1. Sustainable Partnerships with Communities East Central District Health Department

2. Demographics of our area Rural Nebraska Agriculturally based 51,325 individuals in 2,200 sq miles Prior to 1990 mostly Caucasian 904% increase in Latino Population between 1990 and 2000

3. What our partners say about MAPP The process served to build networks and reinforce partnerships in the community Group dynamics cemented trust among participants One of the major results was community recognition and creditability. This resulted in more political clout…. A reputation for capability was created….."

4. The Bottom Line Year BUDGET Staff Members 2000 $206,8866 6 2001 $397,731 11 2002 $1,385,180 23 2003 $1,907,217 36 2004 $2,741,563 46

5. Plan for Success Communication Outside Facilitator In hind sight it needs to be made clear that there are demanding responsibilities here. Its real work, not just meetings and voting A clear path with definite time parameters needs to be set

6. Working with Communities We learned how we can enhance each other Share Successes – Engage the media MAPP served as a catalyst it brought people together The role and responsibilities of each agency was clarified – we knew who had what piece of the pie

7. Better Health Through Partnerships Have Fun Serve Refreshments This process really changed forever how we do business with one another………