Strategies to Advance Health Equity: State and Local Health Departments’ Role in Improving Food Access among Immigrants

Content Experts:
Nicholas Freudenberg, DrPH, MPH
Distinguished Professor
Faculty Director, CUNY Urban Food Policy Institute

Emily Franzosa, DrPH, MA
Senior Researcher, CUNY Graduate School of Public Health & Health Policy

Description:

There are currently more than 40 million immigrants living in the US, contributing to our society as workers, taxpayers, caretakers, and neighbors. Many of these immigrants are more likely to be poor than US-born people because of cultural, language, and legal barriers that influence their living and working conditions and access to services. One consequence of this poverty is food insecurity, or not having enough healthy food, which has serious implications for health. As public health professionals, we work to prevent harm and reduce health inequities. When members of our communities struggle to access healthy food, they are at risk for health problems. But they are also limited in their ability to contribute meaningfully to society, which affects all of us. To meet our national health goals, local health departments must work to ensure that everyone in our communities has the opportunities and resources they need for good health – regardless of immigration status.

In this module, participants will:

  • Explore specific challenges immigrants may face in accessing healthy food at the individual, organizational, and policy levels
  • Consider real-world examples of how local health departments can partner with other agencies, community organizations, and activists to overcome these barriers and help immigrants access healthy, affordable food for themselves and their families
  • Strategize about how to adopt similar initiatives in their community and organization

Course Objectives:

  1. Explain the rationale for expanding public health practice to promote health and equity by supporting immigrant access to healthy, affordable food
  2. List the major public anti-hunger programs and summarize the eligibility rules that apply to different legal categories of immigrants
  3. Describe how individual beliefs, organizational practices, and policies contribute to inequitable access to healthy food and public food benefits between immigrant and US-born populations
  4. Explain at least two specific local or state Health Department initiatives designed to improve access to healthy food and food benefits among immigrant populations that could be adapted to the participant’s community
  5. Explain how local health departments can leverage “upstream” strategies, including partnering with other agencies, social movements and community organizations, to protect and expand immigrant access to food benefits and services

Continuing Education: 1.0 CPH, 1.0 CHES

Council on Linkages Core Competencies for Public Health Professionals (2014 Version)

Primary Competency Domain:  Community Dimensions of Practice

Click on the appropriate button to begin.

I do not work for a State or Local Health Department in NYS.


I do work for a State or a Local Health Department in NYS.

If you are employed by NYS or a local health department in NYS, we recommend that you register for this course through the NYS Department of Health Learning Management System (DOH LMS).

 

Public Media Data for Public Health

Presenter:
Dr. Joe Smyser, PhD
CEO of the Public Goods ProjectsSmyser Headshot

Description:

This webinar explores new ways to use public media data to solve large, complex public health issues like opioid abuse and mental health. Dr. Joe Smyser explains how the Public Good Projects uses data from Facebook, Google, and designated market areas (DMAs) to create insights about a population’s health knowledge, attitudes, and beliefs in real time to inform public health media campaigns. Participants of this webinar will be exposed to case studies of how this data was used to create tailored messages for specific populations about opioids and mental health using digital marketing principles.

Course Objectives:

  1. Describe public media data available for disease surveillance
  2. Describe public media data available for audience segmentation
  3. Describe public media data available for message design and tailoring

Continuing Education: 1.0 CPH, 1.0 CHES

Council on Linkages Core Competencies for Public Health Professionals (2014 Version)

1A2, 1A4, 1A5, 1A7, 1B4, 1C4, 2A5, 2A6, 2A12, 2B5, 5A2, 6A4, 6A5, 6B5, 8A2, 8B2

Click on the appropriate button to begin.I do not work for a State or Local Health Department in NYS.


I do work for a State or a Local Health Department in NYS.

If you are employed by NYS or a local health department in NYS, we recommend that you register for this course through the NYS Department of Health Learning Management System (DOH LMS).

