Community Advocate Presentation

Community Advocate Interview

Nea Turner KINE 5378: Foundations of Public Health Dr. Phipps

Overview

Introduction & Organization Background

Social Determinants of Health

Collaboration and Partnership

Challenges & Innovative Solutions

Keytake Aways & References

Dr. J'vonnah Maryman

Associate Dirctor of Family Health Services- Tarrant County Public Health

Dr. J'Vonnah Maryman holds a Master’s degree in Public Health from the University of Kansas School Of Medicine and a Doctorate in Community Psychology from Wichita State University. Dr. Maryman is currently the Associate Director of Family Health Services for Tarrant County Public Health. Coordinating the Family Health Services with a lifespan approach and utilizing community-based participatory research concepts in the delivery of program services. She has worked in Public Health for over 15 years in maternal child health-focused programming, community outreach and education, and public health performance.

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Family Health Services

Initiatives that span across the course of life

Pregnancy & Maternal Outcomes

Community Health Equity

Chronic Disease Prevention

Pre-Conception

Programs and interventions that start before conception to discuss and provide education about STD, Pregnancy, and Family Life Planning.

Addressing the health equity issues concerning county residents with the goal of reducing social inequities throughout the county.

Assisting mothers at the beginning of pregnancy, after birth, and within the first 5 years of a child's life.

Addressing the later years of life and implementing preventive measures that can be taken in youth to promote a healthier life.

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01

SOcial Determinants of Health

What specific programs or policies are you implementing to address the social determinants of health in Tarrant County?

Understanding the Community

Public Health's Impact on Social Determinants of Health

Public health officials are typically your unseen heroes working behind the scenes. Many people do not notice thier work until an outbreak crisis hits the community hard. But public health is so much more than just crisis management. Public health is the food inspections at your favorite restaurant, information on car seat safety, and a part of the communities for development projects. Public health is everywhere and are addressing social determinants in every way possible.

Tarrant County is very diverse consisting of:

• A diverse racial background within 41 cities

• Economic Stability
• Food Insecurities
• Education Access and Quality
• Health care Access and Quality

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Addressing the issues

Public health in action

Age 70

Age 65

Life expectancy of 76104 (Fort Worth) in 2006-2010

Life expectancy now* of the 76104 (Fort Worth)

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02

Connections within Public Health

How do you foster collaboration and partnership between stakeholders?

Impact on the community

Jelly Bean Model

When discussing public health, it is important to also discuss the connections created between the different sectors and their influences on each other. Dr. Maryman highlighted the system-thinking mindset when it came to collaboration, communication, and implementation of initiatives within the community.

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Partnership in action

stategies used in the community

FIMR (Fetal Infant Mortality Review)

Project Photovoice

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Fatherhood Coalition

9-11 Operator Data Collection

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03

challenges & Innovative Solutions

What are some of the social or political barriers to improving public health in Tarrant County, and how are you addressing them?

Conflicting Priorities

Funding

With being in a system that is interconnected some stakeholders influences may take priority and may not align with the current vision or goals set.

Many agencies and organizations rely on the same grants for programs. This creates competion for resources and support which can hinder progress on goals for different initiatives.

Service Insights

Approaches to reaching the community

Tarrant County Public Health's many programs and collaborations strategically addresses the challenges and includes the community's input.

Key Takeaways

Public Health Collaborations and Programming

Public Health's Impact on the community

Public Health Connections

The collaboration that goes on between public health and other sectors in the community can help achieve the overall goal of helping the communities

The behind the scene help and impact that public health has on the community is large

Understanding how Public Health is deeply connected to the different sectors in the community helps when creating interventions

Public Health Advocacy

The goals of Public Health are best achieved when those affected are part of the solution.

References

Web links

Bibliography

Tarrant County Website

• Tarrant County Public Health. (2022). Community health assessment 2022. Tarrant County Public Health. https://www.tarrantcountytx.gov/content/dam/main/public-health/ph-health-data/TCPH_Community_Health_Assessment_2022.pdf

• Tarrant County Public Health. (n.d.). Family health services. Tarrant County. https://www.tarrantcountytx.gov/en/public-health/family-health-services.html

Tarrant County Life Expectancy Data Brief

The public health system diagram-Local Implementation guide.

Community Outreach- Tarrant County

Thank You!

Early Life in Public Health

Dr. Maryman's journey to public health started in her senior year of college in which her organization created a storks nest in the community in which she loved working with. She continued working in different communities and inadverdently discovered that all her work lead back to public health. As she continued to engage in her public health career, she noticed the challenges and wanted to address the obstacles she was seeing in the community.

Non-profit agency bringing awareness on the importance of responsible fatherhood and programing in the community.

Evidence-based community classes-"quick hit classes"(nutrition, physical activity, etc.) Community Outreach Chronic pain management classes Adult vaccination

Partcipation of community members to discuss and examine social, economic, cultural, safety and health system factors associated with fetal and infant mortality in Tarrant County.

Safe Riders Program Child Fatality Review* Infant Mortality Review* WIC (Women, Infants, Children Nutrition Program Nurse-Family Partnership Program*

Initiative themed around the youth's perspective of thier community. A participatory research method that engages students ages 11-14 on how they view the health of thier communities.

72M

You can present the figures this way...

Pose a dramatic question; it is the essential ingredient for keeping the audience's attention. It is usually posed subtly at the beginning of the story to intrigue the audience and is resolved at the end.

Tarrant County Debrief

JLooking for more infro

Jelly Bean Model

The jelly bean diagram shows the interconnection between public health and other community stakeholders/sectors. i.e., The development of a casino

Community health worker institute cohorts STD Testing Community Health Outreach

African American Health Expo Fatherhood Coalition* Community Canvasing Community Youth Development program

Partnering with the local fire department to analyze responses to non-emergency calls pertaining to chronic pain management.