1. Community Health Assets Mapping Partnership (CHAMP) Access to Care
HISPANIC COMMUNITY: East Winston, Oldtown, Waughtown in Winston Salem, NC

2. Background of Mapping Process
African Religious Health Assets Program
Developed a PIRHANA tool for identifying and understanding the positive things in communities
Community Health Assets Mapping Partnership or CHAMP was adapted from PIRHANA, developed and refined in Memphis and South Africa to aid in aligning and leveraging assets to improve healthcare outcomes
CHAMP Access to Care is being used in North Carolina as part of our FaithHealthNC movement

3. Mapping Workshop Process
In this community, we held 4 workshops:
Health Provider Workshop ( ):
people and organizations providing religious, health, and social services in the community, broadly defined
Health-Seeker Workshops (7-12, 7-18, ): Conducted in Spanish
community members who are primarily consumers of religious and health services

4. Study Area Background Basic Stats (in 2010):
East Winston Determined northern boundary is Old Walkertown Road, the southern boundary is Winston Salem State University, and the western boundary is US-52 North
Basic Stats (in 2010):
- Population: About 58,000 people
Median Age: 36 (national median-35.4)
Percent of Population :; African-American=57% ; Caucasian= 30%; Latino=13%

5. Study Area Background
Old Town Determined boundaries include U.S. 52 as the eastern boundary, Wake Forest University Campus as the southern boundary, and Shattalon Drive as the northern boundary. Old Town occupies the northern half of zip code
Waughtown Boundaries for the Waughtown workshop were defined as U.S. 52 as the western boundary, Business Interstate 40 as the northern boundary, Interstate 40 as the southern boundary, and the Waughtown Street/Kernersville Road junction as the east.

6. Study Area Background: Winston Salem as a Whole
Basic Stats (in 2010):
- Population: About 229,617 people
Median Age: 34.6 years (national median-35.4)
53% Female, 47% Male
Median Household Income: $40,869
Percent of Population : Caucasian= 51.2%; African-American=34.7% ; Hispanic=14.7%; [Of Hispanic Population, 69.4% Mexican, 11.1% Central American, 5.8% Puerto Rican]

7. Provider Participants
18 People Participated (10 females, 8 males) Facilitators: Rev. Francis Rivers Mesa and Rev. Maria Jones

8. Seeker Participants
24 People Total (20 Females, 4 Males) participated Facilitators: Rev. Francis Rivers Mesa and Rev. Maria Jones

9. Facilitators: Rev. Francis Rivers Mesa and Rev. Maria Jones

10. Exercises Health Seeker Workshop (Mostly Informal Discussion)
Community Mapping: Participants draw maps of the assets in their community
Health Index: Participants identify the most important factors contributing and working against health in the community
Ranking of facilities: Participants rank community organization on how well they support factors contributing to health
Religion and Health Index: Participants identify ways religion and religious organizations contribute to health
Religion and Health Ranking: Participants rank religious organization on how their activities related to health and religion
Good Practice: Participants list outstanding community organizations and describe their characteristics
Local Action: Participants discuss where we go from here
Health Provider Workshop
Community Mapping: Participants populate a timeline of key social, political, religious and health events or create a map of the “footprint” of their organizations
Health Services Matrix: Participants identify the ways that local entities contribute to health
Social Networking Spidergram: Participants describe the connections and relationships between community entities
Religion and Health Index: Participants identify ways the religion and religious organizations contribute to health
Good Practice: Participants list outstanding community organizations and describe their characteristics
Collaborative Contribution Grid: Participants identify existing and potential collaborative partnerships and shared resources.
Local Action: Participants discuss where we go from here

11. Community Mapping

12. What you put on the maps: 21 Entities

13. What we learned from your maps
Participants highly value most safety net clinics, but barriers still exist to care
Transportation and documentation for driving and pharmaceuticals are key
Trusted church leaders and the “sanctuary” of church are huge assets
Parks, after school programs, tutoring, etc. within walking distance of homes are hugely supportive of family culture
Gas stations are highly valued

14. Factors that work against health/well-being in your community with regard to Access
Lack of Transportation
Lack of Education and Information
Racism
Fear of Fines
Lack of Compassionate Care
Poverty

15. How do community organizations contribute to health?
Group 3
Food Sources
Medicine/
Prescription
Services
Social Services/Youth Services
Day Care Services
Public Health
Mental/Physical
Public Transportation
Churches
Proximity to Care 4 3 5
Transportation
N/A
Compassionate Care 2
Information/
Knowledge/
Education 1
Adequate Funds
Jobs
Good Health Care Coverage
In the seeker workshop, we ranked different types of organizations and factors

