Community Interventions – What Works?

In addition to stating the facts and the issues, we also wanted to look at some interventions that actually work to reduce and/or eliminate disparities- because whether we like to believe it or not, there are solutions, and sometimes these solutions don’t get the attention they deserve.

The Community Interventions session showcased programs that have been successful in reducing health disparities. One intervention of particular interest was geared towards reducing overweight and obesity in low income populations. The Center for Closing the Health Gap in Cincinnati, OH, carried out a childhood obesity awareness campaign in the city, teaching children how to eat healthy by encouraging them to maintain gardens. This was an interesting presentation following a news story this morning highlighting the importance of good nutrition in childhood to longevity (click here to read article). The center also intervenes in the community via faith and food initiatives, a strategy that is usually successful when combining health awareness with faith-based messages.

Another example of a successful community intervention occurred in New York City. According to a presentation by the Department of Health and Mental Hygiene, NY, New York City was successful in eliminating disparities on colorectal cancer screening through community interventions such as direct colonoscopy referral systems, a system which ensures that the primary care provider follows up a colonoscopy referral directly with a colonoscopy center. The Department of Health and Mental Hygiene also established a task force and a clear policy goal to increase numbers of people getting screened, and eliminate disparities. Recent numbers in New York City show screening rates up by 66 percent, indicating the progress of this intervention. Outside organizations also deserve credit for this progress, including the American Cancer Society which covered 2,000 colonoscopies through this program.

Interventions that actually work exist, proving further that something can be done to reduce disparities. Of course, there will always be challenges and barriers, but the key is to keep trying and tailoring interventions till we find one that works. If you have any programs in your community that have worked, please feel free to leave a brief comment.