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Achieving Health Equity Through Community Engagement in Translating Evidence to Policy: The San Francisco Health Improvement Partnership, 2010-2016.

Achieving Health Equity Through Community Engagement in Translating Evidence to Policy: The San Francisco Health Improvement Partnership, 2010-2016.
Author Information (click to view)

Grumbach K, Vargas RA, Fleisher P, Aragón TJ, Chung L, Chawla C, Yant A, Garcia ER, Santiago A, Lang PL, Jones P, Liu W, Schmidt LA,


Grumbach K, Vargas RA, Fleisher P, Aragón TJ, Chung L, Chawla C, Yant A, Garcia ER, Santiago A, Lang PL, Jones P, Liu W, Schmidt LA, (click to view)

Grumbach K, Vargas RA, Fleisher P, Aragón TJ, Chung L, Chawla C, Yant A, Garcia ER, Santiago A, Lang PL, Jones P, Liu W, Schmidt LA,

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Preventing chronic disease 2017 03 2314() E27 doi 10.5888/pcd14.160469
Abstract
BACKGROUND
The San Francisco Health Improvement Partnership (SFHIP) promotes health equity by using a novel collective impact model that blends community engagement with evidence-to-policy translational science. The model involves diverse stakeholders, including ethnic-based community health equity coalitions, the local public health department, hospitals and health systems, a health sciences university, a school district, the faith community, and others sectors.

COMMUNITY CONTEXT
We report on 3 SFHIP prevention initiatives: reducing consumption of sugar sweetened beverages (SSBs), regulating retail alcohol sales, and eliminating disparities in children’s oral health.

METHODS
SFHIP is governed by a steering committee. Partnership working groups for each initiative collaborate to 1) develop and implement action plans emphasizing feasible, scalable, translational-science-informed interventions and 2) consider sustainability early in the planning process by including policy and structural interventions.

OUTCOME
Through SFHIP’s efforts, San Francisco enacted ordinances regulating sale and advertising of SSBs and a ballot measure establishing a soda tax. Most San Francisco hospitals implemented or committed to implementing healthy-beverage policies that prohibited serving or selling SSBs. SFHIP helped prevent Starbucks and Taco Bell from receiving alcohol licenses in San Francisco and helped prevent state authorization of sale of powdered alcohol. SFHIP increased the number of primary care clinics providing fluoride varnish at routine well-child visits from 3 to 14 and acquired a state waiver to allow dental clinics to be paid for dental services delivered in schools.

INTERPRETATION
The SFHIP model of collective impact emphasizing community engagement and policy change accomplished many of its intermediate goals to create an environment promoting health and health equity.

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