program evaluation final-candace metcalf

Candace MetcalfProgram Evaluation Plan

Early Detection and Prevention of Breast CancerFor Immigrant and Minority Women

Program Evaluation – May 2014Prepared by Candace Metcalf

United Women Services Chicago8859 S. Roberts Rd. Ste. 101

Hickory Hills, IL, 60457

April 29, 2014

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Executive Summary

The following evaluation was performed for Women United Service Chicago an Organization

dedicated to the empowerment of women. The organization president and one of the founders

Faten Salemah had a vision that was to help women help themselves the organization was built

on the idea and programs that help women to get on their feet. Faten along with other

organization leaders felt that there was a need in the immigrant and minority community that

helped educate women about breast cancer. They have since 2012 been offering classes in and

around the Chicago area.

This evaluation looks at key components of the program, such as program effectiveness,

weaknesses, funding, training, and staffing. What was revealed in this evaluation is that the

program can be improved in the program delivery by focusing and emphasizing the importance

more of self-breast examination-in order to change the behavior/habit of participants. The

program participants felt confident in the program and were satisfied with the education they

received however those that attended did not perform breast exams prior to taking the classes.

So the behavior change was not consistent with program outcomes. This could be because the

organization still do not have the model breast to facilitate active learning. Of those who

attended the program old enough to follow up with mammograms half of those participants did

get mammograms. However the results/data that are key parts of the outcomes desired the are

qualitative as the evaluation serves as a test to help identify where there are weaknesses and

where it can be improved the data is not reflective other than that.

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Of the recommendations made to the organization in regards to this program is that they need

to improve fundraising activities and make a plan for fundraising. The organization estimated

the cost to run the organization and this program was around $129,000 per year. The

evaluation estimates are approximately $133,000 per year with everything they need to

operate. It is recommended they keep accurate data records in order to evaluate the

effectiveness of the program on an ongoing basis in order to use the information to apply for

grants. Funding is one of the main issues if there is no funding then the program will certainly

fail to serve the community and fulfill program goals.

The benefits of this program is of great importance to the community due to the high rate of

women getting breast cancer in their life time which is currently 1 in 8 women. Immigrant and

minority women are at greater risk than that due to other contributing factors. The benefit to

the women is to help save their lives, it also helps the community because less women turn to

public aid when they get advanced stages of cancer which runs in the upward $100,000’s, and

ultimately it helps insurance companies save money in the long run as well. Below the program

is outlined in detail as well as the evaluating findings and recommendations.

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Introduction

The program of “Early detection and prevention” designed and administered by the

Organization, Women United Services Chicago dedicated to the Empowerment of Immigrant

and Minority Women, was started due to the organization founders belief that women in

Chicago that are immigrants and minorities are an exceptional risk for getting breast cancer and

not finding it early on due to barriers they face in their everyday life. Because of this the

organization started a program to educate immigrant and minority women in the community

along with other services they offered. However the need is based on assumption, the

organizations founder an immigrant women seen this as a need within the community. United

Women Service President, Faten Salemah states “there is a need in the community for this

program because the women are not educated about this topic, they face more difficulties to

care such as language issues, belief, fears about seeking help/information, and it is something

taboo in many cultures. So the women do not perform regular checks on their breast to check

for early signs of cancer.” The purpose of this evaluation is to evaluate the need for this

program, how to improve the program, and cost of the program. This information will be used

to make improvements to the program by organization leaders.

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I. Organization Stakeholder Assessment

Stakeholders Interest Role of Evaluator How to engage

Facilitators

Faten, Candace, and other staff Volunteers

How to make program betterHow is the program functioningWhat’s the program cost to administer?

