Building Health Coalitions in the Black Community
Publication Year: 2000
Examines a wide range of problems and issues associated with the phenomenon of coalition building for health promotion.
- Front Matter
- Back Matter
- Subject Index
- Chapter 1: An Historical Analysis of Health and Collaborative Efforts in African American Communities
- Chapter 2: The Federal and Foundation Emphasis on Coalition Initiatives
- Chapter 3: Coalitions in Theory and Practice: The Urban Context
- Chapter 4: Coalitions Combating Alcohol, Tobacco, and Other Drug Use
- Chapter 5: The Black Faith Community and Public Health
- Chapter 6: Communities of Color Respond to Environmental Threats to Health: The Environmental Justice Framework
- Chapter 7: Rural Coalitions and Substance Abuse Prevention: A Case Study Approach
- Chapter 8: Sustaining and Maintaining Coalitions
- Chapter 9: Building Community-Developed Coalitions: A Practical Approach
Dedicated to health coalition facilitators everywhere
Copyright © 2000 by Sage Publications, Inc.
All rights reserved. No part of this book may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the publisher.
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Library of Congress Cataloging-in-Publication Data
Braithwaite, Ronald L., 1945-
Building health coalitions in the black community/by Ronald L. Braithwaite, Sandra E. Taylor, John N. Austin.
Includes bibliographical references (p.) and index.
ISBN 0-8039-7309-8 (acid-free paper)
1. Afro-Americans—Health and hygiene. 2. Public health—United States—Citizen participation. 3. Health promotion—United States—Citizen participation. 4. Health planning—United States—Citizen participation. I. Taylor, Sandra E., 1955- II. Austin, John N. III. Title.
RA448.5.N4 B73 2000
00 01 02 03 04 05 06 7 6 5 4 3 2 1
Acquiring Editor: Jim Nageotte
Editorial Assistant: Heidi Van Middlesworth
Production Editor: Diana E. Axelsen
Editorial Assistant: Nevair Kabakian
Typesetter: Lynn Miyata
Indexer: Jeanne Busemeyer
Cover Designer: Michelle Lee
The purpose of this book is to highlight issues pertinent to health coalition-building initiatives, particularly as they relate to African American communities. Coalitions, partnerships, alliances, and collaborative linkages designed to confront compelling health problems in African American communities have proliferated during the past 15 years. These efforts have provided a useful methodology for grassroots organizers, as well as health and human service providers, to address the lack of health promotion efforts and health equity in African American communities. Some argue that a thin line exists between individual responsibility and systemic barriers relative to the quality of life in these communities. Those on either side, however, would be hard pressed to deny the positive outcomes that can ensue from discussion on the topic. This book seeks to provide a forum for stimulating such discussions that are useful in coalition building for health promotion.
The book begins with an historical context for the deployment of coalition partnerships as a change strategy. The book also provides guidelines for those interested in using bottom-up planning approaches to improve the plight of disenfranchised groups. In this sense, it is intended as a resource for enhancing knowledge and understanding about the dynamics of community organization and development in the African American community.
The development of coalition partnerships has been shown to be a viable strategy toward solving various social problems. For example, a recent large-city effort of government, educational, and corporate entities involved the launching of new opportunities for the continued education of new teenage mothers. Countless other examples indicate the trend toward collaboration in combating existing and potential problems that plague America's communities. Particularly within the African American community, certain social problems—[Page viii]crime, illiteracy, and unemployment are only a few—tend to have a disproportionate effect. Moreover, an array of health problems, including cancer, hypertension, drug addiction, HIV/AIDS, and violence, disproportionately affect this population. Coalition partnerships have been viewed by different entities, including the community residents themselves, as a needed strategy toward alleviating human suffering in areas of preventable disease.
Although it is generally accepted by scholars, health care professionals, and community residents themselves that coalitions hold the key for the development of African American communities, little information is available about the organization of such collaborative efforts. This book attempts to illuminate this situation and discusses guidelines for the development and sustenance of coalitions in these communities. It presents a brief history of collaborative efforts in African American communities and examines privately and federally funded initiatives for health promotion. It also views coalitions in theoretical and applied contexts. Coalition partnerships are discussed in conjunction with the faith community, the combating of substance abuse, environmental threats, and urban/rural settings. The effort borrows from our varied experiences as directors, principal investigators, evaluators, and other roles with community coalitions. It represents a compilation of archival data, oral history and anecdotes, case studies, survey research, and syntheses of parts of the current literature in its development. The terms coalition, partnership, and collaborative efforts are used interchangeably to refer to the coordination of two or more parties' efforts to attain a mutually agreed-on goal.
We would like to acknowledge the contributions of the numerous colleagues, especially Micky Roberts and Martha Boisseau, who provided conceptual feedback while this manuscript was in the initial phases of development. We also extend our sincere appreciation to graduate students Clark Denny, Leslie Fieldler, Johanna Leffler, Micah Milton, Arian Krause, and Golda Aliza Smith of the Rollins School of Public Health of Emory University, who generously provided their time in doing library research and contributed significantly to the refinement of the chapters herein. Meg Gwaltney of COSMOS Corporation and David Robbins from the U.S. Center for Substance Abuse Prevention also provided access to national data sets for the chapter on “Coalitions Combating Alcohol, Tobacco, and Other Drug Use.” We are particularly grateful to Betty Stevens of the Rollins School of Public Health of Emory University, who contributed significantly to the editing, formatting, and final preparation of the manuscript for submission to the publishers. Finally, we are grateful to the Center for Substance Abuse Prevention (Grant #1 H86-SP03-221-01) for supporting parts of the programs and evaluations reported herein.
Appendix: Community Coalition Member Training: Needs Assessment Survey[Page 167]
The purpose of this survey is to determine areas of needed training to enhance planning and coalition board effectiveness relative to the Center for Substance Abuse Prevention Community Partnership grant implementation.
Please circle whether you have high or low need for training in any of the following areas:[Page 168]
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