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

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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).

#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).

Strategies to Advance Health Equity: How Health Departments Can Use Countermarketing to Address Tobacco, Alcohol and Unhealthy Food

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 the use of countermarketing strategies to reduce demand for tobacco, alcohol and processed foods high in sugar, salt and unhealthy fats. The session begins with a discussion of countermarketing as a public health strategy for reducing the use of tobacco, alcohol, and unhealthy food. Next, learners will explore the elements of countermarketing campaigns, and look at two health departments that have used them successfully. Finally, learners will apply these strategies to think through a hypothetical countermarketing campaign, and plan how you might use them in your own work.

Course Objectives:

  1. Summarize evidence on the impact of tobacco countermarketing on the initiation of smoking among young adults.
  2. Explain why lessons from evidence-based tobacco counter marketing could be effective for countermarketing alcohol and unhealthy food.
  3. Identify and describe at least five elements of effective tobacco countermarketing campaigns and explain their relevance to countermarketing unhealthy food and alcohol.
  4. Describe at least three roles that state and local health departments can play in countermarketing tobacco, alcohol and unhealthy food (e.g., creating and/or funding public countermarketing campaigns, funding community and youth groups to develop and launch campaigns, training on countermarketing strategies, convening organizations involved in countermarketing).
  5. Describe two specific local or state initiatives designed to support countermarketing of tobacco, alcohol or unhealthy food that have been used in other jurisdictions that could be applied in participant’s own setting.
  6. Explain how LHDs can leverage “upstream” strategies, including partnering with social movements and community organizations and expanding democratic participation, to support the design and implementation of these initiatives.

Continuing Education: 1.0 CPH, 1.0 CHES

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

1A1, 1A7, 1A9, 1B1, 1C1, 2A2, 2A6, 2B2, 2B6, 2B8, 2C2, 3A3, 3A4, 3A5, 3A6, 3B3, 3B4, 3B5, 3B6, 3C5, 4A3, 4A5, 4B3, 5A2

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 Protect the Health of 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:

This self-paced, interactive module prepares public health professionals working in state and local health departments to develop or support health care, social services, and public health programs to protect the health of immigrants. This session begins with an introduction to immigration policy and its relationship to health as well as local strategies to protect immigrant health. Next, learns will explore three case studies that highlight real policy changes governments have implemented to create more immigrant inclusive communities. During these case studies, learners will have time to reflect on ways their organization can partner with government agencies to support immigration health.

Course Objectives:

  1. Describe evidence documenting major health challenges facing immigrants in the United States
  2. Explain the pathways by which immigration policy can influence the health of immigrant populations
  3. Identify specific strategies that state and local health agencies can adopt to improve health for immigrant populations
  4. Describe at least three specific local or state initiatives designed to improve the health of immigrant populations that could be adapted to the participant’s community
  5. Explain how LHDs can leverage “upstream” strategies, including partnering with other agencies, social movements and community organizations, to design implement these initiative

Continuing Education: 1.0 CPH, 1.0 CHES

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

1A1, 1A11, 1A12, 1B1, 1B11, 1B12, 1C1, 1C11, 1C12, 2A2, 2A5, 2A6, 2A7, 2B2, 2B5, 2B6, 2B7, 2C2 , 2C5, 2C6, 3A3, 3A7, 3A8, 3B3, 3B7, 3B8, 3C3, 3C7, 3C8, 4A3, 4A4, 4A5, 4A6, 4B3, 4B4 , 4B5, 4B6, 4C3, 4C4, 4C5, 5A1, 5A2, 5A3, 5A4, 5B1, 5B3, 5B9, 5C1, 5C3, 8A2, 8A3, 8A4, 8B2, 8B3, 8B10, 8C2, 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).

Achieving Health Equity through Community Control of Budgets

Presenter:
Jennifer Godzeno, MSUP, MPH, AICPGodzeno Headshot
Deputy Director, Participatory Budgeting Project
Culture of Health Leader, Robert Wood Johnson Foundation

Description:

Participatory budgeting involves community members in deciding what to do with a given budget.  It is a powerful tool used globally to increase community engagement and shift from “indirect” to “direct” democracy. Its impacts include encouraging a more responsive government, giving voices to community members who otherwise may be ineligible to vote in standard elections, and has even been linked to a 30% reduction in under-5 mortality in communities in Brazil that adopted the practice. Jennifer Godenzo discusses how it applies to the “ladder of participation” by giving citizens control and is thus equitable, empowering, and focuses on the social determinants of health.  She explains the five steps of participatory budgeting: design a process with the community, brainstorm ideas, develop proposals, cast a vote, and fund winning projects.  She also gives examples of where participatory budgeting has been used, from high schools in Phoenix, AZ to citywide community garden projects in Vallejo, CA to within organizations, such as hospitals and foundations.

