The Neighborhood as a Unit of Change for Health: Early Findings from the East Harlem Neighborhood Health Action Center.
J Community Health
; 45(1): 161-169, 2020 02.
Article
in En
| MEDLINE
| ID: mdl-31451987
ABSTRACT
Place-based approaches have been promoted as one way to reduce health inequities by addressing community-level factors that shape health, such as housing quality, healthcare systems, the built environment, and social capital. In 2016-2017, the NYC Health Department's Center for Health Equity launched three Neighborhood Health Action Centers (Action Centers), which use a place-based approach to improve health in neighborhoods with disproportionate burdens of premature mortality. We describe this approach and the genesis of the Action Centers. We then describe the East Harlem Action Center, which was the first to open, and share findings from qualitative interviews with the East Harlem Action Center's Governance Council, a group comprised of Action Center staff and co-located partners and programs which supports Action Center coordination. Interviewees felt that collaboration, being responsive to community needs, and being community based were essential elements of the Action Center. Interviewees recognized the complex dynamic of a large city agency serving as the host for the Action Center while simultaneously aiming to establish more equitable relationships with partners. Governance Council members' expectations and hopes for the East Harlem Action Center were consistent with the overall vision and model for the Action Centers, which may facilitate implementation.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Community Health Centers
/
Health Equity
/
Health Promotion
Type of study:
Diagnostic_studies
/
Prognostic_studies
/
Qualitative_research
Aspects:
Equity_inequality
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
J Community Health
Year:
2020
Document type:
Article
Affiliation country:
Estados Unidos