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0>> hi i'm dr. jewel mullen, principal deputy assistantsecretary for health for the u.s. department of health andhuman services and it is my distinct honor to welcome you tothis hhs national minority health month twitter town hall.the theme for national minority
Main Line Health Employee Site, health month is bridging healthequity across communities, and throughout the month of april,hhs and the office of minority health will highlight the workin communities throughout the country to reduce disparities inhealth and health care.
whether that work is ineducation, employment, transportation, justice orcommunity development, it is helping to build stronger andhealthier communities. as a nation, we pay a staggeringprice for disparities in health, in both the well-being ofindividuals and families, and in economic costs.one reason we can all be optimistic about our ability toachieve health equity is the commitment of organizations andadvocates working hard at the community-level.their work is vital to our
mission and touches lives inevery corner of the country. we thank them for their work andwe thank you for being a part of this twitter town hall.again, welcome. [music] >> what makes a healthy community? to me a good community startswith good and affordable housing.>> with good jobs. >> good schools and.>> and a place a can walk. >> with access to nutritious 0food. >> a communality like mine.>> my community.
>> my community.>> my community. >> it's communities like mine.>> line mike. >> like mine.>> as we celebrate national community health, it is whatdrives the mission of the hhs office of minority health andthe commitment of countless organizations and leaders andworkers on the front lines who are striving to improve healthin their communities and neighborhoods throughout thecountry. today, we are proud to sharejust a few of their stories.
>> we put together this taskforce that started in 2010 with 50 individuals and organizationsand it has grown up to 880. and we advocate for the purposeof the organization of the community health workers.we have over 570 community health workers, certified in thestate of florida. you take a look at florida andit could be a micro comp of what will be happening to the rest ofthe united states with the increased numbers in diversity,not only ethnicity but also the identification.we have a disease like diabetes,
and other disease, we haveobesity rates. we have a lot of instance ofcancer. we also have an hiv epidemic.we are collecting data that shows the impact communityhealth workers have to teach their community to do betternutrition and better food choices. 0also helping them find ways to become more physically active.assisting parents with their children and their growth.all community health workers to some degree, they are pillarsfrom which to build health
equity.>> pathway, police approach through health wellness andyouth. the pathway program we're tryingto provide programs and opportunities for the communityand youth specifically, black males, ages 10-18.the ability to access health education, health services andalso be presented with opportunities to meet and havedialogue with police. the police department createdialogue between youth and police where they can buildinterpersonal communications
with each other.our youth have opportunities to tap into services like tutorial,g. e. d. and they can actually get their degree here at thecenter. we're trying to make sure weprovide the ability to access health education, healthservices, and at the same time let's talk about some of thosehealth issues that may be add to the problem.we feel as though if you tie all those components together in aseamless connection of services and programs and activities,we're going to be able to combat
some of the things that lead tocriminal behavior. that's the main objective ofpathway. [music]>> i serve over 36,000 clients every month and we speak over 17 0different languages, so in the city of atlanta or themetroatlanta area, the state of georgia about if i felt% of ourcommunities are limited. when we do our work we make surethat programs and services are different languages and ourstaff and bilingual and multilingual.we want to make sure people have
meaningful access and maintainthe high potential for health. for our communities language is1 of our big barriers. we have our english program andthese are usually free and helping and targeting low incomeand limited access in our communities.we serve all generations here. we have first generation, 1.5sthat came here when they were young.have you the elder and senior generations, we have youthprogram, we have the working adult population, we have nursesand doctors, we have medical
providers that will come intothe space to provide the education in language.we have interpreters and translators onsite.i would like to think that cpacs is 1 of the bestpractices here in the southeast. we are 1 of the old sheltersthat services the community in different languages.we are also working on how they access services around health.we're saving lives. >> it is truly exciting to seeall the good work underway in our communities.this national minority health
month we salute allorganizations, leaders, staff, volunteers and advocates working 0to make their communities happier for everyone![ music ] [ music ] >> good afternoon, i'm caroljimenez, acting director of the hhs office of minority health.and those are impressive examples of the amazing workhappening in just a few communities in the country.as dr. mullen mentioned, our focus for national minorityhealth month is on the important
strides being made at thecommunity level to advance health equity.for the bridge2health twitter town hall, we will be showcasingthe work of several omh partners, people who are helpingto shape their communities and are making a difference.we know that it's impossible to tell the story this afternoon ofevery organization and person working to advance healthequity. but the people we will hear fromtoday represent the many thousands who work every day toimprove the health and lives of
racial and ethnic minoritypopulations, who are less likely to get the preventive careneeded to stay healthy, less likely to receive quality care,and more likely to face poorer health.many community-based champions for health equity are formingnew and innovative public and private sector partnerships andinitiatives that make their work more effective and their impactunmistakable. i know you'll enjoy hearing fromsome of our omh partners this afternoon, and will be as 0inspired by their work as i am.