Health Disparities in HIV: Supporting Adolescents through the Care Continuum

Presenter:Tanner_Headshot
Amanda Tanner
Associate Professor
University of North Carolina – Greensboro

Description:

This webinar explores the specific challenges associated with ensuring adolescents are able to access HIV screening and treatment. Dr. Amanda Tanner provides background on adolescent’s biological, cognitive, social, and legal changes as they progress to adulthood as well as the disparities of HIV diagnosis and care among adolescents, especially minority youth. This presentation continues with an overview of two studies that investigate care linkage and engagement for youth with newly diagnosed HIV as well as the HIV-related healthcare transition at adolescent clinics. Dr. Tanner provides recommendations for future interventions that will help adolescents know their HIV status, become linked with appropriate care, and maintain viral suppression.

Course Objectives:

  1. Define the adolescent specific HIV-related health disparities in the United States.
  2. Describe the individual and structural level factors impeding youth’s progress through the HIV Care Continuum.
  3. Identify potential individual and structural level intervention points to support the health of youth living with HIV.

Continuing Education: 1.0 CPH, 1.0 CHES

Council on Linkages Core Competencies for Public Health Professionals (2014 Version)

1A1, 1B1, 1C1, 5A2, 5A3, 6B4, 6C4, 8A3, 8A5

Click on the appropriate button to begin.I do not work for a State or Local Health Department in NYS.


I do work for a State or a Local Health Department in NYS.

If you are employed by NYS or a local health department in NYS, we recommend that you register for this course through the NYS Department of Health Learning Management System (DOH LMS).

The City Health Dashboard: A New Resource for Population Health Improvement

Presenter:Headshots_SLevine
Shoshanna Levine, MPH, DrPH
Program Director
City Health Dashboard

Description:

Over two-thirds of the U.S. population lives in cities. There is currently a shift for city governments to work with multi-level stakeholders to use a population health approach to target social determinants of health and improve the overall quality and health of the population. Dr. Soshanna Levine discusses the importance of using data as a cross-sectional, collaborative health improvement approach. The Department of Population Health at NYU Langone Medical Center and the Robert F. Wagner School of Public Service at NYU partnered with national networks to create the City Health Dashboard to help cities understand, compare, and take action to improve the health of their municipalities. The tool uses data from federal, state, and local agencies to present 36 measures linked to the health status across five domains (health behaviors, clinical care, social and economic factors, physical environment, health outcomes). The dashboard is a health improvement planning resource for 500 cities across the U.S. and will also provide evidence-based interventions and resources to city leadership, government, and stakeholders. Dr. Levine presents an overview of the dashboard and methods to engage local communities in data-driven health improvement activities.

Course Objectives:

  1. Describe the role of data in improving population health in urban areas
  2. Describe how data on health status and health determinants improve cross-sector collaboration and decision making around health
  3. Explain how the City Health Dashboard can be improved to be a more effective tool for health improvement

Continuing Education: 1.0 CPH, 1.0 CHES

Council on Linkages Core Competencies for Public Health Professionals (2014 Version)

1A1, 1A4, 1A6, 1A11, 1A12, 1B1, 1B4, 1B6, 1B11, 1B12, 1C1, 1C4, 1C6, 1C11, 1C12, 6A6, 6B7, 6C7

Click on the appropriate button to begin.I do not work for a State or Local Health Department in NYS.


I do work for a State or a Local Health Department in NYS.

If you are employed by NYS or a local health department in NYS, we recommend that you register for this course through the NYS Department of Health Learning Management System (DOH LMS).

 

Addressing Unconscious Bias in our Language

Presenter:
Anne Marie Liebel, EdDAMLphoto
Founder and President
Health Communication Partners LLC

Description:

As health professionals, it is critical that we reflect and address unconscious bias in our language, especially when working with patient populations. Dr. Anne Marie Liebel discusses how uttering subtle microaggressions can have a cumulative negative effect on health and wellness. Dr. Liebel presents research on the linkages between microaggressions and health disparities. In particular, microaggressions from healthcare providers can negatively impact patient health related behaviors and utilization of health services. Thus, as we recognize our own microaggressions, Dr. Liebel provides individual and organizational strategies to examine, expand, and alter language to provide more equitable care and services.

