Browsing by Subject "Program evaluation"
Results Per Page
Sort Options
Item Open Access A Progress Evaluation of National Geographic's Geotourism Program(2012-04-27) Stern, Tamar; Brouwer, Susannah; Nystrom, Joel; Torres, HannahNational Geographic’s Geotourism Program is a sustainable tourism initiative designed to ease the negative impacts of mass tourism through a branding opportunity and grassroots structure that empowers local stakeholders to showcase regional and cultural identity. While previous studies on National Geographic’s Geotourism Program have investigated the potential and achieved successes from certain perspectives, the Geotourism charter mandates that program evaluation should consider all stakeholder interests. This study contributes to a comprehensive evaluation by analyzing progress from a previously unexplored perspective: that of the participating sites in two regions: Sierra Nevada and Crown of the Continent (COTC) region. Quantitative and qualitative data collection instruments gather information from participating sites that then is evaluated by indicators in three categories: social, environmental and economic. Social impact proves to be the strongest success of the project as participants are encouraged to learn about the assets of their region, and share regional information with visitors. The study also reveals that participants who buy into the Geotourism Project by educating visitors and incorporating it into their business planning documents recognize the greatest degree of project impact. Analysis of the results yields recommendations for how stakeholder education and involvement, impact measurement, and project positioning can be more effectively integrated into each destination’s strategic plan.Item Open Access An Analysis of Erosion and Sedimentation Programs in North Carolina(2010-04-30T15:03:13Z) Stogner, MichelleSedimentation is considered to be the number one pollutant of North Carolina waters. When excessive sediments enter the water, normally as a result of construction or agriculture, severe ecological consequences occur. Soil particles can transport chemical pollutants, increase turbidity and decrease the quality of receiving waters. In North Carolina there are 53 local (county or city) Erosion and Sedimentation Control (E&SC) Programs that have the authority to approve E&SC Plans for construction activities within their own jurisdictional boundaries. This Masters Project evaluated 24 E&SC programs by examining their Ordinances and comparing them with the model ordinance drafted by Department of Environment and Natural Resources. In addition, I organized and analyzed local program data that was collected from the 24 programs through a survey as part of the Muddy Waters Watch Program, an Environmental Protection Agency Section 319 grant project. The data extracted was on buffer widths, staff, active construction sites, notices of violations, limit of site exposure and graded slopes and fills. In order to assess the importance of these regulations, I conducted a riparian buffer analysis on the French Broad River using the National Land Cover Dataset Change Product for 1992 to 2001. The results indicate that the number of staff and their qualifications varied among the programs. On average, each active construction site was inspected once a week, and in some situations once every two weeks. The ordinance analysis showed that while each program has the model ordinance as a reference, each is unique to their area. However, certain aspects of the model ordinance, such as exposure and slopes, should be modified for different North Carolina regions. The French Broad River buffer analysis demonstrated the importance for adequate buffer regulations. While the amount of change was small, the change that did occur was classified as buffering land types (forest and grasslands) to pollutant land types (urban, industrial and agriculture). The French Broad River has the least stringent buffer regulations, the most active construction sites and the steepest slopes. Areas such as this are more prone to sediment pollution and thus should have wider buffer widths.Item Open Access Bringing Care to Patients: Evaluation and Implications of an Outreach Mobile Clinic Model in Rural North Carolina(2024-04-08) Haddad, NicholasThe goal of the DGHI and Hope Clinic partnership has evolved over time but has centered around understanding the services Hope Clinic offers to its patients, especially those with chronic conditions, and their access to care. Hope Clinic is a free and charitable clinic in Bayboro, NC that serves about 300 patients. Following previous studies that have highlighted the clinic’s current building constraints and patients’ transportation difficulties, an outreach care pilot was developed. This model rests on two pillars: “outreach locations” (six community sites where patients could go for clinic appointments) and community health workers. Using patient geospatial and clinical data, Duke students identified six community sites that would theoretically reduce the travel burden patients with chronic conditions currently face in making it to Bayboro. Second, a partnership with a now defunded community health worker program aimed to provide personalized check-ins for patients outside of clinic hours (e.g., calling to ensure that patients are taking their medications). The community health worker program lost its funding before this pilot began in its entirety; while specific data and implications from this portion of the program won’t be considered, the incorporation of community health workers