From program to policy: Expanding the role of community coalitions

Anne Hill, Jill G De Zapien, Lisa K. Staten, Deborah Jean McClelland, Rebecca Garza, Martha J Moore-Monroy, Jo Jean Elenes, Victoria Steinfelt, Ila Tittelbaugh, Evelyn B Whitmer, Joel S. Meister

Research output: Contribution to journalArticle

Abstract

Background: Diabetes mortality at the United States-Mexico border is twice the national average. Type 2 diabetes mellitus is increasingly diagnosed among children and adolescents. Fragmented services and scarce resources further restrict access to health care. Increased awareness of the incidence of disease and poor health outcomes became a catalyst for creating community-based coalitions and partnerships with the University of Arizona that focused on diabetes. Context: Five partnerships between the communities and the University of Arizona were formed to address these health issues. They began with health promotion as their goal and were challenged to add policy and environmental change to their objectives. Understanding the meaning of policy in the community context is the first step in the transition from program to policy. Policy participation brings different groups together, strengthening ties and building trust among community members and community organizations. Methods: Data on progress and outcomes were collected from multiple sources. We used the Centers for Disease Control and Prevention's Racial and Ethnic Approaches to Community Health (REACH) 2010 Community Change Model as the capacity-building and analytic framework for supporting and documenting the transition of coalitions from program to policy. Consequences: Over 5 years, the coalitions made the transition, in varying degrees, from a programmatic focus to a policy planning and advocacy focus. The coalitions raised community awareness, built community capacity, encouraged a process of "change in change agents," and advocated for community environmental and policy shifts to improve health behaviors. Interpretation: The five coalitions made environmental and policy impacts by engaging in policy advocacy. These outcomes indicate the successful, if not consistently sustained, transition from program to policy. Whether and how these "changes in change agents" are transferable to the larger community over the long term remains to be seen.

Original languageEnglish (US)
JournalPreventing chronic disease
Volume5
Issue number1
StatePublished - 2008

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Environmental Policy
Health
Capacity Building
Health Services Accessibility
Health Behavior
Centers for Disease Control and Prevention (U.S.)
Mexico
Health Promotion
Type 2 Diabetes Mellitus
Organizations
Mortality
Incidence

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

Hill, A., De Zapien, J. G., Staten, L. K., Jean McClelland, D., Garza, R., Moore-Monroy, M. J., ... Meister, J. S. (2008). From program to policy: Expanding the role of community coalitions. Preventing chronic disease, 5(1).

From program to policy : Expanding the role of community coalitions. / Hill, Anne; De Zapien, Jill G; Staten, Lisa K.; Jean McClelland, Deborah; Garza, Rebecca; Moore-Monroy, Martha J; Elenes, Jo Jean; Steinfelt, Victoria; Tittelbaugh, Ila; Whitmer, Evelyn B; Meister, Joel S.

In: Preventing chronic disease, Vol. 5, No. 1, 2008.

Research output: Contribution to journalArticle

Hill, A, De Zapien, JG, Staten, LK, Jean McClelland, D, Garza, R, Moore-Monroy, MJ, Elenes, JJ, Steinfelt, V, Tittelbaugh, I, Whitmer, EB & Meister, JS 2008, 'From program to policy: Expanding the role of community coalitions', Preventing chronic disease, vol. 5, no. 1.
Hill, Anne ; De Zapien, Jill G ; Staten, Lisa K. ; Jean McClelland, Deborah ; Garza, Rebecca ; Moore-Monroy, Martha J ; Elenes, Jo Jean ; Steinfelt, Victoria ; Tittelbaugh, Ila ; Whitmer, Evelyn B ; Meister, Joel S. / From program to policy : Expanding the role of community coalitions. In: Preventing chronic disease. 2008 ; Vol. 5, No. 1.
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