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Community-Level Strategies for Addressing Disparities in Healthy People 2030 Leading Health Indicators.
Rachel Van Vleet1, Skyla Chitwood, Victoria Hallman
1Author Affiliations: Public Health Department, NORC at the University of Chicago, Bethesda, Maryland (Mss Van Vleet, Chitwood, Hallman, Heffernan, Fromknecht, and O'Leary); and U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion, Office of the Assistant Secretary for Health, Office of the Secretary, Washington, District of Columbia (Mss Lin and Hoyer).
Community organizations use diverse strategies, including wraparound services and food programs, to reduce health disparities in infant mortality, maternal mortality, and food insecurity. They assess community needs and partnerships to guide program selection and improvement.
Area of Science:
- Public Health
- Health Equity
- Community Health Interventions
Background:
- Healthy People 2030 Leading Health Indicators (LHIs) aim to improve health equity and reduce disparities.
- Significant disparities exist in infant mortality, maternal mortality, and food insecurity.
- Addressing these disparities is crucial for overall population health and well-being.
Purpose of the Study:
- To identify programs and initiatives community organizations use to address key LHIs: infant mortality, maternal mortality, and food insecurity.
- To understand how organizations select and refine their programs and initiatives.
Main Methods:
- Qualitative study involving 9 interviews with Healthy People 2030 Champions.
- Organizations interviewed were actively working to reduce disparities in the selected LHIs.
Main Results:
- Common strategies for maternal and infant mortality disparities include wraparound services, doula programs, and education/advocacy.
- Interventions for food insecurity include food pharmacies and assistance program enrollment.
- Organizations determine programs by assessing community needs, forming partnerships, and measuring success.
Conclusions:
- Community-based organizations employ multifaceted strategies to combat disparities in infant mortality, maternal mortality, and food insecurity.
- These organizations and their approaches are vital for addressing health outcome disparities in high-need populations.
- Findings highlight local efforts in addressing national health priorities and suggest further evaluation needs.
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