Presentation on theme: "Non-English Speaking Education and Outreach: Partnering with Community Based Organizations for Behavior Change Tamie and Charles Charles Wu Public Health-Seattle."— Presentation transcript:
1 Non-English Speaking Education and Outreach: Partnering with Community Based Organizations for Behavior ChangeTamie and CharlesCharles WuPublic Health-Seattle & King CountyLocal Hazardous Waste Management Program in King County
2 King County LHWMP Program Mission To protect and enhance public health and environmental quality in King County by reducing the threat posed by the production, use, storage and disposal of hazardous materials.Charles: Size and key services – Background on the programProgram MissionTo protect and enhance public health and environmental quality in King County by reducing the threat posed by the production, use, storage and disposal of hazardous materials.The Local Hazardous Waste Management Program in King County (LHWMP) is a multi-jurisdictional program that focuses on reducing public and environmental exposure to hazardous materials. Four government agencies, 37 cities and tribal governments in King County are working together to help citizens, businesses, non-profit organizations and government agencies reduce the threat posed by the production, use, storage and disposal of hazardous materials and wastes. LHWMP provides services to 1.9 million residents and 60,000 businesses throughout King County.LHWMP works with residents and businesses throughout King County to:Reduce the production (upstream) of toxics and hazardous products and to promote stewardship of those products by their manufacturers.Reduce the use of, and properly store, toxics and other hazardous products.Ensure the proper disposal of toxics and hazardous waste.In 2012, LHWMP collected 1,478 tons of hazardous waste from 46,298 residents and 583 businesses, schools and other small quantity generators.Program partners are: King County Water and Land Resources Division, King County Solid Waste Division, Seattle Public Utilities, Public Health - Seattle & King County, and suburban and other cities and towns in King County, represented on LHWMP’s Management Coordination Committee by the Sound Cities Association.
5 King County Equity and Social Justice Ordinance, signed October 11th, 2010 City of Seattle-Race & Social Justice InitiativeLHWMP- Service Equity Policy10 yr VisionOver the past several years, many jurisdictions have established social justice policies. Those policies have recognized that effective engagement removes barriers that have prevented members of historically underserved populations from successfully working with government to receive services.Our goal is to support those initiatives, implement them through our Program, and augment them with additional policies to strive towards the day when historically underserved populations are no longer underserved. Our policies are not intended to duplicate our Program Partner Agencies’ policies nor infringe on any government agency’s authority or prerogatives.
6 Partnering with the Community Community Grants Program A community participatory approach that supports the community to develop their own strategies to reduce risks and promote sustainable results.
7 Gov’t and Institutions Community Grant Goal From hierarchical and top down approach to community participatory practice: engage, educate, partner, share resources, build capacityGov’t and InstitutionsLocal health depts.CBOs, community groupsCommunity residentsResidentsGov’t and InstitutionsHealth Depts.Community based Orgs and Groups
8 Why a community grant? (as opposed to a “traditional” contract) Facilitates creation of a partnershipTwo-way exchange of information, resources and ideasPartnership—creates a partnership between the community and LHWMP—rather than a contracting relationship, and subsequently promotes a two-way exchangeTwo-way exchange of information, resources and ideas– LHWMP provides funding, environmental health knowledge, and technical assistance. Our community partner provides entrée into the community, helps us collect information and also disseminate our EH messages to their community members that is culturally appropriate and relevant.Build both parties’ capacity—We are continually learning from each other, adapting and changing as needed. For example, some policies and procedures are being revised to better suit the community’s needs.Build both parties’ capacity
9 A Specific Community Grant: Community-Directed Partnership Involving the community at the outsetPromoted to over 60 community-based groupsTechnical assistance in applying for grant-Involving community at the outsetHad conversations with community leaders about their perceptions about residential chemical hazards, and if they feel that it is relevant to their community.Having one-on-one meetings and explaining what residential chemical hazards mean and how that relates to human health was essential in getting nonprofits interested in the topic and therefore interest in applying for the grant.Had meetings prior to the release of the RFP—discussed with groups the process and timeline in applying for grants from Public Health
10 The Community Partner SOAR focuses on: Impacting families from underserved, disconnected communitiesBuilding community capacityConnecting communities to multiple and complex support systems.SOAR is a community coalition working together to promote the healthy development of children, youth, and families in King County.
