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The Community As A Full Partner: A New Model For Public Health.

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Strengthening public health requires robust community partnerships. Addressing barriers like mistrust and funding challenges is key to building a more effective, community-engaged public health system.

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Area of Science:

  • Public Health
  • Community Engagement
  • Health Systems Strengthening

Background:

  • The COVID-19 pandemic highlighted deficiencies in the US public health system.
  • A shift towards greater community engagement and leadership is needed.
  • Building strong partnerships between public health agencies and community-based organizations (CBOs) is crucial.

Purpose of the Study:

  • To identify barriers and opportunities for enhancing community partnerships within the US public health system.
  • To inform policy recommendations for strengthening community-public health collaborations.

Main Methods:

  • Conducted online surveys in November-December 2023.
  • Surveyed community-based organizations (CBOs).
  • Surveyed large metropolitan health departments.

Main Results:

  • Key barriers identified include mistrust between entities, siloed health departments, funding challenges for CBOs, and inadequate shared decision-making.
  • Opportunities exist to formalize CBO roles and improve collaboration.

Conclusions:

  • Six policy recommendations were developed to foster stronger public health-community partnerships.
  • Recommendations focus on establishing community councils, dedicated and flexible funding, streamlined processes, training, and workforce diversity.