Khare Manorama M, Núñez Ana E, James Barbara F
University of Illinois College of Medicine at Rockford, 1601 Parkview Avenue, Rockford, IL 61107, United States.
Urban Health Equity, Education and Research, Drexel University College of Medicine, 2900 Queen Lane, Philadelphia, PA 19129, United States; Women's Health Education Program and National Center of Excellence in Women's Health, Drexel University College of Medicine, 2900 Queen Lane, Philadelphia, PA 19129, United States.
Eval Program Plann. 2015 Aug;51:85-8. doi: 10.1016/j.evalprogplan.2015.01.001. Epub 2015 Jan 13.
The Coalition for a Healthier Community (CHC) initiative was implemented to improve the health and well-being of women and girls. Underpinning CHC is a gender-based focus that uses a network of community partners working collaboratively to generate relevant behavior change and improved health outcomes. Ten programs are trying to determine whether gender-focused system approaches are cost-effective ways to address health disparities in women and girls. Programs implemented through coalitions made up of academic institutions, public health departments, community-based organizations, and local, regional, and national organizations, are addressing health issues such as domestic violence, cardiovascular disease prevention, physical activity, and healthy eating. Although these programs are ongoing, they have made significant progress. Key factors contributing to their early success include a comprehensive needs assessment, robust coalitions, the diversity of populations targeted, programs based on findings of the needs assessments, evaluations taking into consideration the effect of gender, and strong academic-community partnerships. A noteworthy impact of these programs has been their ability to shape and impact public, social, and health policies at the state and local levels. However, there have been challenges associated with the implementation of such a complex program. Lessons learned are discussed in this paper.
更健康社区联盟（CHC）倡议旨在改善妇女和女孩的健康与福祉。CHC的基础是基于性别的重点关注，它利用社区合作伙伴网络共同努力，以促成相关行为改变并改善健康结果。十个项目正在试图确定以性别为重点的系统方法是否是解决妇女和女孩健康差距的具有成本效益的方式。通过由学术机构、公共卫生部门、社区组织以及地方、区域和国家组织组成的联盟实施的项目，正在解决诸如家庭暴力、心血管疾病预防、体育活动和健康饮食等健康问题。尽管这些项目仍在进行中，但它们已经取得了重大进展。促成其早期成功的关键因素包括全面的需求评估、强大的联盟、目标人群的多样性、基于需求评估结果的项目、考虑到性别影响的评估以及强大的学术-社区伙伴关系。这些项目的一个显著影响是它们有能力塑造并影响州和地方层面的公共、社会和健康政策。然而，实施这样一个复杂的项目也存在挑战。本文将讨论所吸取的经验教训。
