Category Archives: health equity

Homelessness Among Individuals with Disabilities: Influential Factors and Scalable Solutions

By Erin Vinoski Thomas, MPH, CHES, Health and Disability Fellow, NACCHO; and Chloe Vercruysse, MBA

This post originally ran in NACCHO Essential Elements blog.

People experiencing homelessness lack sustainable access to housing and instead turn to emergency shelters, transitional housing, or places not meant for overnight residence. In the Unites States on a single night in January 2018, 552,830 people experienced homelessness; between 2.5 and 3.5 million people experience homelessness over the course of any given year. Housing is an important determinant of health, and those who experience homelessness are at greater risk for health challenges. Continue reading

Advancing Health Equity and Racial Justice: Emerging Lessons from Los Angeles County’s Community Prevention and Population Health Taskforce

By Manal J. Aboelata, MPH, Deputy Executive Director, Prevention Institute

Across the country, local jurisdictions are employing a variety of tactics to achieve health equity and racial justice. In 2016, as Los Angeles County prepared to integrate the departments of mental health, public health, and health services under a single health agency umbrella, the Board of Supervisors recognized the value in creating an advisory body that would tap into the knowledge and expertise of community-based organizations and LA County residents to elevate priorities, challenges, and opportunities to eliminate gaps in public health outcomes through a focus on the determinants of health and wellbeing. This profile details the early days of the Taskforce, including its efforts to embed community-based health equity perspectives into county decision-making and center racial justice within its focus on health equity. It also outlines the critical role of the local public health department in supporting the Taskforce. The aim of this profile is to provide those in and outside of LA with a snapshot of this nascent effort and emergent lessons for those interested in addressing health equity and racial justice by forging stronger ties between local government decision-makers and diverse organizational and community-based interests. Though it’s too early to claim “success”, this profile sheds light on some of the formative experiences of the Taskforce to inform those interested in testing similar approaches elsewhere and provide background for those seeking to contribute to the effort underway in LA County. Continue reading

Preventing HIV Perinatal Transmission and Congenital Syphilis in Broward County Florida

The following Model Practice was submitted by the Florida Department of Health in Broward County. To access this Model Practice and to view the full application, click here. NACCHO is currently accepting applications for the 2018–2019 Model Practices Program until December 12. Learn more and apply today.

Broward County, Florida has a population of approximately 1.9 million people and hosts an estimated 10 million visitors each year. It is a very diverse community with residents from 200 different countries and nearly 130 languages spoken throughout the county. Minorities account for nearly 59.5% of the population, making it a minority/majority county. Continue reading

Fostering Agency Through Local Public Health

By Grenadier, Andrea, BA; Holtgrave, Peter, MPH, MA; Aldridge, Chris, MSW, NACCHO

This article originally ran in the Journal of Public Health Management and Practice.

When public health departments support all aspects of the public’s well-being—beginning with striking at the roots of health inequity—it can create transformational change. Part of this process is encouraging people in communities to determine their own futures, to express agency; something that is rooted in action and power. So, how does local public health get there? Continue reading

NACCHO Annual 2018: Take a Glimpse into New Orleans Public Health

Interview by Taylarr Lopez, Communications Specialist, NACCHO

Torrie Harris, Dr.P.H., MPH is a Health & Equity Strategist at the New Orleans Health Department (NOHD). In the following post, she discusses her role within the department, shares how NOHD is addressing the public health burdens of maternal and infant issues and mental health, and highlights the fun things NACCHO Annual 2018 conference attendees can do during their visit to New Orleans. Continue reading

Local Public Health Spreads Importance of Good Oral Health during Children’s Dental Health Month

By Umair A. Shah, MD, MPH, NACCHO President and Executive Director of Harris County Public Health in Houston, Texas

The oral cavity, including the teeth and surrounding structures, are necessary for adequate nutrition, proper speech and a positive self-image.  Although tooth decay is largely preventable, it continues to be the most common chronic disease of early childhood.1  Dental health can impact school performance when a child has untreated tooth decay with resulting pain that affects their ability to concentrate, sleep at night or even attend school, “more than 51 million school hours are lost each year to dental related illness.”2 Taxpayers share approximately 11% of the $113.5 billion spent nationally on dental care expenditures, a percentage that has increased over the years as dental care utilization continues to increase among children.3  Children with cavities in their primary (baby) teeth are three times more likely to develop cavities in their permanent (adult) teeth which could contribute to broader health problems including diabetes and cardiovascular disease.4 Continue reading

Health Equity Matters: Bridging the Gap between Underserved Populations and Access to Care

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