Case Study: Nontraditional Partners in the Case of Kansas City

2019 ◽  
pp. 445-450
Author(s):  
Scott Hall ◽  
Rex Archer
Keyword(s):  
Public Health ◽  
Policy Change ◽  
Kansas City ◽  
Local Level ◽  
Health Department ◽  
Chamber Of Commerce ◽  
Working Together ◽  
Multiple Jurisdictions

This chapter demonstrates the power of non-traditional partnerships to achieve policy change at the local level. The chapter's review of the work of the Kansas City Chamber of Commerce and the KCMO Health Department to motivate adoption of Tobacco 21 initiatives in multiple jurisdictions highlights the importance of business and public health working together.

scholarly journals Leishmaniasis and Climate Change—Case Study: Argentina

2012 ◽  
Vol 2012 ◽  
pp. 1-11 ◽  
Author(s):  
Oscar Daniel Salomón ◽  
María Gabriela Quintana ◽  
Andrea Verónica Mastrángelo ◽  
María Soledad Fernández
Keyword(s):  
Public Health ◽  
Climate Change ◽  
Large Scale ◽  
Local Level ◽  
Point Of View ◽  
Mitigation Strategies ◽  
Vector Borne Diseases ◽  
Scale Models ◽  
Vector Borne

Vector-borne diseases closely associated with the environment, such as leishmaniases, have been a usual argument about the deleterious impact of climate change on public health. From the biological point of view interaction of different variables has different and even conflicting effects on the survival of vectors and the probability transmission of pathogens. The results on ecoepidemiology of leishmaniasis in Argentina related to climate variables at different scales of space and time are presented. These studies showed that the changes in transmission due to change or increase in frequency and intensity of climatic instability were expressed through changes in the probability of vector-human reservoir effective contacts. These changes of contact in turn are modulated by both direct effects on the biology and ecology of the organisms involved, as by perceptions and changes in the behavior of the human communities at risk. Therefore, from the perspective of public health and state policy, and taking into account the current nonlinear increased velocity of climate change, we concluded that discussing the uncertainties of large-scale models will have lower impact than to develop-validate mitigation strategies to be operative at local level, and compatibles with sustainable development, conservation biodiversity, and respect for cultural diversity.

Case Study—The Alliance for Health Equity: Hospitals, Health Departments, and Community Partners Working Together for Health Equity in Chicago and Suburban Cook County

2019 ◽  
pp. 271-282
Author(s):  
Jess Lynch ◽  
Megan Cunningham ◽  
Julie Morita
Keyword(s):  
Public Health ◽  
Health Care ◽  
Community Health ◽  
Health Equity ◽  
Cook County ◽  
Community Partners ◽  
Working Together ◽  
Health Project ◽  
Common Vision

This chapter provides case studies from Chicago and Cook County. Chicago and suburban Cook County epitomize a complex health care and public health landscape, which the chapter outlines in detail. It lists factors that converged in 2015 to provide opportunities for a collective community health project in the area. This alchemy of factors in 2015 resulted in the launch of two hospital collaboratives with similar goals. In 2017, the two collaboratives merged to form the Alliance for Health Equity. The success of this merger is a testament to the commitment of the hospital and public health leaders to a common vision of health equity and their opposition to letting competition or individual interests undermine the collective potential.

scholarly journals Multiple interventions to strengthen immunization services in an Angolan district

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Fattorini ◽  
G Raguzzoni ◽  
C Cuccaro ◽  
N Nante ◽  
C Quercioli ◽  
...  
Keyword(s):  
Public Health ◽  
Local Community ◽  
Health Workers ◽  
Local Level ◽  
Health Department ◽  
Health Staff ◽  
Continuous Training ◽  
District Health ◽  
Immunization Services ◽  
Multiple Interventions

