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Chapter 38., Section 9. Gathering and Using Community-Level Indicators — Main Section | Community Tool Box

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This section is based on an article in the Work Group Evaluation Handbook: Evaluating and Supporting Community Initiatives for Health and Development by Stephen B. Fawcett, Adrienne Paine-Andrews, Vincent T. Francisco, Jerry Schultz, Kimber P. Richter, R.K. Lewis, E.L. Williams, K.J. Harris, Jannette Berkley, Jacqueline L. Fisher, and Christine M. Lopez of the Work Group on Health Promotion and Community Development, University of Kansas, Lawrence, Kansas.

  • What are community-level indicators?

  • Why should you use community-level indicators?

  • When should you examine community-level indicators?

  • How do you select and use community-level indicators?

What are community-level indicators?

Community-level indicators are measures that help describe conditions, experiences, or outcomes across a defined community. Examples include rates of preventable injuries, access to affordable housing, or the percentage of residents reporting a particular health behavior. While activity records, surveys, goal attainment reports, and interviews help explain an initiative's work, community-level indicators show broader patterns that the initiative hopes to influence. Changes in these indicators do not, by themselves, establish that the initiative caused those changes.

Start with measures that are relevant to community priorities and supported by appropriate evidence and data sources. For an initiative addressing alcohol-related harms, one possible indicator is the rate of emergency medical transports recorded as alcohol-related. Interpreting that measure requires knowing how cases are identified and whether reporting practices, service availability, or the population have changed. No single indicator provides a complete picture, so select a manageable set of measures that reflects your goals.

Why should you use community-level indicators?

Community-level indicators connect your initiative's activities with the broader conditions it seeks to improve. They can help identify priorities, track trends, and assess whether progress is reaching different parts of the community. Used alongside other evaluation information, they support more informed decisions about where to focus your work.

Community-level indicators help track progress toward community outcomes.

Indicators provide a consistent way to examine whether conditions are moving toward agreed goals. Examples might include rates of traffic injuries or hospital admissions for violence-related injuries. Choose measures that closely match the outcome you want to understand: nighttime crashes, for example, should not automatically be treated as alcohol-related crashes. Track measures over time, document their limitations, and consider whether changes in service access, reporting, or population size could affect the results.

Community-level indicators help assess whether the initiative's strategies align with observed changes.

If your action plan includes several strategies, indicators can show whether the outcomes those strategies aim to influence are changing. However, a community-wide trend usually cannot tell you which specific activity produced a change. Combine indicators with implementation records, participant experiences, and an appropriate evaluation design to investigate the initiative's contribution and other possible explanations.

Community-level indicators can bring attention to continuing needs.

Findings that show persistent or worsening conditions can support public discussion about unmet needs and barriers to progress. For example, an unchanged traffic injury rate may prompt your group to examine which roads or populations face the greatest risks and whether current strategies reach them. Before drawing conclusions, consider the time needed for change, the reliability of the data, and other influences. Use the findings to inform action without overstating what they demonstrate.

Community-level indicators can support continued investment.

Favorable trends can help communicate progress toward shared goals and support discussions about sustaining or expanding useful work. Explain what changed, who experienced the change, and what evidence connects the initiative to it. Acknowledge contributions from community members, partner organizations, and other efforts. Report mixed findings and remaining needs as openly as improvements so that requests for support rest on a credible account of progress.

When should you examine community-level indicators?

Select indicators during planning, before activities begin whenever possible. Review existing historical data to understand baseline conditions and trends. This helps your group set realistic objectives, identify gaps in available information, and decide when changes might reasonably become visible.

Continue reviewing indicators at intervals that match the availability of data and the decisions you need to make. Some sources are updated frequently, while others are released annually or less often. Community outcomes may take longer to change than participation or service delivery measures. Use those earlier measures to guide implementation while continuing to track longer-term outcomes.

Review the indicators at major milestones and after the project ends when follow-up is feasible and useful. A new survey is not always necessary; existing administrative records or population surveys may provide suitable information. Allow enough time for expected outcomes to emerge, and document any changes in measurement that could affect comparisons.

How do you select and use community-level indicators?

There are five main steps to selecting and using community-level indicators.

