1. Liz Maker, DrPH Mia Luluquisen, DrPH, MPH, RN American Evaluation Association Annual Meeting November 3, 2011 City County Neighborhood Initiative 1

2. Identify roles for stakeholders in tracking health inequities Understand benefits & challenges of working with stakeholders to track health inequities Health inequities are defined as differences in health that are unnecessary, avoidable, unfair and unjust 2

3. City of Oakland and Alameda County Violence Prevention Task Force (2003) Focus on two Oakland neighborhoods: Sobrante Park (SP) in East Oakland, Hoover Historic Corridor in West Oakland (WO)  Small geographic areas with high poverty rates  Rapid demographic change (mostly African- American and Latino residents)  Health inequities in asthma, diabetes, CHD etc.  Established leaders (individuals and CBOs) 3

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5. Residents of CCNI geographic area Community-based organizations, local Institutions, grassroots groups Community organizers / line staff/ volunteers Decision-Makers / funders  City of Oakland  Alameda County  Private foundations Knowledge-seekers  Students, academics, colleagues 5

6. Grassroots community organizing and neighborhood development Community Mobilization Resident Action Councils and Committees Partnership Development Youth programs Accessible Population Health Services Grassroots community organizing and neighborhood development Community Mobilization Resident Action Councils and Committees Partnership Development Youth programs Accessible Population Health Services Residents experience concrete improvements in their lives Improved neighborhood conditions Less Violence Improved health and well- being Institutions are more responsive to residents Share power & resources Residents experience concrete improvements in their lives Improved neighborhood conditions Less Violence Improved health and well- being Institutions are more responsive to residents Share power & resources Residents empowered to speak and act on their own behalf More Civic Engagement Increased knowledge, skills and leadership Stronger relationships within and outside of neighborhood Greater access to health and social services More youth engagement Local organizations are stronger Greater resources & linkages Residents empowered to speak and act on their own behalf More Civic Engagement Increased knowledge, skills and leadership Stronger relationships within and outside of neighborhood Greater access to health and social services More youth engagement Local organizations are stronger Greater resources & linkages Reduced Health Inequities 6

7. Design Tracking changes over time No control or comparison groups Benchmarking where possible Data Collection  Crime and violence: Oakland Police Data  State Traffic Data  Door-to-Door Surveys in 2004 and 2007 and 2010  Youth-to-youth surveys 2004 & 2007  Participant observation  Focus groups  Document review 7

8. Core Questions Social demographics What residents like and don’t like about neighborhood Social capital (civic participation, social cohesion) Perceived neighborhood safety City and county response to calls for service Added in 2007 Access to resources for healthy living Opinions about neighborhood conditions and crime

9. Survey RoleStakeholder Involvement Survey Design Led by CCNI staff and managers Consultation with residents and partners Surveying Door-to- Door (60 to 75 volunteers) Colleagues at City and County College and even high school students Partner organizations Survey Takers Residents (200 to 230 each time) Data Analysis and Reporting CCNI staff and interns Taking Action Based on Results Residents at community forums CCNI staff & managers City Council, County Bd of Supes 9

10. Concrete Improvements  Increased disaster prep  Renovated Parks  Felt there was less crime & violence in area Responsive Institutions  Improved City and County Response to Residents Concrete Improvements  Increased disaster prep  Renovated Parks  Felt there was less crime & violence in area Responsive Institutions  Improved City and County Response to Residents Resident Empowerment  Increased leadership skills  Greater involvement in neighborhood activities  Stronger linkages b/w residents and organizations  Increased access to health- promoting resources Resident Empowerment  Increased leadership skills  Greater involvement in neighborhood activities  Stronger linkages b/w residents and organizations  Increased access to health- promoting resources Reduced Inequities in Violent Crime & Traffic Injuries 10

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12. Incorporating multiple voices and viewpoints  Detailed logic models and long surveys Meeting different needs and demands for data  Stakeholders wanted stories as well as numbers  Some data was unavailable for such small areas Making presentations and reports user-friendly Communicating the limits of our data  Attributing community change to our interventions 12

13. “It’s close to work and everything. The architecture and the neighbors. The climate is excellent and recreation in the Bay Area. Affordable Housing. “ Quote about what a West Oakland resident likes about living there 13

14. Increased interest in the CCNI Ensured collection of relevant information Allowed us to survey many residents Documented the work “on-the-ground” and a variety of effects on residents and neighborhoods Encouraged use of the data in planning and decision-making Helped us learn how to present our data to a wider variety of audiences 14

15. Liz Maker, DrPH, Evaluation Specialist Alameda County Public Health Department (ACPHD) Community Assessment, Planning, Education and Evaluation (CAPE) Unit liz.maker@acgov.orgliz.maker@acgov.org; (510) 267-8096 Mia Luluquisen, DrPH, MPH, RN, Deputy Director ACPHD CAPE Unit mia.luluquisen@acgov.orgmia.luluquisen@acgov.org; (510) 267-3224 Alameda County Public Health Department Website: http://www.acphd.org/ 15

16. For more information about the City-County Neighborhood Initiative (CCNI) http://www.acphd.org/social-and-health-equity/partnerships-and- communities-collaboration/ccni.aspx For more on CCNI surveys and results: http://www.acphd.org/social-and-health-equity/partnerships-and- communities-collaboration/ccni/ccni-community-surveys/survey-tools-and- results.aspx For more on the CCNI evaluation: http://www.acphd.org/social-and-health-equity/partnerships-and- communities-collaboration/ccni/ccni-evaluation.aspx For report: Life and Death from Unnatural Causes: Health and Social Inequity in Alameda County: http://www.acphd.org/media/53628/unnatcs2008.pdf http://www.acphd.org/media/53628/unnatcs2008.pdf 16

17. Alameda County PH CCB/CCNI staff Evette Brandon, German Martinez, Lincoln Casimere, Lori Williams, Shalonda Jones, Chuck McKetney City of Oakland Neighborhood Services Claudia Albano, Joe DeVries, Bill Richie Community residents and partner organizations Oakland City Council Alameda County Board of Supervisors 17