will be considered in recommendations and when addressing current gaps in care that emerge from this analysis. Over the course of 2023, Hope Clinic has been holding quarterly clinics at five outreach locations. A joint pilot evaluation plan was developed at the forefront of this project. This study aims to evaluate this pilot from January 2023 through December 2023 by: analyzing qualitative and quantitative patient satisfaction data (survey and interview data from 2023), demographic and diagnosis data taken from the clinic’s health records (from 2023), clinic encounter and appointment adherence data (from 2022 and 2023), and interview data from other free and charitable clinics (collected November and December 2023); future implications of a program like this for similar clinics and recommendations for Hope Clinic’s existing program will be offered. Collected data includes patient encounter statistics (e.g., completed appointments, cancellations, and no-shows), pertinent demographic data (e.g., gender, age, race/ethnicity) pulled from Hope Clinic’s electronic health records system, conversations with patients and providers (e.g., satisfaction, travel time to locations, qualitative suggestions). This data paints a vivid picture of who is coming to outreach locations, their health status (e.g., vital signs, hypertension and/or diabetes diagnosis, frequency of appointments, prescription status), and how the program is impacting adherence to appointment times and patient maintenance of health conditions. Interviews with other free and charitable clinics are used to better understand their strategies addressing barriers to health care access for their most vulnerable clients with an eye towards identifying possible solutions for Hope Clinic. Overall, findings from Hope Clinic’s first year of piloting their outreach care model are overwhelmingly positive. With higher completion rates, fewer cancellations and no-shows, and shorter travel times to outreach sites than to the normal Bayboro location, staff have reduced barriers to access that patients have previously expressed in interviews. Talking to other free and charitable clinic leadership across the state has highlighted similar transportation and resource constraints that make it difficult for patients to receive care and has showcased strategies used to address those challenges. While implementation of this model has led to reductions in the number of completed patient appointments (down roughly 6% from 2022), the benefits of this model seem to outweigh this challenge, and recruiting another provider (given space exists at community sites) may increase capacity.Item Open Access Cookstove Interventions in Developing Countries: Designing Tools for Effective Program Evaluation(2011-05-02) Vergnano, Elizabeth J; Colvin, JulieApproximately half of the world’s population depends on biomass and coal as fuel for household energy. Burning these fuels in traditional cookstoves creates detrimental social, health, and environmental impacts that can be minimized through the dissemination and adoption of improved cookstoves. The purpose of this master’s project is tri-fold:(1) to re-design content of baseline survey instrument, or partner reporting form, for continued administration by the PCIA; (2) to determine factors that influence PCIA partner effectiveness based on data collected through the 2008, 2009, and 2010 surveys; (3) to identify global-scale PCIA expansion opportunities based on national social, environmental, and health indicators. PCIA’s existing partner-level survey instrument was re-designed in 2010 to enable the PCIA to consistently track partner progress over time and analyze key factors influencing the rate of clean cookstove adoption. A partner-level statistical analysis was performed using data generated from past PCIA surveys distributed in 2008 and 2009 as well as the re-designed 2010 survey. The results from the regression model indicated that the number of improved stoves sold is correlated with the program location, the organization type that delivers the stoves and the presence of national cookstove standards. At the organizational level, stove sales were found to be positively correlated with the inclusion of a low-cost stove option, community outreach activities, stove performance testing, and a strong organizational mission directly related to the benefits of improved cookstoves. A global-scale statistical analysis was conducted using a Poisson and logistic regression model. The goal was to determine in which countries the PCIA partners are currently located and where they should be located based on environmental, health, and socioeconomic indicators. The results of this analysis found that the PCIA partners are operating in countries with higher rates of respiratory infections, solid fuel use, government expenditures on health, and population, but with lower rates of particulate matter emissions (PM 10). Using a prediction model based on the same regression of the global statistical analysis, it was found that PCIA could productively target additional resources and program efforts in Myanmar, Somalia, Afghanistan, Democratic Republic of Congo, and Ethiopia.Item Open Access Description and Evaluation of an Environmental Education Program in Madagascar(2012-04-27) Angiolillo, Gina; West, Niki; Sangodkar, Sanjyot; Wyman, NoelleThe Duke Lemur Center (DLC) is a founding member of the Madagascar Fauna Group (MFG), a consortium of zoos and botanical gardens that promotes biodiversity conservation in Madagascar. The MFG’s in-country programs include an environmental