1.
@preventioninst
http://www.facebook.com/PreventionInstitute.org
Antelope Valley Partners for Health Fall Wellness Summit
October 29, 2015
Photo by Rudy Espinoza
Prevention Institute
A Coordinated,
Community Approach to
Advancing Health, Safety,
and Equity
Photo by Rudy Espinoza
Photo from glenarborsun.com
Manal Aboelata, MPH
Managing Director
Maureen Silva, MPH
Program Coordinator
Julie Leung, MURP, MPH
Program Coordinator

2.
 Deepen understanding of a prevention-based
community health approach to health inequities
 Demonstrate knowledge of successful examples –
locally and nationally – that connect community
efforts to changing environments, policy, and
practices
 Increase capacity to prioritize community level
factors that are linked to chronic disease in the
Antelope Valley
Keynote Objectives

3.
a systematic process that reduces the frequency and/or
severity of illness or injury.
Promotes healthy environments and behaviors to prevent
problems from occurring before the onset of symptoms

4.
HEALTH
& SAFETY
BEHAVIORBEHAVIOR
ENVIRONMENT

5.
What’s Health and
Equity Got To Do
With It?

6.
Photo Courtesy of Health and Human Services

7.
Photo courtesy of http://spacedust.atspace.com/soccer_archery.html

8.
Photo courtesy of Latino Health Access

9.
It is unreasonable to expect
that people will change their
behavior easily when so many
forces in the social, cultural,
and physical environment
conspire against such change.
“
”
Institute of Medicine
Source: Institute of Medicine. (2000). Promoting health: Intervention strategies from social and
behavioral research (B. D. Smedley & L. S. Syme, Eds.). Washington, DC: National Academies Press.

10.
The health inequities we see…are not
about just individual bad choices:
Nancy Krieger, Harvard School of Public Health
“
”they are about things not being fair

11.
Health Equity
“Health equity means that every person, regardless
of who they are—the color of their skin, their level
of education, their gender or sexual identity,
whether or not they have a disability, the job that
they have, or the neighborhood that they live in—
has an equal opportunity to achieve optimal
health.”
Source: Braveman PA, et al. Health disparities and health equity: The issue is justice. 2011.

12.
Race/Ethnicity in California
Photo Source: Nationalequityatlas.org

13.
 Child Restraint and Safety Belt Use
 Smoking Prevention
 Bans on School Junk Food
 School-Based Wellness Policies for PA
 Childhood Immunizations
 Motorcycle and Bicycle Helmet Laws

14.
Child Restraint & Safety Belt Use

15.
Oh, Britney…

16.
Smoking Prevention

17.
Pharmacy Tobacco Ban

18.
Social, Physical,
Economic
Environment&
Behaviors 70%
Medical Care, 10%
Genetics
20%
$2.2 Trillion
Current Health Care Spending
Factors Influencing
Health
National Health
Expenditures
References: Bipartisan Policy Center. “Lots to Lose: How America’s Health and
Obesity Crisis Threatens our Economic Future.” June 2012

19.
Medical Care, 10%
Genetics
20%
Prevention, 3%
Health Care
Services
97%
$2.2 Trillion
Current Health Care Spending
Factors Influencing
Health
National Health
Expenditures
References: Bipartisan Policy Center. “Lots to Lose: How America’s Health and
Obesity Crisis Threatens our Economic Future.” June 2012
Social, Physical,
Economic
Environment&
Behaviors 70%

20.
Source: 2013 Community Health Needs Assessment Kaiser Permanente

21.
1. Access to Primary Care
2. Obesity/Overweight for Adult and Youth
3. Mental Health
4. Dental Health Services
5. Uninsured Population
6. Physical Environment/Transportation
7. Poverty Rates
8. Diabetes
9. Prenatal Care
10. Breastfeeding
Source: 2013 Community Health Needs Assessment Kaiser Permanente
Community Health Needs
Assessment Priorities

22.
Take 2
Steps to
Prevention
Health Care
Services
Exposures
& Behaviors
Environment

23.
Source: http://www.schmidtlaw.com

24.
The 1st
step ...
Health Care
Services
Exposures
& Behaviors
Environment

25.
Heart Disease
Cancer
Stroke
Type 2 Diabetes
Injuries
& Violence
Diet &
Activity
Patterns
Tobacco
Alcohol
& Drugs
Making Links to Exposures & Behaviors
SOURCE: McGinnis JM , Foege WH. Actual causes of death in the United States.
Journal of the American Medical Association. 1993; 270: 2007-2013.