but before we get started, iwant to extend a special thank you to dr. yanira cruz, thepresident and ceo of the national hispanic council onaging, for moderating our town hall.thank you for joining us. >> good afternoon i'm dr.yanira cruz president and ceo of the national council on aging,the leading organization working to improve the lives of olderhispanic adults, their families and their caregivers.it's a pleasure to welcome you to the bridge2health twittertown hall hosted by the
department of health and humanservices office of minority health.thank you for joining us for national minority health monthfrom washington d. c. wewill hear first-hand from organizations doing work acrossthe country at the community level to help achieve healthequity. these stories are ones ofdedication and passion from those on the front lines inimproving the health of our communities.from federal agencies and
national partners to granteesand community-based organizations, the hhs office ofminority health to build bridges and help with minorityhealth and healthcare. these bridges extend beyondpublic health they focus attention on the indirect socialand economic conditions in which people are born, grow, live,work, play, learn, and age. 0 by addressing the socialdeterminants of health, we can strengthen the foundation uponwhich better health is built. and by working together acrosssectors, we can help reduce
health disparities and advancehealth equity for everyone. we encourage you to chat yourquestions using the #bridge2health as we hear moreabout the impact these individuals and theirorganizations are making in the lives of everyday americans.joining us is one of the first and leading champions in healthequity at the state level, cheryl boyce.she served on the ohio commission on minority healthwhen it was formed in 1986 becoming the first state agencyin the country created
exclusively to address healthdisparities among racial and ethnic minorities.that commission was a critical partner in the efforts needed tocarry forward the recommendations of the report ofthe secretary's task force on black and minority health (alsoknown as the heckler report) in 2010, she retired from thecommission as its executive director and today works as anindependent public health consultant.cheryl, thank you for joining us.>> thank you for having
me.>> of course. all right.so cheryl it's fitting that our first discussion today is withyou. as everyone knows, the theme fornational minority health month 0 is bridging health equity acrosscommunities. we know that state and agenciesplay a significant role in the health of local communities.tell us about your start in health equity and what youconsider to be some of the most impactful strategic plan edge osstate employee vs to address
health disparities.>> i think my first foray into the health disparities was thatthe fact that i grew up in east illinois at the wrong end of thehealth food chain. my family did not have money tohave health insurance, in fact my mother was never insureduntil she qualified for medicare.so without seeing the data, without knowing what what peoplein health said, i could see that people in our community weredying prematurely from preventible diseases andconditions so when i went away
to school, i ended up majoringwith health information with the intention of going home andworking in the community to improve the health status but itdidn't take me long to recognize that there was such a thing aspublic policy and that policy determined who that helped, howthey got it, how much it cost and so, i decided at that pointthat i really wanted to work in health to try to resolve theseproblems. we then had a staterepresentative in ohio, representative ray miller whosponsored the creation of the
governor's task force at thesame time the work was going on with the secretary task forcehere in washington. 0 and out of that came thecommission on minority health and the concept was 1 that wegot from the community. we had done here all over ourstate where more than 2000 people came with theirexperiences and convinced us not that we needed much convincingthat the community is a significant part of the answerto this if we respect the community, if we engage thecommunity in a meaningful way.
