2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
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Problem #1: (Insert statement describing the problem)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Root Cause #1: (Insert statement describing the root cause)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Local condition #1: (Insert statement describing the local condition)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Behavior Change
Intervention Name
Description
Strategy Category
o Insert the
o Insert intervention o Provide start and end dates for when the intervention was first implemented, and how often it
appropriate
name
is/was implemented (e.g. Annually in September since May 2010; Monthly since January 2012;
behavior
Note: ALL
Twice monthly from January 2011 – July 2011)
change strategy interventions included o Briefly describe the intervention (i.e., What is it? What is the purpose? Who is involved in
for the
in this template must
supporting this intervention?)
intervention.
be those that your
o Describe the breadth and depth of the intervention. For example, is it targeted to a particular
coalition has already
segment of the population (if so, who?), or the entire population? Approximately how many
implemented and that
individuals are reached / affected by the intervention?
contributed to the
outcomes you are
highlighting in your
application.
2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
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Problem #1: (Insert statement describing the problem)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Root Cause #1: (Insert statement describing the root cause)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Local condition #2: (Insert statement describing the local condition)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Behavior Change
Intervention Name
Description
Strategy Category
o Insert the
o Insert intervention o Provide start and end dates for when the intervention was first implemented, and how often it
appropriate
name
is/was implemented (e.g. Annually in September since May 2010; Monthly since January 2012;
behavior
Twice monthly from January 2011 – July 2011)
change strategy
o Briefly describe the intervention (i.e., What is it? What is the purpose? Who is involved in
for the
supporting this intervention?)
intervention.
o Describe the breadth and depth of the intervention. For example, is it targeted to a particular
segment of the population (if so, who?), or the entire population? Approximately how many
individuals are reached / affected by the intervention?
2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
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Problem #1: (Insert statement describing the problem)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Root Cause #1: (Insert statement describing the root cause)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Local condition #3: (Insert statement describing the local condition)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Behavior Change
Intervention Name
Description
Strategy Category
o Insert the
o Insert intervention o Provide start and end dates for when the intervention was first implemented, and how often it
appropriate
name
is/was implemented (e.g. Annually in September since May 2010; Monthly since January 2012;
behavior
Twice monthly from January 2011 – July 2011)
change strategy
o Briefly describe the intervention (i.e., What is it? What is the purpose? Who is involved in
for the
supporting this intervention?)
intervention.
o Describe the breadth and depth of the intervention. For example, is it targeted to a particular
segment of the population (if so, who?), or the entire population? Approximately how many
individuals are reached / affected by the intervention?
2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
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Problem #1: (Insert statement describing the problem)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Root Cause #2: (Insert statement describing the root cause)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Local condition #1: (Insert statement describing the local condition)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Behavior Change
Intervention Name
Description
Strategy Category
o Insert the
o Insert intervention o Provide start and end dates for when the intervention was first implemented, and how often it
appropriate
name
is/was implemented (e.g. Annually in September since May 2010; Monthly since January 2012;
behavior
Twice monthly from January 2011 – July 2011)
change strategy
o Briefly describe the intervention (i.e., What is it? What is the purpose? Who is involved in
for the
supporting this intervention?)
intervention.
o Describe the breadth and depth of the intervention. For example, is it targeted to a particular
segment of the population (if so, who?), or the entire population? Approximately how many
2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
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individuals are reached / affected by the intervention?
Problem #1: (Insert statement describing the problem)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Root Cause #2: (Insert statement describing the root cause)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Local condition #2: (Insert statement describing the local condition)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Behavior Change
Intervention Name
Description
Strategy Category
o Insert the
o Insert intervention o Provide start and end dates for when the intervention was first implemented, and how often it
appropriate
name
is/was implemented (e.g. Annually in September since May 2010; Monthly since January 2012;
behavior
Twice monthly from January 2011 – July 2011)
2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
change strategy
for the
intervention.
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o Briefly describe the intervention (i.e., What is it? What is the purpose? Who is involved in
supporting this intervention?)
o Describe the breadth and depth of the intervention. For example, is it targeted to a particular
segment of the population (if so, who?), or the entire population? Approximately how many
individuals are reached / affected by the intervention?
Problem #1: (Insert statement describing the problem)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Root Cause #2: (Insert statement describing the root cause)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Local condition #3: (Insert statement describing the local condition)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Behavior Change
Intervention Name
Strategy Category
Description
2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
o Insert the
appropriate
behavior
change strategy
for the
intervention.
o Insert intervention
name
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o Provide start and end dates for when the intervention was first implemented, and how often it
is/was implemented (e.g. Annually in September since May 2010; Monthly since January 2012;
Twice monthly from January 2011 – July 2011)
o Briefly describe the intervention (i.e., What is it? What is the purpose? Who is involved in
supporting this intervention?)
o Describe the breadth and depth of the intervention. For example, is it targeted to a particular
segment of the population (if so, who?), or the entire population? Approximately how many
individuals are reached / affected by the intervention?
