TY - JOUR
T1 - From program to policy
T2 - Expanding the role of community coalitions
AU - Hill, Anne
AU - De Zapien, Jill Guernsey
AU - Staten, Lisa K.
AU - Jean McClelland, Deborah
AU - Garza, Rebecca
AU - Moore-Monroy, Martha
AU - Elenes, Jo Jean
AU - Steinfelt, Victoria
AU - Tittelbaugh, Ila
AU - Whitmer, Evelyn
AU - Meister, Joel S.
N1 - Funding Information:
This publication was supported by Cooperative Agreement No. U48-CCU915770 from CDC, Prevention Research Centers Program, and by the NIH, National Center on Minority Health and Health Disparities Grant No. P60MD000155-03 (Project EXPORT Center). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC or the NIH. Other funding for these coalitions was provided by Division of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, CDC, and Migrant Health Promotion, Inc, REACH 2010 Promotora Community Coalition.
PY - 2007
Y1 - 2007
N2 - Background: Diabetes mortality at the United States-Mexico border is twice the national average. Type 2 diabetes mellitus is increasingly diagnosed among children and adolescents. Fragmented services and scarce resources further restrict access to health care. Increased awareness of the incidence of disease and poor health outcomes became a catalyst for creating community-based coalitions and partnerships with the University of Arizona that focused on diabetes. Context: Five partnerships between the communities and the University of Arizona were formed to address these health issues. They began with health promotion as their goal and were challenged to add policy and environmental change to their objectives. Understanding the meaning of policy in the community context is the first step in the transition from program to policy. Policy participation brings different groups together, strengthening ties and building trust among community members and community organizations. Methods: Data on progress and outcomes were collected from multiple sources. We used the Centers for Disease Control and Prevention's Racial and Ethnic Approaches to Community Health (REACH) 2010 Community Change Model as the capacity-building and analytic framework for supporting and documenting the transition of coalitions from program to policy. Consequences: Over 5 years, the coalitions made the transition, in varying degrees, from a programmatic focus to a policy planning and advocacy focus. The coalitions raised community awareness, built community capacity, encouraged a process of "change in change agents," and advocated for community environmental and policy shifts to improve health behaviors. Interpretation: The five coalitions made environmental and policy impacts by engaging in policy advocacy. These outcomes indicate the successful, if not consistently sustained, transition from program to policy. Whether and how these "changes in change agents" are transferable to the larger community over the long term remains to be seen.
AB - Background: Diabetes mortality at the United States-Mexico border is twice the national average. Type 2 diabetes mellitus is increasingly diagnosed among children and adolescents. Fragmented services and scarce resources further restrict access to health care. Increased awareness of the incidence of disease and poor health outcomes became a catalyst for creating community-based coalitions and partnerships with the University of Arizona that focused on diabetes. Context: Five partnerships between the communities and the University of Arizona were formed to address these health issues. They began with health promotion as their goal and were challenged to add policy and environmental change to their objectives. Understanding the meaning of policy in the community context is the first step in the transition from program to policy. Policy participation brings different groups together, strengthening ties and building trust among community members and community organizations. Methods: Data on progress and outcomes were collected from multiple sources. We used the Centers for Disease Control and Prevention's Racial and Ethnic Approaches to Community Health (REACH) 2010 Community Change Model as the capacity-building and analytic framework for supporting and documenting the transition of coalitions from program to policy. Consequences: Over 5 years, the coalitions made the transition, in varying degrees, from a programmatic focus to a policy planning and advocacy focus. The coalitions raised community awareness, built community capacity, encouraged a process of "change in change agents," and advocated for community environmental and policy shifts to improve health behaviors. Interpretation: The five coalitions made environmental and policy impacts by engaging in policy advocacy. These outcomes indicate the successful, if not consistently sustained, transition from program to policy. Whether and how these "changes in change agents" are transferable to the larger community over the long term remains to be seen.
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M3 - Article
C2 - 17875247
AN - SCOPUS:84978389154
SN - 1545-1151
VL - 4
JO - Preventing Chronic Disease
JF - Preventing Chronic Disease
IS - 4
ER -