Course Objectives:

  1. Evaluate your thoughts or behaviors for unconscious bias
  2. Explain ways that language use can intentionally or unintentionally contribute to health disparities
  3. Describe ways that your organization can work to examine, expand, and alter language regarding patients and clients to provide more equitable care and services

Continuing Education: 1.0 CPH, 1.0 CHES

Council on Linkages Core Competencies for Public Health Professionals (2014 Version)

3A2, 3A3, 3A6, 3A7, 3B2, 3B3, 3B6, 3B7, 3C2, 3C3, 3C6, 3C7, 5A2, 5A3, 5A4, 5B2, 5B3, 5B4, 5B5, 5C2, 5C3, 5C4, 5C5

Click on the appropriate button to begin.I do not work for a State or Local Health Department in NYS.


I do work for a State or a Local Health Department in NYS.

If you are employed by NYS or a local health department in NYS, we recommend that you register for this course through the NYS Department of Health Learning Management System (DOH LMS).

Data-Based Decision-Making Using Data to Intervene for Maternal and Child Health – Part Two in a Series

Course Description:

The purpose of this training is to inform public health professionals how to use data to shape needs assessments, develop public health programs, and provide a framework for program evaluation. In Part Two of this series, learners will take advantage of readily available data sources to explore interventions and programs to address public health issues in maternal and child health using Columbia County, NY as a case study.

Course Objectives:

  1.     Identify sources of evidence-based interventions/promising practices.
  2.     Define and develop SMART objectives, for outcome evaluation.
  3.     Use progress and outcome measures in program monitoring and evaluation.

Continuing Education: 1.0 CPH, 1.0 CHES

Council on Linkages Core Competencies for Public Health Professionals (2014 Version)

  • Competency Domains: Analytical/Assessment, Program Planning, Communication, Basic Public Health Sciences
  • Specific competencies:

1A1, 1A2, 1A4, 1A7, 1A9, 1A10, 1A12, 1A13, 1A14, 1B1, 1B2, 1B4, 1B7, 1B9, 1B10, 1B12, 1B14, 1C1, 1C2, 1C4, 1C7, 1C9, 1C10, 1C12, 1C14, 2A5, 2A6, 2A12, 2B5, 2B12, 3A5, 3B5, 3C5, 6A3, 6A4, 6A6, 6B3, 6B5, 6B7, 6C3, 6C5, 6C7

Click on the appropriate button to begin.

I do not work for a State or Local Health Department in NYS.


I do work for a State or a Local Health Department in NYS.

If you are employed by NYS or a local health department in NYS, we recommend that you register for this course through the NYS Department of Health Learning Management System (DOH LMS).

Data-Based Decision-Making Using Data to Intervene for Maternal and Child Health – Part One in a Series

Course Description:

The purpose of this training is to inform public health professionals how to use data to shape needs assessments, develop public health programs, and provide a framework for program evaluation. In Part One of this series, learners will take advantage of readily available data sources to begin planning and implementing a successful health program related to issues in maternal and child health using Columbia County, NY as a case study.

Course Objectives:

  1. Identify and locate sources of Maternal and Child Health data in New York State, at state, county, and sub-county levels.
  2. Use descriptive epidemiology (person, place, and time) in needs assessment and program targeting.
  3. Use data to identify high-risk populations in population for program targeting.

