Us Versus Them: Are We Not All In This Together

1
Us Versus Them Are We Not All In This Together?
Michelle Moody, BA, CHES SC Diabetes Prevention
and Control Program Division of Diabetes
Translation Conference May 6, 2008
2

Community Participation Real or Symbolic?
Community participation and the concept of
empowerment have emerged as defining features of
the health promotion movement(Minkler and Pies,
2006).
3
Objective

• Participants will be able to identify potential
  barriers to community participation in coalition
  planned activities.
• Participants will be able to identify strategies
  for overcoming barriers to community
  participation in coalition planned activities.

4
Overview

• Background
• Coalition Development
• Rationale for Study
• Methods
• Results
• Conclusion
• References

5
Background

• Diabetes Initiative of South Carolina (DSC)
• SC Diabetes Prevention and Control Program
  (SCDPCP)
• Literature Review

6
SC Diabetes Coalitions - 1999
Cherokee
Greenville
York
Spartanburg
Pickens
Oconee
Union
Chester
Lancaster
Marlboro
Chesterfield
Anderson
Laurens
Fairfield
Dillon
Kershaw
Darlington
Newberry
Abbeville
Lee
Marion
Greenwood
Florence
Saluda
Richland
McCormick
Lexington
Sumter
Horry
Edgefield
Calhoun
Clarendon
Williamsburg
Aiken
Georgetown
?
Orangeburg
? Georgetown Core Group
Barnwell
Bamberg
Berkeley
Dorchester
Allendale
Colleton
Hampton
Charleston
Jasper
7
SC Diabetes Coalitions - 2000
Cherokee
Greenville
York
Spartanburg
Pickens
?
Oconee
Union
?
Chester
Lancaster
Marlboro
Chesterfield
Anderson
Laurens
?
?
Fairfield
Dillon
Kershaw
Darlington
Newberry
?
Abbeville
Lee
Marion
?
?
Greenwood
Florence
Saluda
Richland
?
?
McCormick
Lexington
Sumter
Horry
Edgefield
Calhoun
Clarendon
Williamsburg
Aiken
Georgetown
?
Orangeburg
? 2000 New Diabetes Coalitions n14
Barnwell
Bamberg
Berkeley
Dorchester
Allendale
?
Colleton
?
Hampton
Charleston
?
?
Jasper
?
8
SC Diabetes Coalitions - 2001
Cherokee
Greenville
York
Spartanburg
?
Pickens
?
?
?
Oconee
Union
?
Chester
Lancaster
Marlboro
Chesterfield
Anderson
Laurens
?
?
Fairfield
Dillon
Kershaw
Darlington
Newberry
?
Abbeville
Lee
Marion
?
?
Greenwood
Florence
Saluda
Richland
?
?
McCormick
Lexington
Sumter
Horry
Edgefield
Calhoun
Clarendon
Williamsburg
Aiken
Georgetown
?
Orangeburg
? 2001 New Diabetes Coalitions n5
Barnwell
Bamberg
Berkeley
Dorchester
Allendale
?
?
Colleton
?
Hampton
Charleston
?
?
Jasper
?
?
9
SC Diabetes Coalitions - 2002
Cherokee
Greenville
York
Spartanburg
?
Pickens
?
?
?
Oconee
Union
?
?
Chester
Lancaster
Marlboro
Chesterfield
Anderson
Laurens
?
?
Fairfield
Dillon
Kershaw
Darlington
Newberry
?
Abbeville
Lee
Marion
?
?
Greenwood
Florence
Saluda
Richland
?
?
McCormick
Lexington
Sumter
Horry
Edgefield
Calhoun
Clarendon
Williamsburg
Aiken
?
Georgetown
?
Orangeburg
Barnwell
Bamberg
? 2002 New Diabetes Coalitions n2
Berkeley
Dorchester
Allendale
?
?
Colleton
?
Hampton
Charleston
?
?
Jasper
?
?
10
SC Diabetes Coalitions - 2003
Cherokee
Greenville
?
York
Spartanburg
?
Pickens
?
?
?
?
Oconee
Union
?
?
Chester
Lancaster
Marlboro
Chesterfield
Anderson
Laurens
?
?
Fairfield
Dillon
Kershaw
Darlington
Newberry
?
Abbeville
Lee
?
Marion
?
Greenwood
Florence
Saluda
Richland
?
?
McCormick
Lexington
Sumter
Horry
Edgefield
Calhoun
Clarendon
Williamsburg
Aiken
?
Georgetown
?
Orangeburg
? 2003 New Diabetes Coalitions n2
Barnwell
Bamberg
Berkeley
Dorchester
Allendale
?
?
Colleton
?
Hampton
