Performance Improvement 1999. Minority Health


TITLE: Assessment of Culturally and Linguistically Appropriate Community Health Promotion Programs in Local Health Departments.

ABSTRACT: The purpose of this project was to conduct a study of services provided by local health departments (LHDs) to address the health needs of racial and ethnic minority populations within their jurisdictions. Special attention was paid to the provision of culturally and linguistically appropriate community health promotion programs by those LHDs serving racially/ethnically diverse communities as a means of obtaining baseline data needed as a proxy measure for Healthy People 2000 objective 8.11 (i.e., increase to at least 50 percent the proportion of counties that have established culturally and linguistically appropriate community health promotion programs for racial and ethnic minority populations). The project was supported by OMH funds under a cooperative agreement between CDC's Public Health Practice Program Office with the National Association of County and City Health Officials (NACCHO). A set of questions were formulated through key informant interviews, and included in NACCHO's detailed stratified sample surveys of LHDs to determine the nature and extent of the interventions under study provided by a random sample of LHDs with at least 10% racial or ethnic minority populations. The study found that most LHDs provide some sort of culturally sensitive and linguistically appropriate intervention in the areas of health promotion and preventive services. However, these culturally and linguistically appropriate interventions do not necessarily constitute formal, structured "community health promotion programs" and, in any event, fall far below the 50 percent target set in the Healthy People objective.

AGENCY SPONSOR: Office of Minority Health

FEDERAL CONTACT: Guadalupe Pacheco

PHONE NUMBER: 301-443-5084

PIC ID: xxxx

PERFORMER ORGANIZATION: National Association of County and City Health Officials Washington, DC

TITLE: An Assessment of Effective Strategies and Models that Promote Positive Messages Towards Girls in Region IX

ABSTRACT: In 1996, Secretary Shalala launched Girl Power! at the Annual Meeting of the American Public Health Association. Girl Power is a national public education campaign sponsored by the Department of Health and Human Services (DHHS) to help encourage and empower girls between the ages of 9-14 to make the most of their lives. This assessment determines the kinds of programs in four States (Arizona, California, Hawaii and Nevada) that promote positive self-images in girls ages 9-14, in order to determine how Region IX will participate in the Girl Power! initiative. Organized into categories, the resulting resource directory is organized under the following headings: Career and Life Planning, Culture and Heritage, Health and Sexuality, Leadership and Community Action, Self-Reliance and Life Skills, and Sports and Recreation. The directory includes a table which displays the number of entries in each category. This report recommends that: (1) a revised directory be undertaken to update the current document and expand it's scope to include the other Region IX components; (2) additional categories will prove necessary given the cultural diversity of the region; (3) develop a Girl Power! initiative Region IX that will focus sharing effective models that deliver positive messages to girls; (4) given the findings in States by categories, California programs could be utilized as a model to effectively serve other jurisdictions with sensitivity to cultural issues; and (5) the directory should be widely distributed by the Office on Women's Health to organizations and programs that have a direct impact on girls and their activities, as well as to regional and State directors of girl-oriented programs. (Final report unpaginated.)

AGENCY SPONSOR: Office of Public Health and Science, Region IX


PHONE NUMBER: 415-437-8119

PIC ID: 6689

PERFORMER ORGANIZATION: GJD Associates, Austell GA 30106

TITLE: Comparative Analysis of U.S. and U.K. Strategies and Approaches for Addressing Racial/Ethnic Minority Health Concerns: Selected Papers

ABSTRACT: The purpose of this project was to conduct a comparative analysis of U.S. and U.K. efforts aimed at addressing the health concerns of racial and ethnic minorities in the U.S. and the U.K., and to identify and share best practices, model approaches and lessons learned. Expert consultants developed issue papers and conducted comparative analyses on six theme/issue areas, which served as the organizational basis for an international conference between the U.S. and U.K., held in London, England in September, 1997. The theme/issue areas were: (1) provider/purchaser Issues, (2) assuring quality of care, (3) developing primary care, (4) data surveillance, (5) research and development, and (6) informal care and empowerment of minority communities. Some notable crosscutting findings and observations included, but were not limited to: (1) having universal health care coverage and ensuring financing are not enough to adequately and accurately address the health care needs of racial and ethnic minority populations; (2) policies must actively and substantively seek, develop and include input from non-governmental entities, especially from the communities and grass roots sectors, if ownership and responsibility for implementation of these policies are to extend beyond the government and be meaningful to the populations such policies are designed to serve; (3) health systems largely designed to serve homogenous white populations need to be modified to provide culturally and linguistically appropriate health care; (4) staff training and development at all levels must be informed by the particular requirements of racial and ethnic minority communities in their service jurisdictions; (5) changes in the curricula of medical and health professions schools are required to promote cultural competency in health care; and (6) a strong research agenda needs to be developed and implemented regarding how to maintain and promote behaviors that are conducive to good health.

AGENCY SPONSOR: Office of Minority Health

FEDERAL CONTACT: Gerrie Maccannon

PHONE NUMBER: 301-443-5084

PIC ID: 6676

PERFORMER ORGANIZATION: Office of Minority Health, Rockville, MD

TITLE: Study of the Implementation of the OMH Bilingual/Bicultural Service Demonstration Grant Program, FY 1993-1995

ABSTRACT: This evaluation was a two-stage review of the effectiveness and efficacy of the OMH's bilingual/bicultural service demonstration grant program, a community-focused grants program aimed at increasing access to services for limited English-proficiency (LEP) populations (LEP). The evaluation examined FY 1993 and 1994 one-year project grants and three-year grants made in FY 1995. In stage one, a mail survey was sent to a selected sample of 32 FY 1993 and 1994 grantees, accompanied by telephone contacts to ensure clarification and completion of the survey. In stage two, nine site visits were conducted, resulting in case studies of FY 1995 grantees. Projects were diverse and representative of racial/ethnic and language groups. Forty-three languages were spoken by the recipients of services provided under these grants. Eight evaluation questions were addressed, including: (1) Did the program build capacity? (2) Did it increase health professionals' skills to address cultural and linguistic barriers? (3) Did the program increase knowledge of health care systems and access to care for LEP minorities? The study found that these community projects achieved notable impacts. For example, capacity building was shown in that more than one-half of the projects were continued beyond OMH funding. Organizational policies requiring staff training and integration of cultural competency were adopted in many cases, and many projects demonstrated success in moving LEP individuals into health care through provision of enabling services such as interpreter and case management services. More than 5,000 health providers participated in training, which documented changes in attitudes and knowledge about specific cultural circumstances (e.g., refugee experiences). Increased awareness of prevention and knowledge of the health care system were identified as the strongest areas of impact. Barriers to project implementation and successful strategies to address these problems are also presented.

AGENCY SPONSOR: Office of Minority Health


PHONE NUMBER: 301-443-9923

PIC ID: 6247

PERFORMER ORGANIZATION: Development Services Group, Inc. Bethesda MD