Continuing Education: 1.0 CPH, 1.0 CHES

Council on Linkages Core Competencies for Public Health Professionals (2014 Version)

  • Competency Domains: Analytical/Assessment, Program Planning, Communication, Basic Public Health Sciences
  • Specific competencies:

1A1, 1A2, 1A4, 1A7, 1A9, 1A10, 1A12, 1A13, 1A14, 1B1, 1B2, 1B4, 1B7, 1B9, 1B10, 1B12, 1B14, 1C1, 1C2, 1C4, 1C7, 1C9, 1C10, 1C12, 1C14, 2A5, 2A6, 2A12, 2B5, 2B12, 3A5, 3B5, 3C5, 6A3, 6A4, 6A6, 6B3, 6B5, 6B7, 6C3, 6C5, 6C7

Click on the appropriate button to begin.

I do not work for a State or Local Health Department in NYS.


I do work for a State or a Local Health Department in NYS.

If you are employed by NYS or a local health department in NYS, we recommend that you register for this course through the NYS Department of Health Learning Management System (DOH LMS).

 

#NYCHealthEquity – Advancing Racial and Social Justice

Presenter:KAM_StandardPhoto
Aletha Maybank, MD, MPH
Deputy Commissioner
NYC Department of Health and Mental Hygiene
Center for Health Equity

Description:

For one to have a true commitment to health equity, it is critical to engage with the political, social, and historical context of structural racism within our society. The history of slavery and segregation is deeply embedded within public policies which has fostered neighborhood underdevelopment, increased incarceration rates, and health disparities among minority and ethnic populations. Dr. Aletha Maybank, Deputy Commissioner and Founding Director of the Center for Health Equity at the New York City Department of Health and Mental Hygiene (DOHMH) discusses the work of the Center for Health Equity to decrease health disparities and create an equitable and thriving city for all. The DOHMH and Center for Health Equity use a racial justice lense to build organizational capacity to advance racial equity through data visualization, community engagement, neighborhood investment, and public policy. Dr. Maybank discusses a neighborhood place-based approach which leverages past public health practices by implementing evidence-based interventions to provide coordinated health promotion services, clinical services, and community resources to increase community access to goods and services and close coverage gaps. Dr. Maybank discusses the importance of working with sister agencies to advance the health equity agenda and emphasizes the importance of multi-sectoral partnerships to promote community change.

Course Objectives:

  1. Describe the roles institutions have played in fostering, exacerbating and perpetuating racism and other forms of oppression
  2. List the ways institutions can work with neighborhoods and communities to amplify their inherent power to heal together
  3. Describe the role public health practitioners have in leveraging their power and privilege to embolden larger movements and coalitions seeking to name injustice and liberate oppressed groups

Continuing Education: 1.0 CPH, 1.0 CHES

Council on Linkages Core Competencies for Public Health Professionals (2014 Version)

2A5, 2A6, 2A7, 2B5, 2B6, 2B7, 2C5, 2C6, 2B7, 2C10, 3A8, 3B8, 38C, 4A2, 4A5, 4A6, 4B2, 4B5, 4B6, 4C2, 4C5, 4C6, 8A4, 8B4, 8B10, 8C4, 8C10

Click on the appropriate button to begin.

I do not work for a State or Local Health Department in NYS.


I do work for a State or a Local Health Department in NYS.

If you are employed by NYS or a local health department in NYS, we recommend that you register for this course through the NYS Department of Health Learning Management System (DOH LMS).

Engaging Across Sectors and Disciplines to Build Community and Capacity for Health Equity

Presenter:
Renata Schiavo, PhD, MA, CCLRenata Pic
Founding President and Board of Director Member, Health Equity Initiative
Senior Lecturer, Department of Sociomedical Sciences, Columbia University Mailman School of Public Health

Description:

Disparities in health and healthcare are connected to population health and affect the delivery, access and quality of care, especially for vulnerable populations. There are social determinants (i.e. housing, built environment, age) that can negatively affect health outcomes.  Dr. Renata Schiavo, Founding President of the Health Equity Initiative (HEI), discusses how professionals across sectors and disciplines can collaborate to build healthier communities. The term health equity is defined and framed as a human rights and social justice issue that will provide individuals with the same opportunities to stay healthy and cope with crises, regardless of socioeconomic factors and other social determinants. Regardless of status, Dr. Schiavo views health equity as a priority for all and uses case studies to exemplify how multi-sector partnerships can effectively mobilize communities to reduce health disparities and healthcare costs. By working with communities and using community engagement approaches, these multi-sector partnerships can foster community ownership and sustainability of health innovations. Dr. Schiavo also provides methods and strategies to bring multidisciplinary stakeholders together in order to develop sustainable, equitable solutions.