Select indicators that are relevant, credible, feasible to obtain, and responsive to meaningful change

Work with staff, community members, and people with relevant data expertise to decide what progress should look like and how to measure it. For each indicator, define the population, geographic area, time period, data source, and calculation. Consider whether the measure captures the intended outcome, whether it can detect meaningful change, and whether it can reveal differences within the community. Balance the usefulness of the information with the cost and effort of obtaining it.

Suppose your initiative aims to reduce cannabis use among high school students. A relevant indicator might be the percentage of students reporting cannabis use during the past 30 days in a survey designed to represent local high school students. Arrest counts would not be a direct measure of cannabis use: they also reflect enforcement practices, legal definitions, and reporting. Choose the measure that best answers your question, and recognize that a school-based survey may not describe young people who are not enrolled or are absent when it is administered.

Contact relevant agencies and organizations to locate data

Identify local, regional, state, tribal, or national organizations that collect relevant information. Depending on your objectives, sources might include health departments, school districts, transportation agencies, housing organizations, hospitals, or community research partnerships. Ask about the population covered, collection methods, release schedule, missing information, and any restrictions on use. Data available for a county or state may not accurately describe a particular neighborhood.

For the cannabis use example, contact the school district or health department to ask whether comparable local student survey estimates are available for several years. Confirm that the questions, grade levels, sampling methods, and geographic coverage are sufficiently consistent for comparison. Ask whether estimates use survey weights and whether measures of uncertainty are available. If suitable local data do not exist, document that gap rather than presenting state or national findings as local results.

Compile, summarize, and graph the data

Organize the information in a report with clearly labeled graphs, charts, or tables. Record the source and definition of each measure, including any changes across reporting periods. Distinguish counts from percentages and rates: a larger number of events may reflect population growth rather than a higher likelihood of an event. Where appropriate, report both the number of events and a rate using the relevant population. Explain uncertainty and avoid displaying small groups in ways that could identify individuals.

For the student survey example, graph the percentage reporting cannabis use during the past 30 days for each available survey year. Include observations from before the initiative began when possible, and mark when major strategies were introduced. Keep the population and measure consistent, and show uncertainty where available. A change after implementation is worth investigating, but timing alone does not establish cause and effect. Comparison data and information about other community changes can help you interpret the pattern.

Share findings with community members, organizational leaders, governing boards, and funders

Present findings in accessible language and formats that meet your audiences' needs. Explain what the indicators show, what they do not show, and how they relate to community priorities. Share progress, continuing challenges, and differences across groups when the data support those comparisons and privacy can be protected. Invite community members to help interpret the results, and avoid descriptions that blame or stigmatize the people represented in the data.

Use the findings to inform public priorities and improve the initiative

Review the findings alongside information about implementation, community experiences, and available resources. Identify what the results suggest about continuing needs and possible improvements. Agree on specific next steps, assign responsibility, and decide when to review progress. Indicators are most useful when they inform decisions rather than serving only as figures in a report.

If reported cannabis use among high school students remains unchanged, examine whether your strategies reached the intended students, whether enough time has passed, and whether the estimate is precise enough to detect a meaningful change. Discuss the findings with young people, schools, health professionals, and community partners. Their perspectives can help identify barriers, strengthen relevant supports, and determine whether the initiative should adjust its approach. Do not interpret arrest patterns or survey results alone as evidence of substance use disorders.

Interpret both favorable and unfavorable trends in context. Improvement may signal a need to sustain effective supports rather than immediately shift resources elsewhere. Unchanged or worsening indicators may reflect implementation problems, broader conditions, measurement changes, or an approach that needs revision. They warrant investigation rather than an automatic conclusion of failure. Use the full body of evidence to decide whether to maintain, adapt, expand, or discontinue particular strategies.

Using indicators for continued learning

Community-level indicators help your group understand broader conditions and track progress toward shared goals. Their value depends on selecting meaningful measures, interpreting them carefully, and acting on what you learn. Combined with other evaluation methods and community perspectives, they can support useful feedback and ongoing improvements in your initiative's work.

Contributor

Aimee Whitman

Resources

Online Resources

America’s Children in Brief: Key National Indicators of Well-Being, 2010 is a compendium of indicators illustrating both the promises and the difficulties confronting our nation’s young people.

The Behavioral Risk Factor Surveillance System (BRFSS) from the U.S. Centers for Disease Control and Prevention is a system of health-related telephone surveys that collect state data about U.S. residents regarding their health-related risk behaviors, chronic health conditions, and use of preventive services.

