Example 1 - Health for All Coalition: Increasing Access and Decreasing Disparities in Health
1. Describe the community's vision
"Health for all", "Justice and Health for All People", "Equal Opportunity for Health"
2. State the mission
"To reduce disparities in health outcomes through community education, enhanced health services, and advocacy."
OR
"To promote health for all people through collaborative planning, community action, and health and systems change."
3. State the objectives
- By 2005, increase by 50% the percentage of children, by two years of age, that are appropriately immunized.
- By 2006, increase by 30% the percentage of HIV-infected persons identified through enhanced outreach strategies in the community.
- By 2006, increase by 60% the percentage of women, age 50+ years, that have had a mammogram in the past two years.
- By 2008, increase by 50% the percentage of people with diabetes who have had a foot examination in the past year.
- By 2008, reduce by 30% the percentage of adults and youth that smoke cigarettes or use tobacco-related products.
- By 2010, increase by 40% the percentage of local residents who have a specific source of ongoing health care.
4. Identify the strategies of the group
- Use social marketing and media advocacy to promote public awareness of the disparities in health outcomes and to help establish health equality as a major priority.
- Build a community coalition that involves all relevant sectors of the community in promoting health for all.
- Enhance peer support and grassroots involvement in promoting community health.
- Promote coordination and integration of existing services and resources for promoting health.
- Advocate for changes in programs, policies, and practices to improve access to and eliminate disparities in health and health care.
5. Provide an action plan (example for one community change in the health organization sector)
Identify core components and elements of action plan (selecting specific community and system changes to be sought):
- CORE CROSSCUTTING CATEGORICALLY-SPECIFIC
- COMPONENTS ELEMENTS
- Providing Information and Enhancing Skills
Outline action steps for EACH Community Change to be sought: E.G. By 2002, the local community health clinic will provide childcare for its clients by establishing a child care center at the clinic during clinic hours. Actions to be completed:
By January 2001, a clinic subcommittee will be established to create a child care facility at the clinic.
- By whom? Clinic director, clinic patrons, residents
- By when? January 2001
- Resources and support needed/available? Information about the number of children to be served, survey about service barriers completed and available.
- Potential barriers/resistance? None anticipated
- Communications? All community service agencies, residents, and clinic patrons should be informed.
By March 2001, a space will be identified for the child care facility and cost estimates to convert it to a child safe and welcoming environment will be completed.
- By whom? Clinic subcommittee with staff support
- By when? March 2001
- Resources and support needed/available? Financial officer's cost projections are needed, including projected staffing and building rehabilitation costs.
- Potential barriers/resistance? If cost perceived to be too high, the financial officer may resist
- Communications? Clinic staff and patrons, residents.
By May 2001, all necessary regulatory permits will be obtained and staffing plans will be developed.
- By whom? Staff, contractor, clinic patrons
- By when? May 2001
- Resources and support needed/available? Contractor, possibly additional staff
- Potential barriers/resistance? City staff may resist providing permit because it may appear to intensify the use of the site.
- Communications? Clinic staff and patrons, residents.
By July 2001, space modifications will be completed and available for staffing and use.
- By whom? Contractor, clinic director and patrons.
- By when? July 2001
- Resources and support needed/available? Redeployment of staff time to provide childcare.
- Potential barriers/resistance? Staff may resist if child care is not seen as a function of their job.
- Communications? Clinic staff and patrons, residents, all community services agencies.