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Preventing Chronic Disease: Public Health Research, Practice and Policy

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Emerging Infectious Diseases Journal


Volume 7: No. 6, November 2010

Building Multisectoral Partnerships for Population Health and Health Equity

This figure displays the 5 components of a framework for collaborative public health in action and 12 associated collaborative processes. Part A is assessment and collaborative planning and the associated collaborative processes: 1) analyzing information about the problem/goals, 2) establishing a vision and mission, 3) developing a framework or logic model, and 4) developing and using strategic/action plans. Part B is implementing targeted action and the associated collaborative processes: 5) defining organizational structure and operating mechanisms, 6) developing leadership, and 7) arranging for community mobilization. Part C is changing conditions in communities and systems and the associated collaborative processes: 8) implementing effective interventions, and 9) assuring technical assistance. Part D is achieving widespread change in behaviors and the associated collaborative processes: 10) documenting progress and using feedback. Part E is improving population health and health equity and associated collaborative processes: 11) making outcomes matter and 12) sustaining the work.

Figure 1. The sequential, iterative, and interactive components (A-E) of a framework that guides communities' work to improve population health and 12 collaborative processes associated with the components. This framework is adapted from the Institute of Medicine framework for collaborative public health action (4).

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This figure shows the percentage of obese children from 2010 to 2019. The rates (shown by open circles) are 20% for 2011, 18% for 2012, 22% for 2013, and 20% for 2014. A word box shows that a grant was given to establish a prevention coalition in 2014, at which time the prevention initiative started. This is indicated by a vertical line. The cumulative community changes brought about by the initiative are shown by closed circles. The number of cumulative community changes each year from 2015 to 2018 are 50 for 2015, 100 for 2016; 130 for 2017; and 150 for 2018. The percentage of obese children continues to be shown after the start of the initiative in 2014 as open circles. The lower annual rates are 15% for 2015, 13% for 2016, 16% for 2017, and 13% for 2018. A word box shows that a partnership was implemented in 2016.

Figure 2. Hypothetical relationship between community changes (ie, every new or modified program, policy, or practice) facilitated by a partnership to prevent childhood obesity and associated improvement in a population-level outcome (ie, percentage of children obese or overweight).

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The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.


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