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Minority Outreach and Technical Assistance (MOTA)

Panel Session 4314.0

Improving the Health of Minorities: Empowering Community Based Minorities to

Partner with Local Health Departments

Presenters

Carlessia A. Hussein, RN, DR. P.H. and Arlee Wallace Gist, BAat

American Public Health Association

132ND Annual Meeting and Exposition

Washington, DC

November 9, 2004

4:30 PM to 6:00 PM

 

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Maryland Profile Maryland USA

Population, 2003, estimate 5,508,909 290,809,777 White persons, percent, 2000 64.0% 75.1% Black or African American persons, percent, 2000 27.9% 12.3% American Indian and Alaska Native persons, percent, 2000 0.3% 0.9% Asian persons, percent, 2000 4.0% 3.6% Native Hawaiian and Other Pacific Islander, percent, 2000 Z 0.1% Persons of Hispanic or Latino origin, percent, 2000 4.3% 12.5% White Persons, Not Hispanic/Latino percent, 2000 62.1% 69.1% High School Graduates, percent of persons 25+, 2000 83.8% 80.4% Language other than English spoken at home, pct age 5+, 2000 12.6% 17.9% Persons below poverty, percent, 1999 8.5% 12.4% Local Health Jurisdictions 24 2,918

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Maryland Minority Population By Political Subdivision July 2002

Region and Total Minority Percentage ofPolitical Subdivision Population Number Population

Maryland 5,458,137 2,090,404 38.3Northwest Area 447,452 45,508 10.2 Garrett 29,878 445 1.5 Allegany 74,203 5,209 7 Washington 134,246 14,394 10.7 Frederick 209,125 25,460 12.2Baltimore Metro Area 2,559,155 872,028 34.1 Baltimore City 638,614 442,051 69.2 Baltimore County 770,298 215,456 28 Anne Arundel 503,388 100,956 20.1 Carroll 159,025 8,121 5.1 Howard 260,117 73,534 28.3 Harford 227,713 31,910 14National Capital Area 1,743,240 1,018,634 58.4 Montgomery 910,156 375,356 41.2 Prince George's 833,084 643,278 77.2

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Population Estimates (continued)

Region and Total Minority Percentage ofPolitical Subdivision Population Number Population

Southern Area 299,990 75,162 25.1 Calvert 80,906 12,965 16 Charles 129,040 45,295 35.1 Saint Mary's 90,044 16,902 18.8

Eastern Shore Area 408,300 79,072 19.4 Cecil 90,335 6,256 6.9 Kent 19,613 3,875 19.8 Queen Anne's 42,835 4,473 10.4 Caroline 30,300 5,402 17.8 Talbot 34,263 6,087 17.8 Dorchester 30,451 9,267 30.4 Wicomico 86,318 23,953 27.7 Somerset 25,555 11,187 43.8 Worcester 48,630 8,572 17.6

* Includes all race/ethnicity categories except White Non-Hispanics alone.Source: Census Bureau. Available on the Internet at: http://www.census.gov

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BACKGROUND

The State of Maryland is a signatory party to the master settlement agreement reached in the multi-state litigation against the tobacco industry

The purpose of the litigation was to recover state Medicaid costs associated with the treatment of tobacco-related illnesses

Maryland was awarded $4.4 billion over 25 years beginning in 2000: the Governor and General Assembly established a 10-year vision to make substantial advances in public health, crop conversion and education

Maryland Legislators passed SB 896 and HB 1425, creating the Cigarette Restitution Fund Program (CRFP) with a commitment of $200 million each year to public health

The CRFP goals are to conquer cancer, end smoking and reduce the minority health disparities associated with Cancer and tobacco-use in Maryland

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Background (continued)

The Maryland 2000 Cancer Baseline Study found that Blacks experienced a higher overall incidence and mortality than WhitesThe Maryland 1999 Task Force To End Smoking found that African Americans metabolized nicotine at levels 12% to 50% higher than WhitesThe CRFP established the Minority Outreach & Technical Assistance Program (MOTA) to promote effective involvement of minorities throughout the StateThe Sustainable Minority Outreach & Technical Assistance Model (SMOTA) was developed as a training tool to guide MOTA activities in each countyThe MOTA program in each county worked in partnership with the local health departments, attended local cancer and tobacco coalition meetings, brought together other minority groups, reached out to faith-based groups, and helped empower local minority communities to act decisively and effectively

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SUSTAINABLE MINORITY OUTREACHAND TECHNICAL ASSISTANCE (SMOTA)

PHASE I – Engagement– Prepare to engage the community– Formulate and clarify MOTA goals– Seek to understand minority communities

PHASE II – Outreach– Establish relationships in each minority community

– Encourage and foster empowerment in communities

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SUSTAINABLE MINORITY OUTREACH

AND TECHNICAL ASSISTANCE (SMOTA) PHASE III –Technical Assistance– Facilitate partnership for social change– Recognize and respect diversity– Develop and enhance capacities– Place the community at center of change process– Encourage strategic planning in each community

PHASE IV – Sustainability– Facilitate and sustain resource development– Develop infrastructure to sustain minority groups– Institutionalize partnerships & foster networks

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MARYLAND MOTA NETWORK

MOTA awarded $4.5 million statewide from 2001 -- 200515 Counties with over 15% minorities received MOTA funds of $25,000 to $180,000 for fiscal year 2005The MOTA Grantees funded and partnered with 44 other minority groups to reach the total population in the state2000-2004 funded 233 community-based minority groups: Black, Hispanic, Asian, Native American, WomenMOTA groups include faith-based, foundations, community service agencies, fraternities, sororities, hospital-basedMOTA groups participate in regional and state training sessions focused on diversity and cultural competency

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MOTA PROGRAM ACTIVITIES

Attend Cancer and Tobacco Coalition meetings in each of 24 state jurisdictions (23 counties and Baltimore City)

Recruit minority individuals and groups to attend coalition meetings to advocate for their communities

Provide training to local minority groups to enhance infrastructure and foster empowerment

Link local health departments to “hard to reach” and isolated communities

Educate local elected officials regarding the impact of cancer and tobacco-use on their communities

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STATE EMPOWERMENT STRATEGIES

Fund community-based minority organizations

Link MOTA organizations together into a network

Require MOTA groups to obtain local health department support

Require local health departments to work with local MOTA

Encourage local health departments to establish disparities reduction goals for tobacco and cancer programs

Encourage the exchange of work plans and partnering on community education, screening and outreach

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MOTA RESULTS

Funded 233 Community-based Minority Organizations

Leveraged over $1.1 million for minority groups

Recruited over 3559 additional minorities to advocate for cancer and tobacco-related health needs

28,000 persons reached through state and local events plus an urban radio audience of about 5,000 in Baltimore

Helped decrease cancer mortality disparity by 55% between Whites and minorities by 2004

Strengthened the statewide minority health network

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CONTACT INFORMATIONCarlessia A. Hussein, R.N., DR. P.H.Director, Maryland Cigarette Restitution Fund ProgramMaryland Department of Health and Mental Hygiene201 West Preston Street, Room 500Baltimore, Maryland 21201Telephone: 410-767-7117 Email Address: husseinC@dhmh.state.md.us

Arlee W. Gist, B.A.Deputy Director, Maryland Cigarette Restitution Fund ProgramMaryland Department of Health and Mental Hygiene201 West Preston Street, Room 502Baltimore, Maryland 21201Telephone: 410-767-1052 Email Address: agist@dhmh.state.md.us

MOTA Website Address: www.crf.state.md.us/crfp/html/mota.cfm