Defining program and context Identifying data sources Collecting dataInterpreting findings Disseminating and implementing findings

Interview President and participants

Conducting evaluation

Persons targeted in Program

Immigrant and Minority Women in Chicago areas

May fear or reject outsiders helpLanguage barriersInterested but doesn’t know how to check for breast cancer

Evaluate program effectivenessInterpreting findings

Survey-Qualitative Approach

The General Immigrant population

May be suspicious of outsiders to neighborhoods, especially if illegal immigration is an issue

Understanding community perspective

Inform of findings

Similar Organizations, hospitals, etc.

Might have similar problems Provide data to community Disseminate information

Who will use this Information

Faten To show effectiveness Use to improve program

Defining information needed from the evaluation Developing and implementing recommendations

Working with Faten to gain direction for evaluation.

II. Background and Description of the Early Detection and Prevention of Breast Cancer Program

Target Group

Target group is individual women in immigrant and minority groups in Chicago area. They are

direct targets. Target boundaries are the Chicago area. The service environments are

professional settings in schools, hospitals, organizations.

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Possible Solutions

There is really no other solutions to the problem at hand other than philanthropic action on

behave of nonprofit organizations as the private industry does not provide this type of service

to immigrants and minorities in the community.

Needs

Data reflects that 1 in 8 women will have a breast cancer diagnosis in their life time. That is

(12%) of the US Population of which 1 in 36 will die from breast cancer. The American Cancer

Society said there is a decline in deaths from breast cancer in the last decade due to early

detection and prevention for women under the age of 50. (American Cancer Society, 2014)

Immigrant and Minority women face more barriers that increase their chances to have breast

cancer, in the United States and are at an exceptionally higher risk.

Existing Data

According to the Illinois Department of Public Health Cancer in Illinois Statistics Cook County

from 2006 to 2010 shows the total count of breast cancer cases at 10, 682, of which 7, 681 are

whites, and 2,442 are blacks. Illinois does not collect data on Hispanics for this site and only

gives the option for White or Black per the County. For the entire state of Illinois for the years

2006 to 2010 they have 145, 398 cases of breast cancer for White (non-Hispanics) 21,644 of the

entire state were black women with breast cancer. For the entire state 7062 Hispanic women

are reported as having breast cancer between 2006 and 2010. (Illinois Department of Public

Health, 2014)

Given the data provided there is a gap between races of those who have breast cancer and it

being reported. According to the US Census Cook County one district of Chicago (51.5%) female

(Census, 2012) (65.9%) are white, (24.8%) black, (24.6%) are Latin or Hispanic, (6.7%) are Asian,

(21.2%) are foreign born, (34.4%) speak another language other than English at home, the total

population is estimated by the Census as being 5,240, 700. Making those approximately

2,698,960.5 females in Cook County alone in the Chicago and Chicagoland area. (Census, 2012)

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Census data does not break down the existing type of immigrants as well specifically even

though there is a larger white community many of them are immigrants.

Goals and Objectives

To educate more immigrant and minority women about the benefits and importance of self-

examination and early detection of breast cancer in order to educated them, to show them how

to check for breast cancer, and to give them information about community resources they can

follow up with, in order to have the women seek further health care, get mammograms, and in

order to help save more women’s lives from advanced breast cancer.

Provide program contents to target group in communities around Chicago specifically with the

goal of administering program at each hospital in and around Chicago at one school in each

area and at least five sister organizations per year. With the goal of having at least 30 women

participate at each location from at least 20 locations (schools, libraries, organizations,

hospitals.)

Impact Theory

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Program to promote awareness of the importance of early detection and regular self-examinations to prevent cancer.

Awareness created, information disseminated, the know how to perform self- exams.

More women detect breast cancer early.


Program Objective Chart

To educate immigrant and minority women on health issues, specifically breast cancer and early detection significance. Early detection education.

OutcomesInputs Activities Outputs Initial Intermediate Longer TermAgency Program Manager facilitates programs. Has more than 15 years in nonprofit work experience.With help from volunteers from local community and nearby colleges to administer programs.

