222668 Community Health Workers, a key lever in the Sustainable Community System Change Model pushing forward a structural change approach

Wednesday, November 10, 2010 : 10:45 AM - 11:00 AM

Jara Dean-Coffey, MPH , jdcPartnerships, San Rafael, CA
Amy Reisch, MSW , First 5 Marin Children and Families Commission, San Rafael, CA
Barbara Clifton-Zarate, MPH , Program Manager, First 5 Marin Children and Families Commission, San Rafael, CA
Founded in 1998, First 5 Marin Children and Families Commission (F5M) works to assure that all children 0 5 years of age in Marin County, California thrive in supportive, nurturing and loving families, are healthy and enter school ready to succeed. F5M implements its Strategic Plan through a platform of four integrated initiatives: 1) school readiness (place-based efforts in 5 communities); 2) health (physical, oral, developmental, and social-emotional); 3) public policy ; and, 4) health advocacy/health literacy. The latter, referred to as HAHLI, implements F5M's emphasis on health promotion and education, preventive care, and community capacity building. It supports integration and coordination among organizations, programs and systems around health messages, understanding of health services and how and why to use them and reducing barriers to access for families Using a promotores/community conductor model, the community's capacity to care for/support its own members is multiplied.

As F5M's efforts mature, the focus on the participation of those often marginalized in the public policy discourse has increased. The Sustainable Community System Change (SCSC) model provides a framework for F5M to move deliberately through stages of system development and to identify critical levels of change (i.e., human capacity building, communication/networking /leadership) and indicators of progress moving along the continuum. HAHLI is expanding its role to include more upstream Public Health approaches engaging those most affected by the state of the current health care system. This will include relationships and connections with other issues reflecting a transition towards movement building and structural change.

Learning Areas:
Conduct evaluation related to programs, research, and other areas of practice
Planning of health education strategies, interventions, and programs
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1. Describe the intent and design of the Health Advocacy Health Literacy Initiative (HAHLI) , a key strategy for increasing human capacity in underserved communities 2. Identify the facilitators to expanding the role of Community Health Workers within HAHLI to forward a social justice agenda 3. Discuss the current thinking about how this work contributes to and supports the Sustainable Community System Change framework and how it will be evaluated

Keywords: Social Justice, Community Health Promoters

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I oversee programs that increase human capacity in underserved communities with a social justice agenda.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.