1. New Tools New Visions W.K. Kellogg Foundation Grant Community Partners HBCU Partners

2. A Program to eliminate health disparities using Community-Based Participatory Research  Initiated: August 2005  Funding: W.K. Kellogg Foundation  Amount: $4 million over 5 years Health Disparities, Ethics, and Participation: New Tools/New Visions

3. The Vision Unite together African American communities with Historically Black Colleges and University faculty and students to create solutions for reducing the economic, racist, cultural and health care problems that cause health disparities.

4. NTNV Concept of Community

5. The Approach 1. Use Community-Based Participatory Research (CBPR) 2. Connect Research to Action 3. Create new leaders in health 4. Network with communities and institutions to change local, state and national policy.

6. Why Community-Based Participatory Research (CBPR)?  Respect for Community Competencies  Willingness to share Power/decision- making, and  Accept all perspectives… We create powerful investigations, more effective programs, and enhance the trust within our communities.

7. NTNV Seeks to Create A process for developing current and future leaders from the African American community committed to, and capable of, closing the health divide. Ongoing community collaborative research projects in health and health practices that reflect the unique cultural and historical life of the community.

8. A sustainable network of HBCUs/practitioner organizations/community organizations that will take an activist approach to eliminating health disparities. A communications network with local communities and HBCU institutions in other southeastern states.

10. Background

11. Traditional Measure of Health Disparity  Mortality Rate Ratio (RR): Mortality rate of African American Population / Mortality Rate of Anglo Population  Note: If the RR = 1, then there is not disparity. If RR is greater than 1, then mortality in African Americans is higher.

12. Age Adjusted Death Rate Ratios for African Americans 1950196019701980199020002002 Heart Ds1.0 1.1 1.21.3 Stroke1.31.4 1.51.4 Cancer0.91.01.11.3 2.6 Diabetes1.01.2 2.02.2 2.1 HIV--- 3.28.38.6 Homicide10.99.69.45.86.65.75.6

13. The Persistence of the Problem  Why have we not solved the problems of Health Disparities?  Will doing the same things over and over again achieve a different outcome?

14. AIDS by Ethnicity: United States, 1990-2000

15. How can we solve the problems of Health Disparities?  Our experience with HIV has shown us that providing the same interventions to ethnically different communities results in increased health disparities  One Approach: Community-Based Participatory Research

16. Primary and Secondary Syphilis: United States, 1995-1999

17. NTNV--Details Moving on from Where We Stand Now.

18. Element One Element Two Element Three Element Four Develop HBCU faculty capacity to address health disparities Increase African American leadership in health administration, management and policy Build capacity and readiness of communities of color for participatory research and interventions on health disparities Clarify minority perspectives on the ethics of health research and practices. Project Elements

19. Project Objectives  Year One –Create partnerships between communities and HBCUs  Year Two – Conduct pilot project  Year Three – Complete a fundable proposal or conduct an implementation project  Year Four – Policy translation  Year Five - Final reporting, publications, model sharing…and building …….Sustainability after the funding ends

20. Building Participation into Decision-Making Process  Grant w/Kellogg set forth objectives for the life of the project and on an annual basis.  Statewide Coordinating Committee will review overall project objectives bi-annually (approximately every 6 months)  Evaluation of previous year and plan for subsequent year outlined in Statewide Coordinating Committee for August Report by RCHD/SCRC.

21. Decision-Making Cont… Site pilots, priorities, tasks, approaches, and resource allocation. Site Steering Committee  Local steering committees establish democratic / participatory process. Membership to be > 51% non- researcher community members. Statewide activities, project- wide collaborative activities, policy initiatives Statewide Coordinating Committee  Representatives from each site (Community and HBCU reps) and from RCHD and SCRC constitute.

22. Questions & Discussion