the impact of health disparities why does it still have power today l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
The Impact of Health Disparities…. Why Does it Still Have Power Today? PowerPoint Presentation
Download Presentation
The Impact of Health Disparities…. Why Does it Still Have Power Today?

Loading in 2 Seconds...

play fullscreen
1 / 25

The Impact of Health Disparities…. Why Does it Still Have Power Today? - PowerPoint PPT Presentation


  • 120 Views
  • Uploaded on

Forsyth County Health Summit 2008 Winston-Salem, NC Tuesday, January 15, 2008. The Impact of Health Disparities…. Why Does it Still Have Power Today?. Ava Barbry-Crawford, Research Associate Barbara Pullen-Smith, Director Office of Minority Health and Health Disparities (OMHHD)

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'The Impact of Health Disparities…. Why Does it Still Have Power Today?' - jam


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
the impact of health disparities why does it still have power today

Forsyth County Health Summit 2008

Winston-Salem, NC

Tuesday, January 15, 2008

The Impact of Health Disparities….Why Does it Still Have Power Today?

Ava Barbry-Crawford, Research Associate

Barbara Pullen-Smith,Director

Office of Minority Health and Health Disparities (OMHHD)

North Carolina Department of Health and Human Services

diversity in health
Diversity in Health:

National Institutes of Health

Defines Disparities as…

“The difference in the incidence, prevalence, mortality, and burden of disease and other adverse health conditions that exists among specific population groups in the United States”*

*National Institutes of Health, Addressing Health disparities: The NIH program of Action. What are disparities.

Available at http:healthdisparities.nih.gov/whatare.html.

diversity in health3
Diversity in Health:

NC Office of Minority Health and Health Disparities Defines

Health Disparities as…

“Significant differences or inequalities in health that exist between whites and racial/ethnic minorities.”

Source: NC Office of Minority Health and Health Disparities

slide5

“Statistics are People With The Tears Washed Off”

