From 1999 to 2009, The Northern Manhattan Community Voices Collaborative put Columbia University and its Medical Center in touch with surrounding community organizations and churches to facilitate access to primary care, nutritional improvement, and smoking cessation, and to broker innovative ways to access healthcare and other social services. This unlikely partnership and the relationships it forged reaffirms the wisdom of joining "town and gown" to improve a community's well-being. Staff members of participating organizations have coauthored this volume, which shares the successes, failures, and obstacles of implementing a vast community health program. A representative of Alianza Dominicana, for example, one of the country's largest groups settling new immigrants, speaks to the value of community-based organizations in ridding a neighborhood of crime, facilitating access to health insurance, and navigating the healthcare system. The editors outline the beginnings and infrastructure of the collaboration and the relationship between leaders that fueled positive outcomes. Their portrait demonstrates how grassroots solutions can create productive dialogues that help resolve difficult issues.

From 1999 to 2009, The Northern Manhattan Community Voices Collaborative put Columbia University and its Medical Center in touch with surrounding community organizations and churches to facilitate access to primary care, nutritional improvement, and smoking cessation, and to broker innovative ways to access healthcare and other social services. This unlikely partnership and the relationships it forged reaffirms the wisdom of joining "town and gown" to improve a community's well-being. Staff members of participating organizations have coauthored this volume, which shares the successes, failures, and obstacles of implementing a vast community health program. A representative of Alianza Dominicana, for example, one of the country's largest groups settling new immigrants, speaks to the value of community-based organizations in ridding a neighborhood of crime, facilitating access to health insurance, and navigating the healthcare system. The editors outline the beginnings and infrastructure of the collaboration and the relationship between leaders that fueled positive outcomes. Their portrait demonstrates how grassroots solutions can create productive dialogues that help resolve difficult issues.

Volume numbers determined from Scope of the guidelines, p. 12-13.

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists.

How do communities protect and improve the health of their populations? Health care is part of the answer but so are environmental protections, social and educational services, adequate nutrition, and a host of other activities. With concern over funding constraints, making sure such activities are efficient and effective is becoming a high priority. Improving Health in the Community explains how population-based performance monitoring programs can help communities point their efforts in the right direction. Within a broad definition of community health, the committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health. The book offers a policy framework, applies a multidimensional model of the determinants of health, and provides sets of prototype performance indicators for specific health issues. Improving Health in the Community presents an attainable vision of a process that can achieve community-wide health benefits.

Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.