Handout #3 - QIAMay4

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Blank Logic Model Template

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Handout #3 - QIAMay4

  1. 1. Basic Logic ModelStatement of need: Resources/ Inputs Activities Outputs Indicators / Tools Outcomes ImpactIn order to accomplish In order to address our We expect that once We expect that if We expect that ifour set of activities we problem or asset we accomplished these accomplished these accomplishedwill need the following: will accomplish the activities will produce activities will lead to the these activities following activities: the following evidence following changes in will lead to the following or service delivery: 1–3 then 4–6 years: changes in 7–10 years:

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