From Program to Policy: Expanding the Role of Community Coalitions

dc.contributor.authorHill, Anne
dc.contributor.authorDe Zapien, Jill Guernsey
dc.contributor.authorStaten, Lisa K.
dc.contributor.authorMcClelland, Deborah Jean
dc.contributor.authorGarza, Rebecca
dc.contributor.authorMoore-Monroy, Martha
dc.contributor.authorElenes, JoJean
dc.contributor.authorSteinfelt, Victoria
dc.contributor.authorTittelbaugh, Ila
dc.contributor.authorWhitmer, Evelyn
dc.contributor.authorMeister, Joel S.
dc.date.accessioned2022-10-17T14:12:59Z
dc.date.available2022-10-17T14:12:59Z
dc.date.issued2007
dc.description.abstractBackground Diabetes mortality at the United States–Mexico border is twice the national average. Type 2 diabetes mellitus is increasingly diagnosed among children and adolescents. Fragmented services and scarce resources further restrict access to health care. Increased awareness of the incidence of disease and poor health outcomes became a catalyst for creating community-based coalitions and partnerships with the University of Arizona that focused on diabetes. Context Five partnerships between the communities and the University of Arizona were formed to address these health issues. They began with health promotion as their goal and were challenged to add policy and environmental change to their objectives. Understanding the meaning of policy in the community context is the first step in the transition from program to policy. Policy participation brings different groups together, strengthening ties and building trust among community members and community organizations. Methods Data on progress and outcomes were collected from multiple sources. We used the Centers for Disease Control and Prevention’s Racial and Ethnic Approaches to Community Health (REACH) 2010 Community Change Model as the capacity-building and analytic framework for supporting and documenting the transition of coalitions from program to policy. Consequences Over 5 years, the coalitions made the transition, in varying degrees, from a programmatic focus to a policy planning and advocacy focus. The coalitions raised community awareness, built community capacity, encouraged a process of “change in change agents,” and advocated for community environmental and policy shifts to improve health behaviors. Interpretation The five coalitions made environmental and policy impacts by engaging in policy advocacy. These outcomes indicate the successful, if not consistently sustained, transition from program to policy. Whether and how these “changes in change agents” are transferable to the larger community over the long term remains to be seen.en_US
dc.identifier.citationHill A, Guernsey De Zapien J, Staten LK, McClelland DJ, Garza R, Moore-Monroy M, et al. From program to policy: expanding the role of community coalitions. Prev Chronic Dis 2007;4(4). http://www.cdc.gov/pcd/issues/2007/oct/07_0112.htm.en_US
dc.identifier.urihttps://hdl.handle.net/1805/30353
dc.publisherCenters for Disease Control and Preventionen_US
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectCommunity Coalitionsen_US
dc.subjectType 2 Diabetesen_US
dc.subjectMexican Americansen_US
dc.subjectLatinoen_US
dc.subjectHispanicen_US
dc.titleFrom Program to Policy: Expanding the Role of Community Coalitionsen_US
dc.typeArticleen_US
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