AIHA

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AIHA Healthy Communities Overview
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Why Increase Community Capacity ?

• Enhance skills and knowledge for more effective
  action
• Enhance leadership
• Enhance ability of all people to enjoy a better
  quality of life
• Efficacy and confidence
• Establish trusting relationships
• Develop a culture of learning

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Why Increase Community Capacity ?

• Citizens better informed about rights and social
  responsibilities
• Civil society to promote democratization
• An increased interest from young people to become
  future leaders
• Increased competency in setting and realizing
  common goals

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Setting Direction for ChangeFine-Tuning Our Aim

• Selecting and framing priority issues
• Naming the core challenges
• Developing action teams
• Developing action plans
• Implementing action plans
• Developing community indicators
• Source VHA

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Factors Influencing Community Health Status

• Political, Social and Economic
• Lifestyle factors
• Health and Human Services
• Environmental Factors
• Heredity/Physiology

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Healthy Community

• A process by which organizations and members of
  the community collaborate to identify and address
  the communitys major challenge to improving
  local health and well being.

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WHOHealthy City Project

• Aims to improve environment and health conditions
  by raising awareness, and by mobilizing community
  participation through partnerships with local
  (municipal) agencies and institutions.

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WHOs Six characteristics of Healthy Cities
Projects

• They are based upon a commitment to health
• They require political decision-making for public
  health
• They generate intersectoral action
• They emphasize community participation
• They work through processes of innovation
• Their outcome is healthy public policy

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WHO Qualities of a Healthy City/Community

• Clean, safe physical environment of high quality
• Ecosystem that is stable
• Strong, mutually supportive
• High degree of participation
• Meet basic needs (food,water,shelter,safety,work)
  for all

• Access to a wide variety of experiences and
  resources with the chance for a wide variety of
  contact, interaction and communication.
• A diverse, vital and innovative city economy
• The encouragement of connectedness with the past

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WHO Qualities of a Healthy City/Community

• An optimum level of appropriate public health and
  sick care services accessible to all
• High health status

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Top Indicators of US Healthy Communities

• Low crime rate
• Good place to bring children
• No fear of walking late at night
• Good schools
• Strong family life
• High environmental quality
• Good jobs and health economy
• Source DYG Inc./The HealthCare Forum

• Excellent race relations
• Low teenage pregnancy
• Low homelessness
• Low infant mortality

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How Healthy Is Your Community?

• Assess your community
• Conceive a vision
• Involve the entire community
• Create a PLAN OF ACTION
• Evaluate your plan
• Grow partnerships
• Design specific projects
• Commit to improving the life of all members of
  the community

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Community Change Model
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Community Change ModelSeven Principles

• Use a broad definition of health and community
• Create a shared vision from community values
• Address quality of life for everyone
• Build diverse citizen participation and community
  ownership
• Focus on system change
• Build capacity using local assets and resources
• Benchmark and measure progress and outcomes
• Source VHA

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Assessing Readiness

• Identify new realities in communities
• National Realities
• Local realities
• Utilizing internal and external checklists
• Individual readiness
• Team readiness
• Organizational readiness
• Community readiness
• Making a decision
• Source VHA

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Who Participates?

• Residents of different race and ethnic groups
• Local health departments
• The medical community
• Schools and universities
• Law enforcement
• Businesses, chambers of commerce
• Religious and faith communities
• Environmental organizations

• Civic and non-governmental organizations
• Environmental organizations
• Housing and Transportation organizations
• Media

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Energizing OurselvesBuilding and Equipping a
Leadership Team

• What do we need to know about teams?
• Nature of groups and teams
• Using facilitative leadership and membership
  models
• Building Your Team
• What will they do?
• Who needs to be included?
• Encouraging maximum diversity
• Source VHA

• Equipping your team
• Listening skills
• Facilitation competencies
• Running meetings
• Using working agreements to build trusting
  relationships
• Using process tools
• Making interventions
• Using dialogue as a tool