Program provided to immigrant and minority women in community. ____________

Educate women-teach self-examinationPresentation-live demonstrations to help them understand what to do and look for.Literature- educational material provided. Network Information- Sources and information about resources available to them in the community.

Target group of women participate in program.

Women become knowledgeable of importance of self-examinations and early detection of breast cancer.

Women perform self-breast examinations, regularly.

Women maintain and follow-up regularly with regular breast examinations, and mammograms.

Detect cancers early on.

Volunteers Participate in administering program.

Volunteers participate in and advocate for program regarding early detection and prevention of breast cancer.

Work to inform others of importance of self-examination and encourage others to learn.

They become aware of the importance of early detection and the importance of regular self-breast examinations.

Volunteers will carry the experience over to their lives and advocate to women the importance of self-breast

The volunteers Continue to advocate to others the importance of self-examination and the importance of

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examinations. early detection.

Resources (Imputes and Activates)

The resources needed for program is at least 5 people to help volunteering. Information to

disseminate about program “breast cancer awareness information”, information about

community resources, and information about the organization with at least 1000 pamphlets a

year for each. At least 5 false breasts for demonstrating how to give an examination. Posters

for the workshops. T-shirts for volunteers to wear. Gifts for participating guest-pens-pencils-

paper-cups-bumper stickers. 1000 of each per year. Currently organization has just been giving

oral presentation and written information to participants in classes. (Organization does not

currently have all these resources but its goal is to obtain them for program upon funding.)

Outputs

Track participants by following up at 3 months and 6 months to check if they are following the

guidelines of self-examination (1 time a month) and to see if they had detected any signs of

cancer. To see if they followed up with healthcare and mammograms. –The point is also to

remind them. (Follow up is currently a part of the program.)

Stage of Development

This program is fairly new it has only been in operation since the end of 2012.

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III. Evaluation and Data Collection

Evaluation Goals- Improvement Focus Approach

The goal of this evaluation is to determine the effectiveness of “Early Detection and Prevention

of Breast Cancer Program” in order to educate women about detection of cancer early on for

immigrants and minority women. This evaluation will view parts of the Program in order to find

out if the program teaches women the importance of early detection and encourages them to

perform self-exams. In addition, this evaluation will help determine the overall necessary items

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that will help improve the program, identify effectiveness, weaknesses, and the funding needs

of the Program.

Assessment Questions

Assessment questions were formed by working in collaboration with the organizations

President Faten Salameh to ask the most relevant questions that need to be answered to help

further the goals of the organization in regards to improving the “early detection and

prevention education program for immigrant and minority women.” These questions for

evaluation are justified by working in collaboration with the organization leaders to form the

evaluation questions around their wants and the needs of the program. Assessing program

impacts with the use of summative evaluation questions to measure if program outcomes are

achieved:

Program Related Questions: Effectiveness

Do participants demonstrate understanding of early detection of breast cancer?

(indicated by survey instrument)

Do participants understand when and how to perform self-examination? (as indicated

by survey instrument)

Do participants understand when and where to follow up with “healthcare” and get

mammograms? (as indicated by survey instrument)

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Program Related Questions: Weakness

Does the program have sufficient funding? (as indicated by interviewing organization

leaders)

Does the program have sufficient staffing?

Does the program staff have sufficient training?

Does staff use networking opportunities to further the goals of the organization?

Program Cost vs. Benefit: Projections

What does this program cost to run?

What funding is needed to facilitate program?

What are the benefits of the project?

Evaluation Design

This evaluation uses multiple data sources including existing data and qualitiative data

collected. Because this is a fairly new program that has not be fully implemented to plan so far

with only a small number of recipients it is best to collect data from a qualitative stand point to

evaluate the key componants of the program to measure for effectiveness and the key

stakeholders want to know how the program can be improved, this is of high interest. Records

saved by the organization show incomplete and inaccurate record keeping. So the following

design has been implemented for recommended data collection and for the purpose of

evaluating current information.

