GCHA Community Program Inventory 2010

GCHA is seeking information about community programs throughout Georgia to gain an understanding of what work is already being done in the three focus areas. This information will be used to create a statewide directory of programs related to the focus areas, and the directory will be shared with the organizations that submit their own information. Lead agencies also will use this information to develop long-term plans for their focus areas; for example, the inventory process may reveal service gaps or it may identify model programs that could be replicated in other communities.

If you know of an organization that pertains to the focus areas of Georgia Children's Health Alliance, please complete the online inventory form below.

Questions? Please call 404.785.7757 or email info@TheGCHA.org.

Fields marked with * are required.

	Program Description
*	What is the name of your program/initiative?
	Web site
	Date started (mm/yyyy)		01 02 03 04 05 06 07 08 09 10 11 12 / 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950
*	Which GCHA focus area(s) does your program relate to? Check all that apply.
	Healthy births
	Childhood obesity
	Child Abuse and neglect
	Select the option that best describes the status of your program.
	Please Select Permanent (e.g., funding in place, program is operational) Pilot Completed pilot (e.g., pilot completed, considering full implementation) Time limited, non-pilot (e.g., program is operational but will run for less than 1 year) Other, please specify
	Other:
*	Would you describe your program as prevention or intervention focused?
	Please Select Prevention Intervention Both
	Describe the type of program. Check all that apply.
	Health education
	Advocacy
	Community organizing to affect change
	Social Marketing
*	What is the delivery method?
	Please Select One-on-one (e.g., counseling, case management, etc.) Group (e.g., training, social marketing, etc.) Both
	How often is the program offered?
	Please Select Continuous Twice a year Quarterly Monthly Other, please specify Other:
	What is the focus of the program? Check all that apply.
	Breastfeeding
	Physical activity
	Nutrition/Healthy Eating
	The built environment (eg, sidewalks)
	Increasing access to or promoting availability of healthy food choices
	Home visitation
	Parenting classes/education
	Residential program
	Other, please specify
	Briefly discuss (50 words or fewer) the activities included in the program, the timeframe/duration of the program, and the staff delivering the program (e.g., trained lay persons, professionals)