Field Learning

Newly graduated Master of Public Health (MPH) students Adenike Sosina and Joselyn Williams recently talked about the extra-curricular skills they acquired as research assistants at the Center for Community Health Equity (CCHE). Their analysis of one project will be displayed at the 9th annual Health Disparities & Social Justice Conference that CCHE and MPH will host at the DePaul Center on August 12.

In a conference poster, they will summarize the focus group discussions that CCHE helped Rush conduct in conjunction with Rush Medical Center’s comprehensive Community Health Needs Assessment. The focus groups were made up of residents and stakeholders from the 8 Chicago West Side community areas (West Town, Austin, East Garfield Park, West Garfield Park, Near West Side, North Lawndale, South Lawndale, and Lower West Side) and 3 near west suburbs (Forest Park, Oak Park, and River Forest) that Rush serves. They were formed to discover what Adenike described as “the impact of the communities’ perceptions, their needs, things they believed to be beneficial.” That should help Rush understand what makes a good community and what relationships community members value, Joselyn added.

The two researchers began working at CCHE and with CCHE Co-Director and Associate Professor of Sociology Fernando De Maio in 2015—Adenike as CCHE Program Assistant and Joselyn as CCHE Graduate Assistant. Founded jointly in 2015 and based at DePaul, CCHE is a partnership between DPU and Rush designed to link social scientists, students, community groups, and health care professionals in a search for data-based solutions to community health problems.

Last fall and winter Adenike and Joselyn collaborated with CCHE on the assessment report Rush prepares every three years to evaluate the overall state of health in its service areas and to develop internal implementation strategies and community collaAdenikeborations. Using NVivo software, they later analyzed 11 “massive” focus group transcripts—also prepared by a number of DePaul and Rush students—to identify recurring themes such as resources, education, socialization, social division, health care, safety, responsibility, and ownership, Adenike said.

“The software itself served as a resource,” said Joselyn, a self-describJoselyned ‘data nerd’. “[It’s] kind of intuitive. There’s not a lot of bulky things you have to have previous help with.” The researchers also utilized SSRC technical and consulting resources, for transcribing the focus group discussions and for training in GIS and mapping fundamentals. The poster will illustrate the findings of their analysis.

“There was an array of other concerns, besides health, in which they wanted their voices to be heard,” said Adenike. She was impressed by the range of what focus group participants wanted to convey. Across communities, focus groups cited the lack of resources, including insufficient recreational outlets for youth, job opportunities, access to retail and good food, and inadequacies in the city’s educational system.

“…It’s like we’re almost a forgotten community…,” a member of the North Lawndale focus group complained. “And if we could just get a lot of these young guys some work and young women and young men to work, it will be a big change in the community,” a West Garfield Park participant offered.

In conversations about what they liked about their communities, participants voiced “probably a lot more positive thoughts around social cohesion,” Joselyn observed. “Most identified with their community,” she said. “I didn’t feel like anyone said ‘this is per se a bad community.’ They recognized the good and the bad. They wanted the community to be better.” Discussions about how Rush might partner with the community produced suggestions for collaborating with schools, operating mobile clinics to provide services such as back-to-school vaccinations, or pairing medical school students with community teens around health issues and mentoring, Adenike noted.

Both MPH graduates agreed that their work at CCHE leaves them feeling better prepared as they start their own careers. Joselyn, who made some GIS maps for the assessment to show where Rush ranked in child opportunity and hardship indices, appreciated the opportunity to work alongside hospital administrators and to observe how a big organization undertakes a report of this scope. She was struck by the length of the assessment process.

This fall Joselyn will begin teaching English to elementary students in the Gyeongbuk province in South Korea. From there she hopes to explore opportunities for a career abroad in global health. Adenike wants to work in community health practice after her position at CCHE ends in late summer. She’s especially interested in childhood obesity interventions.