Victor Sidel

~~~~~~~~~~~~~~~~~~~~~~~~~~

For Every Statistic There is a Face…

slide6

Racial and Ethnic Health

Disparities in North Carolina

REPORT CARD

2006

Office of Minority Health and Health Disparities

And

State Center for Health Statistics

North Carolina Department of Health and Human Services

health disparities report card disparity ratio and grades
Health Disparities Report CardDisparity Ratio and Grades

Guidelines Used to Assign Grades:

  • 0.0 - 0.5 = A
  • 0.6 - 1.0 = B
  • 1.1 - 1.9 = C
  • 2.0 - 2.9 = D
  • 3.0 or Greater = F

Source: NC Division Public Health Epidemiology Team; NC OMHHD Research Associate;

NC State Center for Health Statistics

health disparities report card 2006 update focus areas
Social and economic well-being

Maternal and Infant Health

Adult Health

Communicable Diseases

Violence and Injuries

Child and Adolescent

Health

Risk Behaviors and

Health Promotion

Health Disparities Report Card “2006 Update” Focus Areas
slide9

Any Rate Ratios that are >1.0 indicate that African Americans are more likely to die at a higher rate than Whites.

Ove

Grade F

Grade F

Grade D

Grade C

Grade D

Grade C

Data Source: SCHS/OMHHD Report Card

slide10

Although, improvement has occurred for some areas,

the death disparity gap consistently remains

negatively greater between American Indians & Whites in NC

Grade

F

Any Rate Ratios that are >1.0 indicate that American Indians are more likely to die at a higher rate than Whites.

Grade

F

Grade

D

Grade

D

Grade

D

Grade

C

Grade

C

Grade

C

Grade

C

Grade

C

Grade

C

Grade

C

Data Source: SCHS/OMHHD Report Card

slide11

The Disparity Grades have maintained over the 7 yrs, but the actual disparity gap is slowly increasing for each area. The gaps for Homicide & HIV/AIDS Deaths are greatest.

Grade

D

Grade

D

Grade

D

Any Rate Ratios that are >1.0 indicate that Hispanic/Latinos are more likely to die at a higher rate than Whites.

Grade

D

Grade

C

Grade

C

Grade

B

Grade

B

Data Source: SCHS/OMHHD Report Card

slide12

3 out of 4 racial/ethnic groups have children that live in poverty at least 2.6 times more often than the majority white population.

AA

Grade

F

H/L

Grade

F

AA

Grade

D

H/L

Grade

D

AI

Grade

D

AI

Grade

D

The % of N.C. African American and Hispanic/Latino families are living in poverty at a much higher rate than whites

A/PI

Grade

B

A/PI

Grade

B

% Children < 18yrs

Living Below Poverty

% of families Living

Below Poverty

slide13

“Of all the forms of inequality, injustice in health is the most shocking and the most inhumane”

Dr. Martin Luther King, Jr.

the impact of health disparities why does it still have power today14
The Impact of Health Disparities…Why does it still have power today?
  • Bridging the Gap….
  • Closing the Gap….
  • Health Disparities….
  • Health Inequality….
slide15

Contributing Factors to the Disparity in Health Status …

  • Lifestyle Behaviors
  • Socio-Cultural
  • System Influences
systems change is the key

Systems Change is The Key

Based on:

Integration

Investment

Accountability

nc office of minority health and health disparities call to action model state community level
NC Office of Minority Health and Health DisparitiesCall To Action ModelState & Community Level

Created & Owned by: NC Office of Minority Health and Health Disparities

Equip Staff/

Stakeholders

Source: NC Office of Minority Health and Health Disparities

slide18
OMHHD

Community Focused Eliminating Health Disparities Initiative

(CFEHDI)

$2million – 2005 General Assembly

Promoting Healthy Lifestyles:

Diabetes, HIV/AIDS, Infant Mortality

Homicide, Cancer, Motor Vehicle

FBOs, CBOs, Tribes, LHDs

Partnerships, Capacity Building

Reduce Access Barriers

Community Level Capacity Building

slide20

CBO

CBO

2006-2007:

N=59 Grantees

CBO

2005-2006:

N=61 Grantees

2007-2008

N=42 Grantees

LHD

LHD

LHD

FBO

FBO

FBO

TRIBE

TRIBE

TRIBE

A Barbry-Crawford, Research Associate/OMHHD

community level capacity building omhhd community focused eliminating health disparities initiative
Community Level Capacity BuildingOMHHDCommunity Focused Eliminating Health Disparities Initiative:

Community Health Ambassador Program Major

Components…

  • Curriculum = 20 Classroom Hours
  • Approved for 2.0 CEU s
  • Focus Areas = Diabetes, Cancer
  • Team Identifier= Vest
  • Partnerships = Success Dynamics,

ONSMS, NC Community Colleges,

UNC Greensboro (Nursing Program),

Community Leaders

nc dhhs eliminating health disparities call to action a state level comprehensive plan 2003
NC DHHS Eliminating Health Disparities Call To ActionA State Level Comprehensive Plan 2003

9 Key Recommendations

  • Increased Awareness
  • Document/Champion Best Practices
  • Community Capacity Building
  • Monitor Progress
  • Services that Meet the Needs
  • Increase Resources/Investments
  • Workforce Diversity
  • Policy Development
  • Accountability/Ownership for Health Outcomes
slide23

NC DHHS Call to Action State Level Capacity BuildingThe NC DHHS Eliminating Health Disparities Steering Committee of 14 Divisions/Offices

Focus = Access, Services, Health Disparities

Eliminating Health Disparities = Increasing Access To:

  • Prevention
  • Screening/Early Detection
  • Healthcare Services
slide24

“Knowing what to do is not enough, People need support to be healthy.”

Barbara Pullen-Smith,

Director NC OMHHD

~ Social Support Networks ~

slide25

On Behalf of the OMHHD Thank You for Being a Partner in the Fight to Eliminate Health Disparities!

Every One Matters.

Healthy Communities.

Office of Minority Health and Health DisparitiesNC Department of Health and Human Services

1110 Navaho Drive

1906 Mail Service Center

Raleigh, NC 27699-1906

(919) 431-1613

www.ncminorityhealth.org