so as we created the commissionon minority health as a free standing state agency, wepromise the community that voices would always be heard andso at every point along the way, whether it was policy, orfunding or grants, the community was engaged so we diddemonstration grants where you funded culturally sensitiveprogram and that the system would have never given thechance to show the impact of it. and we figured if those programssucceeded in the community and the community enjoyed betterhealth status that the system
would then embrace theseculturally specific programs. so the state level can do that,they can open the door to allow the community to do what it doesbest for itself. the answers do not lie in ourhallowed halls of academia alone.there are many, many answers of these problems that reside inthe community. another thing that's been doneat the state level is trying to create infrastructure forcommunity-based services. people want to get grants andact as though just put nothing a 0
few dollars will resolve theselong standing problems, and many community agencies worktirelessly but aren't connected to any infrastructure and so,there have been the proliferation of state officesof minority health who are really critical links betweenomh and the communities that we all want to serve.but, the state offices translate this back and forth betweenthese entities so i think opening up the doors forparticipation and policy making, funding decisions, andeverything that has to do with
health is an important role forthe community and the states have afforded them thatopportunity. >> and what are your thoughtsaround engaging community on the topic of health equity?>> i think that community has been engaged--the communitysometimes definitely is the same language, but the community knewthere was a problem before the system knew that there was aproblem. and so i think that 1 of thestrategies is really important is for the community to beengaged in a meaningful
respectful way.and i will say that over and over.because the fact is, i think people go in sometimes, andsimply meet with the community and want to use the fact thatthey've met with them to co-sign whatever it is that they'redoing. their community needs to see thetranslation of what they want in the work that's being done andso, anyone who says they're 0 doing community work, thatdoesn't have the community participation in a meaningfulway, a mutual way, is simply
putting dressing on somethingthat doesn't exist. the community participation isvery important and the community wants to be engaged.>> cheryl, what advice could we give our next generation on howto address health disparities today?>> i would hope that the young people who are thinking aboutcareers in allied health and medicine are any part of thekingdom that pertains to help, would study to show themselvesapproved, that in addition to whatever they're being taught inthe books that they would go out
in the community and learn fromthe community in terms of baggage, practices, beliefsystems, because all of those things are really important.the fact is it doesn't matter if we provide services if theservices don't result in improved health status and wewill never have truly improved health status unless weunderstand the cultural context in which these communities live.so i would encourage opportunities for everyopportunity to have with community-based organizations tofind mentors and to learn.
if we live in a multiculturalsociety, healthcare must be multicultural too and we can'tjust learn it in 1 way and think that we will benefit everybody. >> thank you, cheryl, for thatinspiring historical perspective that shows how your work, andthe work of other health equity 0 leaders, paved the way for whatwe do today. if you are just joining us,welcome to the bridge2health twitter town hall hosted by thehhs office of minority health. i am dr. yanira cruz president andceo of the national council on
aging.we are a strong voice to promoting educating andadvocating for research, policy in the areas of economicsecurity, health housing and leadership development.we thank you for tuning in to hear the informative andinspirational story of the efforts taking place across thecountry to help reduce disparities in health andhealthcare. we also encourage you to helpraise awareness on health equity in america by visiting thenational minority health month
website atminorityhealth.hhs.gov. here, you can find out moreabout upcoming events and download resources to promote inyour community on issues of health equity and socialdeterminants of health. you can also access samplesocial media messages and add an event you are organizing to thenational minority health month calendar of events.up next to tell us how programs that address the socialdeterminants of health play out on the local level is laurenvague, business development
manager of uplift solutions,uplift solutions is a national nonprofit consultancy thatsupports food businesses, governments, nonprofits, 0healthcare systems and more to create access to food, access tohealth, and access to capital in underserved communities.uplift solutions believes that supermarkets can be holisticcommunity hubs to anchor underserved communities andensure consistent access to food, health, and capital.welcome, lauren. . >> hi, thank you forhaving me.
