Chehalis Tribe City of Oakville Cynthia Gamble, M.P.H. CTG Manager Shannon kickingwoman Tribal and community outreach specialist jhon valencia Community Coalition coordinator 1 2012
Chehalis Tribe and City of Oakville • Share the same zip code • 30% of Oakville School students are from the Chehalis Tribe • Gray’s Harbor Co. Fire Station #1 serves both Oakville and the Chehalis Reservation • Similar demographics for population, unemployment, and income Appear to have similar chronic disease risk factors: tobacco use, obesity rates, nutrition habits and sedentary lifestyle .
Getting started….. • Hiring staff: Grant Manager, Coalition Coordinator, Community & Tribal Liaison • Presentations to community groups • Work on building community coalition • Invite & convene Leadership Team • Plan for community dinner • Media campaign: posters, Facebook, Twitter, newspaper articles • Community Health Needs Assessment & Policy Scan
Leadership Team • Chehalis Tribal Business Committee • City of Oakville • Oakville School • Chehalis Tribal Enterprises • Chehalis Tribal Wellness Center • Gray’s Harbor County Health Dept. • Gray’s Harbor Fire District #1 • Northwest Portland Area Indian Health Board • Governor’s Committee on Health Disparities • State of Washington, Department of Health
Community Health Needs Assessment • Personal Opinion Surveys (paper & electronic) • Key Informant, Focus Groups • Windshield Survey • Local data: clinic, hospital, AIHC • Portland Area Indian Health Board Epi Center • Grays Harbor County Health Assessment • State of Washington • University of Washington • CDC: County Health Rankings, Public Health Law and Policy, Community Commons • National Data
Personal Opinion Surveys • Attitude and Awareness Surveys Survey #1 questions: 1.Gender 2.Ethnicity 3. Tribe 4. Age 5. Place of residence 6. Have you heard about the CTG? 7. Would you be interested in receiving info.? 8. What is the best way to contact you? 9. What do you think are the most challenging public health issues in your community? *Tobacco use *Lack of physical activity *Heart Disease *Strokes *Diabetes *Obesity *Nutrition Habits *Other
Windshield Survey
Challenges • Participation • Multi-sectoral and transparency • Conflict about tobacco • Balance between Chehalis Tribe and Oakville • Rural • Health Beliefs
Underlying & Recurrent Themes • Recruitment and retention of health professionals • People access care when sick, not for preventive care • Community and leadership readiness • Attitudes toward research and data • Racism
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