263183 PRIME: A state health department effort to build organizational capacity to reduce health disparities

Sunday, October 28, 2012

Derek M. Griffith, PhD , School of Public Health, Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI
Alethia Carr, RD, MBA , Bureau of Family, Maternal and Child Health, Michigan Department of Community Health, Lansing, MI
Brenda Jegede, MPH, MSW , Bureau of Family, Maternal and Child Health, Michigan Department of Community Health, Lansing, MI
Julie Ober Allen, MPH , University of Michigan, Ann Arbor, MI
Renee Canady, PhD , Ingham County Health Department, Lansing, MI
Sheryl Weir, MPH , Michigan Department of Community Health, Health Disparity Reduction and Minority Health Section, State of Michigan, Detroit, MI
Thomas Reischl, PhD , Prevention Research Center of Michgian, University of Michigan School of Public Health, Ann Arbor, MI
Cheryl Celestin, EdD , Bureau of Family, Maternal and Child Health, Child, Adolescent & Family Health Section, Michigan Department of Community Health, Lansing, MI
There is great interest within public health agencies to work towards achieving health equity, but few have identified pragmatic strategies to guide the day-to-day activities of health department staff. Efforts to promote health equity have primarily focused on increasing the capacity of staff to understand and recognize racism but previous programs have not equipped staff to address racial disparities through their specific professional roles and responsibilities. In this presentation, we will describe Practices to Reduce Infant Mortality through Equity (PRIME), a project of the Michigan Department of Community Health's Bureau of Family, Maternal & Child Health to reduce racial disparities in infant mortality between Blacks and Whites and between Native Americans and Whites in Michigan. In contrast to existing models, the PRIME intervention is based on three premises: (1) education and training to address racial health disparities should help staff improve their confidence and performance in areas that are directly relevant to their day-to-day job roles and tasks; (2) staff should be able to see how training efforts are connected to the departmental role, mission and vision; and (3) the training needs of staff who interact directly with community members and community-health services is different than those who do not. We will describe the key components of the PRIME intervention, including our efforts to organize a Local Learning Collaborative, create unique approaches to addressing Black-White and Native American-White disparities, and train staff to apply, not just define, a health equity lens to their efforts to address health disparities.

Learning Areas:
Administration, management, leadership
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health administration or related administration
Public health or related laws, regulations, standards, or guidelines
Public health or related organizational policy, standards, or other guidelines

Learning Objectives:
1. Discuss the philosophy and goals of the PRIME project 2. Describe how the PRIME intervention strategy is unique 3. Demonstrate how state and local health departments can partner to inform state and local efforts to address health disparities 4. Explain the unique social, cultural, historical and political contexts of Black and Native American infant mortality, particularly the differences in public health infrastructure and jurisdiction of these populations.

Keywords: Health Disparities, Health Departments

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am one of the lead investigators on the grant and I have been working in this area of research for a number of years.
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.