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Evaluation approach: One-group Evaluation Design/Qualitative approach

Current method employed. However the organization has not facilitated the program where

the evaluator can perform a quantitative evaluation so the evaluator will have to contact

previous participants to ask them questions regarding the material they learned in previous

classes. The survey instrument is to be administered by phone in the participant’s first language

by program president Faten Salemah. This qualitative survey data will not be completely

reliable as it is the first time given and will serve as a test for instrument reliability. However in

the future the same survey can be used to gather and track reliable results once any minor

corrections are made. For the purpose of this evaluation plan. At least 5 participants will be

called and given the follow up survey for when they did participant in this program. It will have

been longer than 3 days since they participated in this program in the past. However the data

can help to reflect the knowledge base reviewed and if behaviors of the participants changed.

Quantitatively the results will not be reflective.

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Qualitative Survey Instrument-

1. When is the best time to do a self-breast exam? (open ended question) - Looking for “one week after menstruation. Or 7 to 14 days after menstruation”

2. Why should you perform regular breast exams? (open ended question) – Looking for “to become familiar with your breast to know how they are to compare any changes they might find in future. And comparison with each breast.”

3. What are two things to look for when doing a self-exam? (open ended question) – Looking for “lumps, notes, wrinkling, dimpling, tucking, color changes, fever, discharge, bleed, pain”

4. What are risk factors for breast cancer? (open ended) – Looking for 2 “family history, genetic, menstruation before 12 years old, menopause after age 55, pregnant after age 30, never been pregnant, obesity, alcohol use.”

5. When should you follow up with your doctor? (open ended question) – Looking for “when I find unusual changes or a lump”

6. How do you perform a self-breast exam? (open ended question) – Looking for 2 “standing and lying down, in front of mirror, in shower or after shower, by using different amount of pressure to feel different levels of tissue, vertical movements or circular movements from the collar bone till the bottom of your bra line and including your arm pit.”

7. Do you know where to follow up with a healthcare provider? (open ended question) – Looking for “ your regular doctor, your gynecologist, women health specialist”

8. Between what ages should you get a mammogram? (open ended question) – Looking for “age 40 and up”

9. How often should women old enough to get mammograms get one? (open ended question) – Looking for “every 1 years”

10. Have you scheduled a mammogram yet? (yes or no)11. Have you had a mammogram previously? ( yes or no) 12. Have you performed a self-exam since coming to the class? (yes or no)13. Have you ever had a healthcare provider perform an exam? (yes or no)14. Do you feel the class has helped you learn how to do a self-exam properly? (yes or no)15. How satisfied where you with the material in the class? (very satisfied, satisfied, neither

satisfied or unsatisfied, unsatisfied, very unsatisfied)16. What year where you born? (open ended)17. What ethnicity are you? (Open ended)

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Resources Considered

Data from the organization such as files have been evaluated to find pertinent information of

which did not serve the evaluation process needs in evaluating the program. Interview and

collaboration with organization staff/volunteers. And interviewing by phone program

participants who have previously participated in the program.

Evaluation Ethics, Standards, and Context

The organization has the desire to collect this information however there are some things that

can affect the reliability and the ability for evaluators to collect information. Participant’s

identities’ are to be confidential. Respect for people: Use respect in the security, dignity, and

self-worth of the respondents, program participants, clients, and other evaluation stakeholders.

Making sure the staff of the organization understand the role in maintaining confidentiality, and

how arbitrary behavior hurts the organization. The plan in place before the evaluation is to

ensure all measures of ethics are upheld in the process of the evaluation, because it can be just

as harmful to the program by not maintaining standards as ethics and can destroy the

organizations reputation. This is done by debriefing the program stakeholders.

There are issues that make a completely reliable evaluation impossible to occur. Those are the

taboos immigrants have in their lives about outside organization interacting with them, taboos

about healthcare, religious, cultural, and language. Many may be reluctant to share their thoughts or

opinions with the organization as feedback.