11 Community Engagement Process PROJECT PROMOTIONGathered input from community leadersCOMMUNITY CONVERSATIONSAsked 5 ethnic groups their preferencesACTING ON WHAT WE HEARDCreated a plan based on their preferencesGathered input from community leaders---about whether they think residential chemical hazards is relevant to their community, and provide technical assistance in applying for grant when requested.Asked 5 ethnic groups their preferences—on environmental health topic and service delivery modelActing on what we heard—created a plan based on their preferencesVetting the plan and getting consensus- met with the community again and confirmed what we heard and how to move forwardThe community implements the plan- the community plays a leadership role in implementing the plan.ACTING ON WHAT WE HEARDVetting the plan and getting consensusThe community implements the planACTING ON WHAT WE HEARD
12 100% provided input on the direction of the project The Community Voted5 ethnic groups10 community conversations2013summary4 environmental health topicsCLICK ON PHOTO FOR VIDEO (2:30MIN): 5 Ethnic Groups-Bhutanese, Chinese, Filipino, Latino, Purepecha during their community conversations.80+ participants100% provided input on the direction of the project
14 The results from 2013 Service Delivery: WHAT WE WANT! Collectively, the two topics that got the most votes are household chemicals (cleaners, pesticides) and lead poisoning prevention.In terms of service delivery model, the community wanted a train-the-trainer model, a home-visiting program, and a one-time special HHW collections event in a natural gathering place (community center, church, etc.)
15 Another Example: The Volunteer Training Network “Opening Doors into Communities”Another example of a community partnership.
16 The Promotora ModelPromotoraSame cultureTrustedSame languageCommunity memberLay personThe Volunteer Training Network is based on the Promotora model—which builds capacity within the community by training members of that community to conduct health promotion and education to their peers and friends. Essentially, a train-the-trainer modelBased on the Promotora Model -- a Public Health community engagement model.Developed for outreach into Hispanic communities.Promotora means “one who promotes”
17 Capacity Building: Preparing and Supporting the Volunteer Trainers “LHWMP College”Field LogisticsRecruit and train PromotorasHost “College” trainingsHelp Promotoras organize their communitySupply materials to PromotorasReceive input on materials and curriculumsSupply food at community trainingsLHWMP staff = “Professors”Develop LHWMP curriculumsCertify ‘Graduates” as Volunteer Trainers (includes background checks)Provide educational tools and materialsProgram evaluationWe support our partners and volunteer trainers in ways that ensure their success in the project. For example, we provide funding, train them in environmental health knowledge, and provide them with practical tools and materials.Currently, we partner with Refugee Women’s Alliance to reach the Vietnamese, Chinese, Burmese, and Somali communities. The word “Promotora” does not always translate cross-culturally, so we refer to them as our Volunteer Trainers.
18 Tools for the Trainer TEACHING KITS Maximize pictures and hands-on activities, minimize wordsDesigned to meet the needs of visual, auditory, and kinesthetic learnersTranslated to multiple languagesComponents of a teaching kit:11” x 17” posters“Touch” BoxDemonstration KitOne of the most useful and practical tool is the teaching kit. This is what the volunteer trainers use in the field to teach their peers in a small group setting.Participants tend to be non-English speakers, and some cannot read their own language. The materials need to be conveyed verbally and in an interactive manner. Real-life samples, photos, and demonstrations are key components of the lessons. The volunteer trainers/promotoras find these extremely helpful in conducting their workshops.
19 Teaching Kits in Action! Photos (clockwise from top left)Filipino group talking about how lead affects adults (language is Tagalog)Somali woman testing an old piece of wood for presence of leadBhutanese man talking about where less toxic cleaning can be used in a home (language is Nepali)
20 20 volunteer trainers taught A Measure of “Reach”:So far in 2014,20 volunteer trainers taught> 120 participantsWe are currently preparing 15 more volunteer trainers, and by year’s end, we’ll have 35 volunteer trainers reaching around 600 participants.
21 Encouraging Behavior Change Participants receive a “Takeaway Kit” to practice what they learnedSafer Cleaning:Baking SodaVinegarBon Ami® Scouring PowderMurphy Oil SoapMicrofiber ClothSpray BottleDIY cleaning product recipe cardTakeaway Kits encourage behavior change, and reinforces what they learned in the workshops.
22 Behavior Change: A Measure of “Impact” Tried most frequently onWallFurnitureToys/window framesPaintEtc.3 positive!!!64% used the lead swab tester
23 69% changed their cleaning habits (90 days later) Behavior change69% changed their cleaning habits (90 days later)Of the 30 people that said yes, did a change, the majority mentioned that theyStarted wet washingStarted wet moppingClean dailyStarted cleaning children’s toysBought a hepa vacuum- noneOf 15 people did additional things to prevent lead (not cleaning), including9 people testing paint (lead swab successful)3 tested water1 repainted1 aware of different products1 cleans daily
24 What we’ve learned: Next Steps: Adaptive Management Learning as we go, adapting as neededStill learning…failing forward…don’t be afraid of making mistakesPartnerships requires careful and thoughtful relationship building and maintenanceBut when done right, partnerships create sense of ownership, buy- in, and commitmentNext Steps:Smaller grants, but reaching more nonprofitsFormal evaluation plan1) Smaller but more grants—-we want to be able to support more groups in doing this work, but same level of project funding means smaller grants2) Formal evaluation plan – in the future, develop an evaluation plan prior to project implementation
25 For more information:Charles Wu, REHS, MBA (206) Public Health-Seattle & King County, Local Hazardous Waste Management ProgramAll photos courtesy of and
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