Problem #1: (Insert statement describing the problem)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Root Cause #3: (Insert statement describing the root cause)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Local condition #1: (Insert statement describing the local condition)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
Behavior Change
Strategy Category
o Insert the
appropriate
behavior
change strategy
for the
intervention.
Intervention Name
o Insert intervention
name
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Description
o Provide start and end dates for when the intervention was first implemented, and how often it
is/was implemented (e.g. Annually in September since May 2010; Monthly since January 2012;
Twice monthly from January 2011 – July 2011)
o Briefly describe the intervention (i.e., What is it? What is the purpose? Who is involved in
supporting this intervention?)
o Describe the breadth and depth of the intervention. For example, is it targeted to a particular
segment of the population (if so, who?), or the entire population? Approximately how many
individuals are reached / affected by the intervention?
Problem #1: (Insert statement describing the problem)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Root Cause #3: (Insert statement describing the root cause)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Local condition #2: (Insert statement describing the local condition)
2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
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Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Behavior Change
Intervention Name
Description
Strategy Category
o Insert the
o Insert intervention o Provide start and end dates for when the intervention was first implemented, and how often it
appropriate
name
is/was implemented (e.g. Annually in September since May 2010; Monthly since January 2012;
behavior
Twice monthly from January 2011 – July 2011)
change strategy
o Briefly describe the intervention (i.e., What is it? What is the purpose? Who is involved in
for the
supporting this intervention?)
intervention.
o Describe the breadth and depth of the intervention. For example, is it targeted to a particular
segment of the population (if so, who?), or the entire population? Approximately how many
individuals are reached / affected by the intervention?
Problem #1: (Insert statement describing the problem)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Root Cause #3: (Insert statement describing the root cause)
2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
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Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Local condition #3: (Insert statement describing the local condition)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Behavior Change
Intervention Name
Description
Strategy Category
o Insert the
o Insert intervention o Provide start and end dates for when the intervention was first implemented, and how often it
appropriate
name
is/was implemented (e.g. Annually in September since May 2010; Monthly since January 2012;
behavior
Twice monthly from January 2011 – July 2011)
change strategy
o Briefly describe the intervention (i.e., What is it? What is the purpose? Who is involved in
for the
supporting this intervention?)
intervention.
o Describe the breadth and depth of the intervention. For example, is it targeted to a particular
segment of the population (if so, who?), or the entire population? Approximately how many
individuals are reached / affected by the intervention?
Problem #2: (Insert statement describing the problem)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
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Root Cause #1: (Insert statement describing the root cause)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Local condition #1: (Insert statement describing the local condition)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Behavior Change
Intervention Name
Description
Strategy Category
o Insert the
o Insert intervention o Provide start and end dates for when the intervention was first implemented, and how often it
appropriate
name
is/was implemented (e.g. Annually in September since May 2010; Monthly since January 2012;
behavior
Twice monthly from January 2011 – July 2011)
change strategy
o Briefly describe the intervention (i.e., What is it? What is the purpose? Who is involved in
for the
supporting this intervention?)
intervention.
o Describe the breadth and depth of the intervention. For example, is it targeted to a particular
segment of the population (if so, who?), or the entire population? Approximately how many
individuals are reached / affected by the intervention?
Problem #2: (Insert statement describing the problem)
2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
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Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Root Cause #1: (Insert statement describing the root cause)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Local condition #2: (Insert statement describing the local condition)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Behavior Change
Intervention Name
Description
Strategy Category
o Insert the
o Insert intervention o Provide start and end dates for when the intervention was first implemented, and how often it
appropriate
name
is/was implemented (e.g. Annually in September since May 2010; Monthly since January 2012;
behavior
Twice monthly from January 2011 – July 2011)
change strategy
o Briefly describe the intervention (i.e., What is it? What is the purpose? Who is involved in
for the
supporting this intervention?)
intervention.
o Describe the breadth and depth of the intervention. For example, is it targeted to a particular
segment of the population (if so, who?), or the entire population? Approximately how many
individuals are reached / affected by the intervention?
2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
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Problem #2: (Insert statement describing the problem)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Root Cause #1: (Insert statement describing the root cause)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Local condition #3: (Insert statement describing the local condition)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Behavior Change
Intervention Name
Description
Strategy Category
o Insert the
o Insert intervention o Provide start and end dates for when the intervention was first implemented, and how often it
appropriate
name
is/was implemented (e.g. Annually in September since May 2010; Monthly since January 2012;
behavior
Twice monthly from January 2011 – July 2011)
change strategy
o Briefly describe the intervention (i.e., What is it? What is the purpose? Who is involved in
for the
supporting this intervention?)
intervention.
o Describe the breadth and depth of the intervention. For example, is it targeted to a particular
segment of the population (if so, who?), or the entire population? Approximately how many
individuals are reached / affected by the intervention?