education component with a cascade training program that targets upper level regional staff (Chef ZAPs). This program trains the Chef ZAPs in the hopes that they will disseminate information on ecology and environmental issues to teachers, who will then pass the information along to their students. Although the program has been in place for more than 20 years, no formal description or evaluation had previously been undertaken. The DLC is in the process of implementing the MFG’s model in a fledgling training program in another region of Madagascar. Our research seeks to provide recommendations to the DLC’s new program by evaluating the MFG’s existing environmental education platform. A review of literature regarding accepted practices in environmental education and evaluation was compiled to inform the evaluation. Using a mixed-methods approach, interviews with key informants, participant surveys, and material culture were analyzed. Five interviews were conducted with MFG and DLC staff members. Surveys were designed to garner the opinion of Malagasy participants and were juxtaposed with the statements made by interviewees. The qualitative analyses of interviews and surveys were conducted using Nvivo 9 software, and additional quantitative analysis of Likert Scale responses was completed using Stata 12 statistical software. This analysis informed the final recommendations made to our client, the Duke Lemur Center. Our recommendations focus on shifts in organizational and programmatic structure that are important considerations for the expansion of the program within the SAVA region. The suggestions fall into two categories: administrative and field. We hope these recommendations will allow the DLC to build upon the successes seen in the current Chef ZAP training program. In this evaluation, we identify challenges which we found to pose a hindrance to the evolution and future success of the environmental education program; and we suggest recommendations that ensure that the future environmental education programs in Madagascar can contribute to long-term social and environmental change.Item Open Access Description and Evaluation of an Environmental Education Program in Madagascar(2012-04-27) Sangodkar, Sanjyot; Angiolillo, Gina; West, Niki; Wyman, NoelleThe Duke Lemur Center (DLC) is a founding member of the Madagascar Fauna Group (MFG), a consortium of zoos and botanical gardens that promotes biodiversity conservation in Madagascar. The MFG’s in-country programs include an environmental education component with a cascade training program that targets upper level regional staff (Chef ZAPs). This program trains the Chef ZAPs in the hopes that they will disseminate information on ecology and environmental issues to teachers, who will then pass the information along to their students. Although the program has been in place for more than 20 years, no formal description or evaluation had previously been undertaken. The DLC is in the process of implementing the MFG’s model in a fledgling training program in another region of Madagascar. Our research seeks to provide recommendations to the DLC’s new program by evaluating the MFG’s existing environmental education platform. A review of literature regarding accepted practices in environmental education and evaluation was compiled to inform the evaluation. Using a mixed-methods approach, interviews with key informants, participant surveys, and material culture were analyzed. Five interviews were conducted with MFG and DLC staff members. Surveys were designed to garner the opinion of Malagasy participants and were juxtaposed with the statements made by interviewees. The qualitative analyses of interviews and surveys were conducted using Nvivo 9 software, and additional quantitative analysis of Likert Scale responses was completed using Stata 12 statistical software. This analysis informed the final recommendations made to our client, the Duke Lemur Center. Our recommendations focus on shifts in organizational and programmatic structure that are important considerations for the expansion of the program within the SAVA region. The suggestions fall into two categories: administrative and field. We hope these recommendations will allow the DLC to build upon the successes seen in the current Chef ZAP training program. In this evaluation, we identify challenges which we found to pose a hindrance to the evolution and future success of the environmental education program; and we suggest recommendations that ensure that the future environmental education programs in Madagascar can contribute to long-term social and environmental change.Item Open Access Description and Evaluation of an Environmental Education Program in Madagascar(2012-04-27) Angiolillo, Gina; Sangodkar, Sanjyot; West, Niki; Wyman, NoelleThe Duke Lemur Center (DLC) is a founding member of the Madagascar Fauna Group (MFG), a consortium of zoos and botanical gardens that promotes biodiversity conservation in Madagascar. The MFG’s in-country programs include an environmental education component with a cascade training program that targets upper level regional staff (Chef ZAPs). This program trains the Chef ZAPs in the hopes that they will disseminate information on ecology and environmental issues to teachers, who will then pass the information along to their students. Although the program has been in place for more than 20 years, no formal description or evaluation had previously been undertaken. The DLC is in the process of implementing the MFG’s model in a fledgling training program in another region of Madagascar. Our research