Another essential element of partnership cooperation is power-sharing. This requires patients and professionals to work together to select tests, treatments, and support packages based on patient preferences. Clinicians` research experience and evidence (Saw 2016). If the nurse at Strafford Hospital had seen patients as equal partners, she could have worked with them to find the best way to meet patients` needs. Unfortunately, this did not happen because nurses were not willing to share power with their patients. Chicanos Por La Causa, Inc. (CPLC) is one of the largest Hispanic CDC in the United States (CPLC). For more than 40 years, cplc has focused on building stronger, healthier communities by providing the political and economic empowerment that helps individuals acquire the skills and develop the resources needed to become self-reliant. Funded by a grant from the Helios Education Foundation, a new program in Arizona aims to help 2,000 Hispanic parents develop literacy and advocacy skills related to education and health services. Through the Northern New Mexico Food Hub, Siete Del Norte, a subsidiary of CPLC, works with community partners to facilitate access to commercial markets for local farmers and make local products more readily available in rural New Mexico.
Health services are provided through several components of the CPLC. While the range of potential funders for efforts to promote community well-being and address the roots of health inequalities has expanded, the need continues to ensure adequate and sustainable funding, even in the face of constraints (. B for example, prolonged and acute, such as . B economic recession) is a reality. Partnerships must be creative and cannot view their work in silos. It is crucial to identify leverage points and related benefits. Funds from transport, infrastructure improvement, development, climate resilience and health must be shared to achieve a synergistic effect. The Strong, Prosperous and Resilient Communities Challenge (SPARCC) is an example that highlights this paradigm shift from silos to overlapping circles, from isolation to synergy. With an investment of $20 million and additional funding, six regions will serve as pilot sites to learn more about collaborative approaches at the regional level. Engaged partners include “leaders of for-profit, non-profit, philanthropic and government organizations working in various thematic areas such as transportation, community development, racial justice, climate resilience and health,” with the aim of promoting integrated outcomes and building capacity to bring about system change (SPARCC, nd).
Existing funding programs can be used with the principles of health and equity to allocate and prioritize funding. For example, California has a cap-and-trade program as one of many greenhouse gas reduction strategies, and a California legal requirement allocates a certain amount of funding to disadvantaged communities. This type of investment from a climate protection program has the direct benefit of promoting health equity. In the case of Strafford Hospital, the uniform model was in place. In this case, health and social services were brought together under a single directorate, the Mid Staffordshire NHS Foundation Trust. Unfortunately, this management has failed to ensure that this unified partnership model for better service delivery works properly. Policymakers and government officials can help spur innovation by linking health equity points, as in the case of geospatial data, which can highlight associations. For example, the city of Fresno, California, facilitates the creation of a health priority index in places with the highest burden of disease and serves as a starting point for thinking about policies, systems, and environmental changes.
This cross-sectoral network uses data as a talking point for shared priorities and decision-making, bringing together municipal employees, the Department of Health, community members, planners, and community organizations.9 The California Endowment`s Building Healthy Communities initiative is a remarkable example of an intersectoral philanthropic intervention to achieve health equity. This 10-year strategy of 14 communities improved health care for the underserved at age 5, as beneficiaries and partners fought and supported the successful implementation of the Patient Protection and Affordable Care Act (ACA) and the expansion of Medicaid in California. Health insurance was strengthened for undocumented residents, as fellows and partners successfully developed and led the #Health4All 1 campaign that paved the way for government-supported health insurance for undocumented children. There have been improvements in school climate, well-being and equity as fellows, partners and youth have led or supported efforts across the state to reform hard school discipline and suspension policies, and they continue to work to successfully implement school capital funding formulas. Fellows and Foundation partners campaigned for justice system reform focused on health and prevention; One of the main objectives of reinvestment in the justice system is to channel savings from reducing prison needs into prevention strategies. The fellows joined forces with other coalitions to support work to improve outcomes among young men of color, which led to improved public policy and civic attention to the issue, and led to the creation of a special committee on the status of boys and men of color in the state legislature. Finally, the Building Healthy Communities initiative has helped fellows in their efforts to implement more than 100 local policies and system changes, and ultimately promote a culture of health in local jurisdictions that emphasizes community resources such as more walkable neighborhoods, access to fresh food, parking spaces and access to drinking water. Reliable, predictable and flexible multi-year core support to health, environmental justice and racial justice organizations is needed to enable them to fulfill their missions, respond to new challenges and opportunities, and serve their communities.
With the tools available, philanthropy can play an important role in supporting community-based interventions to achieve health equity and should be seen as a key potential partner in this work. .