A Public Health Imperative

“I, for one, believe that if you give people a thorough 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

EDUCATION

“Of all the forms of inequality,injustice in health is the most

shocking and inhumane.”Martin Luther King Jr.

Key to Identifying Outcome Objectives

The people defining the “issue” is key to setting outcome

objectives.

Who Defined The Issue?

Black Legacy is a group of diverse members of the community,

predominantly of the African diaspora, that come together to build the health

of our Black Community

Vision: Worcester as a place where Black people can feel safe, welcome, and where there is equal opportunity for us to

develop and grow.

Mission: Improve the health of the

Black community in Worcester.

Process of Identifying Outcome Objectives

1.Are there racial disparities?If so,a) What are theyb) Why do they existc) What are the opportunities to make changed) What is the best strategy given the current

environment and resources

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

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

Do Racial Health Disparities Exist?

YES

Employment

Education

H ousing

Safety

H eath Care

Social Determinants of H ealth

“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?

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

Why Do They Exist: Power Analysis

GOALS

LONG-TERM: Members of the Black community and other

community supports are integrated into the delivery of educational and support services in a culturally

proficient manner which results in a decreased academic performance gap in Worcester.

1. Increase the capacity of the Black community and community supports to effectively advocate for policies and practices that increase the academic performance of Black youth.

2. Adoption of policies and practices by the 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 Goals:

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 Measurement1: Increase the knowledge the knowledge & skills of 40 members of the Black community and concerned members regarding Health Equity Action.

2: Increase access to racial health equity and racial performance gap information through internet for 300 members of the Black community

3: 40 members of the affected community will attend educational – awareness events

Black Families for Education Conference

Seminars

Cyberdrumm.com

Home Parties

Attendance at event

Post-evaluation

Hits on cyberdrumm.com

Attendance in Home Parties

Social Inclusion

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 Measurement1: 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

Attendance at meetings

Role of participants in meeting activities

Adoption of policy or practice

Social Inclusion

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 Measurement1: 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, Inter-cultural Conflict, Cultural Competence, Social Networking for Health Marketing

8 hour retreat 4 2-hr trainings to

occur quarterly

Attendance trainings

Length of trainings

Training content areas

Role of members in various activities

Social Inclusion

Internal Goal:

EMPOWERMENTObjectives Activities Measurement

1: Increasing knowledge related to creating structural changes

2: Increasing accessibility to places where structural changes can take place

3: Increased skills to affect structural changes

BFFE Conference Seminars Cyberdrumm.com Home Parties

Report increased knowledge on post-assessment

Post-assessment

Participation at policy making tables

Report increased skills on assessment

Observe increased skill

WPS Meetings

4: Increased interpersonal supports necessary for sustainable engagement

All of the above

Social Inclusion

“Liberate the minds of men andultimately you liberate

the bodies of men.”Marcus Garvey