seeks to provide recommendations to the DLC’s new program by evaluating the MFG’s existing environmental education platform. A review of literature regarding accepted practices in environmental education and evaluation was compiled to inform the evaluation. Using a mixed-methods approach, interviews with key informants, participant surveys, and material culture were analyzed. Five interviews were conducted with MFG and DLC staff members. Surveys were designed to garner the opinion of Malagasy participants and were juxtaposed with the statements made by interviewees. Qualitative analyses of interviews and surveys were conducted using Nvivo 9 software, and additional quantitative analysis of Likert Scale responses was completed using Stata 12 statistical software. This analysis informed the final recommendations made to our client, the Duke Lemur Center. Our recommendations focus on shifts in organizational and programmatic structure that are important considerations for the expansion of the program within the SAVA region. The suggestions fall into two categories: administrative and field. We hope these recommendations will allow the DLC to build upon the successes seen in the current Chef ZAP training program. In this evaluation, we identify challenges which we found to pose a hindrance to the evolution and future success of the environmental education program; and we suggest recommendations that ensure that the future environmental education programs in Madagascar can contribute to long-term social and environmental change.Item Open Access Designing and Implementing Workshops: A Program Evaluation of an Agricultural and Chicken Husbandry Development Program in Madagascar(2024-04-26) Nasir, DaniaMadagascar struggles with intensifying human pressure on natural resources threatening lemur habitat. This program evaluation looks at the short- and medium-term impacts of the Duke Lemur Center’s gardening and chicken husbandry workshops in the village of Ambodivoara. It answers the following questions: To what extent did the workshops achieve the desired outcomes? What worked well and how can they be improved? And what was the experience of participants in these workshops? Qualitative data was collected on-site through 16 interviews and 2 focus groups with workshop participants during the summer of 2023. Overall respondents reported a largely positive experience with varied outcome achievement. At the end of the project, recommendations were given to the DLC on methods to overcome barriers to their objectives and improve the effectiveness of their efforts. Recommendations range from increasing continued engagement and interactive sessions to topic-specific adjustments.Item Open Access Identifying Metrics for Health and Outdoor Initiatives: A Toolkit for Community Evaluators(2017-04-27) Wood, LauraRising rates of urbanization and resource exploitation have reduced opportunities for human interaction with nature and motivated an expansion of interest in research and development of initiatives to achieve human health benefits from contact with nature. Despite a growing base of evidence linking health benefits to experience with the outdoors, little research has been conducted to generate evidence-based strategies for implementing health and nature interventions in practice. To better assist communities in developing effective health and outdoor initiatives, I conducted a comprehensive review of metrics used by national community outdoor initiatives to evaluate health outcomes. I compared community metrics to measures supported by scientific research and consolidated the results into a guideline for those developing metrics to evaluate community health and outdoor programs.Item Open Access Information as an Environmental Policy Instrument: Examining Household Response to Arsenic in Tube-Well Water in Araihazar, Bangladesh(2011) Soumya, Hassan BalasubramanyaThis dissertation examines the potential of information-provision in motivating behavior that reduces human exposure to arsenic in drinking-water in Bangladesh. In chapter 2, the longer-term effects of the countrywide arsenic-testing and information-program are examined by tracking tube-well switching behavior of households over a five-year period. Chapter 3 focuses on the effects of arsenic information communication formats on tube-well switching behavior, by employing a randomized field experiment. In chapter 4, an instrumental variables approach is used to understand whether a household's decision to switch sources is affected by its proximate neighbors' decisions to switch sources. To answer these questions, primary data was collected by the researchers through field-work in Bangladesh. The results suggest that arsenic-testing and information-provision programs produce persistent behavioral changes that reduce exposure to arsenic, with their impact increasing over time. Comparing the impacts of risk-communication formats, we find that quantitative formats do not significantly increase source-switching behavior, in comparison to that generated by qualitative formats. Lastly, despite econometric identification issues, our data suggest that households gather information about source-switching by observing the actions of their neighbors. In sum, the results presented in this dissertation suggest that the provision of information to rural households can motivate health-improving behavior that reduces households' exposure to arsenic in Bangladesh. This dissertation contributes to the use of information disclosure as a policy instrument to reduce exposure to environmental contaminants.
