Publication Detail

Citation : Okihiro M, Sehgal V, Wilkinson T, Voloch KA, Enos R, O'Brien J. (2014)
Addressing health disparities by building organizational capacity in the community: a case study of the Wai'anae Coast Comprehensive Health Center.
Hawaii J Med Public Health 73(12 Suppl 3):34-9.
Abstract : Native Hawaiians and other residents living in economically disadvantaged communities suffer disproportionately from many health conditions, especially chronic diseases. Reversing this trend requires a comprehensive approach encompassing more than just improvement in healthcare delivery. Indeed, societal changes at multiple levels must occur, including environmental, systems, and policy change, in order to bring about sustainable improvements in community health and wellness. A key strategy to accomplish these upstream changes is an increase in the capacity of community-based organizations to provide leadership in health advocacy, support community health promotion, prioritize resource allocation, and participate in community health research. In disadvantaged communities where health disparities are the most severe, community health centers (CHC) are well positioned to take a pivotal role in these efforts. This report is a case study to describe processes taking place at Hawai'i's largest CHC to build organizational capacity and bring about upstream changes that improve community health and wellness. Ongoing processes at the CHC include (1) Institutional: commitment to address health disparities, expand the CHC research infrastructure, and develop a comprehensive worksite wellness program (2) Collaborative: development of a network of community partners committed to the common goal of improving the health and wellness of community residents, and (3) Systems and Policy: activities to strengthen the CHC's and community's ability to influence systems changes and policies that reduce health disparities. Preliminary results are encouraging although the processes and timelines involved require a long-term commitment in order to affect tangible results that can be measured.
URL Link :
PMID : 25535600
PMCID : PMC4271350
23 July 2018:
2018 Health Disparities Research Institute

Apply Now to the 2018 Health Disparities Research Institute!

The National Institute on Minority Health and Health Disparities (NIMHD) will host the…

12 July 2018:
Summer Career Development Workshop July 12-13, Seattle WA

Geographic Management of Cancer Health Disparities (GMap)
Summer Career Development Workshop July 12-13, Seattle WA

We want to hear from you! If h…

05 April 2018:
Meharry Medical College will host a Grant Writing Workshop on April 5-6, 2018

Meharry Translational Research Center (MeTRC), in conjunction with Office of Minority Health Resource Center (OMHRC), will host a Grant Writing Worksh…

View more news...

Seminars & Events
18 April 2018, 8am:
02 April 2018, 12pm - 2pm:
16 March 2018, 5pm:

View more seminars & events...

Supported by a grant from the National Institute on Minority Health and Health Disparities (U54MD007584), National Institutes of Health.