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Removing the Roadblocks

Removing the Roadblocks. Implementing Health Equity Strategies. Allison Allbee & Saneta deVuono-powell , SEED Collaborative North Central Annual Summit 2019. How do the people you work with experience specific road blocks to whole person health?

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Removing the Roadblocks

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  1. Removing the Roadblocks Implementing Health Equity Strategies Allison Allbee & SanetadeVuono-powell, SEED Collaborative North Central Annual Summit 2019

  2. How do the people you work with experience specific road blocks to whole person health? • What regional or population trends are you seeing? • What do you believe are the roots of health inequities in your region? Turn to your neighbor

  3. 1. unintentional injuries • 2. cancer • 3. heart disease • 4. diabetes • 5. liver cirrhosis • 6. influenza/pneumonia • 7. stroke • 8. dementia • 9. septicemia • 10. suicide Navajo Tribal Epidemiology Center’s Mortality Report (2013) 2014 Healthy Diné Nation Act: Top-Ten Leading Causes of Death among Navajo People

  4. 25,000 Navajo suffer from diabetes, 75,000 have pre-diabetes 2014 Healthy Diné Nation Act: Diabetes among Navajo People Indian Health Service, 2012; O’Connell et al., 2012

  5. 2% Tax on foods with little to no nutritional value • Removed the 5% tax on fruits, vegetables, and water • Revenues go to 110 Navajo Chapters to support the Community Wellness Project* *20% of the revenues go to the Permanent Trust, Veterans Trust, Land Acquisition Fund, and Tax Suspense Fund 2014 Healthy Diné Nation Act: The Policy

  6. 2016-2018 $4 million collected • $13,000 new revenues for wellness programming in each chapter • Over 1000 new wellness projects have been proposed • community food & water initiatives (i.e. farming and vegetable gardens), equipment purchases, wellness instruction (i.e. fitness classes) and funds for the built recreational environment (building a walking trail) • Chapter wellness projects impacted the community’s notion of traditional Navajo health in both communities • The presence of the health programs activates traditional ways of living and enhances the practice, sometimes, unknowingly. 2014 Healthy Diné Nation Act: Results Our Voice: Implementation Results of the Healthy Diné Act 2016-2018

  7. RWJBarnabus Health “Strong public policies have the ability to create health equity, sustain evidence-based program and build stronger communities.” Other Inspiration Social Impact and Community Investment 2019-2020 Strategic Plan Summary

  8. Implementing health equity requires asking the right questions and using good information to make decisions • What to ask: Who are you trying to support? What does success look like? What partners are needed? What will develop a systemic response vs. programmatic or relational response? • Useful tools: Health indicators, community surveys, SWOT analysis, power mapping, network analysis Implementation

  9. Discussion

  10. Thank you! allison@seedcollab.com saneta@seedcollab.com

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