2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
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Problem #2: (Insert statement describing the problem)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Root Cause #2: (Insert statement describing the root cause)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Local condition #1: (Insert statement describing the local condition)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Behavior Change
Intervention Name
Description
Strategy Category
o Insert the
o Insert intervention o Provide start and end dates for when the intervention was first implemented, and how often it
appropriate
name
is/was implemented (e.g. Annually in September since May 2010; Monthly since January 2012;
behavior
Twice monthly from January 2011 – July 2011)
change strategy
o Briefly describe the intervention (i.e., What is it? What is the purpose? Who is involved in
for the
supporting this intervention?)
intervention.
o Describe the breadth and depth of the intervention. For example, is it targeted to a particular
segment of the population (if so, who?), or the entire population? Approximately how many
individuals are reached / affected by the intervention?
2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
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Problem #2: (Insert statement describing the problem)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Root Cause #2: (Insert statement describing the root cause)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Local condition #2: (Insert statement describing the local condition)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Behavior Change
Intervention Name
Description
Strategy Category
o Insert the
o Insert intervention o Provide start and end dates for when the intervention was first implemented, and how often it
appropriate
name
is/was implemented (e.g. Annually in September since May 2010; Monthly since January 2012;
behavior
Twice monthly from January 2011 – July 2011)
change strategy
o Briefly describe the intervention (i.e., What is it? What is the purpose? Who is involved in
for the
supporting this intervention?)
intervention.
o Describe the breadth and depth of the intervention. For example, is it targeted to a particular
segment of the population (if so, who?), or the entire population? Approximately how many
individuals are reached / affected by the intervention?
2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
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Problem #2: (Insert statement describing the problem)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Root Cause #2: (Insert statement describing the root cause)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Local condition #3: (Insert statement describing the local condition)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Behavior Change
Intervention Name
Description
Strategy Category
o Insert the
o Insert intervention o Provide start and end dates for when the intervention was first implemented, and how often it
appropriate
name
is/was implemented (e.g. Annually in September since May 2010; Monthly since January 2012;
behavior
Twice monthly from January 2011 – July 2011)
change strategy
o Briefly describe the intervention (i.e., What is it? What is the purpose? Who is involved in
for the
supporting this intervention?)
intervention.
o Describe the breadth and depth of the intervention. For example, is it targeted to a particular
segment of the population (if so, who?), or the entire population? Approximately how many
individuals are reached / affected by the intervention?
2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
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Problem #2: (Insert statement describing the problem)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Root Cause #3: (Insert statement describing the root cause)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Local condition #1: (Insert statement describing the local condition)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Behavior Change
Intervention Name
Description
Strategy Category
o Insert the
o Insert intervention o Provide start and end dates for when the intervention was first implemented, and how often it
appropriate
name
is/was implemented (e.g. Annually in September since May 2010; Monthly since January 2012;
behavior
Twice monthly from January 2011 – July 2011)
change strategy
o Briefly describe the intervention (i.e., What is it? What is the purpose? Who is involved in
for the
supporting this intervention?)
intervention.
o Describe the breadth and depth of the intervention. For example, is it targeted to a particular
segment of the population (if so, who?), or the entire population? Approximately how many
individuals are reached / affected by the intervention?
2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
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Problem #2: (Insert statement describing the problem)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Root Cause #3: (Insert statement describing the root cause)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Local condition #2: (Insert statement describing the local condition)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Behavior Change
Intervention Name
Description
Strategy Category
o Insert the
o Insert intervention o Provide start and end dates for when the intervention was first implemented, and how often it
appropriate
name
is/was implemented (e.g. Annually in September since May 2010; Monthly since January 2012;
behavior
Twice monthly from January 2011 – July 2011)
change strategy
o Briefly describe the intervention (i.e., What is it? What is the purpose? Who is involved in
for the
supporting this intervention?)
intervention.
o Describe the breadth and depth of the intervention. For example, is it targeted to a particular
2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
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segment of the population (if so, who?), or the entire population? Approximately how many
individuals are reached / affected by the intervention?
Problem #2: (Insert statement describing the problem)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Root Cause #3: (Insert statement describing the root cause)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Local condition #3: (Insert statement describing the local condition)
Data 1: Insert specific baseline data (year collected, name of data source)
Data 2: Insert specific baseline data (year collected, name of data source)
Behavior Change
Intervention Name
Strategy Category
Description
2016 CADCA GOT OUTCOMES! Phase II – Data/Strategy/Interventions Template
o Insert the
appropriate
behavior
change strategy
for the
intervention.
o Insert intervention
name
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o Provide start and end dates for when the intervention was first implemented, and how often it
is/was implemented (e.g. Annually in September since May 2010; Monthly since January 2012;
Twice monthly from January 2011 – July 2011)
o Briefly describe the intervention (i.e., What is it? What is the purpose? Who is involved in
supporting this intervention?)
o Describe the breadth and depth of the intervention. For example, is it targeted to a particular
segment of the population (if so, who?), or the entire population? Approximately how many
individuals are reached / affected by the intervention?