Southeastern Region, Network for Public Health Law, Chapel Hill, North Carolina (Ms Hunter); and Buncombe County Health & Human Services, Buncombe County, North Carolina (Ms Mpofu).
J Public Health Manag Pract. 2022;28(Suppl 1):S38-S42. doi: 10.1097/PHH.0000000000001434.
Buncombe County, North Carolina, was recognized in 2014 as a Robert Wood Johnson Foundation Culture of Health Prize Winner for its work fostering collaboration and partnership to address community health needs. As part of this work, Buncombe County Health and Human Services (HHS) convened a cross-sector Public Health Advisory Council that supported community-based initiatives and ensured that community members were involved in identifying and implementing solutions to issues such as poverty and child well-being. Leveraging existing relationships and past efforts, Buncombe County has continued to build collaborative networks for systems change using a collective impact framework. Bringing together partners across sectors, including the faith community, Black fraternities and sororities, community health workers, consulates, and others, Buncombe County HHS is supporting efforts to train and equip community members to lead health promotion efforts and community conversations on historical trauma and racial healing; engage community members in the policymaking process through town halls; and archive the community's pandemic journey through storytelling. The collective impact framework has shaped an environment that supports community change by centering community aspirations and values. This environment informed recent declarations by Buncombe County HHS and the Board of Commissioners that racism is a public health crisis, as well as a resolution by the city of Asheville supporting community reparations. This article explores how the collective impact framework has been used in Buncombe County to engage and continually invest in communities of color and reviews steps taken to develop and implement an equity action plan to address structural racism.
北卡罗来纳州本克姆县在 2014 年因其在促进合作和伙伴关系以解决社区健康需求方面的工作而被罗纳德·布朗基金会文化健康奖评为获奖者。作为这项工作的一部分，本克姆县卫生和人类服务部（HHS）召集了一个跨部门公共卫生咨询委员会，支持基于社区的倡议，并确保社区成员参与确定和实施解决贫困和儿童福祉等问题的解决方案。本克姆县利用现有关系和以往的努力，继续利用集体影响框架为系统变革建立合作网络。通过将包括信仰社区、黑人兄弟会和姐妹会、社区卫生工作者、领事馆和其他机构在内的各部门合作伙伴聚集在一起，本克姆县 HHS 正在支持培训和装备社区成员的努力，以领导健康促进工作和关于历史创伤和种族疗愈的社区对话；通过市政厅让社区成员参与决策过程；并通过讲故事来记录社区的大流行历程。集体影响框架通过关注社区的愿望和价值观为社区变革创造了一个支持性的环境。这种环境为本克姆县 HHS 和委员会最近宣布种族主义是公共卫生危机以及阿什维尔市支持社区赔偿的决议提供了信息。本文探讨了集体影响框架如何在本克姆县被用来吸引和不断投资有色人种社区，并回顾了为制定和实施解决结构性种族主义的公平行动计划而采取的步骤。
