Online Program

A Community Based Approach to Promoting Change in Community Policy and Practice in Appalachian Tennessee Counties

Tuesday, November 3, 2015

Ginny Kidwell, MALS, ETSU College of Public Health, Tennessee Institute of Public Health at East Tennessee State University, Johnson CITY, TN
Kristine Harper Bowers, ETSU College of Public Health, Tennessee Institute of Public Health at East Tennessee State University, Johnson City, TN
Tennessee’s prevalence of death from cardiovascular and cancer causes, high infant mortality, high incidence of complications from diabetes, obesity and tobacco use has identified the state as one of the least healthy in the nation.  These health conditions degrade the quality of life and lessen the economic viability of many counties especially those in eastern Tennessee classified as Appalachian. Because the roots of many of these conditions depend on individual behaviors and personal choice, providing the mechanisms for communities to address these health disparities in ways that are most meaningful was the thrust of the “Roadmap for a Healthier Appalachian Tennessee,” a grant-funded program of the Tennessee Institute of Public Health (TNIPH) in 2014.  TNIPH used small grant funding approach to encourage 20 counties/communities to systematically implement health and disease prevention strategies to promote positive health behaviors in response to local health conditions.  By aggressively engaging diverse local partnerships to collectively encourage community-driven health promotion, these 20 communities were able to meet local needs within the boundaries of the overall program goals while reaching locally determined objectives and measures.  Additionally each community organization targeted different populations (e.g., school-aged youth, women, senior citizens, etc. in their project designs and involved new health partners and new economic partners by the end of the grant year to alter their communities’ health profile.  We will discuss and compare various health promotion methodologies used by these Appalachian communities to change fundamental health behaviors and to establish new directions for local health policies.

Learning Areas:

Planning of health education strategies, interventions, and programs
Program planning

Learning Objectives:
Describe at least 5 community-driven health promotion strategies to change community policy and practice to improve person-level health and well-being.

Keyword(s): Community Health Programs, Community-Based Partnership & Collaboration

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was the evaluator for the 2014 Roadmap for a Healthier Appalachian Tennessee project of the Tennessee Institute of Public Health which was the vehicle for community-engaged local health communication and policy change in rural Appalachian Tennessee counties.
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.