Engaging F Fruitla tland Community ty i in a C Cul ulture e of H Health th Init itia iativ ive- Succe uccess sses s and C nd Cha halleng enges es of th f the Well C Conn nnec ected ed Communities es VIRGINIE ZOUMENOU PHD CNS MARIE THERESE OYALOWO PHARM D NAVEEN KUMAR PHD UNIVERSITY OF MARYLAND EASTERN SHORE VMZOUMENOU@UMES.EDU 410 651 6212 1890UMES-NHPROGRAM.COM Presented at L Addressing Urban Health Disparities through Participatory Health Research Conference – June 22, 2019 – Baltimore MD
Introduction Robert Wood Johnson Foundation is committed to building a national “Culture of Health” where everyone in a community has the opportunity to live a healthier life. Communities, especially historically marginalized populations and those facing the greatest barriers to good health, must come together around a commitment to health, opportunity, and equity through collaboration and inclusion. VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
Well Connected Communities-Culture of Health Initiative Collaboration between Robert Wood Johnson Foundation Land Grant Universities/ Cooperative Extension National 4-H Council Goal: Provide funding to develop a Culture of Health in selected communities using the existing expertise at the Land Grant Universities/Cooperative Extension. Well Connected Communities –Culture of Health Projects were initiated in 2017 ◦ 5 universities were selected and funded ( University of South Dakota, Tennessee, Utah, Minnesota , and University of Maryland Eastern Shore.) ◦ 10 other were self-funded . VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
Well Connected Communities-Culture of Health Initiative University of Maryland Eastern Shore was selected and funded to develop the project in three communities: 1. Fruitland community 2. Pocomoke Community 3. Princess Anne –Eden Community VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
FRUITLAND County Health Rankings- Fruitland Data Population 5,285 Black 32% White 62% Hispanic 3% Other 3% Single parents 23.5% Life Expectancy : 78-81y Racial segregation : 8.1- 50.0 Drug Overdose Mortality: 10.1-20.1/100,000pop VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
Objective Engage Fruitland community in assessing community health needs, developing and implementing an action plan . VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
Culture of Health Action Framework Designed around four action areas and one outcome area. VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
Methodology ◦ Research history and community readiness ◦ Initiate a coalition building ◦ Create a multi-sector health council (foster cross-sector collaboration) ◦ Emphasize Youth and Adults leadership ◦ Conduct community health assessment survey (social determinants of health). ◦ Develop an action plan ◦ Develop a mini community project ◦ Expected outcomes: Policy System and Environment change ◦ Conduct a focus group (successes and challenges of the initiative) VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
Community Health Assessment Survey Youth and Adults Leadership County health ranking data/ health outcome metrics (mortality and morbidity) Demographics Youth Summit (Training youth to understand that the voice count) Survey development by youth and adults VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
24 questions 2 open ended questions Demographics VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
1. Fruitland has good access to healthcare facilities. Socia ial D l Determina inants o of H Healt lth (doctor’s offices, urgent care, emergency room, Most F Frequently ly hospitalization) Recommen ended ed Healt lth C Care Metric ics Health Care (Access & 2. In Fruitland everyone has easy access to healthcare Quality) services (transportation to Dr’s. appointment, Access to health care affordable minimum co-pay, affordable medication etc.) facilities Health insurance coverage 3. In Fruitland everyone has affordable health insurance Providers availability 4. Fruitland has good access to health insurance education Provider linguistics and cultural competency 5. Fruitland has good access to mental health facilities and Quality of care services VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19 Health literacy
Social D Determinants o of f Health th 1. Fruitland has good drug and alcohol abuse Most F t Frequentl tly prevention programs for all Recommended Hea ealth 2. Fruitland has a high teen pregnancy rate Care e Met etrics Health Behaviors Physical Activity Tobacco Use/Smoking Unsafe sex Drug/Alcohol Use Opioid use Immunizations & screening Participation in clinical trial VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