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IV. Results from the Program Evaluation

Program Effectiveness-Data

For the Summative Questions asked:

Do participants demonstrate understanding of early detection of breast cancer?

(indicated by qualitative survey instrument) Did they get the answer correct based on

their answers? Yes

Do participants understand when and how to perform self-examination? (as indicated

by survey instrument) Half of the participants understood self-examination properly.

And only half reported doing self-exams. This portion of the program should be

improved in order to encourage the women more and by giving interactive

demonstrations with false breast will help to improve the understanding of how to

perform the exam.

Do participants understand when, where to follow up with “healthcare” and get

mammograms? (as indicated by survey instrument) Participants knew when to follow

up with health care, and only half knew where to follow up, and half of those old

enough to get a mammogram scheduled one.

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Qualitative Survey Data Analysis

Ques./Resp. 1 2. 3 4 5 6

1. Yes no no yes yes yes

2. Yes yes no Yes Yes yes

3. yes yes yes yes yes yes

4. yes yes yes yes yes no

5. yes yes Yes yes yes yes

6. yes No No No Yes yes

7. n/a No Yes Yes No yes

8. yes Yes No No Yes yes

9. No Yes Yes Yes Yes no

10. Yes No No No No yes

11. No No No No No no

12. No No No Yes Yes yes

13. No Yes Yes Yes Yes Yes

14. Yes Yes Yes Yes Yes yes

15. Satisfied Very sat Satisfied Satisfied Very sat satisfied

16. 1968 (46) 1975 (39) 1972 (42) 1970 (44) 1978 (36) 1972 (42)

17. Arab Arab Turkish Arab Arab African American

Data Summary

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Of the program participants that participated in past program classes for early detection and

prevention of breast cancer all that attended were immigrant or minority women between the

ages of 36 and 46. To answer the question “were the target group reached?” the answer is yes.

Of the participants who participated in the previous classes none had previously had a

mammogram. Of those who participated 4 were over the age of 40 years old during the classes,

of the four participants over the age of 40, half have scheduled mammograms after the class.

Half of those participants asked did perform self-exams after coming to the class.

Q. 1. Of the questioned asked “when is the best time to do a breast-exam?” two out of six of

the participants knew the best time to do a breast exam. Q.2. Of the questioned asked “Why

should you perform a regular breast-exam?” five out of six participants knew the reason to do

regular exams. Q.3. Of the questioned asked “What are two things to look for when doing a

self-exam?” all the participants knew at least 2 signs to look for. Q.4. Of the questioned asked

“What are risk factors of breast cancer?” five out of six knew risk factors for breast cancer. Q.5.

Of the questioned asked “When should you follow up with your doctor?” all the participants

knew when to follow up with their doctor. Q.6. Of the question asked “How do you perform a

self-exam?” half of the participants answered correctly. Q.7. Of the question asked “Do you

know where to follow up with a healthcare provider?” only half of the participants knew

where to follow up. Q.8. Of the question asked “Between what ages should you get a

mammogram?” four out of six participants knew what ages to get a mammogram. Q.9. Of the

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questioned asked “How often should women old enough to get a mammogram get one?” four

out of six participants knew how often they need to get a mammogram. Q.10. Of the question

asked “Have you scheduled a mammogram yet?” four participants were old enough to start

getting them only half of which did scheduled a mammogram. Q.11. of the questioned asked

“Have you had a mammogram previously?” all the participants said no. Q.12. of the question

asked “Have you performed a self-exam since coming to class?” half of the participants

reported having done a self-exam. Q.13. of the question asked “have you ever had a health

care provider perform an exam?” five out of six said they had a breast exam by a healthcare

provider. Q. 14 Of the question asked “Do you feel the class has helped you learn how to do a

self-exam properly?” five out of six felt they learned how to do an exam properly. Q.15. Of

the question asked “How satisfied are you with the material in class? (Very satisfied, satisfied,

neither satisfied or unsatisfied, unsatisfied, very unsatisfied)” all of the participants where

either satisfied or very satisfied.