>> thank you for being here.tell us about your partnership with the southeastern equitycouncil. the work you're doing with thefood financing fund how does that access to capital become asocial determinant of health in your work.>> sure. so essentially access to capitalis a social determinant to health because there's a lack ofaccess to grocery stores. the way that those are connectedis that--excuse me--is that it takes money to build a grocerystore.
right?they're expensive operations and they're important operations?and if you don't have the capital to finance a grocerystore, a grocery store is never going to open.and when we're looking at particularly the southeasternregion that area, there are 1141 food deserts there and that's alot of places for there to not be access to food which isrelated to access to health, to chronic disease, toco-morbidities and so therefore having capital to financegrocery stores to create access
to food, creates a more 0equitable ecosystem. >> let's talk a little bit aboutfood deserts. how prevalent are they in theunited states? and what's the impact ofbringing a grocery store to a community?>> sure. so according to the 2010 censusand usda food desert map there's over 6500 food deserts in theunited states. and food deserts don'tdiscriminate, you can find them in urban communities and inrural communities.
in urban communities it's a 1mile radius with lack of access to fresh and healthy food.in a rural community, it's a 10-mile radius without thataccess, and it really is a problem that effects thecommunity as a whole and therefore, it needs to bedressed holistically. it creates a lot of chronicdisease, it creates a lot of economic distress and the way welook to address is really community based through our workin uplift solutions, we work really in 4 primary programareas, access to food, access to
health, access to capital andthen we have a workforce discipline as well.and it is so pervasive in the way that the problems areconnected and it just is something that not only you seeon the ground but you see in the larger macroeconomic landscapeof the united states. >> and what's been interesting,interesting work you're doing, what's been the response fromthe community? from businesses to consumers in 0the areas where you are? >> sure.so i think that, you know we
live in a world where you knowwe're a capitalist country and businesses are important butcommunity is important as well and so the reaction frombusiness has been that if we can teach them how to create anequitable sustainable business model which we can, given thefeasibility studies that we do and the technical assistance weprovide, the reaction from them is oh my gosh, i didn't know icould make a sustainable business in a low to moderateincome area like this. and the reaction of thecommunity is, really, increased
ownership and trust in abusiness in their community and feeling like they've had a needaddressed because they need fresh food, we all do.and when those stores are able to open, they feel like they'vebeen listened to and heard. >> impressive work. >> thanks, lauren, for bringingthe issue of food deserts full circle.nutrition and food security have long been understood to besocial determinants of health, but your story of the fresh foodfinancing fund stresses the
importance of access to capitalin bringing fresh foods to underserved communities.thank you for joining us for the national minority health monthbridge2health twitter town hall. on behalf of the u.s. departmentof health and human services and the office of minority health,welcome. if you would like to help 0support our efforts in raising awareness on issues of healthequity, we encourage you to sign up for the national minorityhealth month thunderclap on friday, april 28.on this day, everyone who signs
up will send out a message thattells their followers that by working together, we can endhealth disparities in every community.you can also help promote the thunderclap throughout april byvisiting the national minority health month website atminorityhealth.hhs.gov and sharing the downloadable socialmedia image with your followers. our next story comes fromdr. sela panapasa, currently a faculty research scientist inthe program for research on black americans at theuniversity of michigan's
institute for social research.she is the principal investigator for numerousprojects, including the pacific islander health study, which wasfunded in part by the u.s. health.the study, completed in 2012, provides the firstrepresentative epidemiological study on health and healthcareutilization of two pacific islander subpopulations�samoanand tongan adults and adolescents residing incalifornia. sela�s work is helping usunderstand more about the health
and health care needs ofsubpopulations is a critical piece in improving the health ofthe nation. thank you for joining us. 0>> thank you for having me.>> so public health is heavily dependent on data.i am interested in what drew you to explore issues of datacollection and how to unmask the disparities that exist inunderserved aapi populations. how are these nuances shift inthe way about people think about public health strategies on thecommunity level?
