261959 Tools and Methods for Aligning Community Health Planning with Primary Care and Policy Interventions: Lessons Learned from Hard to Reach Frontier Communities along the U.S.-Mexico Border

Tuesday, October 30, 2012 : 5:30 PM - 5:50 PM

Lisa Cacari Stone, PhD , Department of Family & Community Medicine, University of New Mexico Health Science Center, RWJF Center for Health Policy at UNM, Albuquerque, NM
Sean Bruna-Lewis, MA, PhD(c) , Department of Anthropology, RWJF Center for Health Policy, University of New Mexico, Albuquerque, NM
Susan Wilger, BS, MPAff , National Center for Frontier Communities, Silver City, NM
Jeremy Cantor, MPH , Prevention Institute, Oakland, CA
Carmen Maynes, MPH , Hidalgo Medical Services, Lordsburg, NM
Carolina Guzman, MPH , Program Manager, Prevention Institute, Oakland, CA
Tammy Hopkins, BS , Consortium Coordinator, Hidalgo County Health Consortium, Lordsburg, NM
While effective community assessment tools are vital for improving population health, less is known on how to align community data with primary care and policy interventions. As part of a larger strategy to align primary care with population health strategies for preventing chronic conditions among medically underserved Latinos living in a frontier border region, the Hidalgo Medical Services and Health Council, Robert Wood Johnson Center for Health Policy and Prevention Institute adapted a tool for assessing socio-determinants of health. This presentation focuses on key challenges and lessons learned and how the partners modified the THRIVE survey (Tool for Health & Resilience in Vulnerable Environments), a community engagement tool for assessing upstream socio-determinants of health. The survey was implemented in 2011 to assess: (1) equitable opportunities (racial justice, jobs and education); (2) people (social networks and acceptable cultural behaviors); and (3) place (built environment, parks and open space, neighborhood safety, healthy food). Key findings from 357 completed surveys showed that safety, jobs, housing and education rated among the top health issues. Of particular interest is how the local health consortium (providers, services agencies, law enforcement, schools, religious leaders) aligned the findings into existing county-wide strategic planning and primary care delivery. The tool also cultivated an open dialogue regarding the context of health in the border including violence and immigration. Insights can be used by other communities seeking to integrate social interventions with primary care as a means to promote prevention and wellness, and to develop comprehensive health policies in frontier environments.

Learning Areas:
Diversity and culture
Public health or related laws, regulations, standards, or guidelines
Public health or related public policy
Public health or related research
Social and behavioral sciences

Learning Objectives:
This presentation will discuss and demonstrate how the THRIVE survey (Tool for Health & Resilience in Vulnerable Environments), a community engagement tool for assessing upstream socio-determinants of health, was modified and implemented. The presentation will also discuss how local health consortiums can merge new and existing studies for consideration with new planning and primary care delivery.

Keywords: Policy/Policy Development, Rural Communities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Wilger has 25 years experience as a program developer, director, advocate and planner in the fields of behavioral and primary health care, child care, prevention and domestic violence services. Her work experience includes promotion of community engagement for policy change at the local, regional and national levels. Wilger received her Bachelors Degree from the University of Wisconsin at Madison and a Masters Degree in Public Affairs from the University of Texas at Austin.
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.