The PRECEDE-PROCEED model is a comprehensive structure for assessing health needs for designing, implementing, and evaluating health promotion and other public health programs to meet those needs. PRECEDE provides the structure for planning a targeted and focused public health program. PROCEED provides the structure for implementing and evaluating the public health program.

1. PRECEDE-
PROCEED MODEL
By: ROMMEL LUIS C. ISRAEL III

2. WHAT IS PRECEDE-PROCEED MODEL?
PRECEDE-PROCEED was developed for use in public health.
Its basic principles, however, transfer to other community issues as well. As a result, we’ll treat
it as a model not just for health intervention, but for community intervention in general.
And in fact, PRECEDE/ PROCEED focuses on the community as the wellspring of health
promotion.
PRECEDE-PROCEED is a community-oriented, participatory model for creating successful
community health promotion interventions.

3. PRECEDE
Predisposing Reinforcing and Enabling Constructs in
Educational/Environmental Diagnosis and Evaluation.

4. PRECEDE
•As its name implies, it
represents the process that
precedes, or leads up to,
an intervention.

5. PROCEED
•Policy
•Regulatory, and
•Organizational
•Constructs in
•Educational and
•Environmental
•Development

6. PROCEED
•The name describes
how to proceed with
the intervention itself.

7. 4 PHASES
OF
PRECEED
• Phase 1: Social diagnosis
• Phase 2: Epidemiological
diagnosis, including behavioral
and environmental diagnosis
• Phase 3: Educational and
organizational diagnosis
• Phase 4: Administrative and
policy diagnosis

8. 4 PHASES
OF
PROCEED
•Phase 5: Implementation
•Phase 6: Process evaluation
•Phase 7: Impact evaluation
•Phase 8: Outcome evaluation

9. PRECEDE-
PROCEED
RESTS ON
THESE
PREMISES:

10. WHY USE
PRECEDE-
PROCEED?

11. How do you use
PRECEDE-
PROCEED?

13. • In Phase 2,
you identify the health
behaviors and lifestyles
and/or environmental
factors that most clearly
influence the outcome
the community seeks that
must be changed to affect
the issues, and determine
which of them are most
likely to be changeable.

14. •In Phases 1 and
2, you create
the objectives
for your
intervention.

15. • In Phase 3,
you identify the
predisposing, enabling, and
reinforcing factors that act
as supports for or barriers to
changing the behaviors and
environmental factors you
identified in Phase 2.

21. GENERIC REPRESENTATION OF THE PRECEDE-PROCEED MODEL. FROM L. GREEN AND M. KREUTER. (2005).
HEALTH PROMOTION PLANNING: AN EDUCATIONAL AND ECOLOGICAL APPROACH (4 TH ED.). MOUNTAIN VIEW ,
CA : MAYFIELD PUBLISHERS.

22. REFEFRENCES:
• Community Tool Box. (2018). Chapter 2. Other Models for
Promoting Community Health and Development | Section 2.
PRECEDE/PROCEED | Main Section | Community Tool Box. Ku.edu.
https://ctb.ku.edu/en/table-contents/overview/other-models-
promoting-community-health-and-development/preceder-
proceder/main
•