2. Community Action Model Creating Change by Building Community Capacity Maintain & Enforce Action or Activity Step 5 Repeat the Process Select Action or Activity & Implement Step 4 Step 3 Analyze Results of Community Diagnosis Define, Design & Do Community Diagnosis Step 2 An ACTIVITY is : An educational intervention that leads up to and supports an action. An ACTION is : achievable long-term, or sustainable compels another entity to do something to change the environment (place people live) for the well being of all Train Participants (develop skills, increase knowledge, build capacity) Name the Issue Choose Area of Focus Step 1 http://www.dph.sf.ca.us/CHPP/CAM/cam.htm.

3. CAM Integrates… Paulo Freire & Popular Education CBPR (Participatory Action Research) Asset Based and Building Community Capacity Goals Change in the Environment Community Driven and Implemented People acquire the skills to do it themselves

4. …provide a framework for community members to acquire the skills & resources to investigate the health of the place they live & then plan, implement & evaluate actions that change the environment to promote & improve health.

5. Go in search of your people; love them; learn from them; plan with them; serve them; begin with what they have; build on what they know. But of the best health educators, when their task is accomplished and their work is done, the people all remark: WE HAVE DONE IT OURSELVES Ancient Chinese Verse

6. Community Action Model Creating Change by Building Community Capacity Maintain & Enforce Action or Activity Step 5 Repeat the Process Select Action or Activity & Implement Step 4 Step 3 Analyze Results of Community Diagnosis Define, Design & Do Community Diagnosis Step 2 An ACTIVITY is : An educational intervention that leads up to and supports an action. An ACTION is : achievable long-term, or sustainable compels another entity to do something to change the environment (place people live) for the well being of all Train Participants (develop skills, increase knowledge, build capacity) Name the Issue Choose Area of Focus Step 1 http://www.dph.sf.ca.us/CHPP/CAM/cam.htm.

7. Q: Before they are sold, how many consumer product safety regulations do guns have to meet to make sure they are safe? 0 zero A: 0 (zero) The TRUTH about the Second Amendment The Supreme Court has ruled in every case, that the 2nd amendment does NOT protect the right of an individual to bear arms. To comply with the law, drivers have to have a license and car registration. Gun owners need to have neither. Codes Naming the Issue ( Discussion Sheet) 1. What do you see in the picture? (name 3 or 4 thing you see) 2 List 2 problems that you see in the picture. 3. Name 1 thing in this picture that affects your community (or happens in your community). 4. 4. Name at least 1 root cause of the problems that you see in the picture. 5. 5. Name 1 solution that we can do here about these problems.

8. Fundamental to this model… …is a critical analysis that identifies the underlying social, economic, and environmental forces creating the health and social inequalities that the community wants to address….in context of the global economic structures that creates this inequality. The Global Tobacco Problem Worldwide, 5 Million people per year die from tobacco related diseases; By 2030, that number will increase to 10 million deaths a year; 80% of the worlds smokers live in the global south; 2/3rds of Philip Morris tobacco company sales and nearly half of their profits come from overseas; TNTs poison farmworkers, devastate the environment and use land that could feed 20 million people. They advertise, smuggle, lobby governments and use trade agreements & institutions (WTO, NAFTA) to stop tobacco control laws and sell tobacco. The Global Economy for Everyone Who Wins? Who Loses? Locally… Globally…

9. Community Action Model Creating Change by Building Community Capacity Maintain & Enforce Action or Activity Step 5 Repeat the Process Select Action or Activity & Implement Step 4 Step 3 Analyze Results of Community Diagnosis Define, Design & Do Community Diagnosis Step 2 An ACTIVITY is : An educational intervention that leads up to and supports an action. An ACTION is : achievable long-term, or sustainable compels another entity to do something to change the environment (place people live) for the well being of all Train Participants (develop skills, increase knowledge, build capacity) Name the Issue Choose Area of Focus Step 1 http://www.dph.sf.ca.us/CHPP/CAM/cam.htm.

10. Community Action Model Creating Change by Building Community Capacity Maintain & Enforce Action or Activity Step 5 Repeat the Process Select Action or Activity & Implement Step 4 Step 3 Analyze Results of Community Diagnosis Define, Design & Do Community Diagnosis Step 2 An ACTIVITY is : An educational intervention that leads up to and supports an action. An ACTION is : achievable long-term, or sustainable compels another entity to do something to change the environment (place people live) for the well being of all Train Participants (develop skills, increase knowledge, build capacity) Name the Issue Choose Area of Focus Step 1 http://www.dph.sf.ca.us/CHPP/CAM/cam.htm.

11. What the Advocates found was……… Smoke-Free Housing 92% of residents at Maria Alicia Apartments supported smoke free indoor areas There are no existing policies at Maria Alicia, Mostly families with children, cases of asthma ….and SHS drifts….. Bidis 50% of youth surveyed thought bidis were not harmful to health. 24% were able to buy them in stores (twice the rate for Kools). Bidis contain tobacco and cause cancer and other health problems.. 70% of bidis purchased had no warning labels. Toxic Site 50% of children playing in the park had crossed into the toxic site thru a broken fence; 85% surveyed didnt understand the technical language on the warning sign; 92% would still take their kids to that park because it was the only place to play.

12. Community Action Model Creating Change by Building Community Capacity Maintain & Enforce Action or Activity Step 5 Repeat the Process Select Action or Activity & Implement Step 4 Step 3 Analyze Results of Community Diagnosis Define, Design & Do Community Diagnosis Step 2 An ACTIVITY is : An educational intervention that leads up to and supports an action. An ACTION is : achievable long-term, or sustainable compels another entity to do something to change the environment (place people live) for the well being of all Train Participants (develop skills, increase knowledge, build capacity) Name the Issue Choose Area of Focus Step 1 http://www.dph.sf.ca.us/CHPP/CAM/cam.htm.

13. Activities are educational interventions that lead up to and support an action …… Petitions Letter Writing Health Fairs, Murals, Awareness Raising….. Door to Door education Meeting with Policy Makers Media Advocacy Speak Outs Produce a Packet Describing their CAM Project

14. Community Action Model Creating Change by Building Community Capacity Maintain & Enforce Action or Activity Step 5 Repeat the Process Select Action or Activity & Implement Step 4 Step 3 Analyze Results of Community Diagnosis Define, Design & Do Community Diagnosis Step 2 An ACTIVITY is : An educational intervention that leads up to and supports an action. An ACTION is : achievable long-term, or sustainable compels another entity to do something to change the environment (place people live) for the well being of all Train Participants (develop skills, increase knowledge, build capacity) Name the Issue Choose Area of Focus Step 1 http://www.dph.sf.ca.us/CHPP/CAM/cam.htm.

15. 58 projects have been funded in nine funding cycles with 52 of them having implemented an action plan 47 accomplished the action Smoke Free Environments, Healthy Food Retail Policies, Tobacco Permit, Code Enforcement at SROS, Smoke Free Housing and Street Events, Sponsorship …

16. And heres how two projects implemented the CAM …