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WELCOME
Objectives
• why MAPP is a long-term, system-wide paradigm shift in public health practice;
• who to involve;
• the benefits of the process;
• the phases of MAPP;
• how to build a successful process;
• the time and resources it takes to implement MAPP; and
• where to find MAPP resources.
By the end of this training, participants will be able to describe:
MAPP is:
• A community-wide strategic planning process for improving public health.
• A method to help communities prioritize public health issues, identify resources for addressing them, and take action.
MAPP provides…
• a framework,• guidance,• structure, and • best practices…
for developing healthy communities.
MAPP Overview
Paradigm Shift
• MAPP is a journey, not a destination.
• MAPP is a shift in how we think about public health activities and planning with our communities.
• MAPP is a complete, long-term, system-wide PARADIGM SHIFT.
The MAPP Paradigm Shift
Three Keys to MAPP
• Strategic Planning
• Community Driven Process
• Focus on the Local Public Health System
What Does a Community-Driven Process Look Like?
“There is a critical difference between going through the empty ritual of participation and having the real power needed to affect the outcome of the process.”(Sherry Arnstein, 1969: “A Ladder of Citizen Participation,” pg. 1)
A Ladder of Citizen Participation
Manipulation
Informing
Consultation
Partnership
Delegated Power
Citizen Control
Placation
Therapy
Degrees of Citizen Power
Degrees of Tokenism
Degrees of Non-Participation
Schools
Dentists
EMSLaw Enforcement
Corrections
Faith Instit.
NGOs
Labs
HCP
Tribal Health
City Planners
Transit
Fire
Civic Groups Employers
Drug Treatment
Elected Officials
Mental Health
CHCs
Public Health Dept
Parks and Rec
Public Health System
Nursing Homes
NeighborhoodOrgs.
Home Health
Bringing Local Initiatives Together
Benefits of MAPP
• Increases visibility of public health.
• Creates advocates for public health.
• Creates a healthy community and better quality of life.
• Anticipates and manages change.
• Creates a stronger public health infrastructure.
• Builds stronger partnerships.
• Builds public health leadership.
Resource Strategies
• Gave team leaders tools they needed to leverage resources
• Started projects, and the money followed
• Partnered with the business community
Community Ownership
• Focused on the system throughout the process
• Used neutral, outside facilitators
• Connected activities/strategies with existing partner organization work or reoriented work to support strategic issues
Leadership Support
• Ensured engagement of partners in implementing the action plan
• Ensured commitment to outcomes and system-wide accountability
Keys to Action: Lessons Learned by MAPP Communities
Challenges communities faced:• Lack of resources
• Partners assumed LHD would implement
• Loss of momentum
Tools
• Webcasts
• Stories from the Field
• Clearinghouse
• Guidance Documents
And One More Thing...
1. Give MAPP time and space to work
2. Be creative in identifying resources
3. Tools exist to help you, use them!
NACCHO Staff Contacts Julia Joh Elligers, MPHProgram Manager, [email protected](202) 507-4234
Mary Kate Allee, MPHSenior Analyst, [email protected](202) 507-4190
Alexandra HartProgram Assistant, [email protected](202) 507-4214