The Role and Potential of Communities in Population Health Improvement Workshop Summary (2015) / Chapter Skim
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4 Organizing Around the Social Determinants of Health
4 Organizing Around the Social Determinants of Health
Pages 29-40
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From page 29... ...
M arqueece Harris-Dawson, the executive director of Community Coalition of South Los Angeles (CoCo) , discussed community building as a key aspect of community organizing for improved health.
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From page 30... ...
to share their stories and persuade the city to enforce existing laws and also to close the liquor stores. It is relatively easy to evaluate this type of work by enumerating the number of liquor stores closed and to use police department data to show that, for example, within a half-mile radius of every store closed, violent crime calls have decreased by a particular percentage.
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From page 31... ...
Harris-Dawson described a campaign to reclaim Martin Luther King, Jr., Park in South Los Angeles. The park was marred by violence because it was surrounded by liquor stores, pawnshops, and motels that rent rooms by the hour specifically to facilitate prostitution.
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From page 32... ...
For ISAIAH, community organizing is "a set of disciplined and strategic practices to build a democratic and collective power to assure the conditions in which communities can thrive" said Phyllis Hill, the lead organizer for ISAIAH. The focus is on extensive leadership development and grassroots leadership as well as on building democratic, accountable, sustainable, community-driven organizations.
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This Figure 85 R02699 is one of the largest disparities in the country, Hill noted. Minnesota has a program called The Choice Is Yours, which is an uneditable bitmapped image open-enrollment program that allows inner-city, low-income students to attend suburban schools.
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A 12-member stakeholder panel that convened to guide the HIA included ISAIAH members, teachers, a school district administrator, a school board member, parents, academic researchers, racial justice advocates, and a member of the state Integration Revenue Replacement Task Force. In response to a question, Hill noted that even though there was 7 A health impact assessment is a structured evidence-based process in which a range of factors, including economic, environment, social, political, and psychological are considered in terms of how they impact the health of a population see http://www.ph.ucla.edu/hs/ health-impact/whatishia.htm (accessed July 14, 2014)
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From page 35... ...
These were tension-filled conversations, Hill said, because ISAIAH was challenging the researchers to think in a different way and not to just read standard materials that reinforced the dominant narrative around integration. HIA Results The HIA studied the potential impacts of school integration funding on health in two areas: benefits through educational achievement and 8For the language in the Minnesota Statute on "racially isolated school districts" see the Minnesota Administrative Rules 3535.0110 Definitions.
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From page 36... ...
The results suggest that supporting school integration leads to improved life expectancy and mortality; improved physical, mental, and social health; improved health behaviors; increased jobs, income, and access to benefits and improved housing; and decreased trauma, stress, and obesity (see Figure 4-2)
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A task force is also being assembled to rewrite the desegregation rule because it has been ineffective and there is no incentive for schools to desegregate. DISCUSSION Community organizing may look different in different places, but the goal of all community organizing is bringing people together to build relationships and change the conditions in which they live, summarized moderator Hess Pace.
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Health Impact Assessments Many participants discussed the value of the HIA as a tool to help focus on health as part of a bigger issue. Hill noted that it was a public health nurse at ISAIAH who first championed the social determinants of health as a consideration.
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From page 39... ...
Finding the "Right" Experts for Partnerships Participants discussed the role and relationship of traditional experts such as academic partners and public health partners in organizing. arris-Dawson described three types of experts: scientists who H are looking at these projects dispassionately as an experiment; people interested in being around the project and writing about it, but who are not invested in it in any way; and people who are activist experts who want to help with the strategy and be there throughout the process and who are willing to put their names on the work to help advance the agenda.
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Children enter the classroom with a need to learn, but they may be coming to school hungry or homeless or under a variety of stresses. The health framework widened the conversation about education beyond the classroom.
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