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Follow the Money: Assessing Clinic Consortia Policy Advocacy Capacity
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| Presenter(s):
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| Annette Gardner,
University of California, San Francisco,
annette.gardner@ucsf.edu
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| Claire Brindis,
University of California, San Francisco,
claire.brindis@ucsf.edu
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| Astrid Hendricks,
The California Endowment,
ahendricks@calendow.org
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| Abstract:
Clinic financial stability or having the financial ability to meet the needs of underserved patient populations is a struggle in the face of budget constraints and an increasing number of uninsured. The 19 consortia grantees funded by The California Endowment successfully increased their financial and operational stability and that of their member clinics. From 2001-2005, grantees increased the amount of funding secured on behalf of clinics and consortia by a total of $505 million. Funding secured by grantees that was attributable to grant-funded policy advocacy and fund development activities increased from $74 million in 2001 to $152.2 million in 2005. Multiple strategies were used simultaneously to achieve clinic financial stability, including engaging in policy advocacy to maintain or increase funding, funding diversification, and developing relationships with private sector funders. This paper describes the changes in funding secured from 2001-2005, including the amount, type and allocation, as well as the strategies undertaken by clinic consortia to secure this funding.
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Community Mobilization: Framing the Strategy and Evaluating Results
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| Presenter(s):
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| Roberto Garcia,
Abundantia Consulting,
rng17@cvip.net
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| Paul Speer,
Vanderbilt University,
paul.speer@vanderbilt.edu
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| Zoe Clayson,
Abundantia Consulting,
zoeclay@abundantia.net
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| Abstract:
Community mobilization is a health promotion strategy that involves organizing community members to support and implement preventive health programs. Due to its reputation for being inexpensive, culturally sensitive, and building upon existing community infrastructure, community mobilization efforts are becoming increasingly common components of US and international health programs. While the theoretical underpinnings of community mobilization are well-documented, it remains broadly defined in practice and therefore difficult to evaluate.
This presentation will explore the various theoretical and practical definitions of community mobilization and identify practices that are critical to its efficacy. It will begin with a review of existing literature about community mobilization strategies in the US and abroad and highlight salient evaluation findings. An evidence-based definition that incorporates the highly political nature of community mobilization and advocacy work will be offered and tested through a case study involving the Agricultural Worker Health Initiative, which the authors are currently evaluating.
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Critical Components of Using a Systems Approach to Effect Environmental Asthma Policies and Reduce Health Disparities
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| Presenter(s):
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| Mary Kreger,
University of California, San Francisco,
mary.kreger@ucsf.edu
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| Claire Brindis,
University of California, San Francisco,
claire.brindis@ucsf.edu
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| Dana Hughes,
University of California, San Francisco,
dana.hughes@ucsf.edu
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| Diane Manuel,
The California Endowment,
dmanuel@calendow.org
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| Diana Lee,
National Community Development Institute,
dlee@ncdinet.com
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| Annalisa Robles,
The California Endowment,
arobles@calendow.org
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| Marion Standish,
The California Endowment,
mstandish@calendow.org
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| Lauren Sassoubre,
University of California, San Francisco,
lauren.sassoubre@ucsf.edu
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| Abstract:
Policy outcomes were categorized into: Indoor air quality in schools, Indoor air quality in homes, Outdoor air quality.
Systems change concepts and examples are discussed for community, regional, and statewide use to affect policy changes. These include: Designing synergistic systems aligning values, activities, and relationships, Developing collaborative planning and consensus building, Creating capacity using education, refining assumptions, and using data, Creating leaders, advocates, and champions, Employing communication strategies to enhance capacity and leadership development, Designing change efforts that are sensitive to community cultural and environmental factors, Instituting and reinforcing appropriate feedback loops, Assessing positive and negative unanticipated consequences, Addressing root causes of problems, Designing changes at appropriate systems levels, Addressing relevant interrelationships, Leveraging resources for sustainable funding, Shifting power among stakeholders.
Employing systems change concepts to evaluate this type of community-oriented environmental policy initiative provides valuable tools and feedback to the participants and the funder (The California Endowment).
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