>> so my work began as aninterest in data began as a graduate student where irealized that data on native hawaiian and pacific islandpopulations were inadequate. as prior to 1997, they wereaggregated with asians and reported as asian-pacificislanders. thankfully in 1997 as a resultof being native hawaiian and pacific-islander communityefforts, the office of management and budget separatedor--the asian pacific islander population into 2 categories andsince then the native hawaiian
pacific population became adistinct racial category. with that said, it is importantto note that this is a very diverse population, in culture,in language, in its historical relationship to the u.s.government. so what's so unique about thispopulation is that you have an indigenous population asrepresented by native hawaiians and we also have migrants fromthe u.s. associated pacific island country nations andimmigrants from the independent pacific island countries.so with this, rich diversity,
unfortunately the data on this 0population was still inadequate and they were invisible as asmall hard-to-serve population. so the need to be able toelevate and improve data on such small population was warrantiedand that led to further action with the support of thecommunity advocating for better data on this population andrecognizing that, you know a one-size-fits-all does not applyand the importance of disaggregating data so that wecan better understand the needs, the issues and concerns of ourdiverse racial population.
>> aapi populations are indeeddiverse. >> very diverse indeed.>> yeah. >> and hence the importance ofdisaggregating data so we can better understand.>> terrific. terrific.so at first blush it seems that you're working on just data butwhat's the impact at the individual level in thecommunity? >> thank you.so at the individual level, it's about elevating the voice andgiving face to a segment of the
population that has for too longbeen overlooked because of the lack of good data.and i think ultimately if the goal is to achieve healthequity, eliminate health disparities, that is the--youknow, it is the communities that are going to bring about thatchange. and until we understand what theissues are and what the disparities are, we willcontinue to lag behind other groups. 0so i'm hoping that this will--the evidence from thestudy will be translated and
shared with the communities sothat it can inform their efforts and help guide a futureinterventions. >> so, as we look to the future,speaking of the future, what potential do you see for data tohelp us address major public health challenges in our societyparticularly for diverse segments of our demographic?>> so i would like to add that data on small hard to surf a,hard to reach population is very significant.it will help inform our future research, practice and policiesand it's really important to
understand what the needs are ofthese small hard to reach populations.and you know, small populations matter, too.and in order to help accelerate our efforts, with health equity,they too deserve, i think, good quality data moving forward.>> absolutely. absolutely.great work you're doing. thank you. sela, your work in datacollection, and the work of others like you, does thiscountry a great service.
the more we know about ourincreasingly diverse communities, the better we cancreate solutions to help further close the gap on healthdisparities. thank you.thanks for tuning in today as we hear stories from around thecountry about the health of our communities and the programs 0making a difference. if you like to engage on topicsof health equity like the ones we are discussing today, weencourage you to participate in other virtual events takingplace with our partners.
on tuesday, april 25 from 2:00to 3:00 pm, nih�s national institute on minority health andhealth disparities will host a twitter chat with other federalpartners on the topic, understanding social andenvironmental determinants to bridge health equity..you can follow their event at #healthequitychat.here with me now to further the connection between data and thehealth of the community is jeffrey caballero, the executivedirector of the association of asian pacific community healthorganizations.
in this capacity, mr. caballeroadvocates for programs and policies that increase access tohigh-quality, comprehensive community health care servicesthat are culturally and linguistically appropriate.his work experience encompasses a variety of fields, fromgrassroots organizing, health education, to bone marrowtransplant and primary health care.he has played leading roles in several national initiatives toreduce health disparities, including the protocol forresponding to and assessing
patients assets, risks, andexperiences (prapare), a national effort to help healthcenters and other providers collect the data needed tobetter understand and act on their patients social 0determinants of health. today, we will hear more aboutthese efforts. welcome, jeff. .>> hello. >> it's great toyou have here. >> thank you for having me.>> thank you for all you do. >> so tell us more about theproject acho, you partner with
the national communityassociation of centers called prepare for short, how does thisaddress disparities in health and health care.>> prepare stands for: protocol for responding and assessingassets, risk and experiences of patients.it's a multiyear project between nacho, the national communityhealthcare organizations and the strategies alternative future.it involves the development of the tool to help providersunderstand upstream drivers of--to improve outcomes andreduce cost.
