Turning the Ship: Moving From Clinical Treatment to Environmental Prevention: A Health Disparities Policy Advocacy Initiative
· This article examines success factors for a statewide initiative to reduce health disparities by establishing environmental policies to reduce asthma risk factors for school-aged children.
· Twelve local coalitions and a statewide network focused on schools, housing, and outdoor air policies.
· Multiple types and levels of policy advocacy were encouraged by the Initiative so that issues at the local level linked to larger issues across the state, and conversely state-level policies supported local endeavors.
· Factors that contributed to the success of the initiative included: structuring the initiative on a systems change model; employing multiple technical assistance providers to assure fidelity to the model, building capacity, facilitating strategic partnerships, and facilitating mid-course adjustments; communicating “intentional” policy outcomes from the foundation; and structuring an evaluation team to analyze multi-level data and provide feedback at all levels.
· Local coalitions that developed meaningful community engagement and used data to educate policy makers were the most successful.
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Kreger, M., Brindis, C. D., Arons, A., Sargent, K., Robles, A., Hendricks, A., Jhawar, M., & Standish, M. (2009). Turning the Ship: Moving From Clinical Treatment to Environmental Prevention: A Health Disparities Policy Advocacy Initiative. The Foundation Review, 1(3). https://doi.org/10.4087/FOUNDATIONREVIEW-D-09-00030.1
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