Community Health Assets Mapping Partnership (CHAMP) Access to Care

HISPANIC COMMUNITY: East Winston, Oldtown, Waughtown in Winston Salem,

NC

Background of Mapping Process

• African Religious Health Assets Program– Developed a PIRHANA tool for identifying and

understanding the positive things in communities

– Community Health Assets Mapping Partnership or CHAMP was adapted from PIRHANA, developed and refined in Memphis and South Africa to aid in aligning and leveraging assets to improve healthcare outcomes

– CHAMP Access to Care is being used in North Carolina as part of our FaithHealthNC movement

Mapping Workshop Process

In this community, we held 4 workshops:

Health Provider Workshop (7-11-14): people and organizations providing religious, health, and social services in the community, broadly defined

Health-Seeker Workshops (7-12, 7-18, 7-19-14): Conducted in Spanish

community members who are primarily consumers of religious and health services

Study Area Background

Basic Stats (in 2010):

- Population: About 58,000 people- Median Age: 36 (national median-35.4)- Percent of Population :; African-American=57% ;

Caucasian= 30%; Latino=13%

East WinstonDetermined northern boundary is

Old Walkertown Road, the southern boundary is Winston Salem State University, and the western boundary is US-52 North

Study Area Background

WaughtownBoundaries for the Waughtown workshop were defined as U.S. 52 as the western boundary, Business Interstate 40 as the northern boundary, Interstate 40 as the southern boundary, andthe Waughtown Street/Kernersville Road junction as the east.

Old TownDetermined boundaries includeU.S. 52 as the eastern boundary,Wake Forest University Campus asthe southern boundary, and Shattalon Drive as the northern boundary. Old Town occupies the northern half of zip code 27106.

Study Area Background: Winston Salem as a

WholeBasic Stats (in 2010):- Population: About 229,617 people- Median Age: 34.6 years (national median-35.4)- 53% Female, 47% Male- Median Household Income: $40,869- Percent of Population : Caucasian= 51.2%; African-American=34.7% ;

Hispanic=14.7%; [Of Hispanic Population, 69.4% Mexican, 11.1% Central American, 5.8% Puerto Rican]

Provider Participants

18 People Participated (10 females, 8 males) Facilitators: Rev. Francis Rivers Mesa and Rev. Maria Jones

Seeker Participants

24 People Total (20 Females, 4 Males) participatedFacilitators: Rev. Francis Rivers Mesa and Rev. Maria Jones

Facilitators: Rev. Francis Rivers Mesa and Rev. Maria

Jones

ExercisesHealth Seeker Workshop

(Mostly Informal Discussion)

1 Community Mapping: Participants draw maps of the assets in their community

2 Health Index: Participants identify the most important factors contributing and working against health in the community

3 Ranking of facilities: Participants rank community organization on how well they support factors contributing to health

4 Religion and Health Index: Participants identify ways religion and religious organizations contribute to health

5 Religion and Health Ranking: Participants rank religious organization on how their activities related to health and religion

6 Good Practice: Participants list outstanding community organizations and describe their characteristics

7 Local Action: Participants discuss where we go from here

Health Provider Workshop

1 Community Mapping: Participants populate a timeline of key social, political, religious and health events or create a map of the “footprint” of their organizations

2 Health Services Matrix: Participants identify the ways that local entities contribute to health

3 Social Networking Spidergram: Participants describe the connections and relationships between community entities

4 Religion and Health Index: Participants identify ways the religion and religious organizations contribute to health

5 Good Practice: Participants list outstanding community organizations and describe their characteristics

6 Collaborative Contribution Grid: Participants identify existing and potential collaborative partnerships and shared resources.

7 Local Action: Participants discuss where we go from here

Community Mapping

What you put on the maps: 21 Entities

What we learned from your maps

• Participants highly value most safety net clinics, but barriers still exist to care

• Transportation and documentation for driving and pharmaceuticals are key

• Trusted church leaders and the “sanctuary” of church are huge assets

• Parks, after school programs, tutoring, etc. within walking distance of homes are hugely supportive of family culture

• Gas stations are highly valued

Factors that work against health/well-being in your community with regard to

Access

• Lack of Transportation

• Lack of Education and Information

• Racism

• Fear of Fines

• Lack of Compassionate Care

• Poverty

How do community organizations contribute to

health?

