September 7, 2017

Lerner Center for Public Health PromotionThe Maxwell School, Syracuse University

Health in All Neighborhoods

Picture from The Wall Street Journal

LERNER CENTER MISSION:

To improve the health of the community through service, research, education, and advocacy and policy.

Collective Impact

• Common Agenda

• Shared Measurement

• Mutually Reinforcing Activities

• Continuous Communication

• Backbone Organization

Network Leadership

• Mission, Not Organization

• Node, Not Hub

• Humility, Not Brand

• Trust, Not Control

Network Leadership & Collective Impact Principles

• Where does health happen?• By their very nature,

complex problems cannot be solved by any single organization or sector alone.

• Look for silver buckshot instead of the silver bullet.

• Align mission, organizational culture, and services.

• Seat at the community table-and not always at the head of it.

Community Health Initiatives

Near Westside City of Syracuse Onondaga County

Race

African American 43% 29.3% 11.1%

White 41% 55.2% 80.4%

Ethnicity

Hispanic or Latino 31% 8.4% 4.5%

Education

Less than HS 40% 19.8% 9.8%

Income

Median Household $20,573.50 $31,881.00 $55,092.00

Labor Force

Unemployment 15.8% 11.4% 4.6%

Poverty Status

Below 100% ofPoverty Level

48% 34.8% 15.4%

Comparison Demographics, 2011-2016 ACS 5 Year Estimates

Reasons for food selection, perceived relevance of the topic of nutrition, and community views on Healthy

Shopper Rewards

Findings from community resident feedback, October 2013 to January 2014

NuVal & Healthy

Shopper Rewards

Challenges to eating healthy(ier)• Cost: “Eating healthy isn’t cheap.

Eating healthy is over my budget so I will keep eating my traditional foods- it is what fills you up.”

• Transportation: residents shop in multiple stores to find the best deals/maximize limited dollars

• Tradition: “We need to teach them how to eat to stay healthy.”

• Motivation

“How do you choose what food to buy?” • Cost: “We go for the sales.”

• Quality: “For me quality is taste, expiration date…..”

• Tradition (especially among the Latino Population): “Everything Goya! It is a familiar brand.” -“Latinos come from everywhere to buy at Nojaim’s.”

• Nutrition content (how healthy are the products)

• Particularly in cases: they have food allergies, diseases like diabetes, 2013-2014 Feedback

from NWS Residents

Factors considered when choosing one product over another (check all that apply)

Baseline Survey (N =103)

n (%)

Follow up (N = 100)

n (%)

Price 69 (67.0%) 66 (66.0%)

Special offers 8 (7.8) 7 (7.0)

Quality of food 38 (36.9%) 39 (39.0%)

Brand name 16 (15.5) 21 (21.0)

Use-by-date 13 (12.6) 12 (12.0)

Organically produced 0 (0.0) 2 (2.0)

Free range 2 (1.9) 0 (0.0)

Seasonality of food 1 (0.97) 1 (1.0)

Nutrition 15 (14.6%) 9 (9.0%)

Nuval Intercept Survey Results 2016

Heard about the NuVal scoring system?

Baseline Survey (N =103)

n (%)

Follow up (N = 100)

n (%)Yes 13 (12.6%) 10 (10.0%)

No 90 (87.4%) 90 (90.0%)d

Nuval Intercept Survey Results

NuVal at Nojaim's: October 1-15th, 2016 in store "Trade Up!" Circular

UPC Number Description Reg Price OCT Sale Price

Promo & Price Mix

Movement Up /Down?

% change % Change: Oct Sales compared to Sept Sales

1380004551 LEANCUIS ROAST TURK/NEG

1/$3.79 2/$5.00 Both #DIV/0! #DIV/0!

1380010171 STOUFFER CHICK PARM

1/$3.79 2/$5.00 Both 300% 300%

1380010585 STOUFFER SOUFLE SPINACH

1/2.89 2/$5.00 Both -100% -100%

1540081672 SF MUSHROOMS/No salt

0.99 1.19 PROMO 50% 0%

2700037882 HUNTS CHOICE TOMATOES

2.69 2/$4.00 Both #DIV/0! #DIV/0!

3338308505 CORTLAND APPLES 3lb bag

$2.99 2/5.00 Both #DIV/0! #DIV/0!

3338351010 5LB RED POTATOES $3.49 2.98 Both 16% 81%

3338360001 2LB ONION $1.49 0.98 Both -29% -33%

3338365020 LETTUCE $1.99 0.88 Both 44% 17%

3338366000 CARROTS 1LB $0.79 0.58 Both 43% 70%

7127921100 FRESH EXPRESS ITALIAN

2/5.00 1/1.98 Both 380% 188%

7127924100 FRESH EXPRESS AMERICAN

2/5.00 1/1.98 Both 323% 81%

7127928100 FRESH EXPRES VEG LOVER

2/5.00 1/1.98 Both 800% 76%

22220400000 WHITE SEEDLESS GRAPES

2.29 $1.88 Both 41% 46%

Compare: Sept 1st-15th/Oct1st-15thTrade Up for Better Health!

• Partnership: Diabetes Education with diabetic patients combined with Fruit and Vegetable Prescription, redeemable at Nojaim’s.

THIS CAME AFTER…

• Minimally successful implementation of the Diabetes Prevention Program.

Primary Care Center-West

“We need to take the streets back, and to have family friendly activities.”

“<We> would like to see places where we could go as a family to enjoy.”

“Barriers are easy to think about: shootings on the streets and reckless driving (prevent us from playing on the streets).” -12 year old

“We don’t go to the park (Skiddy Park) because someone can steal you [kidnap] or kill you.” – 6-year old

“I am a single mom and the day-to-day just get repetitive- family comes first but then there is no time for me. I work two jobs, and have for a long time, so I feel like I am playing catching up in my personal time. It is a mental barrier – I ask why I am doing the day-to-day routine just to get by, it’s draining. I just keep going, but I don’t see the end result.”

See what the Summer at Skiddy staff think about activating the park:https://www.youtube.com/watch?v=jSfa2Fe8dkk

Photos by Mike Greenlar, syracuse.com

“Let’s just try it!”1. A partnership culture of curiosity,

learning, and innovation.

2. A commitment to the residents, their voices, their empowerment.

3. Understanding and respecting partners’ time and data capabilities: what can we initially do that is an easy “win” from a data perspective, that is not a burden or unsustainable.

4. Highlight small wins along the way.

5. Embrace the pivot.

Partnership Guardrails

Watch the Lerner Center’s Community Health Philosophy:

https://www.youtube.com/watch?v=X8uBbNfDaJI&feature=youtu.be

“Engaging a community is not an activity that leaders can check off on a list. It’s a continuous process that aims to generate the support necessary for long-term change.”