263692 Weaving equity into local public health planning and practice through Communities Putting Prevention to Work

Wednesday, October 31, 2012 : 12:50 PM - 1:10 PM

Alisa R. Haushalter, DNP, RN , Nemours Health and Prevention Services, Nemours Health System, Newark, DE
Celia Larson, PhD , Metro Public Health Department, Nashville, TN
Purpose: To achieve equity of healthy eating and active living (HEAL) policy, systems and environmental changes, Nashville's Communities Putting Prevention to Work Campaign approach is based on: a) understanding population and institutional discriminatory beliefs; b) community partnerships; c) training and dialogue, d) community engagement, and e) data. Methods: Monthly training and dialogue sessions with staff and community partners are held to increase understanding of the social determinants of health, population attitudes/beliefs as well as institutional policies and norms. Community engagement and input is achieved through listening sessions and dialogue that inform strategy development and implementation. Data from multiple sources are used to assess reach and uptake of each initiative. Processes are continuously monitored and modified based on data and staff/community input. Results: All staff and partners participated in "Dialogue in Diversity" training. Five mini-grants have been awarded to partners located in high-risk communities to create and sustain high leverage changes. Listening sessions, surveys and dialogue with community partners and residents have informed the development and implementation of a low-cost bike share program in low-income neighborhoods, a corner store initiative to increase access to healthful foods/beverages in five food deserts, a faith community initiative to increase the presence of HEAL policies and practices; and community gardens that unite intergenerational neighborhood and community residents together. Discussion: Collectively these processes assure that equity is woven into all aspects of the campaign so that high need communities will benefit from policy, systems and environmental changes. Barriers and successes will be discussed.

Learning Areas:
Advocacy for health and health education
Diversity and culture
Program planning
Public health or related organizational policy, standards, or other guidelines
Public health or related public policy
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1. Describe how partnerships provide leverage to achieve equity of public health interventions. 2. Identify 3 strategies that increase access to healthy foods/beverages. 3. Name 2 barriers to achieving equity of HEAL interventions.

Keywords: Equal Access, Public Health Policy

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a public health nurse with the Metro Public Health Department in Nashville, Tennessee since 1983. I am currently the Director of the Bureau of Population Health Programs. I serve as the project director for Nashville’s Communities Putting Prevention to Work campaign. I hold a Doctorate of Nursing Practice in Public Health Leadership from the University of Tennessee Health Science Center and a Master’s Degree in Nursing from Vanderbilt University.
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.