Soc ocial ial Deter erminan ants s 1. Fruitland has some grocery stores, small farmer’s markets of Healt of ealth Most Freq equent ently 2. Fruitland has enough number of convenient Recommended stores Food ood Met etrics 3. Fruitland has access to fast foods restaurants 4. People in Fruitland have access to food everyday Hunger /Access to food throughout the year Access to healthy options VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
1. Fruitland has clean and safe water (no color, no bad smell, no Social D Determinants o of f taste ) Health th 2. Fruitland has good air quality Most F t Frequentl tly 3. Fruitland has affordable housing for everyone Recommended 4. Fruitland has land for farming and construction Environment ent Met etrics Neighborhood and Physical Environment Housing Water quality Air quality Land availability VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
Social D Determinants o of f Health th 1. Fruitland has good access to affordable Most F t Frequentl tly recreational facilities for all (gyms, Recommended recreational center, parks, etc.). Environment ent Met etrics 2. Fruitland is a pedestrian friendly city (sidewalks etc.) Neighborhood and Physical 3. Fruitland has good access to affordable Environment public transportation. Parks Playground walkability Transportation VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
1. Fruitland has a high crime rate Social D Determinants o of f 2. It is safe to walk around Fruitland at night Health th 3. Fruitland has good access to activities that Most F t Frequentl tly keep youth off the streets Recommended Environment ent Met etrics Neighborhood and Physical Environment Safety Violence crime Domestic violence Child Abuse VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
1. The youth in Fruitland have access to college Social D Determinants of H Health 2. Fruitland has good access to financial Most F t Frequentl tly management education. Recommended Educa cation Metrics cs Education/literacy Higher education Language Educational attainment Vocational training VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
Social D Determinants o of f Health th Most F t Frequentl tly Recommended 1. Fruitland has high youth Economics Met Eco etrics unemployment rate 2. Fruitland has good access to financial Employment management education Youth unemployment Income Debt Poverty level VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
Social D Determinants o of f Health th Most F t Frequentl tly Recommen ended ed Social Met etrics Social integration Support systems Social capital Community engagement Stress Discrimination VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
Fruitland Well-Connected Communities CROSS-SECTOR COLLABORATIONS Job opportunities Important Issues Public transportation Youth Organizations and Pedestrian safety After School Programs Water quality Police Department Fruitland Little League Affordable housing Volunteer Fire Fruitland Little League Community Organization Better education Department F.O.R.C.E. Baseball Access to Healthcare/Insurance Wicomico County Fruitland Community Crime Health Dept Center Drug/Alcohol Prevention Programs City Hall Wicomico County Library Community Programs/ Affordable Recreational… City Council Barnes and Noble Affordable Youth Programs Coalition 0% 5% 10% 15% 20% 25% 30% 35% 40% 45% Business & Media Percentages In Progress WBOC 47 PAC 14 School Students TRENDS Of SUGGESTED ISSUES Woodforest Bank University Of Maryland 1-Affordable youth programs Eastern Shore Barnes and Noble Community 2-Better Education MULTI-SECTOR Human Ecology Department Destiny Family Inc. Churches 3-Pedestrian safety Kinesiology Department HEALTH COUNCIL Thad Waters Sr. Rose Of Sharon, 4-Community Affordable recreational (farmer ) Mr. Calvary UMES School of Pharmacy MEMBERS IDENTIFIED facilities Methodist Other Local farmers 5-Affordable Housing Church, St. 6-Drug and Alcohol Prevention Program John’s United Methodist 7-Job Opportunities Church VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
Health Council and Action Plan Development COMMUNITY GARDEN • AFTERSCHOOL PROGRAM/TUTORING NIGHTS • MAKING FRUITS AVAILABLE / FRUIT TREES ORCHARD • • READING GARDEN VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
“Healthy Street -Heathy Me” Community Garden VIRGINIE ZOUMENOU PHD CNS - NHOC 2019 -TEXAS 5-2-19
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