Item Open Access Program Evaluation of BRAC Uganda’s Community Health Sensitization Program(2012-04-20) D'Agostino, AlexisBRAC Uganda provided mentors in 12 adolescent groups with megaphones and short health sensitization announcements as part of a community health sensitization program. BRAC instructed mentors to make daily announcements based on the script in their local language and during the afternoon or evening while walking around their village. All the participating villages are in Eastern Uganda, spread across 6 BRAC administrative units. In order to facilitate evaluation of the program, BRAC randomized participation, assigning 24 villages to treatment or control status. Two rounds of surveys were conducted to measure program exposure, household characteristics, household knowledge of malaria prevention activities, and household bednet use and ownership. The response rate for the follow-up survey was 86%; much of the attrition was driven by a large building project in one of the treatment villages that displaced a number of survey respondents. While the treatment and control groups were well-balanced, the overall sample seems to be slightly wealthier than most inhabitants of Eastern Uganda. There was some contamination of control village respondents who lived near treatment villages and reported hearing the announcements. This study measures the program’s effect on a variety of malaria prevention activities. While there was little evidence that the program caused wide-spread changes in household knowledge or practices, there were a few notable outcomes. The BRAC program shifted the distribution of nets owned, with households in treatment villages more likely to own two nets than one net. Though it was not possible to determine how these extra nets were acquired, findings suggest that the households in treatment villages may be slightly more likely to purchase nets than were households in control villages, though findings are not statistically significant. Households in treatment villages also seem more likely to report discussing bednets with their neighbors more often than households in control villages, though these finding are not statistically significant. Despite the changes in net ownership, however, there was no significant effect of the program on actual use of nets, even in high-risk populations. Households in treatment villages also did not show any greater knowledge of malaria prevention methods or use of other malaria prevention methods. BRAC’s health sensitization program had limited success in changing household malaria prevention behaviors, though not the extent that was intended. If BRAC decides to continue with the program, staff should pay special attention to improving implementation through: 1. Greater involvement by ELA program staff at the branch and village level 2. Wider participation in the program 3. Improved training of survey staffItem Open Access Roads, Rights, and Rewards: Three Program Evaluations in Environmental and Resource Economics(2017) Kaczan, DavidThis dissertation presents three program evaluations in environmental and resource economics. In the first chapter, I ask whether rural roads can contribute to a reversal of tree cover loss. Prior literature shows roads to be strong drivers of deforestation; however, I hypothesize that in some settings the opposite relationship may hold. Roads may (1) increase the relative productivity of labor in non-agricultural sectors, reducing agricultural activity and allowing reforestation; (2) raise profits from forest management or plantations by linking markets, encouraging forest planting; and (3) provide access to imported fuel sources, reducing pressure on forests from firewood collection. I use a large-scale rural road construction program in India to explore these possibilities. I construct a nationwide, village-level panel, and estimate the impacts of roads on tree cover using a differences-in-differences approach. In aggregate I find that road construction contributed to tree cover expansion, in great contrast to the existing empirical road-forest literature. I also find considerable variation in road impacts across settings within India: frontier settings saw reductions in tree cover due to new roads, while less isolated settings with more established agriculture saw increases in tree cover.