In the seeker workshop, we ranked different types of organizations and factors

Group 3

  Food Sources

Medicine/Prescriptio

nServices

Social Services/Yout

h Services

Day Care Services

Public HealthMental/Physical

Public Transportation

Churches

Proximity to Care

4 3 4 4 4 4 5

Transportation 5 4 4 4 4 N/A 5

Compassionate Care

2 4 3 4 3 3 5

Information/Knowledge/Education

1 4 2 4 4 3 5

Adequate Funds

3 2 1 2 2 2 5

Jobs 2 2 2 2 2 4 5Good Health

Care CoverageN/A 3 4 3 1 N/A 5

What does your organization believe to be the most important

factors contributing to health with regard to those who need better

access to care?Provider Workshop:

•Affordability, Location of Care•Documentation Status•Trust/compassion/respect and cultural sensitivity•Education•Transportation •Cost

How Religion Contributes to Health/Well-being

• Pastors are often the only trusted person with whom participants feel “safe” sharing their needs, concerns and issues (e.g., Pastors Rosa and Daniel)

• Offer hope, trust and nurturance

• Good way to share and disseminate information to help the Latino Community

Providers’ Health Services Matrix

• 6 Prevention and Education Services• 4 Advocacy Services• 4 Nutritional Support• Missing were for-profit and

governmental organizations, care for manual laborers and culturally competent mental health counselors, especially for Hispanic youth

Collaborative Contribution Grid for Providers: What

Can you Give and GetAnthony's Plot Community

Name of Other Organization

Existing Partnership

Potential Partnershi

p

Contributions you are or could

potentially make

Contributions you receive or would like to receive from this

organization

WFU Campus Kitchen

X  

-education/internship opportunities for students

-food

Churches in Winston-Salem

X    

-volunteers & meals for overflow shelter-volunteers & donations for our other ministries

Shepherd's Center

X    -faith community nursing course & support program

Forsyth Tech International

Center  X

-Assisting with DACA filing

-Learning how to help with DACA filing

WFBMC/Novant/

health clinics  X  

-health professional volunteers for our events with homeless & other under-served populations

Organizations of which you are most proud:

Seeker Workshop Responses: Provider Workshop Responses:

El Buen Pastor Presbyterian Church Anthony’s Plot

Community Care ClinicEl Buen Pastor Presbyterian Church

Southside United Healthcaer Clinic Green St. UMC ClinicBrnner Fit

Novant Health/Forsyth Pediatrics

Grocery Stores Imprints

Gas Stations Que Pasa MediaTraditional Healers and Medications Young Life

Old Town Elementary School Morningstar Baptist Church

Parks Forsyth County Food Consortium

Mexican BusinessesIglesia Cristiana Sin Fronteras

Afterschool tutoring Human Relations Dept. of City of WS

Services for youth The Budd Group

Biggest Winners Were…:

• El Buen Pastor and St. Benedict the Moor-Churches!• Community Care Clinic• Southside United Healthcare• Downtown Health Plaza (for pregnancy) • Imprints• Gas Stations • Grocery Stores

Next Steps: Seekers• Create more options for access to low cost service

(health, dental, pharmacy)• Better treatment for Hispanics in the medical system• Access to information on preventative care• A better and more frequent transportation system• The ability to obtain identification• Self-reliance

• Teach their community financial responsibility, with the hope that making this change will start to break the negative Hispanic stereotypes

• Create more after-school programs to keep children off the street while parents are at work

• Bi-lingual directions on medications

• More Pre-natal services

• Low cost mammograms

• Diabetes Clinics

• Culturally sensitive Providers who dialogue with patients and provide compassionate care, honor and respect

•

Next Steps: Providers• Learn more about the criteria for health services and

safety nets for those who are undocumented in order to distribute information through a central site (such as Anthony’s Plot)

• Become more coordinated as a group of Hispanic providers

• Share information learned at this mapping event at the Hispanic League’s monthly meeting

• Reach out to transit authorities in order to increase the number of routes on city bus system

• Connect with the Hispanic community through health fairs• Focus on continuity of care for those being served ( i.e.

follow up with patients who test positive for diabetes at health fairs, etc.)

• Generate real relationships with the providers in the room, through joint projects and grants

• Build trust, especially with those who are undocumented• Teach immigrant children about their heritage as a way to

foster cultural pride and reduce depression/mental illness rates among Hispanic youth

• Create more asset mapping events with different populations (refugees, food providers)

Questions

• Do you see any differences between the things that the health seekers mentioned and the things that the health providers mentioned?

• Do you see any other steps that we can take together? – Have you thought of any other steps in the

time since the workshop that would be important to add to this list?

– How can the next steps of the providers and seekers fit together?

Questions

Time has passed and if you went through this experience, what did

you get out of the workshops?

What did you learn during the process?

Questions

• How could FaithHealthNC, your church and other organizations, in partnership with the people who live, work and play in your neighborhood , help to align people and local assets to obtain the things they need to live healthy (abundant) lives?

• How would YOU be willing to help us move forward on the ideas we talked about today?

GRACIAS--for helping others gain ACCESS TO CARE!!!