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Coalition for a Healthier Community: Lessons learned and implications for future work
Institution:1. University of Illinois College of Medicine at Rockford, 1601 Parkview Avenue, Rockford, IL 61107, United States;2. Urban Health Equity, Education and Research, Drexel University College of Medicine, 2900 Queen Lane, Philadelphia, PA 19129, United States;3. Women''s Health Education Program and National Center of Excellence in Women''s Health, Drexel University College of Medicine, 2900 Queen Lane, Philadelphia, PA 19129, United States;4. Office on Women''s Health, U.S. Department of Health and Human Services, 200 Independence Avenue, S.W., Room 728F.3, Washington, DC 20201, United States;1. Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, California;2. Biostatistics and Bioinformatics Research Center, Cedars-Sinai Medical Center, Los Angeles, California;1. Department of Surgery, Temple University Health Systems, 3401 N. Broad, Parkinson Pavilion, Suite C405, Philadelphia, PA 19140, USA;2. Department of General Surgery, Temple University Hospital, 3401 N. Broad, Parkinson Pavilion, Suite C405, Philadelphia, PA 19140, USA;3. Department of Surgery, Inspira Health Network, Vineland, NJ, USA;4. St. Louis School of Medicine, St Louis, MO, USA;5. Center for Asian Health, Lewis Katz School of Medicine at Temple University Hospital, 3401 N. Broad Street, Suite 501, Parkinson Pavilion, Philadelphia, PA 19140, USA;6. Department of Thoracic Medicine and Surgery, Temple University Health Systems, 3401 N. Broad Street, Suite 501, Parkinson Pavilion, Philadelphia, PA 19140, USA;1. Centre for Clinical Infection, James Cook University Hospital, Middlesbrough TS4 3BW, UK;2. Cardiff University School of Medicine, College of Biomedical and Life Sciences, Cardiff, UK;1. MCPHS University, Worcester, MA;2. Meyers Primary Care Institute, a joint endeavor of University of Massachusetts Medical School, Reliant Medical Group, and Fallon Health, Worcester, MA;3. University of Massachusetts Medical School, Worcester, MA;4. Reliant Medical Group, Worcester, MA;1. Department of Surgery, East Texas Medical Center, Tyler, TX, USA;2. Department of Surgery, Rutgers-RWJMS, New Brunswick, NJ, USA
Abstract:The Coalition for a Healthier Community (CHC) initiative was implemented to improve the health and well-being of women and girls. Underpinning CHC is a gender-based focus that uses a network of community partners working collaboratively to generate relevant behavior change and improved health outcomes. Ten programs are trying to determine whether gender-focused system approaches are cost-effective ways to address health disparities in women and girls. Programs implemented through coalitions made up of academic institutions, public health departments, community-based organizations, and local, regional, and national organizations, are addressing health issues such as domestic violence, cardiovascular disease prevention, physical activity, and healthy eating. Although these programs are ongoing, they have made significant progress. Key factors contributing to their early success include a comprehensive needs assessment, robust coalitions, the diversity of populations targeted, programs based on findings of the needs assessments, evaluations taking into consideration the effect of gender, and strong academic–community partnerships. A noteworthy impact of these programs has been their ability to shape and impact public, social, and health policies at the state and local levels. However, there have been challenges associated with the implementation of such a complex program. Lessons learned are discussed in this paper.
Keywords:CHC  Gender focus  Community needs assessment  Coalition building  Academic–community partnerships  Evaluation
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