Addressing Systemic Barriers Impacting Health in CHC Communities

点击翻译按钮获取中文摘要

ComPASS: Community-Led, Health Equity Structural Intervention Initiative (OT2): Texas HOPE: Together Dissolving Food Insecurity Structural Barriers Abstract The Asian American Health Coalition of the Greater Houston Area dba HOPE Clinic and our partners share the mission of health and wellbeing equity for everyone without prejudice. In our proposal, “Texas HOPE: Together Dissolving Food Insecurity Structural Barriers,” we declare our commitment to ending food insecurity, an intractable harm endured by our most vulnerable and marginalized families and individuals. In our study region, Texas’ greater Houston area, approximately 695,310 individuals endure food insecurity, including 1 in 5 children. Food insecurity disproportionally impacts disadvantaged groups, who represent 80% of the population in our areas: 45% Hispanic, 23.5% Black, and 12.2% Asian American or Pacific Islander. Using an authentic community engagement participatory process, we will establish a CHESI Collaborative of partners and use the Precede Proceed approach to plan and develop our structural intervention CHESI study. Together, will we engage stakeholders and those with lived experience to provide their perspectives and insight on food insecurity structural barriers, complete a community assessment, and consider interventions. Concurrently, the CHESI Collaborative will devise a sustainability plan that will ensure the intervention persists. With our local HERA, we will compile multisource evidence, examine intervention options, and identify health and wellbeing measures most influenced by food insecurity. The CHESI Collaborative will again reach out to our community, garnering input on the draft intervention and implementation plan. Community involvement will provide pivotal insight on considerations and potential challenges for the successful rollout of the intervention. In preparation for Phase 2, HERA will devise a rigorous research methodology that best suits the intervention.