MAPP as a Tool for Social Justice
Erica Salem, MPH
Chicago Department of Public Health
Outline
• Overview of MAPP
• Implementation in Chicago communities
• Changes to public health practice in
Chicago
Mobilizing for Action through
Planning and Partnerships
• Community wide strategic planning tool for
improving public health
• Means for communities to prioritize public
health issues, identify resources for addressing
them, and take action
Why MAPP?
• Moves public health from program planning to
strategic planning
• Moves strategic planning from a single
organization to a community
MAPP Overview
Phases of MAPP
1. Organize for Success/Partnership Developmt.
- Identify participants
- Readiness assessment
2. Vision Development
-
Community at its best
Phases of MAPP
3. Four Assessments
- Community Health Status
- Community Themes and Strengths
- Forces of Change
- Local Public Health System
Phases of MAPP
4. Identify Strategic Issues
- predominant, cross-cutting findings
5. Formulate Goals & Strategies
6. Action Cycle
-
plan, implement, evaluate
MAPP and Social Justice?
MAPP is a tool for system change!
• MAPP considers community opportunities
not just deficits.
• It changes the way we look at people.
• It changes who does the looking.
How we’re trained to see people
YES
-
Inadequate housing
Limited job skills
Lacks job seeking skills
Poor work history
Fired from jobs or quit
No recent work history
Lack high school diploma/GED
Lack training for career goal
Age
Unrealistic goals
Single parent
NO
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How MAPP Looks at People
MAPP engages communities as active
partners or co-producers of good health.
Chicago Center for Community Partnerships
• Organizational division of CDPH
• Support coalitions in development and
implementation of community health
improvement plans.
Albany Park
#
Hermosa
#
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Austin
North Lawndale
South Lawndale
Chicago Lawn
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South Chicago
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Key elements of approach
• Community led process within structured
framework (MAPP)
• Community-driven data collection
• Technical assistance provided by LPHA
• Identification of appropriate citywide/community
roles
Role of Community
Coalition Coordinator
From the community
Collaboration engineer
Does day-to-day work of coalition
Coalition members
Data collection and analysis
Develop content of plan
Drive implementation
Role of Health Department
• Technical planning support
• Centralized administration
• Opportunities for
– Training
– Fundraising
How is Power Distributed?
Power difference between people who help
and people who are helped.
The Old Health Department
• Review existing data
- Leading causes of death, CVD
- Hospital discharge data
- Focus groups
• Develop interventions
The Health Department Today
• Department provide training & stipends to
community residents
• Community conducts block-by-block assessments
• Community develops interventions
• Department support community interventions
Community-driven Intervention
• Chamber of Commerce leads subgroup
• Donation of produce to smaller stores to
create market
• Monthly tastings at larger grocery stores
Does it Make a Difference?
Old Results
Possible  in knowledge
Behavior change
unlikely
given community
barriers
Community Results
 access to produce
 sales of
- Cucumbers
- Cactus
- Kiwi
+38%
+44%
+71%
 produce consumption
What the Health Department Gives Up
• Control
• Unilateral Decision-making
• Money
What the Health Department Gains
• More and better information about Chicago
communities
• Partners in community health improvement
• Constituency for public health
What Communities Gain
• Greater capacity to understand and address public
health and related needs
• Greater credibility with decision makers
• Influence on the allocation of public health
resources
• Improved health
Beyond MAPP
• Integrate principles into operations
• Maximize new opportunities