HE HEALTH H HA HAPPENS NS IN N NE NEIGHBOR HBORHOOD HOODS - - PowerPoint PPT Presentation
HE HEALTH H HA HAPPENS NS IN N NE NEIGHBOR HBORHOOD HOODS (A (AND WHAT WE E CAN TO DO ABOUT IT IT) DAVID ERICKSON, FEDERAL RESERVE BANK OF SAN FRANCISCO DOUGLAS JUTTE, MD, MPH, BUILD HEALTHY PLACES NETWORK Building Healthy
HE HEALTH H HA HAPPENS NS IN N NE NEIGHBOR HBORHOOD HOODS
(A (AND WHAT WE E CAN TO DO ABOUT IT IT)
Building Healthy Communities Ohio, October 2014
DAVID ERICKSON, FEDERAL RESERVE BANK OF SAN FRANCISCO DOUGLAS JUTTE, MD, MPH, BUILD HEALTHY PLACES NETWORK
THE FEDERAL RESERVE SYSTEM
REDLINING
Community Reinvestment Act of 1977 (CRA)
Philadelphia, 1949
AMER MERIC ICANS H S HAVE WORSE H SE HEA EALTH TH A AND SH SHORTER TER L LIV IVES ES
$2. $2.9 TRI TRILLI LLION ANNU ANNUALL ALLY
“Health is a state of complete physical, mental and social well-being and not merely the absence
Preamble to the Constitution of the World Health Organization June 1946
Behavioral Patterns
40% 40%
Genetic Predisposition
30% 30%
Environmental Exposure
5% 5%
Social Circumstances
15% 15%
Health Care
10 10%
CONTR TRIB IBUTIO TIONS T TO PREMATU TURE D DEATH TH
HE HEALTH = H = ED EDUCATION
HE HEALTH = H = IN INCOME ME
AC ACROSS ALL RA RACIAL/ L/ET ETHNIC GR GROUP UPS
…BU …BUT P POVE VERTY I IS CO CONCE CENTRATED
IN IN C CLIMB IMBIN ING TH G THE IN E INCOME L ME LADDER ER, LO LOCATION MATTERS
HEA EALTH TH HA HAPPENS NS IN IN NEIGH EIGHBOR HOOD HOODS
HE HEALTH H HA HAPPENS IN IN NE NEIGHBOR BOR HOOD HOODS
IN IN DETERMIN ININ ING YO YOUR HEALTH…
Housing Transportation Parks and Playgrounds Jobs Schools Grocery Stores
PEO PEOPL PLE G E GET ET S SICK BEC K BECAUSE O E OF T THEI EIR R SOCIAL AL AN AND PH PHYSICAL AL EN ENVIRONMEN MENTS
Housing: Solara
COM OMMUNI NITY DEVEL EVELOP OPMENT ENT INVES NVESTMENT ENTS
Small Business: Market Creek Plaza
Charter Schools: KIPP
HEAL HEALTH S H SOL OLUTIONS ONS HAP HAPPEN I EN IN NEI NEIGHB HBOR ORHOOD HOODS
WE ARE MAKING PROGRESS
CO COMMUNI MMUNITY DE DEVELOPME MENT A NT ATT TTACK CKS THE THE CO CORR RROSIVE E EFFECT CTS O OF P POVERTY
HI HISTOR ORY OF OF COM OMMUNI NITY D DEVEL EVELOP OPMENT ENT
1960’s 1970’s 1990’s 2000’s 2010+ 1980’s
“We are likely to look back at this time and wonder why community development and health were ever separate industries.”
WHATWORKSFORAMERICA.ORG
RISA LAVIZZO-MOUREY PRESIDENT AND CEO, ROBERT WOOD JOHNSON FOUNDATION
STATE OF E OF T THE AR HE ART Comprehensive Place-based Evidence-based Cross-sectoral
TH THE COM OMMUNI NITY QU QUAR ARTER ERBACK
CA CASA DE M E MAR ARYLAND AND
PR PROGRE RESS SS TO TOWARD CO COLLABO BORATIO ION
PR PROGRE RESS SS TO TOWARD CO COLLABO BORATIO ION
FUNDS C S CRE REATED
Healt lthy F Futures F Fund nd
Healt lthy N Neig ighb hborho hoods E Equ quit ity F Fund nd
ANDING SO SOCIAL AL I IMPACT BO BONDS
ly C Child hildho hood: South Carolina, Orange County, New York State, San Francisco
Diabetes: New York State
Asth thma: Fresno and Alameda County, California
ial E l Educatio ion: n: Salt Lake City, Utah
SCOPE OF THE PROBLEM
80% O OF C COUNTIES IN AM AMERI RICA H A HAVE F FAL ALLEN BE BEHIND T THE L LIFE E EXPECTAN ANCY A AVERA RAGE O OF THE W WORL RLD’S T ’S TOP 1 10 C COUNTRI RIES
3, 3,570 70 Census t tra racts h have po poor r po popu pulations a abo bove 40% 40%
20.4 .4 millio million Ame Americ icans liv live in in d deep p poverty
TH THE PR E PROBLEM EM IS EN IS ENORMO MOUS
1,700 American high schools have dropout rates above 40%
ENT ENTIRE S E STATES ES HA HAVE B VE BEC ECOM OME E DROP OP OU OUT F FACTOR ORIES ES
1 CASA de de M Maryla land 1 ReFresh Pr Project 1 Neighborhood C d Centers, In , Inc 10 10 Pu Purpose B Built lt C Communities
How a are re t these se i individua ual efforts g s going t to so solve suc such a a big, b , big p problem? SO SOLUTIO TION SC SCALE PR PROBLEM SCO EM SCOPE PE
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WE NEED SYSTEMS CHANGE
WE HA E HAVE T VE THE HE BUILDING NG B BLOC OCKS
IDEAS PARTNERS MONEY CAPACITY CREATIVITY SHARED VALUES
WHO AR HO ARE T E THE P HE PAR ARTNER NERS?
WH WHAT S T SYSTEMS N STEMS NEED EED T TO CH CHANGE T GE TO CR CREA EATE A TE A WEL WELCO COMIN MING EN G ENVIR IRONMEN MENT T FOR TH THE JU E JUMP? MP? HOW D W DO WE B WE BUIL ILD A AN ECO ECOSYSTEM TH STEM THAT T FOSTER STERS H S HEA EALTH THY Y CO COMMU MMUNITIES? ITIES?
DA DATA: WE A WE ALL N NEED EED TO U USE TH SE THE E SA SAME CO COMP MPASS SS
PO POLICY ICY: BREA EAK D K DOWN WN SIL SILOS A S AND ROW IN W IN TH THE E SA SAME DIR IRECTIO ECTION
FIN FINANCE: CE: CR CREA EATE A TE A MA MARKET KET TH THAT V T VALUES ES HEA EALTH TH
RES RESOUR URCES CES
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