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Prevention Institute - Manal Oboeleta
1. @preventioninst
http://www.facebook.com/PreventionInstitute.org
Antelope Valley Partners for Health Fall Wellness Summit
October 29, 2015
Photo by Rudy Espinoza
Prevention Institute
A Coordinated,
Community Approach to
Advancing Health, Safety,
and Equity
Photo by Rudy Espinoza
Photo from glenarborsun.com
Manal Aboelata, MPH
Managing Director
Maureen Silva, MPH
Program Coordinator
Julie Leung, MURP, MPH
Program Coordinator
2.
3. Deepen understanding of a prevention-based
community health approach to health inequities
Demonstrate knowledge of successful examples –
locally and nationally – that connect community
efforts to changing environments, policy, and
practices
Increase capacity to prioritize community level
factors that are linked to chronic disease in the
Antelope Valley
Keynote Objectives
4. a systematic process that reduces the frequency and/or
severity of illness or injury.
Promotes healthy environments and behaviors to prevent
problems from occurring before the onset of symptoms
14. It is unreasonable to expect
that people will change their
behavior easily when so many
forces in the social, cultural,
and physical environment
conspire against such change.
“
”
Institute of Medicine
Source: Institute of Medicine. (2000). Promoting health: Intervention strategies from social and
behavioral research (B. D. Smedley & L. S. Syme, Eds.). Washington, DC: National Academies Press.
15. The health inequities we see…are not
about just individual bad choices:
Nancy Krieger, Harvard School of Public Health
“
”they are about things not being fair
16. Health Equity
“Health equity means that every person, regardless
of who they are—the color of their skin, their level
of education, their gender or sexual identity,
whether or not they have a disability, the job that
they have, or the neighborhood that they live in—
has an equal opportunity to achieve optimal
health.”
Source: Braveman PA, et al. Health disparities and health equity: The issue is justice. 2011.
18. Child Restraint and Safety Belt Use
Smoking Prevention
Bans on School Junk Food
School-Based Wellness Policies for PA
Childhood Immunizations
Motorcycle and Bicycle Helmet Laws
24. Social, Physical,
Economic
Environment&
Behaviors 70%
Medical Care, 10%
Genetics
20%
$2.2 Trillion
Current Health Care Spending
Factors Influencing
Health
National Health
Expenditures
References: Bipartisan Policy Center. “Lots to Lose: How America’s Health and
Obesity Crisis Threatens our Economic Future.” June 2012
25. Medical Care, 10%
Genetics
20%
Prevention, 3%
Health Care
Services
97%
$2.2 Trillion
Current Health Care Spending
Factors Influencing
Health
National Health
Expenditures
References: Bipartisan Policy Center. “Lots to Lose: How America’s Health and
Obesity Crisis Threatens our Economic Future.” June 2012
Social, Physical,
Economic
Environment&
Behaviors 70%
27. 1. Access to Primary Care
2. Obesity/Overweight for Adult and Youth
3. Mental Health
4. Dental Health Services
5. Uninsured Population
6. Physical Environment/Transportation
7. Poverty Rates
8. Diabetes
9. Prenatal Care
10. Breastfeeding
Source: 2013 Community Health Needs Assessment Kaiser Permanente
Community Health Needs
Assessment Priorities
32. Heart Disease
Cancer
Stroke
Type 2 Diabetes
Injuries
& Violence
Diet &
Activity
Patterns
Tobacco
Alcohol
& Drugs
Making Links to Exposures & Behaviors
SOURCE: McGinnis JM , Foege WH. Actual causes of death in the United States.
Journal of the American Medical Association. 1993; 270: 2007-2013.
39. Social Networks & trust
Participation & willingness to act
for the common good
Norms & Culture
Living wages & local wealth
Education
What’s sold & how it’s
promoted
Look, feel & safety
Parks & open space
Getting
around/Transportation
Housing
Air, water, soil
Arts & cultural
expression
Elements of Community Health
PEOPLE
PLACEEQUITABLE
OPPORTUNITY
41. Community Health Factors
PLACE
Look, feel & safety
Parks & open space
Getting
around/Transportation
Housing
What’s sold and
how it’s promoted
Air, water, soil
Arts & cultural
expression
The physical
environment
in which people live,
work, play, and
go to school.
People
Place
Equitable
Opportunity
42. Parks and Open Space
Improving Opportunities for Walking and Jogging
Boyle Heights, CA
43. What’s Sold & How It’s Promoted
Houston, TX
Salud America! Growing Healthy Change
46. Community Health Factors
PEOPLE
Social networks & trust
Participation & willingness
to act for the common
good
Norms & Culture
The relationships
between people,
the level of engagement,
and norms, all of
which influence
health outcomes.
Equitable
Opportunity
Place
People
47. Social Networks & Trust
Healthy Hometown Restaurant Initiative
Louisville, KY
Source: A Practitioner's Guide for Advancing Health Equity: Community Strategies
for Preventing Chronic Disease (CDC)
48. Participation & Willingness to
Act for the Common Good
Source: Multnomah County Health Department
Multnomah County, OR
51. Designing Initiatives for Health
Equity
Select, Design and Implement Health Equity
Oriented Strategies
Assess Impacts of Potential Policies on Equity
Building Organizational Practices that
Support Equity
Partner and Collaborate for Health Equity
Focus on Nontraditional Providers with high
degree of contact with populations
experiencing inequities
62. Developing Effective Coalitions:
The 8-Step Process
1. Analyze program objectives, determine whether
to form a coalition
2. Recruit the right people
3. Devise preliminary objectives and activities
4. Convene the coalition
5. Anticipate necessary resources
6. Develop a successful structure
7. Maintain coalition vitality
8. Improve through evaluation
64. 221 Oak Street
Oakland, CA 94607
Tel: (510) 444-7738
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