Milwaukee Alliance for Sexual Health (MASH) Community Mobilization Initiative Addressing Disparities in STDs and Unintended Pregnancies Community Voices

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Milwaukee Alliance for Sexual Health (MASH)
Community Mobilization Initiative Addressing
Disparities in STDs and Unintended Pregnancies
Community Voices

• Community Working Group Orientation
• D. Garcia, MPH
• June 7th, 2006
• City of Milwaukee Health Department

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Overview

• Background MASH Community Voices (CV)
• Target Population
• Roles of Community Working Group (CWG)
• CV RARE Methodology
• CV Project Area
• CWG Input on CV Community Mapping
• CWG Input on CV Participants Recruitment
• Questions

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Background

• Milwaukee Alliance for Sexual Health
• Collaboration with WDHFS, MCW, HCET and MHD
• Funded by Healthier Wisconsin Partnership Program
  (Blue Cross/Blue Shield) to explore the growing
  health disparities of sexually transmitted
  infections and unintended pregnancies among
  African American youth in Milwaukee.

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Background

• Community Voices
• Problem Assessment investigate the norms,
  beliefs and behaviors that lead to adverse health
  consequences
• RARE Methodology
• Focus Groups, interviews, street intercept
  surveys, observation and mapping
• Goal For community voices to be heard and
  documented! - gain rich, contextual data to
  mobilize and help guide a larger community
  planning group with an action plan

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Target Population

• Sexually transmitted diseases and unintended
  pregnancies disproportionately impact the African
  American community in Milwaukee, particularly
  among youth ages 15-19.
• In 2004, Milwaukee County had the highest
  reported STD case rates (Chlamydia, Gonorrhea,
  Syphilis and HSV) among African American youth
  ages 15-19, accounting for 56.1 of all
  reportable STDs within Wisconsin.

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Target Population

• The highest prevalence zip codes in Milwaukee
  County account for 75.3 of all reportable STDs
  among persons 15-19 years of age within the
  county.
• These same zip codes are home to 81 of the
  African American population within Milwaukee
  county

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Target Population

• In 2002, Milwaukee had one of the highest
  percentages (18.7) of adolescent births from
  total births to teens in the country, ranking it
  49th highest out of 50 major metropolitan
  areas.1
• A 10 year average (1995-2004) of African
  American teen birth rates among 15-17 year olds
  was 3.4 times that of the White population.2
  1 Annie E Casey Foundation, KIDS COUNT, Right
  Start http//www.aecf.org/kidscount/
• 2 Partington, S. et al., Teen Pregnancy and
  Repeat Pregnancy, City of Milwaukee 1993-2002,
  RWJ Health and Society Scolars Program
  Collaborative Pilot Research Project

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Community Working Group

• Members will attend three scheduled meetings
  June 7th, July 19th and September 20th (may add
  another)
• Serve as an advisory body throughout project
  development
• Questions for listening sessions
• Input on community mapping
• Assist with recruitment strategies of research
  participants for a focus group session and/or
  interview.
• Participate in the development of the
  strategic/action plan (MASH - CPG).

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Community VoicesRARE Methodology

• Rapid, Assessment, Response and Evaluation
• Designed by HHS, Managed by OMH
• Implemented in 45 cities since 2000 with each
  site focusing on enhancing prevention efforts
  addressing the needs of specific at risk minority
  population
• Evidence-based, qualitative data collection and
  assessment method .

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RARE

• Provides a scientific structure and process for
  collecting local community data and for analyzing
  the data to develop practical, community-focused
  interventions and services that will change risk
  behaviors, knowledge, and community structures
• Methodology
• Focus Group
• Interviews
• Street Surveys
• Observation
• Mapping

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RARE

• Responds rapidly to emerging public health
  problems based on specific local situations and
  actual conditions.
• Development of Strategic plan and overarching
  goal of MASH - CPG

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CV Project Target Area
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Input on Community Mapping

• Need to focus on smaller area 22 block radius
• Locations where people gather ex. Bars, drug
  dealing areas, parks, secluded area,
  abandominiums (places that can contribute to
  risk)
• Residences and hang out sites of our target
  African American youth 15-19, 20-24
• Boundaries affecting assessment area that
  separate two different social groups (ethnic
  groups) mixing areas
• Main zone of activity of CBOs catchment areas
  for services

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Input on Listening sessions

• What would you ask African American Youth 15-19,
  20-24 with regards to STDs and Unintended
  Pregnancies?
• What would you ask service providers?
• Who else would you ask to participate in focus
  groups? Who are the cultural experts?

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CV Recruitment Groups

• Cultural Experts
• Cultural experts are not only knowledgeable but
  are willing and able to share their information.
  They are able to describe and discuss key issues
  about their culture and can provide special
  insights into both the process and the rationale
  for what people do, why they do it, how they do
  it, where, when, and with whom they do it.
• HIV/AIDS prevention and care, DV, sexual assault,
  general health, social service, etc.

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RARE Project Schedule

• CV Project Timeline
• 3.5 months project
• Funding in July, will look for two cultural
  experts to help with project.
• CWG next meeting
• July 19th - 130-330 United Way 225 Vine St
• Project Update
• Community mapping assessment
• Street Survey Design
• Listening Sessions

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Questions?
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Contact information

• David Garcia, MPH
• UW-Madison Population Health Fellow
• dgarci_at_milwaukee.gov
• 414.286.2050
• Visit our website http//www.mashp.net/