Online Program

Fostering increased collaboration across county and city agencies to add health language and policies into a General Plan

Tuesday, November 3, 2015

Edward Daligga, MPH, Center for Chronic Disease and Injury Prevention, Santa Clara County Public Health Department, San Jose, CA
Susan Stuart, MA, MPH, Center for Chronic Disease and Injury Prevention, Santa Clara County Public Health Department, San Jose, CA
Bill Shoe, MCRP, Planning Office, Santa Clara County, San Jose, CA
Bonnie Broderick, MPH, RD, Center for Chronic Disease & Injury Prevention, Santa Clara County Public Health Department, San Jose, CA
Aimee Reedy, Ed.D, MPH, Executive Leadership, Santa Clara County Public Health Department, San Jose, CA
Analilia Garcia, DrPH, MPH, Assessment, Planning & Health Policy Division, Santa Clara County Public Health Department, San Jose, CA
Required by California law, General Plans guide the growth and land use development of cities and counties. As understanding of the connections between the built environment and social conditions and health has grown, the incorporation of health language and elements into General Plans has increasingly been recognized as a promising strategy for addressing inequity and improving community health.

In 2011, Santa Clara County initiated a General Plan update by focusing on the creation of a separate health element. Home to more than 1.8 million people and generally referred to as Silicon Valley, Santa Clara County is one of the most affluent areas in the US. However, almost 1 in 7 children and 1 in 10 adults live below Federal Poverty Level, and a sizable percentage of residents must contend with extremely high housing and transportation costs and unequal access to income and resources.

The Santa Clara County Public Health Department and Department of Planning and Development worked collaboratively with other agencies, jurisdictions and organizations and solicited substantial community input in order to draft a comprehensive Health Element for the County General Plan. Informed by data within an Existing Conditions Report, the final Health Element addresses policy on health equity, active and sustainable transportation, housing, recreation and physical activity, food access, violence prevention, and climate change. The Health Element provides high-level strategies and policies intended to inform and guide health improvement efforts within Santa Clara County and other jurisdictions and organizations in Silicon Valley.

Learning Areas:

Administration, management, leadership
Other professions or practice related to public health
Public health administration or related administration
Public health or related public policy

Learning Objectives:
Discuss the interagency, interdisciplinary process used for creating a general plan health element in a large county. Describe the challenges of synthesizing sometimes conflicting priorities of myriad stakeholders important to drafting a general plan health element.

Keyword(s): Policy/Policy Development, Community Health Planning

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have substantial experience supporting and leading public health administration, planning, and evaluation efforts. In addition to earning an MPH, I have a BS in Urban and Regional Planning and a BA in Social Relations. My scientific and professional interests include measuring the impact of urban design on health outcomes, promoting safe and healthy environments, and developing policies that address health disparities and inequity.
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.