Evaluation of Title III-C Nutrition Services and Title VI Native American Nutrition, Supportive and Family Caregiver Services Programs


Title III-C provides grants to States and Territories to establish and operate nutrition programs for both congregate and home delivered nutrition services.  Title III-C also authorizes the Nutrition Services Incentive Program which is a funding mechanism to encourage efficient service provision through the provision of cash or commodities to States and Tribes based on the number of meals served in the previous year.  Title VI provides grants to Tribes, Tribal Organizations and public and nonprofit private organizations representing Native Hawaiians for the provision of nutrition services, supportive services and family caregiver services that meet the unique cultural needs of this population. 


A multi-phase effort to comprehensively evaluate these two programs was initiated with an evaluation design contract awarded to Macro International Inc.  The contractor designed an evaluation for each program to assess the efficiency and effectiveness of the program based on a program logic model that included all levels of the Aging Network (SUA/Tribe, AAA, local service provider (LSP), and client levels).


The second phase of this effort is the implementation of the designed evaluation for the Title III-C Nutrition Services.  The contractor is implementing a three component evaluation design that consists of 1) a client outcome study; 2) a cost analysis of the meal service; and 3) a process study that examines the administration of the nutrition program at the State, AAA and LSP levels.  The client outcome study includes a matched comparison group and measures nutrition, health and well-being, food insecurity and hunger, and socialization outcomes.  The nutrition outcomes will be assessed through a 24 hour dietary recall, the same method utilized by the National Health and Nutrition Examination Study (NHANES).  The meal cost data will be collected by cost category (e.g. labor, food, supplies) and method of meal production.  The process study will collect data on organizational structure, program resources, funding streams, and other program characteristics as well as describe the nutrition content of the meals provided.


The third phase of this evaluation effort will be the implementation of the Title VI program evaluation based on the design completed under phase one of this effort and experience gleaned from the initial implementation of Title III-C evaluation under phase two. 



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