Course Objectives:

  1. Define community
  2. Engage in multi-sectoral partnerships and interventions for health equity
  3. Implement strategies within your organization to advance health equity

Continuing Education: 1.0 CPH, 1.0 CHES

Council on Linkages Core Competencies for Public Health Professionals (2014 Version)

3A8, 3B8, 38C, 4A1, 4A3, 4A4, 4A5, 4B1, 4B3, 4B4, 4B5, 4C1, 4C3, 4C5

Click on the appropriate button to begin.

I do not work for a State or Local Health Department in NYS.


I do work for a State or a Local Health Department in NYS.

If you are employed by NYS or a local health department in NYS, we recommend that you register for this course through the NYS Department of Health Learning Management System (DOH LMS).

Strategies to Advance Health Equity: How Health Departments Can Grow a Healthy Public Food Sector

Content Experts:
Nicholas Freudenberg, DrPH, MPH
Distinguished Professor
Faculty Director, CUNY Urban Food Policy Institute

Emily Franzosa, DrPH, MA
Senior Researcher, CUNY Graduate School of Public Health & Health Policy

Description:

This self-paced, interactive module prepares public health professionals working in state and local health departments to develop or support food policy changes in their communities to encourage healthy food systems. The session begins with a discussion of why the public sector should be involved in developing policies around food and how local health agencies can lead the charge. Next, learners will learn about food system goals that can promote health and how to achieve those goals. Finally, learners will explore case studies that demonstrate how public health agencies have planned and implemented changes to their food systems.

Course Objectives:

  1. Explain and define the scope of the public, the private (market) and the non-profit (civil society) sectors in making healthy food more available and affordable.
  2. Identify the various functions that the public sector plays in making healthy food available and affordable including: procurement, institutional food, taxation, enforcing  food safety standards, regulating retail food outlets and restaurants , and providing food benefits(e.g., SNAP,WIC and school food).
  3. Distinguish roles of local, state and federal governments in public sector food and identify food-related responsibilities of various government sectors including health, education, agriculture, environmental protection, economic development, zoning and land use, and consumer protection.
  4. Describe innovative practices, policies and programs of state and local health departments in supporting public sector initiatives to increase access to healthy affordable food and reduce racial/ethnic, socioeconomic and other inequalities in diet-related diseases.
  5. Describe governance mechanisms for engaging citizens, social movements, advocacy groups and others in using the public sector to shape healthier food environments.
  6. Assess the scope and strengths and weaknesses of their own health department’s food portfolio and identify ways their department could use existing resources and mandates to strengthen the public sector’s role in making healthy food more affordable and accessible.

Continuing Education: 1.0 CPH, 1.0 CHES

Council on Linkages Core Competencies for Public Health Professionals (2014 Version)

1A1, 1A11, 1B1, 1C1, 2A2, 2A5, 2A6, 2A7, 2B2, 2B6, 2B7, 2B8, 2C2, 2C6, 3A8, 3B8, 3C8, 4A3, 4A4, 4A6, 4B3, 4C3, 5A1, 5A2, 5A3, 5B1, 5B2, 5B3, 5C1, 5C2, 5C3

Click on the appropriate button to begin.

I do not work for a State or Local Health Department in NYS.


I do work for a State or a Local Health Department in NYS.

If you are employed by NYS or a local health department in NYS, we recommend that you register for this course through the NYS Department of Health Learning Management System (DOH LMS).