>> and how do you convincepayers to see the value of prepare?>> prepare is aligned with meaningful use and icd10, whichpayor's utilize for many of their critical billing andcompliance issues. but payors are already usingtheir own existing tools to identify and develop riskadjustors for communities of color.but with the use of prepare, payors will have a betterunderstanding of the factors that are contributing to theseupstream--to address upstream
issues and factors that arecontributing to poorer outcomes. >> as far as technical 0assistance, do you have--do you offer technical assistance tohealth centers and other social service organizations that are,you know interested in implementing prepare?>> the prepare implementation action and tool kit is currentlyavailable free online. it comes with resources, bestpractices, for those who are interested in implementing thetool. but in addition to that, thereare also templates for the 4
most common electronic healthrecord systems in community health centers and that'snextgene, centricity, e-clinical works and epic.and in addition to the materials that are online, hrsa is alsoproviding support to develop community learning teams acrossthe country so that it can leverage peer support groups offolks who have had experience using prepare.but last but not least acho and other prepare partners areactually currently engaged in a 3 year effort to engage primarycare associations and health
center controlled networks in 32states over the next 3 years. >> excellent.timely work you're doing. thank you so much. thank you, jeff for telling usmore about the tools health professionals and others nowhave to help identify the underlying causes of disparitiesin health and health care. social determinants of healthare a key focus of this year's national minority health monthobservance. by collaborating across sectors 0such as health, education,
justice, housing,transportation, nutrition, and employment, we can improveliving conditions in communities and help individuals live longerand healthier lives. stories that we have heardhighlight the work of the hhs office of minority health andits partners that serve as bridges between the sectors thatimpact health. if you want help promote theconnection between health and indirect social and economicconditions in which people are born, grow, live, work, play,learn, and age, download and
share these social media imagesfrom omh. they help bring attention to theforces at play when it comes to improving the health of ourcommunities. you can find them on thenational minority health month next up, we'll hear from anindividual who is leading efforts to address disparitiesin at-risk tribal youth. brandon frechette is an enrolledmember of the menominee nation, where he continues to work inissues of health equity. brandon has strong ties to hislocal community, having served
as the menominee indian highschool varsity baseball and basketball coach, substituteteacher for the menominee indian school district, and youthadvocate for the menominee indian tribe.his investment in the community now includes serving as thecoordinator for the menominee youth empowerment program, which 0is funded by the u.s. department of health and human servicesoffice of minority health. this program providesopportunities for youth to learn skills and gain experiences thatcontribute to more positive
lifestyles and enhance theircapacity to make healthier life choices.welcome, brandon.--to our conversation today>> thank you for having me. >> so let's get started herewith some questions. what are some of the biggestchallenges facing native youth today and how has the menomineeuse empowerment program address these challenges?>> i would say speaking for our people, the menominee people, itcame at a time in the 1950s in what was referred to as termnation where we were no longer
recognized, we were no longer arecognized tribe and that came at a very tough time for ourpeople that forced a lot of our rural members to seekunemployment off the reservation, we've hadunemployment came high rates of poverty so i think there was alot of loss of culture identity and who we are as menomineepeople and i think we still suffer from some of those thingstoday. i think you look at when--iguess, i will refer to a restoration as what we're--wegot recognize as a tribe again
in the 70s and i think we stillare recovering from that. the trauma that we've beenthrough, you look at the boarding school area, the orderof what people have been through are the native people are 0stripped of their language, told they could no longer speak theirlanguage, practice their ways of life, and they just--everythingchanged with their way of life and then change it back and tryto regain your culture and your cultural identity was a hardtime. historical trauma being anotherpart of that.