Program Weakness-Data

For Summative Questions asked:

Does the program have sufficient funding? (as indicated by interviewing organization

leaders) No currently the Organization just lost its office as of May 1, 2014 it had

donated space from 2012 until April 30, 2014. However, it is recommended that the

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organization can save money by using space at the president’s home. For the cost of the

program, the organization is in the process of trying to apply for grants to receive

funding for materials, as well as doing fundraising activities. The organization leaders

volunteer their time most of the time to get things done. And the organization relies

heavily on volunteers which help to facilitate programs. It is recommended that the

organization put together a plan for fundraising. First canvassing to get sponsors, as well

as, marketing to businesses, insurance companies, that will support their cause of

empowering women and early detection and prevention of breast cancer.

Does the program have sufficient staffing? The organization has a great volunteer base

and great plan in place for recruiting volunteers from local community colleges and

other organizations. The organization needs to however focus on recruiting volunteers

that speak the languages of women in immigrant groups around Chicago.

Does the program staff have sufficient training? The organization president has not had

formal training other than participating in other programs at hospitals that have given

classes on the topic. However it is recommended that the organization president and

main volunteers get certified on the topic and/or it is recommended the organization

recruit volunteers that have been certified to help give classes. Or the organization can

create its own certification course for the purpose of making sure training does happen

before classes are given to participants.

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Does staff use networking opportunities to further the goals of the organization? Yes,

the organization leaders do often go to other types of events and set up tables to hand

out information.

Program Cost vs. Benefit: Projections

What does this program cost to run?

Program will service a planned target population of at least 600 program participants per

a year. The cost per participant for the program is $223.00 each.

Salaries

Director $35,000

Director Assistant $30,000

Fringe Benefits $6,000

Total Compensation $71,000

Legal Fees $6,000

Operation Costs

Rent $14,400

Utilities, phone, internet $3,000

Office Supplies $2,400

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Transportation/gas $12,000

Marketing/Fundraising $12,000

Total Cost $43, 800

Program Materials-

Early.

Educational Materials $9,000

Demonstration Materials $3,500

Total Cost $12,500

Grand Total $133,300

What funding is needed to facilitate program? At least $133,000 per year to run the

organization and this program. It is recommended to the organization to find donated

space to operate or to operate from the president’s home/ be mobile to save money in

the amount of $31,000 per year that can go towards salaries and other costs. That

would bring the cost down to $102,000 approximately.

What are the benefits of the project?

The benefit of the program is that it will help raise knowledge and awareness about breast

cancer. Breast cancer has a high survival rate when it is detected early and can save the

women who detect it early a lot of money. Breast cancer when detected early in stages I and

II have a 95% survival rate or higher for post 5 years of diagnosis. Those diagnosed with later

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stages have lower rates of survival. In stage III its around 70% survival rate post 5 years of

diagnosis. The cost to treat breast cancer also rises with the stage of cancer the lower the

stage the less money is spent. It is estimated that 1 in 8 women will be diagnosed with

cancer once in her life time. It is one of the leading causes of death for women. Around

220,000 women are diagnosed each year with 40,000 deaths from breast cancer in the

United States alone. The cost to treat breast cancer ranges from $20,000 up to more than

$100,000. Early detection will help to save lives which is priceless and can help save women

and insurance company’s money in the long run.

V. Recommendations

Based on the findings of this evaluation the following recommendations are made.

Program Effectiveness

The breast cancer program needs to improve the emphasis and method of teaching women

how to do self-exams. Only half of those interviewed knew how to perform an exam. The

program has only been given orally in the past however it is a goal of the organization to

obtain the false breast to perform exams on for demonstration purposes. It is

recommended that those be used to facilitate the program in order to improve the know-

how to do self-exam for participants. Also the participants only knew half the time where to

follow up with health care. This can be troublesome if they need to upon self-exam. They

need to be directed to what healthcare facility to follow up with. Half the participants said

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they performed a self-exam after the class. The class needs to place equal amount of

emphasis on self-exam as mammograms. Early detection is vital women must perform

regular exams. The women felt that the class was effective however the behaviors show

that it is particularly effective and needs to be improved.

