1. Community Health Collaboration:
Leveraging and Evaluating the Collective Impact Approach
Anna Brewster
Program Director, Cancer Prevention and Control Platform
MD Anderson Cancer Center

2. Mutually Reinforcing Activities Continuous Communication
Collective impact is the commitment of important actors from different sectors to a common agenda to solve a specific social problem at scale
Common Agenda
Shared Measurement
Shared Measurement ensures partners are collecting data and measuring results consistently across all participants
Mutually Reinforcing Activities
Continuous Communication
Collecting
Backbone Support

3. The Harris County BUILD Health Partnership: Core Partners
Collective impact case study: The BUILD Health Challenge allowed for the creation of the Harris County BUILD Health Partnership
Funders:
The BUILD Health Challenge is a national award program designed to support Bold, Upstream, Integrated, Local, and Data-Driven approaches to improving community health
The Harris County BUILD Health Partnership: Core Partners
Hospital/Health System
Community-Based Organization:
Local Health Department
Coordinates other hospital partners and leads the evaluation in partnership with the UT School of Public Health
Serves as the fiscal agent, sources the healthy food for the Partnership, and coordinates interventions
Provides ongoing partner engagement and coordination and facilitates interventions

4. Key issue: 19% of residents in north Pasadena live in food insecure homes, meaning they have limited or uncertain access to adequate food
Population with limited food access, % by tract, FARA 2010:
North Pasadena, Texas has a higher rate of poverty, lower educational attainment, more linguistic isolation, and less access to healthy food than Harris County as a whole; as a reflection of these economic trends:

5. Solution: Our collaboration is launching a community-supported food system to reduce food insecurity and improve health
MISSION: Eliminate the conditions that cause food insecurity in north Pasadena
STRATEGY: Launch a new food system in north Pasadena that is healthy, sustainable, affordable, accessible, and community-supported
PRODUCTION
Establish a sustainable public source of accessible healthy food in North Pasadena
DISTRIBUTION
Develop an expanded local network of innovative healthy food suppliers and distributors in north Pasadena
CONSUMPTION
Develop a coordinated system of programs to help residents access food and make healthy choices
Community-Supported Agriculture (CSA) Campus, Research, & Education Center
Job Training Programs: on-site vocational programs for Pasadena ISD and San Jacinto College
Expanded Healthy Corner Store Network*
Expanded Healthy Dining Matters Program*
Expanded Brighter Bites Program: free food co-ops at area elementary schools
*HCPHES/Healthy Living Matters-Pasadena initiatives; will expand to 3 additional sites in north Pasadena
Produce Prescription Program (PRxP)*
Food FARMacies*
Food Scholarship Program**
Direct Marketing Campaign
*Beginning at 5 clinic sites (Year 2)
**Beginning at 2 CBO partner locations (Years 1 - 2)

6. 3

7. MD Anderson and UT School of Public Health are collaborating to evaluate the initiative

8. The Evaluation Team developed a robust process evaluation to evaluate the feasibility and effectiveness of the initiative
To evaluate the dosage, buy-in, reach, and fidelity of the various programs, we developed key common measures:
Demographics
Food insecurity
Program enrollment
Program cost
Food received
Acceptability and usage
Nutrition education
Nutrition environment
Sales
To assess factors at the systems and organizational level that influenced program implementation and success, all BUILD partners completed a survey focused on:
Project capacity and management
Communication
Sustainability
Assess factors at the systems and organizational level that influenced program implementation and success
Gather feedback and lessons learned from implementation partners on how the program is being implemented
Better understand the lived experience of BUILD program participants and program acceptability
Qualitative research: To better understand the lived experience of participants and program acceptability, we are also gathering stories

9. Harris County BUILD Health Partnership Evaluation Team
Anna Brewster, MS
Program Director
Elizabeth Caballero, MBA
Program Manager
Katy Oestman, MPH, CHES
Program Coordinator
Carolyn Bernard, CPHIMS
Sr. Systems Analyst
Shreela Sharma, PhD, RD, LD
Associate Professor
Casey Durand, PhD, MPH
Assistant Professor
Jennifer Aiyer MS, RD
Graduate Assistant