In the second chapter, I apply similar quasi-experimental methods to a very different question: does rights-based fisheries management increase fish prices? Rights-based management, specifically “catch shares,” is known to extend fishing seasons by slowing the destructive “race to fish.” This reduces fishing costs. It may also increase fishing revenues, because longer fishing seasons reduce product gluts that depress prices. I test this hypothesis for the majority of U.S. catch share fisheries (all those with data available) using an individually matched control fishery for each treated, catch share fishery and a difference-in-differences approach. I find evidence for increased ex-vessel prices among fisheries that undergo season decompression; however, highly variable results suggest that there is a need for a richer theoretical understanding of transitions to rights-based management. I discuss effort substitution in multispecies fisheries systems as a possible explanation for this heterogeneity.
In the third chapter, I consider how environmentally beneficial actions can be incentivized by conditional payments (i.e. payments made in return for specific actions or outcomes) in collective land management settings. I use a framed field-lab experiment with participants from collective lands enrolled in a new payments for ecosystem services (PES) program in Mexico. I test the impact of increasing collective conditionality. Because social interactions are integral in collective decision-making, I also test the impact of PES design features that aim to improve group cooperation. Greater collective conditionality raised contributions, with higher impact on lower baseline contributors. Giving groups a way of participating in program rule-setting further improved their cooperation with those rules.
Item Open Access Supporting Underserved Landowners in the Southeast with Conservation and Economic Goals(2022-12-16) Mindlin, LauraAfrican American and other “historically underserved” landowners, as defined in the 2008 Farm Bill, have experienced unprecedented rates of agricultural and forest land loss due in large part to discrimination by the United States Department of Agriculture (USDA). In recent years, the USDA has increased its effort to expand support for historically underserved producers in order to confront and counter this history of discrimination and unequal access to their funding programs. In 2020, the Resourceful Communities program of The Conservation Fund, along with partner organizations in South Carolina and Georgia, received a Natural Resources Conservation Service (NRCS) grant from the USDA to support historically underserved landowners in accessing program funds. This participatory evaluation serves to inform and support that project. Based on online survey data and phone interviews with landowners in the organizations’ three-state network, this report sheds light on barriers landowners face to accessing NRCS conservation program funds; the types of support provided by the organizations that have been most effective in helping landowners to overcome these barriers; and where lie the limits to this type of support, suggesting the need for changes within the NRCS program itself. The study concludes with a formal set of recommendations for the organizations and the NRCS to improve support for historically underserved landowners in the three-state network.Item Open Access The Role of Information in Behavioral and Environmental Health Economics(2012) Baker-Goering, Madeleine MarieThe increased use of information disclosure in environmental policy raises questions of whether and how provision of information motivates changes in behavior. Accurate assessment of the value of information provision in reducing environmental risks requires understanding how actors respond to risk information. Chapter two examines the effects of disclosure of information on risk perception, knowledge about risks, and actions to mitigate risk from arsenic in private drinking well water. We conduct an experiment where we manipulate how information about the health risks posed by arsenic in drinking water is presented to users of private wells. This is one of the first field experiments to look at framing effects for long-term, latent environmental health risks. In contrast to much of the existing literature, we find that information frame does not affect risk perception or actions taken to address risk for low level of risk.
Chapter three examines how risk perceptions are affected by variations in risk communication, specifically addressing questions raised in the field experiment. We conduct an experiment about the health risks posed by arsenic in drinking water and introduce four manipulations in communication with experimental subjects: arsenic level, information framing, bright lines and relative risk. Chapter three suggests careful consideration must be taken in designing the disclosure of moderate levels of risk to ensure that information disclosure programs effectively convey health-based recommendations. Without these considerations, information disclosure programs may unwittingly and unnecessarily heightening concern among people facing moderate levels of risk. We consider this finding especially important because a broad number of environmental and environmental health risks that are currently unregulated pose moderate levels of risk.
The final chapter asks if the act of disclosing information changes the behavior of those who provide the information. Chapter four seeks to determine the degree to which information disclosure, in the form of TRI, results in improvements in environmental performance. Our work isolates the effect of information disclosure by using changes in the TRI reporting requirements to help identify the causal effect of disclosure from other potential explanations of changes in environmental performance. We find limited evidence that facilities newly reporting for a chemical have greater proportional decreases in total releases. The policy implications of Chapter 4 suggest that information disclosure should not be considered a substitute for regulation of toxic chemicals.