By Umair A. Shah, MD, MPH, NACCHO President and Executive Director of Harris County Public Health in Houston, Texas
What is Health Equity?
Public health is built on the foundation that all people have a right to health. Health equity is the principle that every person should have the opportunity “to attain their full health potential,” regardless of social, economic or environmental conditions. Achieving health equity requires valuing all individuals and populations equally, acknowledging and repairing historical injustices, and investing in those communities. Across the United States, state and local jurisdictions have made it their mission to reduce and eliminate health inequities in their communities. There are many root causes of health inequities, including racism, class-based oppression, gender inequity, and other forms of systematic injustices. These create societal conditions that influence an individual’s health such as: the quality of education, housing, neighborhood environment, and employment opportunities leading to disproportionate health outcomes, to name a few. Continue reading
By LaMar Hasbrouck, MD, MPH, Executive Director, NACCHO
According to civil rights attorney and former Stanford University Law Professor Michelle Alexander, author of The New Jim Crow: Mass Incarceration in the Age of Colorblindness, there are currently more black men in prison or jail, on probation, or on parole than were enslaved in 1850, before the Civil War began.
The United States holds the dubious distinction of incarcerating more individuals than any other nation. According the latest Department of Justice (DOJ) statistics, approximately 2.2 million men and women are currently imprisoned. The U.S. rate is nearly 5 to 10 times higher than rates in Western Europe and other democracies. Continue reading
By Taylarr Lopez, Communications Specialist, NACCHO
NACCHO is pleased to recognize Harris County Public Health (HCPH) as a recipient of the 2016 Local Health Department of the Year Award. This award recognizes and honors outstanding accomplishments of local health departments (LHDs) across the country for their innovation, creativity, and impact on communities.
HCPH provides comprehensive public health services to Harris County, Texas—the third most populous county in the United States. It has an annual budget of over $80 million and a workforce of more than 700 employees.
HCPH’s serves approximately 2.2 million people within the county’s unincorporated areas and 33 independent municipalities (excluding the city of Houston). For certain public health services such as mosquito control, Ryan White HIV/AIDS Program Part A, and refugee health, HCPH’s jurisdiction encompasses the entirety of the county, including the city of Houston, for a total population of more than 4 million. Continue reading
By Taylarr Lopez, Communications Specialist, NACCHO
NACCHO is pleased to recognize the Kansas City (MO) Health Department as a recipient of the 2016 Local Health Department of the Year Award. This award recognizes and honors outstanding accomplishments of local health departments (LHDs) across the country for their innovation, creativity, and impact on communities.
Kansas City, MO, is a diverse urban community in the heart of the Midwest with a population of 459,787 people. The Kansas City Missouri Health Department (KCMOHD) has protected the population’s health for 150 years and operates with a mission to promote, preserve, and protect the health of Kansas City residents and visitors. KCMOHD employs 200 staff through various programs, some which are active in both Missouri and Kansas. Programs and services strive to prevent illness and injuries, improve health services, enforce public health laws, and support policy development to build a healthier community. Continue reading
This is the second in a series of NACCHO Annual preview posts, which feature interviews with and essays from presenters in advance of NACCHO Annual 2016. In this post, Gary Cox, JD, shares insights from his session, “Targeting Neighborhood Poverty, Education, and Health Burden through Local Public Health Policy and Prevention across Oklahoma County.” Cox brings more than 35 years of public health experience and leadership skills to his role as executive director of the Oklahoma City-County Health Department. He is a past president of both NACCHO and the Oklahoma Public Health Association. Below Cox shares his advice for LHDs pursuing health equity and his experience forging partnerships with local entities committed to improving community health.
NACCHO: You open your presentation with the idea that health outcomes are influenced by complex social and physical indicators. How do you address this reality in your health department’s pursuit of a culture of health equity?
Gary Cox: We have a basic philosophy as a local health department that we should analyze data and look at where we have inequities and disparities in our community. We have what we call a wellness score: It is about 22 data points, ranging from educational attainment and graduation rates to crime rates, mortality/morbidity rates, hospital room visits, hospital discharge data, and so on. It comes from a very wide variety of sources gathered together to create a cumulative comparative index, zip code by zip code, of our county.
Jennifer Weitzel, MS, RN
By Tiffany J. Huang, MPH, Program Analyst, Assessment and Planning
NACCHO’s Roots of Health Inequity Web-based course offers a learning opportunity for public health practitioners, partners, and students to explore health inequities. How can local health departments use the course? We interviewed Jennifer Weitzel, MS, RN, a public health nurse at Public Health Madison & Dane County in Wisconsin, to hear about her health department’s experience.
How are you using the Roots of Health Inequity course in your health department?
Our health department hosts student interns from across disciplines and levels, from bachelor’s-level nursing students to doctoral students. Our largest cohorts are usually during the summer. While they are typically recruited to work on a particular project, we also engage them in additional activities that, until recently, I facilitated. For the past two summers, we’ve used the Roots course. Continue reading
By Tiffany Huang, MPH, Program Analyst, Assessment and Planning, NACCHO
“The commodification of people is the biggest issue we face in public health,” stated Kathryn Evans, MPA, a trained community organizer with United Community Services of Johnson County, during the closing general session at NACCHO Annual 2015. Evans spoke compellingly about the roles of power, class oppression, and racism as determinants of health inequities, and along with her fellow panelists, called for public health to act upon them.
Public health has long acknowledged that socioeconomic status is one of the strongest predictors of health outcomes across nearly all diseases and risk factors.1 However, socioeconomic status alone does not adequately capture the meaning of class. Continue reading