Mansfield (Richland County), Ohio North End Community Improvement Collaborative Inc. Round 2- Continuing the Conversation Report to the Community 2016 Mansfield Round 2 Funded by the Ohio Commission on Minority Health Grant #MGS 16-16 Round 1 Funded by the Ohio Commission on Minority Health Grant #MGS 19-02 US Department of Health and Human Services Office of Minority Health Grant #6STTMP-051025-03-01, in support of The National Partnership for Action to End Health Disparities TABLE OF CONTENTS National Partnership to End Health Disparities (NPA) . .. 2 Ohio’s Response to the NPA . .. 2 Executive Summary . 3 Demographic Profile of Mansfield and Richland County . ………………………………………. 4 Update to Disparities Reduction Plan . …. 8 Participating Organizations . …11 1 The National Partnership for Action to The HHS plan outlines goals, End Health Disparities strategies, and actions. HHS will take to reduce health disparities Spearheaded by the Office of Minority among racial and ethnic minorities. Health, the National Partnership for Both documents can be found on Action to End Health Disparities the Office of Minority Health web (NPA) was established to mobilize a page at national, comprehensive, community- http://minorityhealth.hhs.gov/npa/. driven, and sustained approach to combating health disparities and to Ohio’s Response to the NPA move the nation forward in achieving health equity. Through a series of In support of the NPA, the Ohio Community Voices and Regional Commission on Minority Health Conversations meetings, NPA sought (OCMH), an autonomous state input from community leaders and agency created in1987 to address representatives from professional, health disparities and improve the business, government, and academic health of minority populations in sectors to establish the priorities and Ohio, sponsored a statewide goals for national action. The result is initiative to help guide health equity the National Stakeholder Strategy for efforts at the local and state levels. Achieving Health Equity, a roadmap that provides a common set of goals In Phase I of this initiative, OCMH and objectives for eliminating health sponsored a series of nineteen disparities through cooperative and Local Conversations on Minority strategic actions of stakeholders Health throughout the state. The around the country. purpose of these gatherings was to carry out community-wide Concurrent with the NPA process, discussions on local health federal agencies coordinated disparities in which health needs governmental health disparity could be identified and prioritized reduction planning through a Federal from the community’s perspective, Interagency Health Equity Team, and strategies could be generated including representatives of the toward local action plans to Department of Health and Human address minority health needs. Services (HHS) and eleven other Sixteen of the Local Conversations cabinet-level departments. The were geographically based and resulting product is the HHS Action were held in the state’s large and Plan to Reduce Racial and Ethnic small urban regions. In addition, Health Disparities, launched three statewide ethnic health simultaneously with the NPA National coalitions convened ethnic-specific Stakeholder Strategy in 2011. Local Conversations for Latino, Asian American, and Native American groups, which brought in representatives from these populations across the state. 2 North End Community Commission on Minority Health. Improvement Collaborative, Inc. During the Mansfield (Richland The North End Community County) Local Conversation, held Improvement Collaborative, Inc. on June 27, 2016, several gaps (NECIC) is a non-profit community were encountered particularly development organization primarily within the data collection process. serving three census tracts (CTs 6, The availability of data for African 7 &16) in Richland County, Ohio. Americans is often limited, NECIC’s work is guided by a presumably because that community driven Community demographic represents less than Economic Development Plan 10% of the county population. approved on February 15, 2011 by Upon discussion of this, several Mansfield City Council. organizations involved in community health planning efforts This plan outlines action steps and are being more intentional in partnerships in the following areas: addressing these data gaps and Data collection, public service gaps within Richland transportation, healthcare access, County. cultural competency, and has been successful in aligning resources to The participants in the Round 2 target resident identified challenges conversation, held on June 27, within the neighborhood. However, 2016 at the Mid-Ohio Conference after five years of continuous work Center, NECIC convened members implementing the strategies of the African American community identified in the plan, it is become and representatives from several evident that while there has been organizations listed below, for a measurable improvement in all of robust discussion of minority health the aforementioned areas, the disparities as they relate to our initial plan failed to address what local healthcare infrastructure, has risen to the top of community services, capacity, and resources. concerns…Health and Safety. Discussion included an overview of the Round 1 conversation and Beginning October 1, 2016, NECIC progress made toward those began to formally incorporate the original goals. Health and Safety focus into an amended plan to be taken to Looking forward, Richland Public Mansfield City Council in 2017. Health Department is currently conducting the Community Health NECIC’s strategic plan, however, Survey and has discussed provides for a broader focus challenges of getting back an (beyond North End Boundaries) to adequate number of surveys to address conditions particularly establish baseline numbers for impacting members of the African African American health planning. American community. With that in Significant discussion took place mind, NECIC, in its role as a resulting in the intention to transformative organizer, convener oversample the African American and leadership development organization, has stepped forward as a local partner championing the achievement of health equity with the support of the Ohio 3 Efforts to positively and specifically community and to target schools within impact health risk factors for Mansfield, the only city within Richland chronic illness, such as diabetes County with a significant African among African Americans have American population. taken place through other means such as the Creating Healthy Demographic Information Communities program. Richland Public Health administers this Anecdotally speaking, while African program that promotes health at Americans are the largest minority the neighborhood level. This population in Richland County (9%), program has supported healthy and they comprise over 20% of the fresh food access, educational population within the City of programs, diabetes prevention, and Mansfield. This has presented data promoted walkable neighborhoods. collection challenges, as well as the perceived need to prioritize services Despite the challenge of engaging to African Americans is diluted within the local African American the county system. There are no community in traditional health health related departments affiliated related programs, within the North within the City of Mansfield, minority End community in Mansfield, which or otherwise. has a large African American population, there have been Richland County has had significant consistent and ongoing efforts from success, however, in addressing the the Creating Healthy Communities disparate conditions in infant mortality program. Despite the disinvestment and the prevalence of low birth in this neighborhood and the lack of weight. Since 1999, the Community a grocery store, the investments in Health Access Project has fresh food access, the promotion of researched and published physical activity, and addressing significantly improved health the chronic diseases that affect outcomes among African American African American populations women by utilizing community health (diabetes, in particular) has raised workers, and an outcome based awareness, provided education, accountability method of coordinating and other resources to address this care for mothers and babies at risk area. for infant mortality and low birth weight called Pathways. This model has evolved into regional hubs which The HUB model involves working across organizational silos within a community to reach at-risk individuals and connect them to health and social services that yield positive health outcomes. Urban Minority Alcohol and Drug Abuse Outreach program specifically addresses addiction through the operation of prevention and treatment services and are expanding their services to include a wellness clinic. 4 Demographic Information Continued Total Population 122,813 (100%) 47,150 One Race 118,997 (96.9%) 44,325(100%) White 107,035 (87.2%) 34,233(94.0%) (72.6%) Black or African American 10,426 (8.5%) 9,596 (20.4%) Hispanic or Latino (of any race) 1,937 (1.6%) 1,046 (2.2%) Mexican 1,086 (0.9%) 646 (1.4%) Puerto Rican 364 (0.3%) 257 (0.5%) Cuban 35 (0.0%) 2 (0.0%) Other Hispanic or Latino 452 (0.4%) 141 (0.3%) American Indian and Alaska Native 95 (0.1%) 72 (0.2%) Asian 770 (0.6%) 148 (0.3%) Native Hawaiian and Other Pacific Islander 25 (0.0%) 0 (0.0%) Some other race 94 (0.1%) 23 (0.0%) Two or more races 3,435 (2.8%) 2,563 (5.4%) White and Black or African American