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Why Louisiana Doesn’t Certify Community Health Workers

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Colleen Arceneaux and Jantz Malbrue from the Louisiana Department of Health to discuss why forgoing community health worker certification was the right course of action for their state.

ASTHO Reports from Palau Equity Summit

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In February 2023, ASTHO staff traveled to Koror, Palau for a four-day health equity summit and held workshops to identify, select, and prioritize measures for Palau’s health equity work.

How Can Health Agencies Support HAI/AR Program Alignment and Structure Reassessment?

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The Louisiana Department of Health HAI/AR program highlights the current landscape of HAI/AR programs, the benefits of having leadership dedicated to the HAI/AR program mission and priorities, and the need for alignment of HAI/AR program communications and structure with state and territorial health agencies.

Exploring the Effect of Public Health Crises on Health Equity Leadership

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Exploring the Effect of Public Health Crises on Health Equity Leadership ASTHO, association of state and territorial health officials, public health, social determinants of health, centers for disease control, public health crisis, health disparities, health crises, health leaders, health departments, public health professionals, health leadership, achieve health equity, advancing health equity, health equity, public health crises, public health leadership, covid 19, covid-19 pandemic, public health leaders, health equity leader ASTHO Staff ASTHO | DELPH scholars reflect on the impact of the COVID-19 pandemic on public health leadership. Health equity is at the center of the Diverse Executives Leading in Public Health (DELPH) program. ASTHO, in partnership with the Morehouse School of Medicine’s Satcher Health Leadership Institute, challenges DELPH scholars to reflect on what it takes to bring this equity work to their own health departments. Given the unique circumstances presented over the past few years by the COVID-19 pandemic, ASTHO reached out to a few of our DELPH scholars to discuss what type of leader this moment in public health requires and their experience in health equity leadership during the pandemic. In this blog post, DELPH scholars Ryan Natividad, Sounivone Phanthavong, Krystle White, and Felicia Veasey contemplate whether the times produce the leader or the leader produces the times. This conversation continues a discussion held with the same scholars in a post about elevating community voices through health equity leadership. KRYSTLE WHITE: I recently found a quote from Joaquin de Castro, co-founder of MindReform, that stated, “Great leadership arises through the proper action at the proper time,” and I couldn’t agree more. When it comes to being a public health leader and, more importantly, a health equity leader, what is impacting our community the most shapes our efforts. In a picture-perfect world, certain health crisis interventions would not exist if it wasn’t for health leaders responding with innovative tools to combat the issue. Without the severe impact of the COVID-19 pandemic, the way we responded to certain underserved communities would not have been as robust and impactful. The pandemic, along with the layered issue of medical mistrust, forced us to be innovative in our approach when attempting to remedy social determinants of health for certain communities where the pandemic further exacerbated these engrained issues. We had to adjust or redevelop local policies and interventions during this time, as what had worked in the past no longer served those impacted. Effective leaders are tried and tested and can push past difficulties and power forward during some of the tensest times in our history. FELICIA VEASEY: Who I am as a leader now versus who I was before COVID-19 are different. Three years ago, I would have never thought that I could or would serve as the COVID-19 Operations Director for 11 counties while maintaining my role as the community systems director. However, seeing the need of the community, its correlation to chronic diseases, and those most impacted by COVID-19, fueled my desire to lead. I saw the need to lead, in part to speak up for those not around the table making decisions. The pandemic stretched me professionally and spiritually. The ever-changing COVID-19 environment birthed abilities and skills that I didn’t know I possessed. RYAN NATIVIDAD: “Extraordinary times call for extraordinary measures. We saw a need that needed to be filled, and we stepped in to help.” This Benet Wilson quote captures the ardent spirit of my current millennial generation. Among previous generations, millennials are considered the unluckiest generation after surviving various recessions (i.e., the dot-com bubble recession, the Great Recession, and the COVID-19 recession) and powering through the COVID-19 pandemic. Due to these circumstances, I feel that millennials are the “Resilient Generation.” Whatever we endure, we keep our heads high and work towards the future we want. SOUNIVONE PHANTHAVONG: Leaders must be responsive to the environment and conditions in which they are operating. Promoting health equity requires not only an understanding of the structural, social, political, and environmental conditions of health but also the root causes of such conditions. Even with these understandings, well-structured plans are still subject to infinite variables. A leader should be ready to adapt to changes and address emerging needs. A leader working with the times considers what is needed, works towards growth, leverages strengths, identifies opportunities for improvement, provides responsive support, and builds capacity. A leader should aid in addressing conditions that impact the time it takes to make progress towards achieving health equity. A leader who aims to produce the times may face unanticipated challenges that will hinder their ability to achieve their desired outcomes. Systemic issues have limited health equity, with many issues rooted in historical and intentional oppression. These systemic issues require systemic changes. A health equity leader must prepare to work within these systemic conditions to produce macro- and micro-level outcomes. Large Padding 3 Related Content-Blog - DELPH desciption - cake layer website yes

