Mission

1. Office of Health Disparities & Health Equity Division of Public Health Nebraska Department of Health & Human ServicesImproving Health Outcomes and Achieving Health Equity for all Nebraskans

2. Mission Improve health outcomes for culturally diverse populations of Nebraska. Health equity for all Nebraskans. Vision

3. Core Functions • Promote and provide training on cultural competency to improve access to health services for racial ethnic minorities. • Provide relevant statistical data to assess and identify health status of racial ethnic minorities. • Increase awareness of major health problems of racial ethnic minorities and factors that influence health.

4. Core Functions • Identify needs and expand community-based health promotion and disease prevention outreach efforts. • Establish and strengthen, networks, coalitions, and partnerships to identify and address health problems. • Collaborate with public health partners to develop and promote programs and practices to achieve health equity.

5. Nebraska Population • Mid 1990s: US Census bureau projected that Nebraska’s minority populations would reach a high of 15% of the total population by 2025. • 2005:20 years ahead of the projection, the racial ethnic minority population of Nebraska was estimated to be 14.6%. • 2000-2010: Nebraska’s racial ethnic minority population grew 50% from 214,152 to 517,110. • 2010: Nebraska’s racial ethnic minority population accounted for 17.9% of the total population.

6. Distribution of Nebraska Population by Race/Ethnicity, 2010 * NHPI = Native Hawaiian/Pacific Islander Source: US Census Bureau, 2010 Census Two or more races, Non-Hispanic 1.6% Some other race 0.1% NHPI, Non-Hispanic 0.1% Hispanic 9.2% Asian, Non-Hispanic 1.7% American Indian, Non-Hispanic 0.8% Black, Non-Hispanic 4.4% White, Non-Hispanic 82.1% Total = 1,826,341

7. County Minority Population: Nebraska 2010

8. County Minority Population: 2007

9. Nebraska Minority Population Change by Race/Ethnicity, 2000-2010 Source: US Census Bureau, 2010 Census and 2000 Census * Native Hawaiian or Other Pacific Islander

10. Projected US Population by Race and Ethnicity, 2000-2050 80 70 60 50 40 30 20 10 0 White, Non-Hispanic Percent of Total Population Total Minority Hispanic Black Asian Other race* 2000 2010 2020 2030 2040 2050

11. Disparities in Nebraska

12. Examples of Funding • Funding: Minority Health Initiative Funding ($1.58 million annually)- Priority Issues…. • Cardiovascular disease • Obesity • Diabetes • Infant mortality • Asthma • Every Woman Matters • Native American Public Health Act • Maternal Child Health • State Partnership Grant • Distributed on per-capita basis to counties with minority populations of ≥ 5% • 44 counties qualified for funding for 2011-2013 cycle

13. Examples of Priority Activities • Data Collection, Analysis, & Reporting • Cultural Competency Curricula (SPG) • Work with Racial/Ethnic Populations including New Immigrant and Refugee Populations (Lay Health Ambassador Program) • Collaborative Efforts

14. Data Reports • Racial/Ethnic Minority Population Growth State of Nebraska Health Fact Book • Health Status of  Hispanic in Nebraska, Fall 2012 • The Socioeconomic Status of Minorities in Nebraska CD Three, Fall 2012 • The Socioeconomic Status of Minorities in Nebraska CD Two , Fall 2012 • The Socioeconomic Status of Minorities in Nebraska CD One, Fall 2012 • Heath Status of American Indians in Nebraska, 2012 • The State of Language Access Services in Nebraska Health Care Organizations, 2011 • The Socioeconomic Status of Nebraska Minorities, 2011 • The Behavioral Risk Factors for Nebraska immigrant, 2010 • Key Disparities in Nebraska, 2010

15. Data Reports (cont.) • Racial/Ethnic Minority Population Growth: State of Nebraska Fact Book,  2009 • Cultural Competency Assessment of Health Care Providers across Nebraska: A Survey of Limited English Proficient (LEP) Individuals,  2009 • American Indian/Alaska Native Socioeconomic Status Report, • 2009 Interpreters Speak Out: Nebraska Language Access Survey,  2008 • The Socioeconomic Status of Nebraska Asians, 2008 • The Socioeconomic Status of Nebraska Black or African Americans,  2008 • The Socioeconomic Status of Nebraska Hispanics or Latinos,  2008 • MinorityBehavioral Risk Factor Survey (individual counties): Box Butte Buffalo, Dawson, Knox ,Lincoln, Platte, Scotts Bluff, Sheridan,  2006 • Minority Behavior Risk Factor Survey (individual counties): Sarpy,Douglas,  2005 

16. State Partnership Grant Program to Improve Minority Health • Increasethe cultural competency of the public health workforce in Nebraska (P3 Training) • Build and/or strengthen relationships with key public health and other stakeholders • Improve Nebraska’s capabilities and methods of collecting, analyzing, and reporting minority health data

17. People are People are People: Increasing Your CQ (aka “P3 Training”) • 7 modules = 2 full days • Opportunity & Overalls; Again, & Again, & Again; A Picture = 1,000 Numbers; Thin Slicing; Blind Men & Elephants; Loose Labels; Bows and Ribbons • Modules can be done in any order or configuration • Expanded training on individual topics • Tailored to needs of the organization

18. Collaborative Efforts • Internal DHHS partnerships and projects • DHHS Chronic Disease Programs • Other DHHS Programs • External partnerships and projects • Federal Office of Minority Health • Regional Health Equity Council • Minority Health Council • UNMC – Center for Reducing Health Disparities • Nebraska Public Health Departments • Community Based Organizations

20. More information Nebraska Office of Health Disparities & Health Equity minority.health@nebraska.gov 402-471-0152 www.dhhs.ne.gov/healthdisparities