Effective programs start with a thorough understanding of the needs of a population, planning that involves stakeholders from all groups including leadership, and evaluation to determine success or a need to pivot.
The primary difference between a comprehensive program and a focused program is the scope each covers. A focused program will have more brief needs assessment and evaluation and will focus on a pre-identified need or want. This is a good choice for small groups that have a good grasp on their current health needs and wants.
A comprehensive program looks at all areas that impact health including policy, environment, and social influences. Antecedents to behavior change including identifying barriers and supports are considered, and long term goals lead the direction of the program. The commitment to a comprehensive program is bigger, but the rewards are greater.
Check out these Case Studies to get an idea of how the process can work!