Abstract Background Immunization represents one of the most effective intervention in public health. In the Sustainable Development Goals era, adequate vaccination services are still crucial for the prevention of infectious diseases and the reduction of under-5 mortality. However, in 2017 WHO estimated that children <1 year who did not receive the third dose of Diphtheria-Tetanus-Pertussis (DTP3) vaccine were 19.2 million globally, and 600000 of these were located in Angola, a Sub-Saharan country with an estimated DTP3 coverage of 52%. Since 2000, Italian Non-Governmental Organization (NGO) Doctors with Africa CUAMM supports the activity of the hospital of Chiulo in the commune of Mucope (district of Ombadja, south of Angola). Aim of the study is to describe the interventions implemented to strengthen the immunization services performed by the hospital Public Health Staff (PHS). Methods In May 2018 the NGO started to implement multiple interventions to enhance the number of vaccine doses administered. Firstly, outreach immunization sessions were reorganized and reinforced, for example involving local Community Health Workers in the identification of villages with a high burden of unvaccinated children. Other actions were the continuous training of the PHS in data collection and the increased collaboration with the Ombadja District Health Department in order to develop a more efficient vaccine supply chain at local level. Results In 2018, among children <1 year the PHS administered 19746 doses, with a 22.3% growth compared to 2017 (15349 doses). Doses administered during outreach sessions increased by 35.4% (6597 versus 4259 doses). Estimated DTP3 coverage in Mucope commune was 71% (2017, 59%). Conclusions The WHO “Reaching Every Community” strategy emphasizes the importance of high quality immunization services in hard-to-reach areas. The organisation of well-functioning immunization services requires a multifaceted approach by the involved stakeholders. Key messages In 2017, globally 19.2 million of children <1 year did not receive the recommended three DTP doses. Six-hundred thousand were located in Angola. To obtain and sustain an adequate vaccination coverage, especially in hard-to-reach areas, multiple and well-coordinated actions should be implemented by all the involved stakeholders.

Building Public Health Law Capacity at the Local Level

2008 ◽  
Vol 36 (S3) ◽  
pp. 6-28
Author(s):  
Diane E. Hoffmann ◽  
Virginia Rowthorn
Keyword(s):  
Public Health ◽  
Local Level ◽  
Health Department ◽  
Local Health Department ◽  
Local Health ◽  
Health Law ◽  
Hiv Status ◽  
Health Officer ◽  
Hiv Awareness ◽  
Do So

In the early days of HIV awareness, prior to universal precautions, as a local health officer, I was supervising an openly gay employee. The county executive (in his formal capacity) asked me the HIV status of the employee and threatened my employment if I did not reveal it. I was reluctant to do so, believing it would be an invasion of the employee’s privacy. I contacted the county attorney who advised me that I could reveal the employee’s HIV status to the county executive but he was not willing to put his guidance in writing. Ultimately, I spoke with the employee’s attorney and was given permission to reveal the employee’s HIV status. The experience, however, left a bad taste in my mouth. I felt the county attorney was acting politically in support of the county executive rather than doing what was legally appropriate. He certainly did not act as an advocate for the local health department!

scholarly journals Information outreach to a local public health department: a case study in collaboration*

2007 ◽  
Vol 95 (3) ◽  
pp. 355-357 ◽  
Author(s):  
Maxine L. Rockoff ◽  
Diana J. Cunningham ◽  
Marie T. Ascher ◽  
Jacqueline Merrill
Keyword(s):  
Public Health ◽  
Health Department ◽  
Public Health Department ◽  
Local Public Health ◽  
Local Public Health Department

From Tobacco to Obesity Prevention Policies: A Framework for Implementing Community-Driven Policy Change

2018 ◽  
Vol 19 (6) ◽  
pp. 856-862 ◽  
Author(s):  
Lauren Walter ◽  
Kelly Dumke ◽  
Ariana Oliva ◽  
Emily Caesar ◽  
Zoë Phillips ◽  
...  
Keyword(s):  
Public Health ◽  
Los Angeles ◽  
Tobacco Control ◽  
Policy Change ◽  
Obesity Prevention ◽  
Los Angeles County ◽  
Local Level ◽  
Evidence Based ◽  
Prevention Policies ◽  
Community Residents