Community Health Indicators Toolkit is provided by the First Nation’s Health Development. It provides tools for program planning and evaluation.

The CDC provides extensive information about Community Health Indicators. Included on this site is a detailed list of resources related to community health indicators.

County Health Rankings ranks the health of nearly every county in the nation, and helps us see how where we live, learn, work, and play influences how healthy we are and how long we live. The Rankings & Roadmaps show us what is making residents sick, where we need to improve, and what steps communities are taking to solve their problems. The health of a community depends on many different factors – ranging from individual health behaviors, education and jobs, to quality of health care, to the environment, therefore we all have a stake in creating a healthier community. Using the County Health Rankings & Roadmaps, leaders and advocates from public health and health care, business, education, government, and the community can work together to create programs and policies to improve people's health, reduce health care costs, and increase productivity. The County Health Rankings are a key component of the Mobilizing Action Toward Community Health (MATCH) project. MATCH is a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute.

Chronic Disease Indicators is a set of 97 cross-cutting, important, uniform, and available indicators developed by consensus and drawn from many data sources.

Provided by the CDC, the CHR&R (Community Health Rankings and Roadmaps) offers information for improving community health.

Evaluating coalition efforts, by Tom Wolff and Vincent Francisco, explores issues to consider before undertaking an evaluation, criteria for a successful evaluation, questions you may wish to consider through evaluation, and how you can answer those questions.

Good Health Counts: Measurement and Evaluation for Health Equity describes how community health indicators can be used in community assessments to improve health and safety outcomes and reduce inequities.

Global Directory to Indicator Initiatives is a worldwide directory of who is doing what in the field of sustainability indicators.

Health Canada provides a look at studies on social capital from Health Canada, showing how community-level indicators have been used in various studies to both define and measure the concept.

Health Indicators Warehouse (HIW) provides a single, user-friendly, source for national, state, and community health indicators, facilitates harmonization of indicators across initiatives, and links indicators with evidence-based interventions.

The Urban Institute’s National Neighborhood Indicators Partnership is a collaboration of the Urban Institute and local partners in 37 cities to further the development and use of neighborhood-level information systems for community building and local decision-making.

Sustainable Measures provides a searchable database of indicators by broad topics (health, housing) and keywords (AIDS, access to care, birth weight, etc.) for communities, organizations and government agencies at all levels.

The United States Prosperity Index 2020 is from the Legatum Institute is a comprehensive set of indicators designed to help organizations and leaders set agendas for growth and development.

The U.S. Census Bureau provides a wealth of national, state, and local demographic data.

U.S. Department of Health and Human Services is the principal agency for protecting the health of U.S. citizens, comprised of 12 agencies that provide information on their specific domains, such as the Administration on Aging. Others cross health boundaries, such as the Centers for Disease Control, which maintains national health statistics. The "WONDER" system is an access point to a wide variety of CDC reports, guidelines, and public health data to assist in research, decision-making, priority setting, and resource allocation.

U.S. National Institute of Mental Health provides statistics and educational information for the public as well as information for researchers.

Print Resources

Berkowitz, W. (1982). Community impact: creating grassroots change in hard times. Cambridge, MA: Schenkman Publishing Company, Inc.

Cox, F. (eds.) (1984). Tactics and techniques of community practice. Itasca, IL: F.E. Peacock Publishers, Inc.

Fawcett, S., Paine, A., Francisco, V., Schultz, J., Richter, K., Lewis, R., Williams, E., Harris, K., Berkley, J., Fisher, J., & Lopez, C. (1994). Work group evaluation handbook: evaluating and supporting community initiatives for health and development. Lawrence, KS: Work Group on Health Promotion and Community Development, University of Kansas.

Fetterman, D. (eds.) (1996). Empowerment evaluation: knowledge and tools for self-assessment and accountability. Thousand Oaks, CA: SAGE Publications, Inc.

Pietrzak, J., Ramler, M., Renner, T., Ford, L., & Gilbert, N. (1990). Practical program evaluation: examples from child abuse prevention. Newbury Park, CA: SAGE Publications, Inc.

Rutman, L. (eds.) (1984). Evaluation research methods: a basic guide. Newbury Park, CA: SAGE Publications, Inc.

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