Mobilize CommunityMobilize Community Partnerships to Identify and S l H l h P blSolve Health Problems

HPCDP May 2010 Training Call Wednesday May 19, 9:30 AMThursday May 20, 1:30 PMThursday May 20, 1:30 PM

A dAgenda

Overview Rachael Banks - Multnomah County Therese Madrigal - Deschutes

County Patricia Schoonmaker - HPCDP Questions

Li ki t t bili tiLinking assessment to mobilization

Mobilization activities and partnerships can build on many kinds of assessment to help define kinds of assessment to help define or refine Problems through the lens of the Problems, through the lens of the

community. Solutions, through the lens of the , g

community.

Community partnership mobilization to identify & solve health problems

Recognized as import public health Recognized as import public health strategies, locally and statewide: DHPE Strategies for Health Policy and

Environmental Change CompetenciesEnvironmental Change Competencies 10 Public Health Essential Service (#4)

Strategies highlighted in the Healthy Strategies highlighted in the Healthy Places, Healthy People Framework

BPO G id C di ti & BPO Guidance areas: Coordination & Collaboration and Education & Outreach; also essential for Policy Development

O l l l lOn a local level….

Identifying potential stakeholders who contribute to or benefit from public health, and increase their awareness of the value of public health their awareness of the value of public health.

Building coalitions to draw upon the full range of potential human and material resources to improve community health improve community health.

Convening and facilitating partnerships among groups and associations (including those not typically considered to be health-related) in yp y )understanding defined health improvement projects, including preventive, screening, rehabilitation, and support programs.

St t id t hiStatewide partnerships

The organization and leadership to convene, facilitate, and collaborate with statewide partners (including those not typically considered to be ( g yp yhealth-related) to identify public health priorities and create effective solutions to solve state and local health problems.

The building of a statewide partnership to The building of a statewide partnership to collaborate in the performance of public health functions and essential services in an effort to utilize the full range of available human and material resources to improve the state's health material resources to improve the state s health status.

Assistance to partners and communities to organize and undertake actions to improve the g phealth of the state's communities.

I i l lIn simpler language…

How well do we get people and organizations engaged in public health issues? health issues?

Mobilizing Partners to Identify d Add H lth P bland Address Health Problems

Multnomah County Health Department

Community Wellness and Prevention Program

H lth C itiHealthy Communities

Integrated focus

Value of assessment

Authentic partnerships

Foundational action plan

ACHIEVE

Creating credible public health process

Defining framework

Identifying and recruiting partners

Mobilizing around an inclusive visiong

P l ti S ifi A hPopulation Specific Approach

f Equity focus Identify data

U ili h d b i Utilize current theory and best practice Rely on community wisdom

Consistent community values

Community coach model

**Causes of Health Inequities**Causes of Health InequitiesRoot FactorsRoot Factors

PovertyDiscriminationOppressionLack of power

Environmental Factors

Toxic contaminantsLack of power Toxic contaminantsJoblessnessUnequal educationPoor transportationInadequate access to

Medical ServicesLack of accessUnequal quality of careLack of culturallyInadequate access to

food and exerciseMarketing of unhealthy products Behavioral Factors

NutritionPhysical activity

ycompetent care

Disparities in treatment

Physical activityTobacco useAlcohol useViolenceHopelessness

Health Inequities

Adapted from: Prevention Institute. Adapted from: Prevention Institute. The Imperative of Reducing Health Disparities through Prevention: Challenges, Implications, and OpportunitiesThe Imperative of Reducing Health Disparities through Prevention: Challenges, Implications, and Opportunities, , October, 2006.October, 2006.

Id tif i P tIdentifying Partners

B i t i• Brainstorming

• Key informant conversations• Key informant conversations

• Stakeholder analysis Power by interest grid

• Maintaining open process• Maintaining open process“ moving forward while reaching a hand

back for others”

St k h ld l iStakeholder analysishigh *P O W E R high

INTERE

P O W E R low high

Subjects(subject to the power of others)

Players (high power high interest)S

T

(subject to the power of others) (high power, high interest)

low

Crowd (low interest and low power, but will benefit from policy)

Context Setter(their power helps set the context although not interested enough/too busy to be players)

R iti St k h ldRecruiting Stakeholders

Capturing interest

Develop CHART with options for varying commitment

Cultivating role closely aligned with current work and capacity

A t PAssessment Process

C it id Community-wide Site-specific

P ti i t t th d Participatory assessment methods Stakeholder interviews Observations Observations Walk-ability tours Windshield tours Surveying Utilizing existing qualitative data

M bili i A d Vi iMobilizing Around Vision

G id d ti Guided conversations What’s our legacy Where’s our community Where s our community

Iterative action planning Iterative action planning-Research best practice-Identify strategies from partners-Comprehensive action plan-Community listening sessions to refine

planplan

L L dLessons Learned

Moving beyond the individual can be empowering for disenfranchised communities

Our stakeholders care about disparities and equity Our stakeholders care about disparities and equity

Process and outcomes matter; how you get there counts

Action and policy develop buy-in and commitment

Roles for many people at varying points in policy Roles for many people at varying points in policy development and implementation process

Mobilizing partners and facilitating groups to identify and

l h l h blsolve health problems

A Health Impact Assessment on theA Health Impact Assessment on the Tumalo Community Plan; a component

of the 2010-2030 Deschutes County C h i L d U PlComprehensive Land Use Plan

Strategies for collaboration

Recruitment: Who to bring to the table? Recruitment: Who to bring to the table?~Mutually beneficial partnership~ Decision makers/stakeholders~ leverage regional resources

Diversity Diversity~ Broad spectrum of ‘players’

M k j t l bl Make your project valuable~ community engagement

B ild C itBuild Capacity

Keep the momentum going...~ Share the vision

~ Assign jobs (task-force committees) based on interest and/or expertisebased on interest and/or expertise

~ Regular, consistent meetings and updates

~ Validate the work

S !Success! Outcomes

~ New health partners

~ Infrastructure built for future~ Infrastructure built for future projects

Ability to better monitor project~Ability to better monitor project progress via diverse, interested and informed partners

~New proponents and p pdisseminators of health-related information

Patricia Schoonmaker – Oregon Health Authority and the Health Improvement Plan