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Explore health equity strategies and address roadblocks hindering whole-person health. Learn about regional trends and health inequities roots. Delve into specific health issues affecting the Navajo Nation, such as diabetes, and discover initiatives like the Healthy Diné Nation Act transforming community wellness. Understand the impact of public policies on creating health equity and building stronger communities. Gain insights on asking the right questions and utilizing tools for effective implementation.
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Removing the Roadblocks Implementing Health Equity Strategies Allison Allbee & SanetadeVuono-powell, SEED Collaborative North Central Annual Summit 2019
How do the people you work with experience specific road blocks to whole person health? • What regional or population trends are you seeing? • What do you believe are the roots of health inequities in your region? Turn to your neighbor
1. unintentional injuries • 2. cancer • 3. heart disease • 4. diabetes • 5. liver cirrhosis • 6. influenza/pneumonia • 7. stroke • 8. dementia • 9. septicemia • 10. suicide Navajo Tribal Epidemiology Center’s Mortality Report (2013) 2014 Healthy Diné Nation Act: Top-Ten Leading Causes of Death among Navajo People
25,000 Navajo suffer from diabetes, 75,000 have pre-diabetes 2014 Healthy Diné Nation Act: Diabetes among Navajo People Indian Health Service, 2012; O’Connell et al., 2012
2% Tax on foods with little to no nutritional value • Removed the 5% tax on fruits, vegetables, and water • Revenues go to 110 Navajo Chapters to support the Community Wellness Project* *20% of the revenues go to the Permanent Trust, Veterans Trust, Land Acquisition Fund, and Tax Suspense Fund 2014 Healthy Diné Nation Act: The Policy
2016-2018 $4 million collected • $13,000 new revenues for wellness programming in each chapter • Over 1000 new wellness projects have been proposed • community food & water initiatives (i.e. farming and vegetable gardens), equipment purchases, wellness instruction (i.e. fitness classes) and funds for the built recreational environment (building a walking trail) • Chapter wellness projects impacted the community’s notion of traditional Navajo health in both communities • The presence of the health programs activates traditional ways of living and enhances the practice, sometimes, unknowingly. 2014 Healthy Diné Nation Act: Results Our Voice: Implementation Results of the Healthy Diné Act 2016-2018
RWJBarnabus Health “Strong public policies have the ability to create health equity, sustain evidence-based program and build stronger communities.” Other Inspiration Social Impact and Community Investment 2019-2020 Strategic Plan Summary
Implementing health equity requires asking the right questions and using good information to make decisions • What to ask: Who are you trying to support? What does success look like? What partners are needed? What will develop a systemic response vs. programmatic or relational response? • Useful tools: Health indicators, community surveys, SWOT analysis, power mapping, network analysis Implementation
Thank you! allison@seedcollab.com saneta@seedcollab.com