Transcript Celebrating our Work and Carrying it Forward:

Celebrating our Work and Carrying it Forward
New Mexico Public Health Association and
UNM National Health Disparities 2014 Joint Conference
April 2, 2014
Public Health and Social Justice History
Major
social
reformer
Edwin
Chadwick
1842
Labor
Movement
Labor
Movement
Child Labor
Children’s
Bureau
Roosevelt's
New Deal
Social
Security
Program
1912
1935
Civil Rights
Movement
Tuskegee
Syphilis
Study
1932 - 1972
Public Health and Social Justice History
Women’s
Movement
Environmental
Movement
(WHO)
Transforms women’s
lives
Growth of
Environmentalism
with Rachel
Carson’s “Silent
Spring”
1948
1960
1962
Centers for Disease
Control and
Prevention (CDC)
The World Heath
Organization
1946
The Pill
Public Health and Social Justice History
Labor Movement, Civil
Rights Movement
War on
Poverty
Civil Rights
Movement
1964-1968
1960- today
Universal Declaration of Human Rights
Adopted by the United Nations General Assembly on 10 December 1948
Public Health as Social Justice
Dan Beauchamp
… makes a case for the importance of tying these two
together, that the issues of poverty, racial
discrimination, poor housing, unemployment or the
abandonment of the aged requires sometimes painful
costs that the dominant interests in society are
unwilling to pay, and that our public ethics do not
seem to fit our public problems.
Justice means (in the broadest sense):
• Each person in society ought to receive his or
her due and…
• The burdens and benefits of society should be
fairly and equitably distributed.
Beauchamp is speaking here of politics not
as partisan politics, but as the more ancient
meaning of political life as the search for the
common good and the just society.
Market Justice
Vs.
Social Justice
Market Justice Vs. Social Justice
• The dominant model of justice in the
American experience has been market justice, the norms
of which are that people are entitled only to those valued
ends such as status, income, and happiness, which
emphasize individual responsibility, and minimal
collective action.
• The counter narrative of market justice
is social justice
Doing Justice: Building an Ethical Paradigm for Public Health
“Doing public health should not be narrowly conceived as an
instrument or technical activity. Public health should be a way of
doing justice, a way of asserting the value and priority of all
human life… the elaboration and adoption of a new ethical model
or paradigm for protecting the public’s health. This new paradigm
will necessitate a heightened consciousness of the manifold forces
threatening human life, and will require thinking about and
reacting to the problems of disability and premature death as
primarily collective problems of the entire society…(Beauchamp,
1972)”
Social Determinants of Health
World Health Organization (WHO) Definition (2008):
The social determinants of health are the conditions in
which people are born, grow, live, work and age, including
the health system. These circumstances are shaped by the
distribution of money, power and resources at global,
national and local levels, which are themselves influenced
by policy choices.
The social determinants of health are mostly responsible for
health inequities - the unfair and avoidable differences in
health status seen within and between countries, and more
locally, between communities.
What we Mean by Social Determinants of Health
Vicente Navarro critiques the long awaited WHO Commission on
Social Determinants of Health report (2008)
• Class – the avoidance of this conversation in the report
• The Commission’s “studious” avoidance of the category of
power (class power as well as gender, race, and national power)
and how power is produced and reproduced
• Speaks of policies without touching on politics.
• It is profoundly apolitical, and therein lies the weakness of the
report.
• So, we need to talk of politics (not only policies ) and Action !!
What we Mean by Social Determinants of Health
•As public health workers, we must take our work forward
and denounce the process of killing… but also the FORCES
that do the killing!
• We can recall Edwin Chadwick , one of the great founders
of public health, who, as Commissioner of the Board of
Health of Great Britain in 1848-1854, declared that the
poorer classes of that country were subject to steady,
increasing, and sure causes of death.
Public Health and Social Justice Working Group
Participants:
Dana Schultz Millen, PhD, MPH
Ray Baca, BSW
Erica Newfield, RN, MSN
Anne Marie Sekula, BA, RN
Harold Vann, MA
Clara Yuvienco, MPH, CHES
Contact information: (505) 222- 8601 or [email protected]
•11 Program Staff Members
•20+ Contracted Partners including Six
Priority Population Networks
CDC Goal Areas for
Comprehensive Tobacco Control
Programs
Cessation for Youth and Adults
2. Prevention of Youth Initiation
3. Secondhand Smoke Protection
1.
4. Address Tobacco Related
Disparities
CDC Goal #4:
Address Tobacco Related
Disparities
 Importance of Goal 4 elevated within NM
 Effort to Incorporate Goal 4 into all activities
 Activities include internal and external program
activities
 Anti-Oppression Model introduced in 2006
Definition of Anti-Oppression
Actions and attitudes which
challenge personal, cultural
and institutional oppression
Cultural Bridges to Justice
What does it mean to work from
an anti-oppression framework?
 Actively working to acknowledge and shift power
towards inclusiveness, accessibility, equity and social
justice.
 Ensuring that anti-oppression is embedded in
everything that you do by examining attitudes and
actions through the lens of access, equity and social
justice.
Anti-Oppression Training
 Original Training hosted by TUPAC contractor
 Training attended by six program staff
 Action-planning component led to TUPAC toward
adoption of anti-oppression principles in all aspects of
program activities
 Training for all program staff began in 2007
Cultural Bridges to Justice
Training
Objectives
 Familiarity with concepts and development of a
common language re. Systemic Oppression
 Understanding of historical, political and social
context for systemic oppression in U.S.
 Review systemic linkages among various forms of
oppression
 Development of an understanding of oppression as a
social determinant of health
Program Efforts to Incorporate
Anti-Oppression
Model
 Training began for all program staff in 2007, Required
for all contractors beginning in 2008
 Additional staff who have since joined the program
have been required to attend
 TUPAC program has done organizational development
work, including Mission Statement, Guiding
Principles
 Development of Priority Population Networks
•
•
•
Requirement that all TUPAC-funded
Organizations attend anti-oppression training
Incorporation of definitions, description of
anti-oppression model into RFP’s
Requirement that all contracts address
disparities and incorporate anti-oppression
principles
•Native American/American Indians
•African Americans
•Asian/Pacific Islanders
•Spanish-Speaking Communities
•People Living With A Disability
•LGBTQ
TUPAC Mission Statement
To improve lives by eliminating
the harm from tobacco abuse
through the implementation of
effective strategies that incorporate
an anti-oppression model