16. What does your organization believe to be the most important factors contributing to health with regard to those who need better access to care?
Provider Workshop:
Affordability, Location of Care
Documentation Status
Trust/compassion/respect and cultural sensitivity
Education
Transportation
Cost

17. How Religion Contributes to Health/Well-being
Pastors are often the only trusted person with whom participants feel “safe” sharing their needs, concerns and issues (e.g., Pastors Rosa and Daniel)
Offer hope, trust and
nurturance
Good way to share and disseminate information
to help the Latino
Community

18. Providers’ Health Services Matrix
6 Prevention and Education Services
4 Advocacy Services
4 Nutritional Support
Missing were for-profit and governmental organizations, care for manual laborers and culturally competent mental health counselors, especially for Hispanic youth

19. Collaborative Contribution Grid for Providers: What Can you Give and Get
Anthony's Plot Community
Name of Other Organization
Existing Partnership
Potential Partnership
Contributions you are or could potentially make
Contributions you receive or would like to receive from this organization
WFU Campus Kitchen X
-education/internship opportunities for students
-food
Churches in Winston-Salem
-volunteers & meals for overflow shelter -volunteers & donations for our other ministries
Shepherd's Center
-faith community nursing course & support program
Forsyth Tech International Center
-Assisting with DACA filing
-Learning how to help with DACA filing
WFBMC/Novant/ health clinics
-health professional volunteers for our events with homeless & other under-served populations

20. Organizations of which you are most proud:
Seeker Workshop Responses:
Provider Workshop Responses:
El Buen Pastor Presbyterian Church
Anthony’s Plot
Community Care Clinic
Southside United Healthcaer Clinic
Green St. UMC Clinic
Brnner Fit
Novant Health/Forsyth Pediatrics
Grocery Stores
Imprints
Gas Stations
Que Pasa Media
Traditional Healers and Medications
Young Life
Old Town Elementary School
Morningstar Baptist Church
Parks
Forsyth County Food Consortium
Mexican Businesses
Iglesia Cristiana Sin Fronteras
Afterschool tutoring
Human Relations Dept. of City of WS
Services for youth
The Budd Group

21. Biggest Winners Were…:
El Buen Pastor and St. Benedict the Moor-Churches!
Community Care Clinic
Southside United Healthcare
Downtown Health Plaza (for pregnancy)
Imprints
Gas Stations
Grocery Stores

22. Next Steps: Seekers
Create more options for access to low cost service (health, dental, pharmacy)
Better treatment for Hispanics in the medical system
Access to information on preventative care
A better and more frequent transportation system
The ability to obtain identification
Self-reliance
Teach their community financial responsibility, with the hope that making this change will start to break the negative Hispanic stereotypes
Create more after-school programs to keep children off the street while parents are at work
Bi-lingual directions on medications
More Pre-natal services
Low cost mammograms
Diabetes Clinics
Culturally sensitive Providers who dialogue with patients and provide compassionate care, honor and respect

23. Next Steps: Providers
Learn more about the criteria for health services and safety nets for those who are undocumented in order to distribute information through a central site (such as Anthony’s Plot)
Become more coordinated as a group of Hispanic providers
Share information learned at this mapping event at the Hispanic League’s monthly meeting
Reach out to transit authorities in order to increase the number of routes on city bus system
Connect with the Hispanic community through health fairs
Focus on continuity of care for those being served ( i.e. follow up with patients who test positive for diabetes at health fairs, etc.)
Generate real relationships with the providers in the room, through joint projects and grants
Build trust, especially with those who are undocumented
Teach immigrant children about their heritage as a way to foster cultural pride and reduce depression/mental illness rates among Hispanic youth
Create more asset mapping events with different populations (refugees, food providers)

24. Questions
Do you see any differences between the things that the health seekers mentioned and the things that the health providers mentioned?
Do you see any other steps that we can take together?
Have you thought of any other steps in the time since the workshop that would be important to add to this list?
How can the next steps of the providers and seekers fit together?

25. What did you learn during the process?
Questions
Time has passed and if you went through this experience, what did you get out of the workshops?
What did you learn during the process?

26. Questions
How could FaithHealthNC, your church and other organizations, in partnership with the people who live, work and play in your neighborhood , help to align people and local assets to obtain the things they need to live healthy (abundant) lives?
How would YOU be willing to help us move forward on the ideas we talked about today?

27. GRACIAS--for helping others gain ACCESS TO CARE!!!
Affordability
Physical Accessibility
Acceptibility of Services
Adequacy of Supply