Working on the Community Level
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Transcript of Working on the Community Level
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Marjorie Vestal, MPHRutherford Polk McDowell Health District &
Centro Unido Latino Americano
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Outcomes and ObjectivesHealthy Carolinians CHASubstance Abuse
PreventionStrategic Prevention
Framework State Incentive Grant (SPF SIG)
Reduce number of alcohol-related crashes and fatalities among young Hispanic males in McDowell County
Evidence based strategies
Cultural competencySustainability
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A Public Health Approach
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Community Oriented PreventionStep 1 Build Relationships
•My intended population are mostly first generation undocumented Mexican immigrants•Very little primary or secondary data available
•Rates of DWI are highest among Hispanic Males 21-26
•Listen to Community leaders’ perceptions
•Plan Community Assessment
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Timeline Steps 2 &3 2. Conduct Community Assessment
3. Plan and Implement Evidence Based Strategies
Key informant interviewsFocus groupsSurveys - on line and offUse incentives if possiblePatronize local businessesData informs strategies
• Environmental change - media
• Educate about laws and Consequences
• Shift social norms & policies
• Involve the whole community
• Offer alternative activities
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Step 4 - Evaluation
•Design post test before implementing intervention•Offer incentives•Use community volunteers•Show up at fun events•Low literacy/bilingual•Repeat: Assess, plan, implement, evaluate
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Community Based Strategies AKA GrassrootsHire bilingual staffUnderstand Title VI and
Limited English Proficiency (LEP)
Avoid the use of tokens and reps
Use community volunteers $$$Use simultaneous
interpretationEngage youth $$$Centers for Participatory
Change www.wncpc.orgCoalition of Latin Americans www.colawnc.org
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Support local people Buy food locallyBuy prizes locallyUse local printersEat lunch at locally
owned restaurantsBuy promotional items
locallyBuild relationships with
local mediaWalmart is not locally
owned and operated
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Environmental Change
1. New Hispanic Community Center
2. New partnerships with schools and churches
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Policy ChangesInterpersonal – Friends don’t let friends drive
drunkAcceptance of female driversOrganizational – No alcohol allowed at job
site/agricultural fields after workCommunity – Community volunteers work with
law enforcement to bridge language barriersSchool system relies on Hispanic community
to promote programs for familiesHispanic Outreach Coordinator sits on
Truancy Court Board
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Build Partnerships
16 New Alliances Created in one glorious day!
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Partnerships & Coalitions
McDowell County Health Department
Centro Unido Latino Americano
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Make it fun….out of the box, out
of the chairs……………. find
creative trainers