Course Objectives:

  • Name the characteristics of public engagement practices that offer community control to historically underrepresented and under-resourced communities
  • Describe how participatory budgeting has impacted health outcomes and social determinants of health in the US and internationally
  • Describe opportunities to integrate data-informed community engagement practices into the allocation of health-focused funds and/or budgets that influence the social determinants of health

Continuing Education: 1.0 CPH, 1.0 CHES

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

2A2, 3A3, 3A8, 3B3, 4A4, 4A5, 4B4, 4C4, 5A3, 5A5, 5A6, 5A10, 5B8, 5C8, 7A5, 7A10, 7C5, 8A3, 8B3, 8C3

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).

Using Geographic Information Science to Advance Health Equity and Environmental Justice

Presenter: Andrew Maroko, PhDMAROKO_ACADEMIC_PIC_102714 (2)

Associate Director

Lehman College Urban GISc Lab

CUNY Graduate School of

Public Health and Health Policy

Date: May 2, 2017

Description:

Environmental factors have an important impact on the health of communities.  Public health professionals may use geographic information sciences (GIS) to assess the health of communities by analyzing exposure, or being subjected to negative factors such as pollution, as well as accessibility, or the ability to access positive factors such as green space and healthy food.  In this webinar, Dr. Andrew Maroko discusses the process of geovisualization, hypothesis generation, data exploration, and communication and knowledge transfer in conducting environmental justice research.  Dr. Maroko also describes various methods and technologies used to estimate exposure and accessibility, and provides examples of GIS in environmental justice/health equity projects in New York City and Glasgow, Scotland.

Reflection Questions

  • Why is geography important with respect to health equity and environmental justice?
  • How can the relationships among health, population, and geography be better understood by using spatial analyses?
  • What are some of the limitations with using GIS methodology when examining health equity or environmental justice?

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

  • Primary Competency Domain: Analytic/Assessment
  • Specific competencies: 1A1, 1A2, 1A3, 1A4, 1A5, 1A6, 1A7, 1A8, 1A9, 1A10, 1A11, 1A12, 1A13, 1A14, 1B1, 1B2, 1B3, 1B4, 1B5, 1B6, 1B8, 1B9, 1B10, 1B11, 1B12, 1B13, 1B15, 1C1, 1C2, 1C3, 1C4, 1C5, 1C6, 1C8, 1C9, 1C10, 1C11, 1C13, 1C15, 2A1, 2A5, 2A6, 2A7, 2A9, 2A10, 2A12, 2B6, 2B7, 2B8, 2B10, 2B13, 2C10, 2C11, 2C14, 3A1, 3A2, 3A3, 3A5, 3A8, 3B2, 3B3, 3B5, 3C2, 3C5, 4A1, 4A2, 4A3, 4A4, 4A5, 4A6, 4B1, 4B2, 4B3, 4B4, 4B5, 4B6, 4C1, 4C2, 4C3, 4C4, 4C6, 5A1, 5A2, 5A5, 5A7, 5B7, 5B8, 5B9, 5B10, 6A3, 6A4, 6A5, 6A6, 6A8, 6B3, 6B5, 6B6, 6B7, 6B9, 6C5, 6C6, 6C9, 7A8, 7A10, 8A1, 8A2, 8A3, 8A4, 8A5, 8A6, 8A8, 8B1, 8B2, 8B5, 8B8, 8B10, 8C1, 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).

Strategies to Advance Health Equity: Understanding and Influencing Corporate Practices of Alcohol, Tobacco, and Food and Beverage Industries to Promote Health

Description:

Tobacco and alcohol use and the consumption of unhealthy foods and beverages are all major causes of preventable deaths and disease in the United States and around the world. While individuals are responsible for the use and consumption of these substances, this module emphasizes how public health can take a new approach to this issue: by changing the ways that the tobacco, alcohol, and food industries currently promote their products and make a profit at the expense of community health. This module details tobacco, alcohol, and food corporate strategies that can have harmful effects on population health. This module also provides examples of health departments that have used research, advocacy, and education to tackle these industry tactics and advance a public health agenda.

By the end of this module participants will be able to:

  • Explain the rationale for expanding public health practice to promote health and equity by changing corporate practices;
  • Describe at least four ways that practices of the food, alcohol and tobacco industries contribute to prevalence and inequitable distribution of chronic diseases in the US and globally;
  • Identify some of the conceptual and organizational obstacles that state and local health departments face in taking on food, alcohol and tobacco industry’s influence on health;
  • Explain how to apply “upstream” strategies to define and achieve feasible goals in their own practice.

Continuing Education Available: 1.0 CHES, 1.0 CPH

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

1B1, 1B2, 1B14, 1B15, 2B3, 2B6, 3B4, 3B5, 3B6, 3B8, 4B6, 5B10, 6B7, 6C2, 7B1, 7B2, 8B2, 8B3, 8B5

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).