Partnering with Community Action Agencies Can Improve Trust in Vaccines

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Partnering with Community Action Agencies Can Improve Trust in Vaccines astho, association of state and territorial health officials, association of state and territorial health officials astho, state health official, public health official, territorial health official, island jurisdictions, state health, health department, public health, state and territorial health, social determinants of health, johns hopkins, advance health equity, socially determined, health inequities, race ethnicity, covid-19 vaccines, health disparities, vaccine supply, high income countries, vaccine equity, vaccine distribution, vaccine hesitancy, immunization, centers for disease control, community action agencies, covid19 pandemic, at-risk populations, healthy equity Geetika Nadkarni Learn how community action teams are working to improve COVID-19 vaccine acceptance and uptake in their own communities. In the current climate surrounding vaccinations and other large-scale public health measures, it’s more important than ever for public health to engage communities. One way to do this is through working with community action agencies (CAAs), local entities that work to reduce poverty and reduce disparities among the populations they serve. Funded through the Community Services Block Grant (CSBG), CAAs are an ideal complement to public health’s mission to address the social determinants of health and achieve greater equity. With support from CDC, ASTHO is working with the National Community Action Partnership and five CAAs in the Partnering for Vaccine Equity project, which aims to increase acceptance and uptake of vaccines among racial and ethnic minority groups and in rural communities. ASTHO chose to partner with CAAs as trusted community agents for this project because of their existing relationships within communities through programs such as Head Start, food banks, federal nutrition programs, and employment and housing assistance. Through their internal and external partnerships, they can reach people who may be concerned about vaccine safety and/or lack access to vaccination sites. Through this project, CAAs are partnering with residents, faith-based organizations, local schools and universities, state and local public health departments, and non-profits active in the community. They are also engaging a range of local providers, such as federally qualified health centers (FQHCs), physicians, community health workers, medical and nursing students, and emergency medical technicians (EMTs). These community action teams are working together to improve vaccine acceptance and uptake and to customize evidence-based strategies to their own communities and neighborhoods. article yes

Building the Public Health Workforce: Considerations for the Future Workforce at Your State Health Department

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The COVID-19 pandemic highlighted the importance of having in-house skills to respond to worldwide public health emergencies. Because of this, the American College of Preventive Medicine recommends that health departments consider bringing a board-certified preventive medicine physician on staff or to have one available to assist with preparedness and population health interventions.

HiAP Strategy Works in States, Locally to Meet Equity Challenges in COVID-19 Response

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While governments have faced challenges in adopting a Health in All Policies (HiAP) approach to respond to COVID-19, the impact of the public health emergency across sectors such as housing, transportation, and employment has created a unique opportunity for stakeholders to build and strengthen collaborative systems to address the inequities exacerbated by COVID-19.

Reflections From the Field: Pacific and Atlantic Jurisdictions Remain Resolute Amid Adversity

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In the late fall of 2021, ASTHO leadership visited select jurisdictions in the Pacific and the Atlantic for the first time since COVID-19 curtailed travel to these regions. It was a fantastic to reconnect with our leadership and dedicated staff. Unsurprisingly, we heard about the jurisdictions’ challenges, including chronic ones related to funding and infrastructure, as well as new challenges resulting from the global pandemic.

Vaccinating Children: The Final Step

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As we anticipate the likely approval of COVID-19 vaccination for children, our nation faces the final step to bring the COVID-19 pandemic under control. If approved for children ages 5-11, the COVID-19 vaccine will dramatically improve our efforts to resume in-person learning in our nation’s schools and will help break the cycle of transmission from children to adults.

United for One Health

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Nov. 3, 2021, marks the sixth annual One Health Day, a global campaign to recognize and embrace how public health is connected to the health of animals and our shared environment. In this post, ASTHO talks about One Health with Wayne E. Cascio, MD, who serves as the Acting Principal Deputy Assistant Administrator for Research and Development at EPA.

What December Means for a Beloved Nutrition Program

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The Special Supplemental Nutrition Program for Women, Infants, and Children is a targeted public health nutrition program designed to support nutrition and health behaviors that reach low-income families. The program is funded through discretionary funds to the United States Department of Agriculture and administered by each state’s health or public health department. The department then contracts with county health departments, local health centers, hospitals, federally qualified health centers, and private nonprofits to deliver community-based clinic services.