so i think those are justfactors that our children are suffering from today thatpersonal identity, not knowing who they are personally andcultural identity are some of the factors that our youth arestruggling with today and that's what our program helps do, themenominee support program to help to strive for resiliencyand we've been doing a good job so far, our staff and we have agreat staff. >> excellent.in your program, you talk about a sense of belonging.and what has--what impact has
this sense of belonging concepthad on your students. >> it's had an enormous impact.i will go back to a model that is adopted that we adopted ourprogram, referred to as a circle of courage and circle of couragea positive youth model that says to be emotionally fit, everyyouth needs a sense of belonging, independence,generosity and mastery and belonging is the 1 that we'veseen the most impact in our students when we first startedthe programs, our students were too sure what to expect.it was a big program just
starting, some examples are wehad students that were steered in the directions of games and 0going in those directions and 1 thing i learned and the youthwork is that when most any youth that joined gang system theydon't have a sense of belonging, whether that be at home or thatbe with their peers at the school or wherever and it's whatthey get with our program. so we actually don't see that.i mean we have some of our students--1 of them will be avaledictorian next year, we have a nationally ranked box, andsome of them are at the top of
their class and our staff does areally good job of gaining that trust and they didn't come easy.that we had to earn that from the students because they hadtheir guard up so when we gained that we saw enormous results.>> thank you. thank you for that work, brandonand i'm wonder here as i hear you talk, where do you go fromhere? where do you go from here youknow specifically thinking of your students and your tribe?what's next in this work? >> well, what we're trying to dois trying our best to--with our
grant writers and the pi of ourprogram, we're doing everything we can to try to secure morefunding because we have had just an enormous support from ourcommunity on the program. we've had teachers that come tous, we've had community members and even tribal leaders thatthat talk about the impact that our program had on our stewardsso we don't want to see that end, we want to try to doeverything we can do to secure more funding.we just--just overall impact it had. 0we definitely want to try to do
what we're doing with the youthempowerment program. >> amazing work and soimportant. very timely.thank you, brandon. we appreciate all that you do toensure that our nation's tribal youth have the tools needed tohave a bright and successful future.brandon is one of many of what we call health equity changemakers. aside from the ones we heardfrom today, the hhs office of minority health has a series ofspotlights on people like our
guests today who are making andimpact on their community. to view videos of other changemakers, visit the omh website at minorityhealth.hhs.gov/changemakers.and so here with me now in the hhsstudio is dr. paula papanek. as the founding director of theprogram of exercise science in the department of physicaltherapy at marquette university, dr. papanek has been teachingand training exercise physiologists for over 20 years.over the last 15 years she has been involved in communityinitiatives directed at exercise
and wellness in both geriatricand youth populations. dr. papanek served as theprincipal investigator for a u.s. department of health andhuman services office of minority health youthempowerment program grant project, where her role was todirect the fitness and wellness testing of youth within theprogram targeting healthy 0 behavioral change and academicsuccess in the milwaukee area. thank you for joining us today.>> thank you very should go me, i'm honored to be here.>> great.
let's get started here withinteresting stories, you have in the work you're doing.let's start with a description of the community you serve inmilwaukee and the work you've done with youth through the marquiet university region. >> sure.so marquette university is a jesuit school where ourphilosophy is 1 of service, not too but with others.so it was a natural relationship when the united community centerin milwaukee which is actually 2-miles away at as the crowflies from our campus, came to
us and approached us and saidthey are looking for an academic partner to help work with themon a problem that they had in their children.and that problem was obesity. and so, we started thisrelationship almost 12-13 years ago, now, where they came to usas scientists and said can you help us as a community?and that was unique for me. that was my first step into thecommunity engagement. and so we developed a beautifulpartnership and over the years we have evolved into 1 thatsaid, there has to be a way to
translate data in real andscience into the community that can effect and have real change.and my personal philosophy was, was that active and healthychildren would be more successful academically, andwhat we developed was called a 0 pipeline model that we wouldstart with children that were at risk for unhealthy behaviors,unhealthy lifestyles and as they came through our program theywould academically, fizzily, mentally prepared to be highschool students and then my own personal bias is that they wouldbe more success of at getting
into more rigorous universitiesand we could literally break the cycle of poverty in ourcommunity. milwaukee is unfortunately avery segregated city so on the south side of milwaukee wheremarquette is closer to the hispanic and latino community isthere and the high school graduation rate is low, lessthan 68--only about 68% of kids graduate from high school.15 of the largest gangs in the city are located in thiscommunity. so there are a lot of, i guess,pressures of challenges to being
