Global to Local, Seattle, Washington.
Global to Local, Seattle, Washington.
Ann Glob Health. 2016 Nov-Dec;82(6):972-980. doi: 10.1016/j.aogh.2016.11.006.
The article describes the experience of testing successful global health interventions in the cities of SeaTac and Tukwila, Washington-2 very diverse, underserved communities outside of Seattle that experience significant health disparities compared with surrounding areas in King County. Topics covered include an overview of the partnership that established Global to Local, the process of engaging Seattle-based global health institutions in identifying global health strategies to test, identifying communities experiencing health disparities that might benefit from global health-inspired interventions, engaging those local communities to understand the perceived drivers of poor health outcomes, tailoring global interventions to the local context, launching programs, and the successes and challenges that have emerged throughout this process. Global health strategies that were tested and are reported on in the article include the use of community health workers to support chronic disease prevention and management, partnering with and building the capacity of local organizations and institutions, linking public health and primary care by addressing the social determinants of health in a primary care and community setting, and using mobile phones to transform practices for managing type 2 diabetes. The paper concludes that based on the early learnings of this approach, there is value in looking to tested and proven global health strategies to address health disparities in underserved communities in the United States and calls for further exploration of this approach by other actors.
本文描述了在华盛顿州西雅图市的 SeaTac 和 Tukwila 市测试成功的全球卫生干预措施的经验——这两个城市非常多样化，服务不足，与金县周边地区相比，存在显著的健康差距。所涵盖的主题包括：建立全球到地方伙伴关系的概述，让西雅图的全球卫生机构参与确定可以进行测试的全球卫生战略，确定可能受益于全球卫生干预措施的存在健康差距的社区，让这些当地社区参与了解健康结果不佳的感知驱动因素，使全球干预措施适应当地情况，启动项目，以及在此过程中出现的成功和挑战。本文测试并报告的全球卫生战略包括利用社区卫生工作者支持慢性病预防和管理，与当地组织和机构合作并增强其能力，通过在初级保健和社区环境中解决健康的社会决定因素来联系公共卫生和初级保健，以及使用移动电话改变 2 型糖尿病管理实践。本文得出结论，基于这种方法的早期经验，借鉴经过测试和证明的全球卫生战略来解决美国服务不足社区的健康差距是有价值的，并呼吁其他行为体进一步探索这种方法。
