Urban Policy and Program Surveillance Project

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Presentation transcript:

Urban Policy and Program Surveillance Project Monitoring policies and programs in select U.S. Cities Amy R. Confair, MPH Outreach and Training Manager, Drexel UHC Philadelphia NNIP Partner

Purpose Cities play an important role in developing and implementing policies and programs that impact health equity, but few (if any) systems exist to understand these practices across cities. Understanding the role and potential impact local governments have on health is especially important in times when the federal government is less focused on public health. Why did we decide to do this

Goals Create a monitoring system Identify best practices Synthesize & Disseminate information At first it was a challenge - can we create a system to monitor, document, and disseminate local policy actions that can impact population health and improve health equity We want to identify the best practices that select U.S. cities are using, whether policy, programmatic, or budgetary initiatives to promote health equity. Our goal is to synthesize this information and disseminate in useful formats to stakeholders who can act on it.

Scope We started this in March 2017, so about 2.5 years ago UHC Policy Surveillance Traditional Policy Surveillance Four cities to start: Philadelphia New York City Washington DC Los Angeles Three topics to start: Housing Environment Education We started this in March 2017, so about 2.5 years ago Traditional Policy Surveillance Ongoing systematic surveillance of public health laws and policies UHC Policy Surveillance Expanding on this to include policy, programmatic, and budgetary initiatives that promote health equity (explicitly or implicitly) and target social determinants of health We chose these 4 cities because they’re active policies centers, have information available online, regional spread and size range We chose to look at topics that are likely actionable at the local level regardless of action or inaction at the federal level Housing e.g. affordable housing, gentrification, homelessness, homeownership, real estate Environment e.g. urban revitalization, land use, transportation, food environment, sustainability initiatives Education e.g. early childhood ed., socioeconomic gaps in educational achievement, college readiness, school safety

Methods Six general types of news sources Surveil news sources for new policies and programs Monitor policies and programs for updates monthly Record findings in a database (excel spreadsheet) Create reports summarizing findings for external dissemination Six general types of news sources General news sites (google news or local paper) Social media e.g. councilmember’s twitter City government agencies e.g. news rooms and press releases Advocacy organizations City legislation databases e.g. mayoral executive orders, school board resolutions, and city council bills Other websites e.g. NNIP partner

Results and Dissemination We have documented over 300 policies and programs Walkable neighborhoods Completed Methods brief Environmental report Housing report Education report (drafted) Planned Infographics Social media Dashboard, interactive searchable website, or other online tool for the public Develop manuscript on process and outcomes Suggestions? I’m not going to get into the results here, but it’s been interesting to look at the trends (like everywhere has sustainability/environment goals) and many US cities have a commitment to equity, and the places where cities focus on different issues, and we can hypothesize the reasons why (political leadership, historical ties, etc.) Lessons learned: Regardless of action or inaction at the federal level, cities can have an impact on population health in urban areas. Cities are active in urban health at the policy, program and budget levels – much is missed if you narrowly focus on big “P” policy. Through transitions in administration, some initiatives stay intact and some do not– determining ways to have sustained effect is important

Next Steps Expand project to additional cities Expand project to additional topic areas Continue synthesizing and disseminating our findings in a variety of formats Seek additional funding to expand this work Chicago St. Louis Louisville Birmingham Current cities New cities We’re working with faculty in the schools of public health in each of these cities. School of Public Health at the University of Alabama at Birmingham (Lisa McCormick) College for Public Health and Social Justice at St. Louis University (Darcy Scharff) School of Public Health at the University of Illinois at Chicago (Linda Forst and Susan Kaplan) School of Public Health & Information Sciences at the Commonwealth Institute of Kentucky (Liza Creel) Since they’re only doing 1 city we’re curious what other topics they’ll look at

Thank you! Questions? Contact Amy Confair, MPH arc333@drexel.edu