San Francisco Leverages Health Permits to Combat Wage Theft Wage theft is a national epidemic that hurts workers, responsible employers, and the local economy. After learning through participatory research collaborations that wage theft impacts the health of many low-wage and immigrant workers, the San Francisco Department of Public Health, California, leveraged their restaurant health permitting process to hold employers accountable for wages stolen from employees. Browse the case studies What underlies our approach? To systematically dismantle the patterns of othering and exclusion in government practice, we must pursue a wall-to-wall transformation of how local health departments work internally, with communities, and alongside other government agencies.
A plan for media promotion of breastfeeding and your group Activity 1: Access to prenatal breastfeeding education is critical. It offers a solid knowledge base of skills and information to give new mothers the best start to breastfeeding.
A thorough breastfeeding curriculum will include risks of not breastfeeding, common breastfeeding challenges, when to seek help, and how to talk to family members and employers about the importance of breastfeeding. All families in Oregon will possess the skills and resources to breastfeed.
Find the teachable moment. For example, one creative organization went to a low income housing development occupied primarily by African Americans, and recruited grandmothers who were supportive of breastfeeding and trained them as peer counselors.
The grandmothers were then provided gifts and party foods to host baby showers for expectant mothers. The party theme was encouragement of breastfeeding, which was echoed in the stories, gifts, and support presented by the elders. Curriculum development If a more traditional class model is the goal, locate materials already produced and adapt them.
Check local WIC and childbirth educators, or find ways to support what those people are already doing. One of the most important resources the class will provide is a community resource list showing where the participant can get after hours help, emergency help, and low cost or free breastpumps.
Location Where possible, partner with organizations serving target populations and bring the curriculum to them. Teachers Technical lactation components can be taught by hospital, community or WIC LC; Trained Peer Counselors with LC support can be teachers Staff from partner organizations serving target populations can be trained to integrate lactation training in their curriculum example: Head Start or teen parent programs.
Students Program participants in community partner organizations Advertise availability of classes in libraries, childbirth educators, OB and midwifery clinics, and other likely places. Funding When the classes are taught by volunteers, the price to produce a prenatal breastfeeding class is quite minimal.
Many communities have space available for free health classes. Print costs are the primary expense. Take all means possible to not defer this cost to the students.
A fee for the class can be a barrier for many. Food Having food at the training has several advantages. Healthy snacks and water create a teaching opportunity, and support the pregnant mothers. Food increases attention span and likelihood for attendance, particularly if the class is in the evening.
Many restaurants are willing to make donations, and many school cafeterias double as low cost catering services. At a minimum, track the number of students taught. Through follow up surveying, track the breastfeeding initiation and duration rates of prenatal class graduates and compare to general population.
Access to breastfeeding support is not equal. There are many women without support from family or friends who have the additional barrier of lack of access to lactation support. Without WIC, OHP, or funds to pay for a home lactation consultation visit, many women do not get the help they need when they need it.
The goal is to never have to say no to a woman who needs breastfeeding help. What can be done in your community to make this so? Some solutions for other communities have included: Starting or promoting a LLL group; Offering a breastfeeding warm line staffed by peer counselors or on rotation by qualified coalition members; Creating a directory which includes all sliding scale help available from hospital lactation departments, midwives, postpartum doulas; Applying for grant funds to pay for home visits for these women; Starting an LC co-op to share the burden of low cost appointments.
If language barriers are a problem, see if interpreter services can be paid for by referring provider. Track the number of calls, groups, etc. Ask if the help provided was useful to her, clear, or would in her opinion help her to continue to breastfeed. It can be difficult, particularly in rural areas, to find opportunities for professional development in lactation specialties.
At a minimum, breastfeeding coalitions can function as a time to share case studies, reflect on books or new research, promote or create new resources, etc.
Increase lactation literacy for area health care professionals. See the Health Care Provider section of this website.U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation The U.S. Department of Health and Human Services (DHHS) Action Plan to Reduce Racial and Ethnic Health Disparities outlines goals and actions to reduce the gaps in health and health care.
Pursue a career in social work with the Columbia School of Social Work. We offer online and residential programs to help you become an agent of change. Connecticut Department of Mental Health and Addiction Services. Office of Multicultural Affairs. Health Disparities Initiative. An Evaluation of Racial and Ethnic Health Disparities. This page contains a state chart on state laws related to health disparities.
This page contains a state chart on state laws related to health disparities. Welcome to GEARS. At GEARS, we work to help people everywhere thrive, supporting efforts to ensure healthy and safe communities, closing the health disparities gap, and improving the care for underserved populations.
Director, The Disparities Solutions Center Senior Scientist, The Mongan Institute Director of Multicultural Education, Center for Diversity and Inclusion, Massachusetts General Hospital Associate Professor of Medicine, Harvard Medical School Dr.
Betancourt is the founder and director of the Disparities Solutions Center (DSC), Senior Scientist at the . Connecticut Department of Mental Health and Addiction Services.
Office of Multicultural Affairs. Health Disparities Initiative. An Evaluation of Racial and Ethnic Health Disparities. This evaluation is intended to provide clear and concise information about the impact of the Disparities Leadership Program on participating organizations’ efforts to reduce disparities.