Better than before
By Chet P. Hewitt
President and CEO
Nearly two years into a global pandemic we find ourselves at an inflection point: State and local governments across the nation are approaching what some call a “New Deal moment” with billions of pandemic relief funds moving from the federal government to state and local jurisdictions. Like the Roosevelt administration’s infusion of New Deal reforms in the 1930s, these funds coupled with policy reform present a once-in-a-generation opportunity to address not only the public health crisis at hand but the longstanding inequities that exacerbated its impacts.
By now, we know that the people facing the highest COVID-19 infection and death rates are those with the least access to economic, health, human and natural resources. Today in California, communities with median income below $40,000 a year have a 33 percent higher case rate than the state average; Latino, Black and Pacific Islander people in particular continue to experience significantly higher death and infection rates.
It should come as no surprise that the most historically marginalized people in California are suffering the most from the pandemic. Vulnerable communities are just that — vulnerable to threats others might have the resources to withstand, whether those dangers come from a virus or a changing climate. Yet instead of just bearing witness to the pain, we have an unprecedented opportunity to address it and change course.
In Sacramento County, for example, leaders are evaluating how to spend $300 million in a second round of COVID-19 relief funds, known as American Rescue Plan Act (ARPA) funds. Last year, the county initially allocated the majority of relief funds to law enforcement. After community leaders raised serious concerns, the county adjusted the distribution but missed important opportunities to improve the region’s health equity. We can’t afford to see this happen again, which is why The Center at Sierra Health Foundation joined a coalition of community partners and leaders to request direct community investment in health equity, affordable housing and homelessness prevention, inclusive economic development, community-led violence prevention and youth services. Community-led investment is what’s different here — a much-needed contrast to traditional allocation systems in which money and
programs run through agencies and organizations outside of a community, or worse, through systems of control and oppression.
Our work alongside partners in Sacramento County is mirrored in counties across the state. Community by community, partner by partner, we’re building human-scale networks and creating change together. And it’s working. A recent network analysis of the San Joaquin Valley Health Fund found overwhelmingly that network participation improved cross-collaboration, increased access to information and resources, and helped partners address goals that would be unattainable on their own. This is the foundation for resilient communities and health equity, one we look forward to exploring more deeply with our partners in the months and years ahead.
New ways to connect: COVID-19 outreach
Trusted local partners are at the heart of California’s work to reduce the spread of COVID-19 and help people get vaccinated. Through an ongoing initiative with state agencies and The Center at Sierra Health Foundation, community-based organizations are bringing the hard work, creativity and insight needed to connect with Californians of all backgrounds. Here are a few recent examples:
In stories: El Sol Neighborhood Education Center launched a new comic book series featuring a hero who works with community health workers and promotores to fight COVID-19 and educate people about the virus. The fun Captain Empath/Capitán Compasión toolkit includes a full comic book story, individual comic strips and a children’s activity book. These materials are available to download in both Spanish and English on the El Sol website.
In pictures: The Vaccinate58 campaign released a series of photo novellas explaining COVID-19 variants and the ways the virus spreads. Download these and other multilingual partner toolkits on the COVID-19 Response Toolkit webpage.
In the field: Líderes Campesinas organized two labor rights caravans for state officials and community partners to speak with agricultural workers directly about their COVID-19-related labor rights and protections. In addition to increasing awareness, these community visits led to tangible outcomes for workers, like assistance with filing worker claims and bringing the labor commissioner and other state labor offices directly to workers to answer questions and address concerns. Such interactions are laying a strong foundation for the state to build and strengthen trusting relationships with communities.
Caravan partners include Labor Commissioner Lilia García-Brower, the California Department of Industrial Relations, Agricultural Labor Relations Board, Cal/OSHA, the Employment Development Department, the California Department of Public Health and community organizations including Centro Binacional para el Desarrollo Indígena Oaxaqueño, California Rural Legal Assistance, Maintenance Cooperation Trust Fund and Monterey Bay Central Labor Council. Follow along on social media by searching #farmworkercarvan.
In the news
We’re pleased to bring you this new Partnerships feature. Each month we’ll share media highlights about our work and our dedicated community partners.
Harm reduction models meet drug users “where they’re at” and elicit more support as the opioid epidemic festers during the coronavirus pandemic
The Mendocino Voice published this article about MCAVHN Care and Prevention Network, a Medication Assisted Treatment (MAT) Access Points Project community partner. The staff and volunteers at MCAVHN are providing direct outreach and offering clients a spectrum of low-barrier harm reduction services including syringe exchange, medication-assisted treatment, counseling, training and many other services.
Vaccine influencers? How Sacramento County is helping everyday residents become advocates
As part of its Equity Lab series, The Sacramento Bee reported on Vaccine Influencer trainings designed to provide community members with information about COVID-19, the latest updates on vaccines and key messages addressing vaccine concerns. Sacramento County Public Health, the Sac Collab and The Center at Sierra Health Foundation host the virtual trainings, which feature local health care professionals. Learn more about the Vaccine Influencer series on the Sac Collab website.
Sacramento Hispanic Chamber of Commerce holds annual State of Hispanics event ABC10 reported on the chamber’s inaugural regional Hispanic Economic Report, released during the State of Hispanics 2021 event on Sept. 21. The report provides an insight into the economic state of the Hispanic population across the greater Sacramento region, which includes El Dorado, Placer, Sacramento, Sutter, Yolo and Yuba counties. We are proud to be among the project supporters.
Partner voices
Blue Mountain Coalition for Youth and Families is empowering and employing youth and young adults from upcountry Calaveras County through mentorship, civic engagement, skills building and support to reduce unemployment and drug use. We are pleased to share the following story from Executive Director Terra Forgette about their Elevate Youth California Community Capacity Building grant.
