Overview •  About Kalusugan Coalition 

•  History

•  Target Population

•  Projects

•  AsPIRE

•  Alliance

•  ARUGA

•  Pinoy HEALIN’

•  Project CHARGE

•  Navigator Program

Getting to Know Kalusugan Coalition, Inc.

Mission: To create a unified voice to improve the health of the Filipino community in the NY/NJ area through: network development

educational activities

research

community action

advocacy

Move your body, mind your health, feed your soul.

KC

Academia

Faith-based orgs

Community-based orgs./associations

Government

Local businesses

Community Forum

Community Health Needs Assessment

Outreach

Feb 2004 April 2004 Summer 2004 April 2005

Sep 2005

History of Kalusugan Coalition (KC)

January 2005

Who do we serve?

•  Filipino Population in NYC ≈ 78,030*

•  4th largest Asian subgroup in NY •  3 out of 4 are foreign-born

•  54% live in Queens

•  The largest populations are in Elmhurst and Woodside, in Queens, making up 13 percent of Filipino residents.

* US Census 2010

Barriers to Health

Perceived personal/cultural factors associated with HTN

Stress:

“When I got here, my situation became different. Being away from my family, the feeling of being in a job that I’m unfamiliar with…these things can stress you out. You’re not truly happy. You may have money along with it, but it’s not a job that you truly like. Personally, I don’t like my job. If I had the choice, I wouldn’t be in this situation.” – Filipina Domestic Worker

Perceived  barriers  to  care    

Financial  barriers:    “Health  affordability  is  also  an  issues  because  if  you  don’t  have  health  insurance,  you  get  a  high  rate,  right?  That’s  why  most  of  our  members  shy  away  from  doctors  un=l  they  are  really  very  sick…”  –  Advocate,  Domes=c  Workers  Associa=on  

   

 KC’s  Model  of  Health  Access  Community Health Workers (CHWs) as Critical Members of the Health Care Team

•  CHWs are frontline public health professionals who have an unusually close understanding of the communities they serve through shared ethnicity, culture, language, and life experiences.

Zebede Dimaporo CHW

Espie Perrella CHW

Pacita Valdellon CHW

Leoni Gamboa Lead CHW

CHW ROLES •  OUTREACH & COMMUNITY

MOBILIZATION

•  COMMUNITY/CULTURAL

LIAISON

•  CASE MANAGEMENT/

CARE COORDINATION

•  HOME-BASED SUPPORT

•  HEALTH PROMOTION/

HEALTH COACHING

•  SYSTEM NAVIGATION

•  PARTICIPATORY RESEARCH

!

Kalusugan Coalition Projects

Project AsPIRE Asian American Partnerships in Research and Empowerment

•  Overall Goal: To improve the health care access and status for hypertension and CVD in the NYC Filipino American community through interventions by community health workers

3 year planning

grant (2005)

5 year implementation

grant

(2008)

3 year dissemination

grant (2013)

Potential funding for 11 years

Funding: NIMHD Community-Based Participatory Research Initiative in Reducing and Eliminating Health Disparities (R24) - in partnership with

NYU Center for the Study of Asian American Health

More Intensive Intervention

(n=62)

Less Intensive Intervention

(n=78)

-27.0 mmHg Systolic

-9.2 mmHg Systolic

-10.9mmHg Diastolic

-3.5 mmHg Diastolic

Measured !om baseline to 8 months. The differences in the means were significant at p<0.001#

!

CHW Impact on Heart Health Blood Pressure Change

#“Joining Kalusugan and attending sessions on cardiovascular health has changed my life.   I learned to exercise even when am at work.  I have gained many !iends whom I can share my thoughts.  I am stress-!ee and my blood pressure is stable."  # !

!

. !

•  59 y/o Female Caregiver with Hypertension!

•  Joined Project AsPIRE in 2011!

•  In 4 months, Reduced:!

Blood Pressure:140/83 -->126/80 mmHg!

Total Cholesterol: 212 -->176 mg/dL!

