community themes and strengths assessment preliminary results from the community health survey

Community Themes and Strengths Assessment

Preliminary Results from the Community Health Survey

Cook County Department of Public Health

WePLAN Process FrameworkMAPP: Mobilizing for Action through Planning and Partnerships

• a strategic approach to community health improvement.

• community-wide and community directed planning

• developed by NACCHO and CDC

With a new added NACCHO Health Equity supplement


Community Themes and Strengths Assessment (CTSA)

The Community Themes and Strengths Assessment identifies themes that interest and engage the community, perceptions about quality of life, and community assets.

informed by NACCHO (2014), and Solar & Irwin (2010)


Considerations in the Community Health Survey Process

Commitment to health equityPartnerships with community organizationsInclusion of residents experiencing health inequitiesInclusion of geographic and language

diversity


How do we define optimum health?

Optimum health means: A state of physical, mental, cultural, social, spiritual and economic health that supports individuals and families.


Strategies to Implement Community Health Survey

Research CTSA surveys and develop research and survey questions

Develop partnerships with groups impacted by health inequities

Create communications and materials to reach suburban Cook County residents


Data Collection

Internet, mobile and paper-based survey (English & Spanish)48 questions focusing on availability

and quality of community conditions that support health equityRespondents included general public,

panelists, clinic patients, low income housing residents


Community Conditions that Support Health Equity*

1. Economic security and financial resources 2. Livelihood security and employment opportunity 3. School readiness and educational attainment4. Quality environmental conditions5. Availability and utilization of quality medical care 6. Adequate, affordable and safe housing7. Community safety and security8. Civic Engagement9. Transportation

*From NACCHO’s Conditions that Support Health Equity


Outreach Strategy

Levels of Outreach

Community Outreach strategies

Platinum Email to CBOs with explanation of survey, website survey link, a request to post the survey link on their website, promote the survey in their organizational publications, and a request to send out to their e-list.

Silver Platinum outreach strategies + Personal contact from committee rep to discuss the intent of the survey, specifics on how best to reach their constituencies, development of individual outreach plan to include possible paper surveys, banner, fliers, etc. for distribution and display at community site. Distribution of flier at community events or community meetings.

Gold Platinum, Silver outreach strategies + conducting survey administration at community site


Content

DemographicsHealth Status and Health IssuesRating Community ServicesEconomic SecurityFood SecurityPersonal and Community Experiences


Sample Demographics(n=1193 respondents)


Sample Demographics(n= 1193 respondents)

• 22% of respondents spoke a language other than English at home(Spanish 54%, Russian 10%)

• 13% were born in another country (Mexico 26%, Russia 9%, India 6%, Other 46%)


Sample Demographics(n=1193 respondents)


Health Status

• 83% of those identifying a Fair or Poor overall health status had incomes <$50,000/year and 58% were either NHBlack, NHAsian or Hispanic.

• 69% of those identifying a Fair or Poor mental health status had incomes <$50,000/year and 57% were either NHBlack, NHAsian or Hispanic.


Leading Health IssuesChoose 5 health problems in your community that you think are most critical.


Conditions that Support Health

Choose 3 conditions that you think support health the most.


Factors to Improve Health

Choose 5 risk factors that you think are most critical to address to improve community health.


Quality of Communities

In general, how would you rate your community regarding the following qualities?


Rating Community Services


Economic Security

Of respondents making <$50K/year (20% of respondents) :

1:3 could not meet basic needs(28% S, 16-11% W, N, SW)

1:5 do not have a checking, savings or money market account(20% S, <10% W,N,SW)

2:5 do not have secure financial means to pay off a $400 emergency expenditure (33% S, <11% N, SW, W)


Food Security

North District South District Southwest District West District0

5

10

15

20

25

30

35

40

Food Security by District by respondents to Sometimes or Often

Worried whether food would run out before we got money to buy more.The food we bought just didn't last and we didn't have money to get more.We had to skip or reduce the size of our meals because we did not have enough food to eat.

Perc

ent


Personal & Community Experiences

Victim

of C

rime

Discrim

inat

ion

Serio

us In

jury

Unable

to p

ay fo

r child car

e

Lang

uage

Bar

rier

Unable

to p

ay fo

r med

icine

Loss

of j

ob

Caring

for s

pecia

l nee

ds

Unable

to p

ay fo

r hea

lth car

e

Envir

onm

enta

l haz

ard

Loss

of a

love

d on

e

Loss

of h

ousin

g0

5

10

15

20

25

30

In the past 12 months, did you or a household member experience:

Yes



Age Gender or Sex Race or Skin Color Way you Speak English

Sexual Orientation0

2

4

6

8

10

12

14

16

18

20

In the past 12 months, were you treated unfairly because of:

Yes



Age Gender or Sex Race or Skin Color Spoken English Sexual Orientation0

5

10

15

20

25

30

35

40

45

Unfair treatment by Race/ethnicity

NHWhite NHBlack Hispanic NHAsian



Police/Courts Work Getting Medical Care0

2

4

6

8

10

12

14

16

18

20

In the past 12 months, have you been treated un-fairly when:

Sometimes Often



Police/Courts Work Medical Care0

5

10

15

20

25

30

35

Respondents who experienced unfair treatment Sometimes/Often by Race/Ethnicity

NHWhite NHBlack Hispanic NHAsian


Survey Limitations & Strengths

Limitations

Convenience Sample

Survey doesn’t capture qualitative data

Not all segments of population were fully represented

Strengths

Increased racial and ethnic diversity

Increased geographic representation

Process attempt to use validated questions

Approach to expanded outreach


Discussion

• What stands out/resonates for you?

• What is a gap/not evident?

• What is your reaction to this?

community themes and strengths assessment preliminary results from the community health survey

Documents

community health improvement

community assets

health equitypartnerships

economic health

health equityrespondents

title community themes

community directed planning

optimum health means