Key Points

· The Colorado Trust provided three years of general operating support to nine advocacy organizations working to increase access to health through policy change work.

· The nine grantees had a variety of goals and strategies and had different levels of organizational capacity, but were evaluated using a uniform evaluation approach.

· The evaluation was designed to build grantees’ own evaluation capacity to incorporate real-time feedback, monitor progress toward goals, and to assess growth in the overall health advocacy community in Colorado.

· Individual grantees identified short- and intermediate- term outcomes related to The Trust’s intermediate outcomes, which were in turn related to the long-term outcomes developed by The Trust and the grantees.

· Challenges include aligning outcomes across levels, defining the baseline of the current “health advocacy community,” and identifying the time involved in managing the multitiered data collection effort.

Open Access