Building and Advancing Coalition Capacity to Promote Health Equity: Insights from the Health Equity Collective's Approach to Addressing Social Determinants of Health

John, Jemima C.; Kaleemullah, Tanweer; McPherson, Heidi; Mahata, Kallol; Morrow, Robert B.; Bujnowski, Deborah; Johnston, Alicia; Danho, Melisa P.; Siddiqui, Nadia; Walsh, Michael T.; Haley, Sean A.; Sirajuddin, Anwar M.; Schauer, Timothy; Wu, Mon-Ju; Rechis, Ruth; Galvan, Esperanza; Correa, Nancy; Browning, Nikki; Ganelin, Deborah M.; Gonzalez, Jennifer; Lofton, Staci; Banerjee, Deborah; Sharma, Shreela V.

doi:10.1089/heq.2021.0012

Cited by 4 publications

(2 citation statements)

References 12 publications

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“…Thus, transdisciplinary partnerships are timely to advance connections between disparate systems and to optimize care coordination efforts in targeted communities of need ( 19 – 21 ). In response to these complexities around food insecurity, the Health Equity Collective (HEC), a systems-level coalition in the Greater Houston area, was formed in 2018 to reduce food insecurity and other SDOH needs in our region via the development and implementation of a data-driven human-centered ecosystem of care coordination ( 22 ). The Health Equity Collective's membership consists of more than 180 multisectoral organizations from healthcare, social services, research, academic, and technology backgrounds.…”

Section: Introductionmentioning

confidence: 99%

“…The Health Equity Collective's membership consists of more than 180 multisectoral organizations from healthcare, social services, research, academic, and technology backgrounds. Reducing food insecurity by 5% in 2025 is one of HEC's priority goals, and to that end, operationalizes its operationalizes this work via its backbone team, steering committee, and eight workgroups, of which, includes the food security workgroup ( 22 ).…”

Section: Introductionmentioning

confidence: 99%

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A coalition-driven examination of organization capacity to address food insecurity in Greater Houston: a qualitative research study

John

Gonzalez

Chan

et al. 2023

Front. Public Health

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BackgroundEconomic and social hardships have worsened food insecurity, particularly among low income and racial-ethnic minority groups. Given the core goal of the 150+ member Houston Health Equity Collective (HEC) to reduce food insecurity by 5% in 2025, we explored member organizations' capacity and challenges faced in screening and responding to food insecurity through care coordination efforts.MethodsA twice-administered Qualtrics XM survey (Provo, Utah) with 76 organizations, followed by five focus groups with 22 of these organizations, explored reach and response efforts to food insecurity. Qualitative assessments lasted between 0.5 to 1.5 h, were audio-recorded, cleaned, coded, and thematically analyzed using NVivo, version 11 (Burlington, Massachusetts). The qualitative study was guided by a general inductive approach. In total, over 6 h of audiovisual recording were extracted, and over 100 pages of text exported to NVivo for data analysis. The research team read and coded transcripts independently using the codebook, and met routinely to discuss and resolve codes -resulting in numerous revisions to the codebook. Coding structure was discussed at multiple meetings and differences were addressed through consensus. Predominant qualitative themes impacting food insecurity screening were “stigma and cultural-related barriers”, “clinic capacity and attitudes”, “need to focus on upstream influences of food insecurity and SDOH needs”, “impact of COVID-19”, and “need for HEC system responses”. Main recommendations to enhance screening and reach included improving staff culture, enhancing cultural sensitivity across organizational practices, and using shared technology to coordinate care. Respondents stated that the HEC can drive these recommendations through networking opportunities, use of shared resource directory, and placing focus on upstream factors.ConclusionsRecommendations to target food insecurity must focus on organizational staff responsiveness and sensitivity to patients' needs. Of equal importance is the need for increased attention to the upstream influencers and integration of systems-level interventions to holistically target the barriers impacting food insecurity.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A coalition-driven examination of organization capacity to address food insecurity in Greater Houston: a qualitative research study

John

Gonzalez

Chan

et al. 2023

Front. Public Health

Self Cite

View full text Add to dashboard Cite

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Building Collective Power to Advance Maternal and Child Health Equity: Lessons from the New Orleans Maternal and Child Health Coalition

Johnson,

Vilda,

Allen

et al. 2024

Matern Child Health J

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Objectives The New Orleans Maternal Child Health Coalition convenes to support and amplify the work of New Orleans-based individuals and organizations working to reduce disparities and protect the health of birthing families in the New Orleans area. The objectives of this qualitative study were to identify successes, challenges, and areas of growth for the Coalition and develop broadly generalizable recommendations for similar groups seeking to mobilize and advance health equity in their own communities. Methods Using purposive sampling, we conducted semi-structured interviews with 12 key informants from within and outside of the Coalition. Interviews were transcribed verbatim, and data was analyzed using inductive and deductive coding approaches. Results We identified themes relating to the barriers and facilitators to the maintenance of the Coalition, as well as opportunities to advance the mission of the Coalition. Some themes included structural- and systemic-level barriers to achieving the mission, varying perspectives on the effectiveness of the Coalition, opportunities to enhance the operations of the Coalition’s work, and opportunities to involve other individuals, particularly those with lived experience, and non-MCH related sectors in Coalition’s work. Conclusions for Practice As the maternal health crisis continues, coalitions like the New Orleans MCH Coalition provide a vehicle to amplify the mission-driven work of people and organizations. Recommendations put forth by the Coalition can also be utilized by coalitions in other jurisdictions.

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Health equity: A concept analysis

Lewis,

Yan,

Williams

et al. 2023

Nursing Outlook

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Building and Advancing Coalition Capacity to Promote Health Equity: Insights from the Health Equity Collective's Approach to Addressing Social Determinants of Health

Cited by 4 publications

References 12 publications

A coalition-driven examination of organization capacity to address food insecurity in Greater Houston: a qualitative research study

A coalition-driven examination of organization capacity to address food insecurity in Greater Houston: a qualitative research study

Building Collective Power to Advance Maternal and Child Health Equity: Lessons from the New Orleans Maternal and Child Health Coalition

Health equity: A concept analysis

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