Charleston
?
?
Jasper
?
?
11
SC Diabetes Coalitions - 2004
Cherokee
Greenville
?
York
Spartanburg
?
Pickens
?
?
?
?
Oconee
Union
?
?
Chester
Lancaster
Marlboro
Chesterfield
Anderson
Laurens
?
?
Fairfield
Dillon
Kershaw
Darlington
Newberry
?
?
Abbeville
Lee
?
Marion
?
Greenwood
Florence
Saluda
Richland
?
?
McCormick
Lexington
Sumter
Horry
?
Edgefield
Calhoun
Clarendon
Williamsburg
Aiken
?
Georgetown
?
Orangeburg
? 2004 New Diabetes Coalitions n2
Barnwell
Bamberg
Berkeley
Dorchester
Allendale
?
?
Colleton
?
Hampton
Charleston
?
?
Jasper
?
?
12
SC Diabetes Coalitions - 2005
Cherokee
?
Greenville
?
York
Spartanburg
Pickens
?
?
?
?
Oconee
?
Union
?
?
Chester
Lancaster
Marlboro
Chesterfield
Anderson
Laurens
?
?
?
Fairfield
Dillon
Kershaw
Darlington
Newberry
?
Abbeville
?
Lee
Marion
?
?
Greenwood
Florence
Saluda
Richland
?
?
McCormick
Lexington
Sumter
Horry
?
Edgefield
Calhoun
Clarendon
Williamsburg
Aiken
?
?
Georgetown
?
?
Orangeburg
? 2005 New Diabetes Coalitions n4
Barnwell
Bamberg
Berkeley
Dorchester
Allendale
?
?
Colleton
?
Hampton
Charleston
?
?
?
Jasper
?
13
SC Diabetes Coalitions - 2008
?
Cherokee
?
?
Greenville
?
?
York
Spartanburg
? ?
Pickens
?
Oconee
?
Union
?
?
Chester
Lancaster
Marlboro
Chesterfield
Anderson
Laurens
?
?
?
?
Fairfield
Dillon
Kershaw
Darlington
Newberry
Abbeville
?
Lee
Marion
?
?
Greenwood
Florence
Saluda
Richland ?
?
?
McCormick
Lexington
Sumter
Horry
?
Edgefield
Calhoun
Clarendon
Williamsburg
Aiken
?
Georgetown
?
?
?
Orangeburg
?
?
Barnwell
Bamberg
Berkeley
Dorchester
Current SC Diabetes Coalitions
Allendale
?
?
Colleton
?
Hampton
Charleston
?
?
Jasper
?
?
14
Functioning Coalition and Non-Functioning
Coalitions
?
Cherokee
?
?
Greenville
?
?
York
Spartanburg
Pickens
?
Oconee
?
Union
?
?
Chester
Lancaster
Marlboro
Chesterfield
Anderson
Laurens
?
?
?
Fairfield
Dillon
Kershaw
?
Darlington
Newberry
Abbeville
?
Lee
Marion
?
?
Greenwood
Florence
Saluda
Richland ?
?
? ?
McCormick
Lexington
Sumter
Horry
?
Edgefield
Calhoun
Clarendon
Williamsburg
Aiken
?
Georgetown
?
?
?
Orangeburg
?
?
Barnwell
Bamberg
Berkeley
Dorchester
Allendale
?
?
Colleton
? Functioning Coalitions ? Non-Functioning
Coalitions
?
Hampton
Charleston
?
?
Jasper
?
?
15
Rationale

• DHEC and DSC are very committed in the
  development and continuation of the coalitions
• Coalition development maintenance are a part of
  DHECs performance measures
• Invested money in building capacity through
  mini-grants
• Need quality along with quantity

16
Methods

• Review of quarterly reports
• Telephone calls
• Community conversations
• Attendance at community activities and meetings

17
Results

• Conflicting Loyalties
• Soliciting Real Rather Than Symbolic
  Participation
• Cross-Cultural Miscommunication

18

Conclusion

• Strategies to overcoming barriers
• Strategies to improving community participation
• Strategies for the coordinator

19

Community Participation Real or Symbolic?
Community participation and the concept of
empowerment have emerged as defining features of
the health promotion movement(Minkler and Pies,
2006).
20
References
Minkler, M. Pies, C. (2006). Ethical issues and
practical dilemmas in community organization and
community participation. In M. Minkler (Ed.),
Community organizing and community building for
health (2nd ed., pp. 116-133). New Brunswick, New
Jersey, and London Rutgers University Press.
21
Please visit www.scdhec.net/diabetes for more info