CDO - Midpoint Project Report

CDO - Midpoint Project Report
Thanks for filling out this Midpoint Project Report! We look forward to learning more about how your project is going, as well as how we as Health Commons Project can further support you as needed.

Important notes and tips:
- This report has three parts:
  - Part 1 - Narrative questions: Required for all partners
  - Part 2 - Quantitative Metrics Not all quantitative metrics will apply to all projects. Please discuss with your Project Sponsor if you are not sure which metrics to report on.
  - Part 3 - Optional questions (including sharing photos)
If needed, you can save the form and finish it later - simply click the Save button at the end (next to the Submit button), click "Skip Create Account," then enter your email address. You'll then get a link to finish your form later.

Questions?
- If you have questions about the content of your report, please reach out to your Project Sponsor.
- If you have questions about this online form or need to edit/delete a form entry, please contact Chad at chadf@healthcommonsproject.org.
Partner Name:*
Your Name: *
Your Email Address:*
example@example.com
Part 1: Narrative Questions
Project Activities

1. Please summarize the activities completed in your project so far. Metrics and results are welcomed if you have them.
Your Response - Activities:*
Successes

2. Please share 1-3 of your project’s successes so far (2-4 sentences per success). For each success, please explain each of the following:

a) What was the success?

b) What effect(s) or impact(s) did this success have on your project, organization, community, or others?
Your Response - Successes: *
Success 1: a) b) Success 2: a) b) Success 3: a) b)
Challenges

3. Please share 1-3 of your project’s challenges so far (2-4 sentences per challenge). For each challenge, please explain each of the following:

a) What was the challenge?

b) What effect(s) or impact(s) did it have on your project, organization, community, or others?

c) What actions, if any, did you take to address the challenge? What was the result? If you did not take any action, what contributed to your decision?
Your Response - Challenges:*
Challenge 1: a) b) c) Challenge 2: a) b) c) Challenge 3: a) b) c)
Project Impact

4. How has project addressed COVID-19 disparities among the African Diaspora?
Your Response - Impact on COVID-19 disparities:*
5. How has your project addressed social determinants of health (SDOH) that were exacerbated by the COVID-19 pandemic among the African Diaspora?

Here are a few resources on SDOH, including definitions and examples:
- https://health.gov/healthypeople/priority-areas/social-determinants-health
- https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1
Your Response - Impact on SDOH:*
5. Please share one story that highlights the work you have done on your project and/or its impact. Please do not use any real names or other identifying details.
Your Response - Sharing a story: *
Looking Ahead

6. As you look ahead to the second half of your project, what do you need to be successful? For example - what support do you need from Health Commons Project staff?
Your Response - Looking Ahead:*

Part 2 - Quantitative Metrics
Please see Table 1 below for a list of quantitative metrics and their definitions. Depending on your project, your Project Sponsor will advise which metrics apply to you and should be included in this report.

Be sure to scroll down in the table to see all metrics and definitions.

Please only report metrics from the first half of the project, referring to your project's official midpoint date (confirmed by your Project Sponsor).
Table 1 - Quantitative Metrics and Definitions

Metrics that apply to all projects:

Note: Please only report metrics from the first half of the project, referring to your project's official midpoint date (confirmed by your Project Sponsor).
1. How many people were engaged in your project? *
Write N/A if this metric does not apply to your project, as discussed with your Project Sponsor
2. How many languages were your services/materials available in? *
Write N/A if this metric does not apply to your project, as discussed with your Project Sponsor
3. What languages were your services/materials available in?
4. Do you feel you are meeting your own goals/objectives for this project? Please answer “Yes” or “No.”*

YesNo
5. How many individuals were moved to get vaccinated for COVID-19 due to your project? 
6. How many individuals were moved to get tested for COVID-19 due to your project? 
Optional Comments on #1-6: If there is anything you would like to elaborate on, please include here.
Please specify which question you are commenting on.
The next page is for projects that hosted in-person events as part of their activities. Please skip the next page if this does not apply to you and your project.