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Early Wins

• Developing purpose, mission and objectives

• Community prioritizes issues
• Formation of a task force
• Media promotes Healthy Community concepts
• Community mobilized to design project logo

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Early Wins

• Planning events and logistics
• Selecting and engaging diverse stakeholders
• Community stakeholders launch awareness campaign
• Source VHA

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Energizing the Community

• Creating a community vision from shared values
• A shared vision helps move a community
• An effective community vision
• Conducting a community visioning process
• From vision to action
• SWOT (Strengths, Weaknesses, Opportunities and
  Threats) assessment
• Source VHA

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Energizing the Community

• Learning from community assessments
• Categories for a well-rounded community profile
• Bringing a profile together

• Mapping your community assets
• Problem solving from a position of strength
  asset mapping
• Neighborhood needs map
• Organizational levels of asset mapping
• Source VHA

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WHO 3 Phases of Project Development

• Getting Started
• Getting Organized
• Taking action

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Getting StartedPhase 1
Get approval
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Getting Organized Phase 2
Appoint a project steering committee
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Taking Action Phase 3
Secure healthy public policy
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AIHA 6 Steps of Project Development

• Mobilizing Change
• Partnership Building, Planning and Tailoring the
  Process
• Community Health Assessment Activities

• Establishing Health/Program Priorities
• Development and Implementation of Community
  Intervention Strategy
• Monitoring and Evaluation

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Step 1 Mobilizing for Change

• Initial workshop
• provides overview of healthy communities planning
  process
• Identifies the strengths and weaknesses in
  planning for change in a community
• Partners assess training and data needs, and
  develop a needs assessment tool
• AIHA Approach

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Step 2 Partnership Building, Planning and
Tailoring the Process

• CEE partners visit model healthy communities
  projects in the US
• Continue training in community health analysis
• Consultation with community members and key
  professionals
• AIHA Approach

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Step 3 Community Health Assessment Activities

• CEE leaders organize initial committee meeting
• Involves multiple sectors of the community
• AIHA Approach

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Step 4 Establishing Health/Program Priorities

• CEE leaders
• reconvene to present findings
• establish consensus among key stakeholders
• AIHA Approach

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Step 5 Development and Implementation of
Community Intervention Strategy

• Leaders from CEE
• exposed to intervention strategies in US
• Identify program models adaptable to their own
  circumstances
• Identify resources required for implementation,
  develop an implementation plan, and initiate
  intervention strategy
• AIHA Approach

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Step 6 Monitoring and Evaluation

• Jointly planned with input from community
  stakeholders
• Partnership representatives are responsible for
  monitoring the implementation strategies and
  gathering outcome data
• AIHA Approach

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AIHAs Healthy Community Partnerships

• St. Louis, Missouri / Vác, Hungary
• Cleveland, Ohio / Martin, Slovak Republic
• Cleveland, Ohio / Banska Bystrica, Slovak
  Republic
• Cleveland, Ohio / Turcianske Teplice, Slovakia
• Louisville, Kentucky / Constanta, Romania
• Kansas City, Missouri / Petrazalka, Slovakia
• St.Louis, Missouri / Riga, Latvia
• New Jersey / Split

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Healthy Community

• Winston-Salem, North Carolina /
• Vác, Hungary

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Smoking Cessation

• Cleveland, Ohio/
• Martin,Slovakia

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Creating a City Health Plan

• Cleveland, Ohio
• /Banska Bystrica,
• Slovakia

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Impact of Transformation on the Health of the
Family

• Cleveland, Ohio / Turcianske Teplice, Slovakia

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Women's Health

• Louisville, Kentucky / Constanta, Romania

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Aid to Children at Risk

• Kansas City,
• Missouri /
• Petrazalka,
• Slovakia

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Community Health - Tukuma Project

• St. Louis, Missouri / Riga, Latvia

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Community Health

• New Jersey / Split, Croatia

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• Thank You...