Robertson-James Candace, Sawyer Lidyvez, Núñez Ana, Campoli Bernadette, Robertson Diana, DeVilliers Amanda, Congleton Sharon, Hayes Stephen, Alexander Stephanie
School of Nursing and Health Sciences, LaSalle University, Philadelphia, Pennsylvania.
Drexel University, College of Medicine, Philadelphia, Pennsylvania.
Womens Health Issues. 2017 Oct 17;27 Suppl 1:S29-S37. doi: 10.1016/j.whi.2017.09.001.
The Philadelphia Ujima Coalition for a Healthier Community (Philadelphia Ujima) promotes health improvement of girls, women, and their families using a gender framework and community-based participatory research approach to addressing gender-based disparities. Institutional policies developed through community-based participatory research approaches are integral to sustaining gender-integrated health-promotion programs and necessary for reducing gender health inequities. This paper describes the results of a policy analysis of the Philadelphia Ujima coalition partner sites and highlights two case studies.
The policy analysis used a document review and key informant interview transcripts to explore 1) processes that community, faith, and academic organizations engaged in a community participatory process used to develop policies or institutional changes, 2) types of policy changes developed, and 3) initial outcomes and impact of the policy changes on the target population.
Fifteen policies were developed as a result of the funding from the U.S. Department of Health and Human Services Office on Women's Health. Policy changes included 1) healthy food options guidance, 2) leadership training on sexual and relationship violence, and 3) curricula and programming inclusion and expansion of a sex and gender focus in high school and medical school.
Organizational practice changes and policies can be activated through individual-level interventions using a community participatory approach. This approach empowers communities to play an integral role in creating health-promoting policies.
费城乌贾马更健康社区联盟（费城乌贾马）采用性别框架和基于社区的参与性研究方法，以解决基于性别的差异问题，促进女孩、妇女及其家庭的健康改善。通过基于社区的参与性研究方法制定的机构政策，对于维持性别整合的健康促进项目不可或缺，也是减少性别健康不平等的必要条件。本文描述了对费城乌贾马联盟合作伙伴站点的政策分析结果，并重点介绍了两个案例研究。
政策分析采用文件审查和关键信息提供者访谈记录，以探讨：1）社区、宗教和学术组织在社区参与过程中用于制定政策或机构变革的过程；2）制定的政策变革类型；3）政策变革对目标人群的初步结果和影响。
在美国卫生与公众服务部妇女健康办公室的资助下，制定了15项政策。政策变革包括：1）健康食品选择指南；2）性暴力和关系暴力方面的领导力培训；3）在高中和医学院课程及项目中纳入并扩展性别和性取向相关内容。
通过采用社区参与方法的个人层面干预措施，可以激活组织实践变革和政策。这种方法使社区能够在制定促进健康的政策中发挥不可或缺的作用。