Data Collection and Record Keeping

It is recommended that program process be changed to implement proper record keeping.

Signup sheets that have the date, time, and target group working with, how many attended.

With contact information including, name, email. Language spoken, and ethnicity, in order

to track participants, send out follow up materials, to collect data, and for fundraising

purposes.

It is recommended that the organization collect data on at least 6 participants 20 times a year

from each class given in order to track the results of the class. It is recommended to follow the

protocol for data collection that was presented in this evaluation to collect data on a regular

basis a part of a management of information system for the program.

Recommended for future use is as follows. Using the before and after program model.

Participants will begin session by filling out a survey. It will be administered in their language to

help them understand the questions better. At the end participants will be asked if they can be

called in order to follow up after the program within 3 days’ time. At this time “random”

participants will be asked key questions that can demonstrate whether or not they learned the

core context of the program. This will help demonstrate whether or not the participants

learned about early detection importance, how to do self-exam, if they have performed at least

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one, if they intend to do so every month, and if they intend to follow up with health

care/mammograms. This method will show if there was a change in knowledge and habits of

the participants before and after the program.

Participants will be asked to provide name and contact information when signing in

participation log. At the end of the program we will ask if participants will allow us to follow up

after 3 days’ time to participate in a short phone survey about the program. Participants will be

told that the information will help us to better understand the overall effectiveness of the

program. 3 to 6 random participants will be called and given survey by telephone. (Ideally this is

done for the first time evaluation however it is recommended to do this for Management of

Information for the program to help the organization better track results on their program. This

is of vital importance for the organization when they want to apply for grants to show how

effective the program is.)

Staff and Training

It is recommended that the program staff get certified in courses or a training session to teach

about breast cancer early detection and prevention. If one is not available it is recommended

the organization have its own certification class given to new volunteers to certify them.

Marketing, Fundraising and Grants

It is recommended the organization start increasing fundraising efforts by canvassing to receive

more donors, as well as, marketing the charity to other organizations such as business to

network and open doors to new donors. As well as making a formal fundraising plan.

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It is recommended based on this evaluation that the organization do continue to apply for

grants and seek materials from sister organizations that have similar goals.

Cost Reduction

It is recommended the organization use the president’s house instead of having a formal office

as most of the meetings and planning can take place at the president’s home, and other

meetings can be done in a meeting spot such as Panera Bread or donated space for the

meetings. And the organization leaders can be mobile and meet prospective donors at their

location. This will help save the organization much needed money. Even if they receive donated

space for a time they will save on other cost such as utilities, internet, etc.

Conclusion and Discussion

The organization is on the right track by facilitating an evaluation of the program by the use of

this evaluation the program can be improved and will help to further the effectiveness of the

program and will aid in the ability for the organization in applying for grants and help in the

process of fundraising for the program. However it is vital the organization put what is learned

here to work, otherwise, the program will not meet its outcome goals effectively. By working

with organization leaders, the founder and president of the organization helped to learn in

depth more about the organization, how it functions, and the program at hand. It is vital that in

the future, data is collected, and the organization use proper record keeping in order to

evaluate the health and success of all programs. The program appears to be very helpful to

those who have attended the program and feel that it is a success.

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References

American Cancer Society (2014) What is Breast Cancer? Medical Review. http://www.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-key-statistics

Illinois Department of Public Health (2014) Cancer Statistics, Database. http://www.idph.state.il.us/cancer/statistics.htm

Census Quick Facts (2012) State and County, Cook County Illinois. http://quickfacts.census.gov/qfd/states/17/17031.html

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