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Cross-Sector Collaboration to Improve Health Equity. Sarah Langdon, MPH, MCHES Maya Angelou Center for Health Equity. The Plan4Health community envisions the full integration of planning and public health where we live, learn, work, and play. Maya Angelou Center for Health Equity.
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Cross-Sector Collaboration to Improve Health Equity Sarah Langdon, MPH, MCHESMaya Angelou Center for Health Equity
The Plan4Health community envisions the full integration of planning and public health where we live, learn, work, and play.
Maya Angelou Center for Health Equity • Health Equity Education and Training • Health and Biomedical Science Pipeline Programming • Translational Research Navigation • Integrating Special Populations The Maya Angelou Center for Health Equity supports the learning healthcare system by advancing health equity and population health research
Let’s start at the beginning! Health Equity is: • Achieving optimal health for all persons • Everyone has the opportunity to live a healthy life
Health is a Social Justice Issue • Disproportionately affects Non-White communities • Result of discriminatory practices / policies in US history • Current policies largely re-inforce the conditions that lead to health risk factors • Members often have little ownership in what happens in their own communities
How does planning affect Health Equity? An Example! • https://www.youtube.com/watch?v=ETR9qrVS17g
Built Environment, Health Equity and Health Disparities Transportation Poverty Violence/Unsafe Neighborhoods Exposure to Environmental Toxins Low Educational Attainment Lack of Access to Care Food Insecurity Increased Risk of Chronic Disease https://ephtracking.cdc.gov/InfoByLocation/
What other sectors are you intentionally involving in the planning process? • Healthcare Organizations • Community-Based Organizations • School System representatives • Faith-Based Organizations • Youth-focused Organizations • Law Enforcement
Strategies for Meaningful Community Engagement Recognize COMMUNITY MEMBERS as the EXPERTS
Strategies for Meaningful Community Engagement How are you reaching community members? Are you engaging them where they live, work and play?
Strategies for Meaningful Community Engagement Are you involving community members in every step of the process?
Strategies for Meaningful Community Engagement • LISTEN • Recognize COMMUNITY MEMBERS as the EXPERTS • Relativity • How are you reaching community members? • Are you engaging them where they live, work and play? • Are you involving community members in every step of the process?
Potential Solutions • Revitalizing underused/vacant land/buildings/facilities • Developing safe spaces for physical activity like greenways, more greenspace, parks, sidewalks, bike lanes, community centers • Supporting local foodways like community gardens, farmers markets, and community supported agriculture co-ops (CSAs) • Create partnerships to address environmental concerns • Support educational initiatives that improve access to gainful employment
Potential Solutions • Atlanta Beltline Project • http://beltline.org/about/the-atlanta-beltline-project/atlanta-beltline-overview • Winston-Salem Greenways • http://www.wsgreenways.com/ • Healthy Native North Carolinians • http://americanindianhealthyeating.unc.edu/healthy-native-north-carolinians-2/
We must make Health a Shared Vision across all municipal sectors
Individual vs. System Roles • Do we, in our personal and professional lives, reinforce or support the dismantling of oppression and discrimination? • What efforts are in place to break down these barriers?
Our personal perceptions/opinions • What is your level of awareness that the people in our community represent many different cultures? • What are your attitudes/perceptions towards people of cultures that are different from your own? • What is your level of knowledge about cultures different from your own? • How do the answers to all of these affect the way you interact with communities?
Strategies • Ask questions – NEVER assume • Treat patient preferences with respect, even if you do not understand them • If possible, try to understand patient preferences/beliefs • Encourage patients and their family members to ask you (and your healthcare team) questions • Provide health education information in a format understandable by the patient • Assist patients in finding language resources if needed
Thank you! Questions? Sarah Langdon, MPH, MCHES slangdon@wakehealth.edu