 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
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| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Patrick Chalk, MD, MPH, The Annie E. Casey Foundation, 701 St Paul Street, Baltimore, MD 21202, 410-547-6600, pchaulk@aecf.org and Phyllis Kaye, MPA, Consultant, 1522 K Street NW, Suite 1130, Washington, DC 20005.
The Annie E. Casey Foundation, a national philanthropy devoted to improving futures for low income families, has created, as part of its placed-based investments, several programs to expand health care in urban communities across the country. These neighborhood-based programs were designed and implemented specifically using local knowledge and culture from the community. This poster describes two such programs, one using community residents to conduct Medicaid and SCHIP enrollment in the St. Thomas Irish Channel community of New Orleans; the other using community residents to improve access to tuberculosis screening and treatment in Seattle for three immigrant populations from Somalia, the Ukraine and Bosnia. Methods: The programs were evaluated with attention to community design, assessment of access to health care coverage and services, as well as other non-health outcomes. Results: These programs not only improved health care coverage and outcomes, but generated other benefits such as the development of new community leadership, stronger social networks, economic opportunity, and increased access to other services including schools and ESL programs. Conclusion: Public health officials and philanthropy should give priority to health and public health programs that meaningfully rely on local knowledge and culture in the design, implementation, and monitoring of such programs.
Learning Objectives:
Keywords: Community Health Promoters,
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.