New Mexico State University, Las Cruces, NM, USA.
Southern New Mexico Family Medicine Residency Program, Las Cruces, NM, USA.
Glob Public Health. 2023 Jan;18(1):2176003. doi: 10.1080/17441692.2023.2176003.
In 2019, the Doña Ana Wellness Institute (DAWI), Doña Ana County, New Mexico's health council, sponsored two trainings in structural competency by the Structural Competency Working Group. One focused on health care professionals and learners; the other focused on government, non-profit organisations, and elected officials. DAWI and New Mexico Human Services Department (HSD) representatives attended the trainings and identified the structural competency model as useful for the health equity work both groups were already engaging. These trainings provided the foundation for DAWI and HSD to develop additional trainings, programmes, and curricula founded on structural competency and focused on supporting health equity work.This article describes how DAWI and HSD used the structural competency framework to deepen our work, including how we have expanded the concept beyond its original orientation to support strategic planning, improve communication, and build structurally competent communities. We illustrate how the framework strengthened our existing community and state work and how we adapted the model to better fit our work. Adaptations included changes in language, the use of the lived experiences of organisation members as a foundation for structural competency education, and a recognition that policy work happens at multiple levels and in multiple ways for organisations.
2019 年，新墨西哥州多纳安娜县卫生委员会多纳安娜健康协会（DAWI）赞助了由结构能力工作组举办的两次结构能力培训。一次培训侧重于医疗保健专业人员和学习者；另一次培训侧重于政府、非营利组织和民选官员。DAWI 和新墨西哥州人类服务部（HSD）的代表参加了培训，并确定结构能力模型对于两组已经参与的健康公平工作是有用的。这些培训为 DAWI 和 HSD 提供了基础，以开发更多基于结构能力并专注于支持健康公平工作的培训、项目和课程。本文描述了 DAWI 和 HSD 如何使用结构能力框架来深化我们的工作，包括我们如何将该概念扩展到其最初的方向之外，以支持战略规划、改善沟通和建立结构能力社区。我们说明了该框架如何加强我们现有的社区和州工作，以及我们如何调整模型以更好地适应我们的工作。调整包括语言的改变、利用组织成员的生活经验作为结构能力教育的基础，以及认识到政策工作对于组织来说发生在多个层面和以多种方式进行。
