Promoting Health Equity - A Resource to Help Communities Address ...

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14 1CASE STUDY Who we are: A black men’s clinic at Woodlawn Health Center, Chicago, Illinois. Project Brotherhood What we want to achieve: Project Brotherhood seeks to: 1) create a safe, respectful, male-friendly place where a wide range of health and social issues confronting black men can be addressed; and 2) expand the range of health services for black men beyond those provided through the traditional medical model. What we are doing: Project Brotherhood was formed by a black physician from Woodlawn Health Center and a nurse-epidemiologist from the Trauma Department at Cook County Hospital who were interested in better addressing the health needs of black men. Partnering with a black social science researcher, they conducted focus groups with black men to learn about their experiences with the health care system, and met with other black staff at the clinic. As a result of this research, Project Brotherhood uses the following strategic approaches: > Offers free health care, makes appointments optional, and provides evening clinic hours to make health care more accessible to black men. > Offers health seminars and courses specifcally for black men. > Employs a barber who gives 30–35 free haircuts per week and who received health education training to be a health advocate for black men who cannot be reached by clinic staff. > Provides fatherhood classes to help black men become more effectively involved in the lives of their children. > Discourages violence among the next generation of black men by producing “County Kids,” a comic book that teaches children how to deal with confict without resorting to violence. > Builds a culturally competent workforce able to create a safe, respectful, male-friendly environment and to overcome mistrust in black communities toward the traditional health care system. > Organizes physician participation in support group discussions to promote understanding between providers and patients.
How we will know we are making a difference: In January 1999, Project Brotherhood averaged 4 medical visits and 8 group participants per week. By September 2005, the average grew to 27 medical visits and 35 group participants per week, plus 14 haircuts per clinic session. The no-show rate for Project Brotherhood medical visits averages 30% per clinic session compared to a no-show rate of 41% at the main health clinic. To meet the growing needs, additional staff time has been secured and Project Brotherhood clinic hours have been extended. As of 2007, Project Brotherhood has provided service to over 13,000 people since opening. Summing up: By providing a health services environment designed specifcally for black men where they are respected, heard, and empowered, Project Brotherhood is helping to reduce the health disparities experienced by black men. How to reach us: Mildred Williamson Project Brotherhood (773) 753-5545 ProjectBrotherhood@hotmail.com http://www.projectbrotherhood.net What we are learning: When our patients learn that the health care providers at Project Brotherhood share an interest in many issues that affect them, they gain a sense of social support that becomes a powerful dynamic. Knowing that they will see physicians of their own race and gender increases the level of trust they have in their physician. Originally met with skepticism, most Project Brotherhood activities are now being successfully implemented. This is an excellent environment for more seasoned black male professionals to mentor younger black professionals as well as black high school and college students. 15
Page 1 and 2: Promoting Health Equity A Resource
Page 3 and 4: Promoting Health Equity A Resource
Page 5 and 6: Table of Contents Introduction p.4
Page 7 and 8: Participants October 28-29, 2003 So
Page 9 and 10: Infant mortality Table 1.1: Example
Page 11 and 12: Access to resources Income Housing
Page 13 and 14: Learning from doing Chapter 2 of th
Page 18 and 19: 16 CASE Poder es Salud 2STUDY (Powe
Page 20 and 21: 18 CASE 3STUDY Project BRAVE: Build
Page 22 and 23: 20 C ASE 4S TUD Y Healthy Eating an
Page 24 and 25: 22 5CASE STUDY Taking Action: The B
Page 26 and 27: 24 6CASE STUDY The Community Action
Page 28 and 29: 7CASE STUDY 26 New Deal for Communi
Page 30 and 31: 28 8CASE STUDY From Neurons to King
Page 32 and 33: 30 9CASE STUDY The Delta Health Cen
Page 34 and 35: 32 Developing a Social Determinants
Page 36 and 37: SECTION 1 34 Creating Your Partners
Page 38 and 39: 36 PERSPECTIVES — Community Yvonn
Page 40 and 41: 38 MOVING FORWARD Sample Partnershi
Page 42 and 43: 40 Building partnership capacity Re
Page 44 and 45: SECTION 2 42 Focusing Your Partners
Page 46 and 47: 44 2. Talk to other community partn
Page 48 and 49: 46 > Qualitative interviews or focu
Page 50 and 51: 48 Photovoice Community audits Heal
Page 52 and 53: 50 7. With information gathered and
Page 54 and 55: 52 ExAMPLE FROM THE FIELD Creating
Page 56 and 57: SECTION 3 54 Assessing community ca
Page 58 and 59: 56 ExAMPLE FROM THE FIELD Mapping C
Page 60 and 61: SECTION 4 58 Once your partnership
Page 62 and 63: 60 ExAMPLE FROM THE FIELD Selecting
Page 64 and 65: 62 MOVING FORWARD Community Develop
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64 Social action What is social act
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66 When working to incorporate chan
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68 Be sure to frame your message in
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70 Policy and environmental change
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72 MOVING FORWARD Ways to Support P
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74 ExAMPLE FROM THE FIELD Selecting
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Before writing your action plan, yo
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Continually monitor your group’s
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SECTION 6 82 It is important to inc
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84 MOVING FORWARD Evaluating Your P
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86 It is important to note that mos
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SECTION 7 88 Eliminating inequities
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90 Closing Thoughts Since the Socia
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92 Suggested Readings and Resources
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94 Miringhoff M, Miringhoff, ML. Th
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96 James SA. Confronting the moral
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98 Partnerships Alter C, Hage J. Or
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100 Wolff T, Kaye G. From the Groun
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102 Kingsley GT. Building and Opera
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104 Stokols D. Translating social e
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106 References 1. Institute of Medi
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108 34. Hertzman C, Power C, Matthe
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110 71. Granner ML, Sharpe PA. Eval
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