safe environment, free from injury and violence”
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A built environment that promotes active transportation is necessary to meet both health goals (health promotion, injury prevention) and health equity goals (valuing children, reducing socioeconomic health and injury gradients).
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