26.
Let’s take
another
step ...
Health Care
Services
Exposures
& Behaviors
Environment

27.
 Parks & open space
Elements of Community Health
PLACE

28.
THRIVE
Tool for
Health and
Resilience
In Vulnerable
Environments
http://preventioninstitute.org/thrive/index.php

29.
 Social Networks & trust
 Participation & willingness to act
for the common good
 Norms & Culture
 Living wages & local wealth
 Education
 What’s sold & how it’s
promoted
 Look, feel & safety
 Parks & open space
 Getting
around/Transportation
 Housing
 Air, water, soil
 Arts & cultural
expression
Elements of Community Health
PEOPLE
PLACEEQUITABLE
OPPORTUNITY

30.
THRIVE Framework

31.
Community Health Factors
PLACE
 Look, feel & safety
 Parks & open space
 Getting
around/Transportation
 Housing
 What’s sold and
how it’s promoted
 Air, water, soil
 Arts & cultural
expression
The physical
environment
in which people live,
work, play, and
go to school.
People
Place
Equitable
Opportunity

32.
Parks and Open Space
Improving Opportunities for Walking and Jogging
Boyle Heights, CA

33.
What’s Sold & How It’s Promoted
Houston, TX
Salud America! Growing Healthy Change

34.
Community Health Factors
EQUITABLE
OPPORTUNITY
 Living wages & local
wealth
 Education
People
PlaceEquitable
Opportunity
The level and
equitable
distribution of
opportunity and
resources.

35.
Library Cards For All
Salinas, CA
Education

36.
Community Health Factors
PEOPLE
 Social networks & trust
 Participation & willingness
to act for the common
good
 Norms & Culture
The relationships
between people,
the level of engagement,
and norms, all of
which influence
health outcomes.
Equitable
Opportunity
Place
People

37.
Social Networks & Trust
Healthy Hometown Restaurant Initiative
Louisville, KY
Source: A Practitioner's Guide for Advancing Health Equity: Community Strategies
for Preventing Chronic Disease (CDC)

38.
Participation & Willingness to
Act for the Common Good
Source: Multnomah County Health Department
Multnomah County, OR

39.
Norms & Culture
Turlock School District, CA.

40.
Eden Area Livability Initiative (EALI)

41.
Designing Initiatives for Health
Equity
 Select, Design and Implement Health Equity
Oriented Strategies
 Assess Impacts of Potential Policies on Equity
 Building Organizational Practices that
Support Equity
 Partner and Collaborate for Health Equity
 Focus on Nontraditional Providers with high
degree of contact with populations
experiencing inequities

42.
“Intellectuals solve problems.
Geniuses prevent them.”
Albert Einstein

43.
@preventioninst
http://www.facebook.com/PreventionInstitute.org
Email: manal@preventioninstitute.org
Connect with us at http://bit.ly/1Ke0aup

44.
www.preventioninstitute.org
Photo credit: Emily Barney
TOOLS

45.
Collaborator 4
Expertise:
Desired
Outcomes:
Key Strategies:
Collaborator 3
Expertise:
Desired
Outcomes:
Key Strategies:
Collaborator 1
Expertise:
Desired
Outcomes:
Key Strategies:
Collaborator 2
Expertise:
Desired
Outcomes:
Key Strategies:
Shared Outcomes
Partner Strengths
Joint Strategies
Collaboration Multiplier

46.
The Spectrum of Prevention

47.
Source: National Academy of Sciences

48.
Funded by: Robert Wood Johnson Foundation
Health Equity & Prevention Primer

49.
Communities Taking Action

50.
Developing Effective Coalitions:
The 8-Step Process
1. Analyze program objectives, determine whether
to form a coalition
2. Recruit the right people
3. Devise preliminary objectives and activities
4. Convene the coalition
5. Anticipate necessary resources
6. Develop a successful structure
7. Maintain coalition vitality
8. Improve through evaluation

51.
www.preventioninstitute.org/publications

52.
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