Metrics that apply to projects focused on in-person events:

This page is for projects that hosted in-person events as part of their activities. Please skip to the next page if this does not apply to you and your project.

Note: Please only report metrics from the first half of the project, referring to your project's official midpoint date (confirmed by your Project Sponsor).
7. How many events did you host?
8. In total, how many people attended your events?
9. In total, how many COVID-19 vaccines were administered at your events?
10. In total, how many non-COVID-19 vaccines were administered at your events?
If none, enter 0
11. Please tell us the type of vaccines (influenza, etc.) and amount of vaccines per type:
12. In total, how many COVID-19 tests were distributed at your events?
13. How many people received wraparound services at your events?
14. What wraparound services did people receive, and how many people received each type? (Example: 14 people received hot meals, 2 people received case management.)
15. How many people received PPE? PPE includes gloves, masks, hand sanitizer, gowns, face shields, and cleaning supplies.
Optional Comments on #7-15: If there is anything you would like to elaborate on, please include here.
Please specify which question you are commenting on.
The next page is for projects that had educational/outreach campaigns (including social media campaigns) as part of their activities. Please skip the next page if this does not apply to you and your project.

Metrics that apply to projects focused on educational outreach/campaigns:

This page is for projects that had educational/outreach campaigns (including social media campaigns) as part of their activities. Please skip to the next page if this does not apply to you and your project.

Note: Please only report metrics from the first half of the project, referring to your project's official midpoint date (confirmed by your Project Sponsor).
16. How many unique campaign materials did you create?
17. What were these materials? (Example: 5 flyers, 16 Facebook posts, 4 TikToks)
18. If applicable - how many impressions did your non-print campaign materials receive?
19. If applicable – how many people received or were reached by your paper-based/print materials?
Optional Comments on #16-19: If there is anything you would like to elaborate on, please include here.
Please specify which question you are commenting on.

Part 3 - Optional Questions
Sharing Project Media and Files
1. Do you have any project-related materials to share with us, such as high-quality photos, flyers, social media posts/graphics, and more?

YesNo
Upload photos here

Cancelof
Please provide captions for each photo to identify where and when it was taken, what the event was, and who is in it. Please ensure that all identifiable individuals have provided permission for this photo to be shared. Health Commons Project may use this photo to share with our funders and for fundraising purposes.

Example: Photo #1 - Celia distributes tests to families at the Community Health Fair. Photo taken December 3, 2022 by Jasmine Kaneshiro
Please type photo captions here (Required only if submitting photos)
By checking this box, I hereby grant permission to the Community-Driven Outreach Program, Health Commons Project, Department of Health, and its partners, grantees, and grantors to reproduce without compensation to me any portion of the photo images that I uploaded below for the purposes of: marketing and fundraising for Health Commons Project and/or Community-Driven Outreach Program which can include but is not limited to, print, digital, social, and web materials and paid outreach, in perpetuity. Furthermore, I grant creative permission to edit the photograph(s), as needed. I do not grant permission to sell or use the photographs in a manner that would exploit or cause malicious representation toward me or my organization and associates.

Check here
Technical Support Feedback
2. What kind of support did you receive from Health Commons Project (Project Sponsor or other staff members)?

a. Was this support satisfactory? Did it meet your needs?
b. Was there any support you wish you had from us, but did not receive?
c. Is there any support you would like from us going forward?
Please type your answer here for #2.
Future Funding
3. Have you received any additional funding because of your CDO project?

YesNo
4. What is the total dollar amount of this additional funding?
Type the number only, not the $
Should be Empty:

CDO - Midpoint Project Report

Part 1: Narrative Questions

Part 2 - Quantitative Metrics

Part 3 - Optional Questions

Sharing Project Media and Files

Technical Support Feedback

Future Funding