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Missouri Foundation for Health: Evaluation of Domestic Violence Program

Case Overview

FSG was hired to design and conduct a year-long evaluation of the Missouri Foundation for Health’s Preventing Violence Against Women program.

The Challenge

An evaluation was needed for the Missouri Foundation for Health to understand the context in which its grantees were addressing domestic violence and sexual assault needs in the community; the potential for the field to expand from direct services to prevention; opportunities to move the field from collecting data on outputs to identifying and collecting data on outcomes; and where its grantees and their programs were on the path to sustainability.

Approach & Solutions

FSG designed and conducted an evaluation of the Preventing Violence Against Women Program that used a participatory, learning-oriented and utilization-focused approach. Because no one method could possibly answer all questions, FSG used several different data collection methods to collect both quantitative and qualitative data from Missouri Foundation for Health staff, grantees, board members and other providers in the domestic and sexual violence system. Data collection activities included two rounds of grantee interviews, a grantee survey, three case studies of select grantees and grantee capacity building activities.

In addition to the traditional activities of interviews and the survey, the case studies provided a unique perspective on the context in which grantees conduct their work. To understand the ways in which the cultural, economic, social and political environments of grantees’ programs and services impact and influence their work, FSG conducted case studies of grantees that represented very different geographic locations and services. The first grantee was a health service provider focused specifically on sexual violence and located in a semi-urban region, serving a very large population from the surrounding area. The second grantee was a domestic violence shelter and wraparound service provider in a very rural area of Missouri. The third grantee was based in the very urban environment of St. Louis and focused specifically on primary prevention. Each case study provided rich descriptive information that provided insights and deeper learning into the grantees’ successes, challenges and best practices.

The capacity building activities included two webinars; two sessions at MFH’s October 2010 grantee convening (one on evaluation findings; the other on collecting and analyzing qualitative data for advocacy purposes); and two hours of evaluation technical assistance per grantee. The capacity building activities allowed FSG to engage more deeply with grantees and to problem solve with them. This allowed FSG to develop a more keen understanding of grantees’ evaluation needs and potential solutions.

About Missouri Foundation for Health

The Missouri Foundation for Health was created in 2000 following Blue Cross Blue Shield of Missouri's (BCBSMo) conversion from nonprofit to for-profit status. Today, MFH is the largest health care foundation in the state and is among the largest of its kind in the country.

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