Educational Videos

CHW Trainings/Webinars

WEBSITE: www.filamchw.org

Strategic  Champions  Project  

The  Na;onal  Heart,  Lung,  and  Blood  Ins;tute’s  Community  Health  Worker    Health  Dispari;es  Ini;a;ve  

Project ARUGA: Filipino Breast Health Initiative Funded by the The Greater NYC Affiliate of the Susan G. Komen

This project will reach Filipino women who are:

•  aged 40 and over

•  have low screening rates

•  medically underserved

•  limited health literacy

Hav

e a

hear

t to ca

re for your breast health for you & your loved ones

Pauline Sikat, Project Manager

BREAST HEALTH COACHING AND BRIDGING EDUCATION &

OUTREACH

FACILITATE SCREENINGS

1:1 EDUCATION WORKSHOPS

ED. MATERIALS

Sat, 10a–3p @KC

8/19/13 10/5/13 12/14/13

   

 KC’s Advocacy Priorities

•  Health  Access  •  Food  Jus;ce/Ac;ve  Living  Policy  •  Data  Disaggrega;on    

•  Budget  Equity  •  Comprehensive  Immigra;on  Reform  

Approach: As members of larger advocacy coalitions, CHWs conduct policy advocacy, bringing community voices to decision makers in state and local government.

APA Table & New Yorkers for  Real Immigration Reform

Pinoy HEALIN’

Healthy  Ea;ng  and  Ac;ve  Living  in  our  Neighborhoods  

•  Goal: promote increased access to healthy foods and opportunities for active living in the Filipino and larger Queens community

•  KC  is  funded  by  the  Fund  for  Public  Health  in  NY  as  a  Neighborhood Contractor for

•  KC is an active member of the Partnership for a Healthier Queens Coalition led by  

•  Healthy Cooking Contests •  Healthy Cooking Demonstrations •  Restaurant needs assessment

CHWs leverage resources in community to make healthy eating and active living accessible/affordable for community members

Pinoy HEALIN’

•  Gym Membership Discount •  Summer Play Streets

•  Yoga •  Aerobics/Zumba •  Cultural Dance •  Badminton •  Line Dancing •  Martial Arts

 •  Formed  in  2007  

•  16  organiza;onal  partners  

•  Purpose:  Increase  the  capacity  of  community  based  organiza;ons  to  do  health  policy/advocacy    

•  Goal:  Ensure  access  to  health  care  for  APAs  

 

Advocacy Agenda • Passage  of  the  Health  Benefit  Exchange  Legisla@on    

• Language  Access  for  Exchange    • Culturally  Competent  &  Language  Accessible  Outreach  &  Educa@on      • Data  Collec;on  &  Repor;ng  Improvements      • GeTng  a  Seat  at  the  Table    • Promote  Op@ons  for  “leI  behinds” and  Protect  Safety  Net    

In-Person Assistor/Navigator Program

u  KC Joins 9 other Asian-Serving partners led by Coalition for Asian American Children and Families to support In-person Assistors/Navigators for the NYS Health Benefit Exchange

u  Goal: enroll 6000 individuals/year in health insurance through the Health Benefit Exchange

u  Target: APA individuals, small businesses, small business employees

u  PARTNERS:

u  CACF

u  Adhikaar

u  Arab American Family Service Center

u  Center for Immigrant Health and Cancer Disparities

u  DREAM: Diabetes Research, Education,and Action for Minorities

u  Kalusugan Coalition, Inc.

u  Mekong

u  United Chinese Association of Brooklyn

u  United Sikhs

u  YWCA of Queens http://www.healthbenefitexchange.ny.gov/

 

Rhodora  Ursua,  MPH  

Kalusugan  Coali;on,  Inc.  

39-­‐04  63rd  Street  

Woodside,  NY  11377  info@kalusugancoali;on.org  

www.kalusugancoali;on.org  

www.facebook.com/kalusugancoali;on  

www.twiber.com/kalusugan