EDUCATION A Public Health “Of all the forms ofImperative inequality, injustice in health is the most shocking and inhumane.” “I, for one, believe that if you give people a Martinthorough Luther King Jr. understanding of what confronts them and the basic causes that produce it, they’ll create their own program, and when people create a program, you get action.” Malcolm X Key to Identifying Outcome Objectives The people defining the “issue” is key to setting outcome objectives. Who Defined The Issue? Vision: Black Legacy is a group of diverse of Worcester as a place where Black peoplemembers can feel safe, the community, predominantly of the African welcome, and where there is equal opportunity for us diaspora, that come together to build the to develop and grow. health of our Black Community Mission: Improve the health of the Black community in Worcester. Process of Identifying Outcome Objectives 1. Are there racial disparities? If so, a) b) c) d) What are they Why do they exist What are the opportunities to make change What is the best strategy given the current environment and resources Do Racial Health Disparities Exist? HIV mortality rates are more than 6 times the rate of their White counterparts Cardiovascular mortality is twice the rate in Black communities Breast cancer mortality is twice the rate in Black women YES Prostate cancer is twice the rate of incidence Infant mortality is more than twice the state average Lung cancer is 10% greater incidence and 40% higher mortality Colon cancer is 40% higher mortality rates in Black women and mortality rates at 47% higher Obesity is higher at 30% compared to 23% of the White community Diabetes occurs at a higher rate in the Black community Why Do They Exist? Social Determinants of H ealth H eath Care Safety H ousing Employment Education “The economic and social conditions under which people live that affect greatly influence collective and personal health and can potentially be altered by informed action.” Why Do They Exist: Power Analysis Nutrition Access to Health Services Housing & Neighborhood Social Safety Net SECONDARY DETERMINANTS OF HEALTH Socio Economic Status EDUCATION EMPLOYMENT PRIMARY DETERMINANTS OF HEALTH Social Inclusion or Exclusion Prevention Institute, Restructuring Government and Addressing Social Determinants of Health GOALSGoals: Short-term 1. Increase the capacity of the Black community and LONG-TERM: community supports to effectively advocate for policies Members of the Black community and other community and practices that increase the academic performance of supports are integrated into the delivery of Black youth. educational and support services in a culturally proficient manner results decreased 2. Adoption of policies andwhich practices by in thea Worcester academic performance gap in Worcester. Public Schools related to accountability measures key to assessing and changing racial academic performance gap and a plan for core curriculum to be implemented district wide. 3. Worcester Legacy will have the capacity to effectively continue the work of health equity in 2011 in the Black community Short-term Goal 1: Increase the capacity of the Black community and community supports to effectively advocate for policies and practices that increase the academic achievement of Black youth. Objectives Activities Measurement 1: Increase the knowledge the knowledge & skills of 40 members of the Black community and concerned members regarding Health Equity Action. Seminars 2: Increase access to racial health equity and racial performance gap information through internet for 300 members of the Black community Cyberdrumm.com Hits on cyberdrumm.co m 3: 40 members of the affected community will attend educational – awareness events Home Parties Attendance in Home Parties Black Families for Education Conference Social Inclusion Attendance at event Post-evaluation Short-term Goal 2: Adoption of policies and practices by WPS related to accountability measures key to assessing and changing racial academic performance gap and a plan for core curriculum to be implemented district wide. Objectives Activities 1: 15 members of the affected community will participate in the development of policies and procedures by participating in the following activities by June 2011. WPS Accountability Committee WPS Teaching and Learning Committee WPS Committee Share information with advocacy base Social Inclusion Measurement Attendance at meetings Role of participants in meeting activities Adoption of policy or practice Short-term Goal 3: Worcester Legacy will have the capacity t effectively continue the work of health equity in 2011 in the Black community. Objectives Activities 1: Members of the Legacy Leadership will participate in 16 hours of targeted leadership development trainings by Sept 2011. The specific training areas include: Community Organizing, Policy Change Strategy, Meeting Facilitation, Intercultural Conflict, Cultural Competence, Social Networking for Health Marketing 8 hour retreat 4 2-hr trainings to occur quarterly Social Inclusion Measurement Attendance trainings Length of trainings Training content areas Role of members in various activities Internal Goal: EMPOWERMENT Objectives Activities Measurement 1: Increasing knowledge related to creating structural changes BFFE Conference Seminars Cyberdrumm.com Home Parties Report increased knowledge on postassessment 2: Increasing accessibility to places where structural changes can take place WPS Meetings Participation at policy making tables Report increased skills on assessment Observe increased skill 3: Increased skills to affect structural changes 4: Increased interpersonal supports necessary for sustainable engagement All of the above Social Inclusion Post-assessment “Liberate the minds of men and ultimately you liberate the bodies of men.” Marcus Garvey
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