“The idea for this program was inspired by a young woman who applied for a position here two years ago. She had come to our center as a kid, and said it was one of the only things that kept her out of trouble. More than anything I wanted to hire her as our new Youth Coordinator, but she had no skills and no experience. It is our dream to be able to train and hire the kids that come up through our center, and watch them become our next generation of leaders. This grant could make that a reality for us. I am certain that this program could have a huge positive impact on the young people we serve and a long-term impact on our community.”
Photo: Blue Mountain Coalition for Youth and Families Executive Director Terra Forgette
Asthma Mitigation Project is filling a gap in community prevention and mitigation services
Our Asthma Mitigation Project partners continue to provide asthma home visiting services to individuals with poorly controlled asthma throughout California. The project focuses on low-income communities and communities with disproportionate rates of asthma.
The Year 1 Evaluation Report from external evaluation consultants at Harder+Company Community Research shows that the Asthma Mitigation Project is successfully creating a statewide network of asthma service providers to reach families who are members of Medi-Cal or do not have health insurance.
In 2020, with funding from the California Department of Health Care Services, The Center at Sierra Health Foundation funded 22 organizations statewide to deliver culturally and linguistically responsive asthma home visiting services to children and adults with asthma. Since then, project partners have provided services to 757 children and adults, 48 percent identifying as Latinx and 27 percent as Black or African American. More than 200 recipients have completed the program and more than 90 percent report increased knowledge about asthma and confidence in their ability to manage their asthma. The report found that The Center has facilitated partnerships and developed skills that have helped project partners reach and serve these clients.
Sacramento youth wrap up fun, safe summer with Kings and Queens Rise NBA 2K tournament
Kings and Queens Rise NBA 2K youth participants and families celebrated a fun summer season with a multi-week tournament in August and September. Each year, youth in the co-ed sports and mentorship league are matched with coach mentors and curriculum with proven results for improved communication, collaboration, teamwork and social skills. The Center’s Black Child Legacy Campaign community partners hosted the gaming events throughout Sacramento County. Kings Guard Gaming, the e-sports affiliate of the Sacramento Kings, supported the youth players and engaged in conversations about professional opportunities in gaming.
Kings and Queens Rise NBA 2K is a partnership of the Sacramento Kings, Architects of Hope, The Center at Sierra Health Foundation, Black Child Legacy Campaign, Build.Black. Coalition, My Brother’s Keeper Sacramento and Arden Fair. Kings and Queens Rise activities include basketball, golf and NBA 2K gaming, all with a focus on youth leadership development, mentoring and community building.
COVID-19 boosters and California’s roll-out
Last week, the U.S. Food and Drug Administration authorized the use of a single COVID-19 Pfizer booster shot to be given six months after the completion of the primary Pfizer series. The booster is approved only for people who received the Pfizer vaccine and fall into one of three groups:
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65 and older
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18-64 who are at high risk of severe COVID-19 due to underlying health conditions, such as the immunocompromised
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18-64 with high risk of institutional or occupational exposure to the virus
The Western States Scientific Safety Review Workgroup also completed its review of the federal process and has recommended the same protocol for people who are 65 and older, as well as those 18-64 who have underlying health conditions or have increased institutional and occupational exposure. Upon the Workgroup’s review, Gov. Gavin Newsom emphasized California’s readiness and ongoing commitment to reach people who remain unvaccinated: “Vaccines are how we end this pandemic. With today’s Western States Scientific Safety Review Workgroup recommendation, California is ready to go on day one to begin administering Pfizer-BioNTech boosters to eligible Californians, in addition to our continued work in reaching those who remain unvaccinated to protect communities. Vaccines save lives, and boosters are a critical next step towards better protecting Californians from COVID-19.”
California’s health authorities anticipate additional COVID-19 federal guidelines in the coming months, including shots for children ages 5-12 and booster approval of the Moderna and Johnson & Johnson Janssen vaccines. In preparation, the California Department of Public Health published a new COVID-19 Vaccine Action Plan with helpful information on how California will approach the new roll-outs.
To get vaccinated or learn more, go to myturn.ca.gov.
Medi-Cal Managed Care Mental Health Services: An Unfulfilled Promise for Communities of Color
The California Pan-Ethnic Health Network released this report highlighting the numerous barriers and challenges Black, Indigenous, people of color and non-English speaking people face in accessing Medi-Cal mental health services from their health plan. The report outlines critical opportunities for the Department of Health Care Services as it procures new commercial managed care plans and updates the contracts for all managed care plans. Learn more and access the report on the California Pan-Ethnic Health Network website.
How California’s Community-Based Organizations Filled the Gaps for Underserved Communities
ChangeLab Solutions, in partnership with the California Pan-Ethnic Health Network and Prevention Institute, published this report that highlights the work of community-based organizations in addressing community needs throughout California during the pandemic. It includes recommendations on how California policymakers can make structural changes and partner with community-based organizations for a more equitable recovery. Learn more and access the report on the ChangeLab Solutions website.
Pandemic outcomes: Classroom time isn’t the only thing students have lost
Students have endured tremendous trauma during the pandemic—and teachers know learning can’t happen without healing. Access this article in The Atlantic.
Sacramento County Short Range Transit Plan and Zero Emission Bus Plan
Sacramento County is obtaining input on current and future travel needs of residents and gaps in service to create a plan for potential transit improvement in south and east areas of the county. The County also is creating a plan for purchasing and implementing Zero Emission Buses (ZEBs) for South County Transit. The transition to ZEBs will ultimately reduce greenhouse gas emissions from public transit and improve air quality in the region. The County is hosting a Virtual Community Workshop on Oct. 6 from 4:30 p.m. to 6 p.m. Register on Zoom or visit the project
webpage to learn about future outreach opportunities.
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