Health Policy and Planning, Public Health-Seattle & King County, Seattle, Washington; and Center for Advanced Study in the Behavioral Sciences at Stanford University, Stanford, California.
J Public Health Manag Pract. 2021 Jan/Feb;27(1):E48-E56. doi: 10.1097/PHH.0000000000001048.
Multisector partnerships that put racial equity and community leadership at their center can create pathways to healthy communities. With funding from the Seattle Foundation and King County government, Communities of Opportunity was launched in 2014 to close gaps by place and by race in health outcomes and in measures of 3 social determinants-employment, housing, and social environment. The initiative is governed by a multisector partnership with community leaders in the majority. Relationships and decisions made during Communities of Opportunity's early years led to an expansion of the work from a $1 million per year place-based focus to an $8 million per year policy and system change enterprise. The initiative now funds 68 nonprofits to improve racial equity by increasing community capacity, investing in leadership development, and making policy changes. A committed group of community leaders worked with the funders to create an innovative structure that redresses past and current racial injustices and supports local leaders acting on ambitious priorities. A shared analysis of structural racism in the past and the present can deepen relationships and increase local government and funder credibility. When health departments and funders create the space for community leadership, initiatives can have broader reach and greater sustainability. We are in the early stages of developing the evidence base for improving community health equity and further work is needed to identify and disseminate successful processes and interventions.
多部门合作以种族公平和社区领导力为核心，可以为健康社区创造途径。在西雅图基金会和金县政府的资助下，机会社区于 2014 年启动，旨在通过健康结果和 3 个社会决定因素（就业、住房和社会环境）的种族差距来缩小差距。该倡议由一个以多数族裔社区领导人为成员的多部门伙伴关系管理。机会社区早期的关系和决策导致工作从每年 100 万美元的基于地点的重点扩展到每年 800 万美元的政策和系统变革企业。该倡议现在资助 68 个非营利组织，通过提高社区能力、投资领导力发展和推动政策变革来改善种族公平。一群坚定的社区领导人与资助者合作，创建了一种创新的结构，纠正过去和当前的种族不公正现象，并支持地方领导人采取雄心勃勃的优先事项。对过去和现在的结构性种族主义进行共同分析可以加深关系，并提高地方政府和资助者的信誉。当卫生部门和资助者为社区领导创造空间时，各项倡议可以有更广泛的影响力和更大的可持续性。我们正处于为改善社区健康公平而开发证据基础的早期阶段，需要进一步工作来确定和传播成功的过程和干预措施。