At CCHE, graduate and undergraduate student researchers will continue to gain project-based experience working on analyses of the new Healthy Chicago Survey, the creation of an “Index of Concentration at the Extremes” for Chicago census tracts, and comparative analyses of health inequities in Chicago and other cities. DePaul faculty and students will continue collaborating with the Chicago Department of Public Health and other groups across the city as they build on CCHE’s contribution to “Healthy Chicago 2.0”, the city’s four-year initiative to assess and improve health and well-being and reduce inequities among Chicago communities.

Visit CCHE’s website to see the Rush Community Health Needs Assessment report and to learn more about the upcoming Health Disparities & Social Justice Conference at DePaul. Faculty or students doing research on faculty projects who want to access NVivo are invited to contact the SSRC where the program is available in our Lincoln Park computer lab or through remote connection.

Advertisements

Research in Service of Action

DeMaioBillboard

Utilizing services of the SSRC this summer, Associate Professor of Sociology Fernando De Maio and students from the Master of Public Health program have been working with Rush University Medical Center to compile a portrait of what health looks like in the eight West Side and three Oak Park Community Areas that make up the hospital’s city and suburban patient base.

This is among the first projects of the new LAS Center for Community Health Equity (CCHE). Co-directed by Fernando and Dr. Raj C. Shah, a geriatrician and an associate professor in Rush’s Department of Family Medicine and its Alzheimer’s Disease Center, the Center is embarking on an ambitious goal: to help improve community health outcomes and eliminate health inequities in Chicago. By linking the two institutions’ research, teaching and experiential assets in a strategic partnership across disciplines, it aims to connect research and action, recognizing that, “it is not enough to identify a problem and then do nothing to fix it,” Fernando said.

Every three years, as a condition of the Affordable Care Act, non-profit hospitals must conduct a Community Health Needs Assessment describing the health needs of the residents within their service area and to what extent they are meeting them. They receive a mandate and an injunction (don’t exclude any populations within the service area), but get little methodological guidance, Fernando noted. DePaul’s participation through the CCHE now offers an opportunity to introduce “a social science approach” previously missing from Rush’s health assessment, Fernando said. Before, qualitative data was a very small component of the report, which lacked the “richness” valued in social research. “The actual voice of the participants was lost,” he noted.

The benefits of collaboration are already evident. A combination of health care utilization information from Rush, sociodemographic and economic data from the Centers for Disease Control (CDC), along with GIS mapping and data analysis from the CCHE (assisted by the SSRC) have added a significant change to the next report: Austin will be included in Rush’s Chicago service area for the first time. The 2015 assessment will also include quantitative data collected by a Cook County-wide collaboration of hospitals and qualitative information from focus groups. “The end result, I think, is going to be one grounded in qualitative insight,” Fernando said. “The voice of residents — in Austin, West Garfield Park, North Lawndale and other high-hardship communities — should have a more prominent role in the report.”

DePaul students are benefiting from the opportunity to directly observe the assessment planning, implementation and analysis processes. Students Denisha Brown, Kerianne Burke, Ernesto Flores, Aneta Jedrazsko, Maggie Nava and Adenike Sosina have participated as focus group note-takers, facilitators and transcribers. Denisha and Maggie got to join Fernando on a Rush committee that formulated the focus group questions, and Kerianne helped Fernando and Dr. Shah analyze the CDC data. The SSRC has trained students in how to represent data through GIS maps and how to use SSRC transcription equipment to capture the focus group discussions. Fernando said his preliminary examination of the initial transcripts is already revealing “valuable insight, which should add a layer of richness to the community health needs assessment.”

As of September, the Center will be housed at the Loop campus. An official kick-off event is scheduled for Oct. 29 at Rush. “All of us are really excited by the potential of the Center,” Fernando said. “It is a way for us to meaningfully collaborate across disciplines and professions, with community involvement, and work on one of the big injustices in our city — the simple and stubborn fact that your zip code largely determines your life expectancy.”