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Greater Lawrence Family Health Center Food Insecurity Campaign: Building Partnerships within Communities to Address Social Determinants of Health and Promote Health EquityBreakout Session 2B: Background Social determinants of health contribute more to our general quality and length of life than the medical care we provide in our communities. To address these needs, the Greater Lawrence Family Health Center has recently launched a food insecurity campaign to reduce barriers and access to food for residents of Lawrence. Our initial pilot data suggests that up to 2/3 of our patients are food insecure. To help address this problem we have partnered with the Greater Boston Food Bank to provide free monthly access to fruits and vegetables and assistance with obtaining governmental support. Recognizing the significant impact food insecurity has on the community, we have also started to engage in community partnerships, particularly with the Mayor’s Health Task Force of Lawrence, Greater Boston Food Bank, and Groundworks Lawrence, to develop sustainable solutions to food insecurity. We also are working to develop an understanding of community needs through community members’ perspectives and experiences of food insecurity. Our goal during this session is to describe how the use of informant interviews and focus groups, community needs assessment resources and stakeholder relationships helps to promote a community-driven movement that can tackle health equity. Purpose To promote and discuss methods of community partnership and community-based participatory research in addressing health equity in communities and healthcare organizations To discuss methods and ideas for community engagement and partnership to address social determinants of health, particularly food insecurity.
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Communities for Healthy Living: A Holistic Approach to Engaging Head Start Families to Improve Health OutcomesThe Communities for Healthy Living (CHL) project is a five year, pragmatic intervention trial to reduce and prevent childhood obesity among low-income preschoolers in the Greater Boston area. This workshop will demonstrate the successes and challenges of engaging parents as participants and leaders of a participatory intervention to prevent childhood obesity. Key lessons learned; give insight on how staff and parents were engaged from the outset; and what this type of program can offer diverse groups of parents. With a particular focus on the participatory nature of our work, we will describe the stages of our trial and discuss the current status of the project. Presenters will outline how CHL differs from other childhood obesity prevention trials, and place emphasis on their parent health and empowerment program – the keystone to the project. The presenters will lead the group in several activities taken directly from the parent program, to illustrate how parents of varying backgrounds and literacy levels can be engaged around health topics.
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Coalicion de Salud Comunitaria (COSACO): using a Healthy Community Partnership framework to integrate short-term global health experiences into broader community developmentBACKGROUND: There is growing concern that short-term experiences in global health experiences (STEGH), undertaken by healthcare providers, trainees, and volunteers from high income countries in lower and middle income countries, risk harming the community by creating a parallel system of care separate from established community development efforts. At the same time, the inclusion of non-traditional actors in health planning has been the basis of the development of many Healthy Community Partnerships (HCP) being rolled out in Canada and the United States. These partnerships aim to bring all stakeholders with a role to play in health to the table to align efforts, goals and programs towards broad community health goals. RESULTS: This methodology paper reports on the process used in La Romana, Dominican Republic, in applying a modified HCP framework. This project succeeded at bringing visiting STEGH organizations into a coalition with key community partners and supported attempts to embed the work of STEGH within longer-term, established development plans. CONCLUSIONS: In presenting the work and process and lessons learned, the hope is that other communities that encounter significant investment from STEGH groups, and will gain the same benefits that were seen in La Romana with regards to improved information exchange, increased cross-communication between silos, and the integration of STEGH into the work of community partners.