a healthy person but more so tobe a healthy youth. so that's where we're engaged isto try and break that cycle. >> terrific.it's clear, that there's a very strong connection with yourcommunity. that's wonderful.what do you think is making a difference in the kids thatyou're serving, the population that you're serving and what'syour response? what's your response?>> anytime you start with community engagement, there's apardons of trust and a lot of
work has to go into buildingthose relationships and i'm very portinate to have been--had thetime afforded that we could 0 develop these relationships thatwoo now have parents that look to us and that contact us andare asking us about the next program for their--for theirchild that's coming up in the ranks.and so, part of what we try to do, is to get them to see, thatcommunity engagement isn't 1 directional, it's bi-directionaland i think 1 of our great successes has been theincorporation of marquette
students undergraduates,preprofessional students as mentors so that the youth couldsee what it's like to go to college.they come to our campus, they go to a class, we demystify theinstitution if you will of higher education with youngpeople. you know, college freshman orcollege sophomore who thinks they should volunteer, whatwe've seen is that they start volunteering but very quicklythey get bonded to these youth and develop relationships.we have students at marquette
who have gone to these eighthgrade graduation and the eighth graders and families have goneto the market's students whale they're graduating so what'simportant about engagement type of work and health related workis it breaks down barriers in both directions.again, we're really only 2 miles away but we could have been amillion miles for what's happening with our youthempowerment grant. so we're not just changing, ibelieve, passionately, changing the lives of the youth that wework with but they're having a 0
direct impact on the marquettestudents and them think about how they engage in their role inbeing a part of the change. >> i really like this concept ofbi-directional in terms of having impact on both ends, thekids and your students at the university.>> it's been very powerful and it's not just the students butit's actually me. i didn't--this is not myprofession. >> yes, you're a physiologist.>> correct. so i'm a strained physiologistand i came to work to milwaukee
to work with a very famouslaboratory across the country and i'm train indeedcardiovascular disease and bone health, sophisticated my lovehas been exercise and the impact that exercise has on bone or onheart disease but when this community came up, i saidabsolutely, exercise can be the difference for kids.but the impact that it's had on me has been quite profound.i'm grateful every day that i've had this opportunity.>> that's great to hear. and do you see your missionbeing different today than say,
20 years ago or back when youstarted your interests in physiology.>> that's a great question. probably will have to do withfunding. if i have access to funding, iwould love to continue these programs.we're looking for ways to sustain and move forward withthese because i think they're very powerful.i certainly you know have a 0 great love for my basic sciencetraining and what i try to do is use taken--they training in acommunity engagement setting.
so looking for facts,using--using quality assessment tools to demonstrate the powerof this. that that data can show theimpact of change, that i have students--we have decreased theincidence of obesity by 28%, and overweight by 26% in the first 3years of our program; that we have kits that have gotten intoa higher tiered high school, because of this program.and so, using the data as a trained scientific to evaluatethe impact, i think can demonstrate a return oninvestment if you will in a
meaningful way.in our 12 years, during the time that we had kids in the program,we did not have a single teen pregnancy.in a community where that's a problem.we have all of our kids that have been engaged in our programhave graduated from high school. that's data that demonstratespower and impact. so, i hope that i have theopportunity to continue and to sustain this type of workbecause i think it has been life changing for me and i would liketo continue.
>> a amazing, such an importantwork you're doing. thank you paula.we talk a lot about impact on the community and your storyreally brings that point home so thank you so much for what youare doing. as we heard from all of the 0speakers today, it takes a collective effort to make animpact in our communities. organizations like theirs arebuilding bridges that help make high quality education, safeneighborhoods, quality housing, reliable transportation, cleansurroundings, nutritious food,
and stable employment availableto all americans. if there is one thing to takeaway today, it is that health disparities impact us all and weall must do our part. through our collective efforts,working across sectors, we can build bridges that help us toachieve a nation where everyone has the opportunity to achievetheir full potential for health. to learn more about theseefforts, visit the national minority health month website atminorityhealth.hhs.gov to sign up for omh email updates, shareinformation on your observance
month events and activities inyour community, and to download and share information on healthdisparities. and stay in touch with thelatest by using #nmhm17 and following us here on twitter@minorityhealth and twitter en espanol @saluddeminorias.thank you for joining us today.
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