Efforts to reverse the obesity epidemic require policy, systems, and environmental (PSE) change strategies. Despite the availability of evidence-based and other promising PSE interventions, limited evidence exists on the “how-to” of transitioning them into practice. For the past 13 years, the Los Angeles County Department of Public Health has been building capacity among community residents and other stakeholders to create effective community coalitions and to implement well-designed policy strategy campaigns using an evidence-based approach to policy change, the policy adoption model (PAM). Implementing a phase-based approach to policy change, the PAM was initially used to support the passage of over 140 tobacco control and prevention policies in Los Angeles County. Following these successes, Los Angeles County Department of Public Health applied the PAM to obesity prevention, operationalizing the policy process by training community residents and other stakeholders on the use of the model. The PAM has shown to be helpful in promoting PSE change in tobacco control and obesity prevention, suggesting a local-level model potentially applicable to other fields of public health seeking sustainable, community-driven policy change.

The EDIC Method: An Engaging and Comprehensive Approach for Creating Health Department Workforce Development Plans

2016 ◽  
Vol 18 (5) ◽  
pp. 688-695 ◽  
Author(s):  
Brandon L. Grimm ◽  
Kathleen Brandert ◽  
David Palm ◽  
Colleen Svoboda
Keyword(s):  
Public Health ◽  
Workforce Development ◽  
Medical Center ◽  
Local Level ◽  
Health Department ◽  
Training Needs ◽  
Workforce Training ◽  
Comprehensive Approach ◽  
Department Of Health ◽  
Development Plans

In 2013, the Nebraska Department of Health & Human Services, Division of Public Health (Nebraska’s State Health Department); and the University of Nebraska Medical Center, College of Public Health developed a comprehensive approach to assess workforce training needs. This article outlines the method used to assess the education and training needs of Division staff, and develop comprehensive workforce development plans to address those needs. The EDIC method (Engage, Develop, Identify, and Create) includes the following four phases: (1) Engage Stakeholders, (2) Develop Assessment, (3) Identify Training Needs, and (4) Create Development Plans. The EDIC method provided a process grounded in science and practice, allowed input, and produced buy-in from staff at all levels throughout the Division of Public Health. This type of process provides greater assurance that the most important gaps in skills and competencies will be identified. Although it is a comprehensive approach, it can be replicated at the state or local level across the country.

Knowledge translation: a case study in a public health network in Manguinhos, Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E da Silva Miranda ◽  
A C Figueiró ◽  
L Potvin
Keyword(s):  
Public Health ◽  
Knowledge Translation ◽  
Practical Experience ◽  
Public Health Care ◽  
Framework Analysis ◽  
Middle Income ◽  
Working Together ◽  
Structured Outputs ◽  
Post Hoc

Abstract Background This paper presents a post hoc analysis of knowledge translation (KT) actions and strategies implemented by three projects in a sociotechnical network, in Rio de Janeiro, Brazil. In order to assess the actions and practices of knowledge producers (mostly researchers) and knowledge users (residents of Manguinhos) we applied the KT model developed by the Québec Public Health Institute. Methods This case study relied mainly on document analysis (texts produced by the network coordination, meeting minutes and reports, management reports and promotional material), interviews with knowledge producers (N = 10), and focus group with knowledge users (4 participants). Framework analysis was applied to provide clear steps to follow and structured outputs of summarized data. A content analysis of this material used categories such as: project development; KT products elaboration; and interaction between knowledge producers and users. Data were coded based on the KT model to understand whether and how the eight dimensions were implemented. Results The findings reveal that, albeit there were differences among the three cases, the KT dimensions related to the co-construction of knowledge, what to be translated, and how to translate were more extensively implemented. Even though KT was a new concept for most knowledge producers, all three cases had previous practical experience on how to disseminate knowledge in the Territory of Manguinhos. However, dimensions related to KT evaluation and resources were less frequently implemented. Conclusions More attention must be paid to the dimensions involving the feasibility, resources and evaluation of projects. Creating research organizations working together in the KT process with support, infrastructure, theoretical and methodological competences about KT may facilitate the integration of these dimensions. Key messages Through our study, we provide more evidence and progress about how the KT process can be improved in low- and middle-income countries, such as Brazil. We display an overview of the challenges that public health researchers in Brazil have in applying KT strategies to improve the public health care.

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