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Social Determinants of Health

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Subject:
From:
Sarena Seifer <[log in to unmask]>
Reply To:
Social Determinants of Health <[log in to unmask]>
Date:
Tue, 10 Aug 2010 06:56:30 -0700
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Dear SDOH colleagues,

The Centers for Disease Control and Prevention in the U.S. has posted a 
solicitation for formative activities related to developing a 
microenterprise intervention around community health. Proposals are due 
Aug 30.

Below is an overview of the scope of work. The full solicitation is online at 
http://www.aqd.nbc.gov/Business/solic_details.aspx?solid=338.

The contact person is Cathy Boulware at [log in to unmask]

DEVELOPING A SUSTAINABLE AND ADAPTABLE MICROENTERPRISE INTERVENTION IN THE U.S.

Poverty has long been recognized as a substantial contributor to poor health 
across multiple outcomes. Poverty, racism, and other social disadvantages 
disproportionately affect people of color in the United States and are linked 
to an unfair and disproportionate burden of chronic diseases, HIV/AIDS, and 
violence. At the county level, poverty rates and the percentage of African 
American residents have been associated with differences in average life 
expectancy of more than 35 years. A growing body of research provides evidence 
that the health impact of poverty begins in childhood and extends across the 
life course and into subsequent generations.

Thus, addressing the social and economic determinants of health is necessary in 
order to achieve health equity. Interventions that address the social and 
economic determinants of health inequities have the potential to alleviate 
multiple health problems. Microenterprise programs, the practice of making 
small loans and providing financial literacy to people living in poverty, are 
economic interventions that have been found to affect multiple health 
outcomes....However, to date, we know of no rigorous evaluations of this 
approach or of more traditional microenterprise interventions for their impact 
on health outcomes.

The purpose of this contract is to support activities around developing a 
microenterprise intervention program for low-income, African American 
individuals. The activities include refining a theory of change for the 
intervention; revising a list of recommended measures intended to capture 
constructs from the theory of change; establishing a partnership consultation 
group of representatives from CDC, microenterprise experts, community health 
centers, and community-based organizations; developing an intervention manual; 
and, organizing discussions about the intervention with community consultation 
boards. The final product will include an intervention manual that will provide 
details on the implementation of the developed and sustainable microenterprise 
program, which addresses the dual challenges of HIV/STI transmission and 
intimate partner violence to bolster the health in African-American 
communities...

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Community-Campus Partnerships for Health promotes health (broadly defined)
through partnerships between communities and higher educational institutions.
Join us for "Community-University Partnerships: Bringing Global Perspectives
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