Tag Archives: diversity

Public Health in Action – Linked Up/In

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“Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it’s the only thing that ever has.” –Margaret Mead

Margaret Mead’s quote eloquently describes what I see on a regular basis living and working in Durham, North Carolina. Since moving south from Washington, D.C. two years ago, I’m consistently humbled and inspired to hear what various groups are doing to improve the local community.

I recently attended a meeting hosted by the North Carolina Chapter of the B Corporation and heard a brief presentation from local B Corp Seth Gross, owner of Durham-based brewpub, Bull City Burger. In his remarks, he described how he opened Bull City Burger in 2011 and noticed a significant turnover in staff he had during his first year. After thoughtful consideration, he decided to focus more time, effort and resources on creating a work environment that was conducive to staff retention and a greater community impact. Bull City Burger was one of the, if not the, first restaurant to become certified as a B Corp in 2014. His leadership, willingness to share his story and advice to other restaurateurs and business owners have inspired countless others. North Carolina boasts 37 certified B Corps throughout the state.

Seth’s story with Bull City Burger is just one story among so many others that reflect the city’s level of community engagement.

My interview with Rob Shields, below, takes a deeper dive into the non-profit organization ReCity and its role in “rewriting the story” of Durham.

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“Durham incubator works to aid youth employment” local ABC news clip: http://abc11.com/video/embed/?pid=1722793

Rob Shields, Executive Director of ReCity

Me: How did you end up doing the work that you’re currently doing?  Describe your journey to your current role as Executive Director of ReCity.  Describe why you’re passionate about addressing youth disconnection…why others should care about the work you’re doing.

Rob Shields: I’ve been in the youth development space for my whole career – sports coach to a campus-based youth ministry Fellowship of Christian Athletes (FCA) to my current role as Executive Director at ReCity – and although my roles have differed, my professional interests have been in serving youth.

Through the years, I became more aware of division within communities. It really opened my eyes to the reality that communities of color experienced in daily life. The gap between rich and poor was huge and I became discontent with structures and systems that reinforced widening of that gap. From there I wanted to focus on community development and envisioned a thriving community where all individuals had opportunities to succeed. And that’s what attracted me to this role at ReCity. I wondered if this model could this be the solution to magnify programs that were already working and facilitate connections to foster collaboration between those programs. We aren’t trying to compete or reinvent the wheel, but our driving force is how best to serve the community.

I have a strong conviction and belief that talent is equally distributed but opportunity isn’t. And this bothers me. Everyone has dignity and we all have God-given skills and abilities and I want to be part of a city that has opportunities for all to find their way. The gap between rich and poor is too wide and ReCity would ideally play a role in creating the city as it should be.

Me: What inspires you on a daily basis, especially when things get hard?

RS: I draw a lot of inspiration from my Christian faith. My belief in serving a god that is redemptive and restorative in nature. I’m inspired to follow in his example of being involved in work that restores and I feel called to do so. My wife and kids are another source of inspiration and perspective. The startup world is tough and it’s so easy to lose one’s identity in work. My family provides me a constant reminder that I have other priorities that I’m responsible for. They bring balance by slowing me down to a marathon pace when I’m normally sprinting.

Me: Can you tell us more about ReCity and your vision for the next 5 or 10 years?

RS: ReCity is a co-working space for nonprofits and mission-driven organizations committed to restoring opportunities for disconnected youth and their families in Durham. Our space empowers our partner organizations to work alongside each other to close the opportunity gaps in our community through strengthening collaboration and pooling resources as well as social capital to achieve collective impact.

In five years we envision ReCity playing a role in rallying the city to act collectively to address social issues like youth disconnection. And since youth disconnection is a complex mix of underlying core social issues, a focus on youth disconnection specifically would simultaneously address disparities and injustices in other areas like education, housing, and transportation among others. We hope to provide a path to stable employment to 1,000 youth by our third year.

In 10 years, I can see our model as a template to address any complex social issue in any city. The beauty in our model is its simplicity. Living out shared values together in a shared space can accelerate the collaboration needed to solve complex problems plaguing cities nationwide. At the core, these issues are not unique to Durham and we hope that others can find value in what we’re doing.

Me: What role does the community have in addressing social issues like youth disconnection, poverty, unemployment, etc.?

RS: Community leaders are vital in shaping our work. We fully recognize that it’s their community; they are the most invested and are the key stakeholders, which is why we follow their lead when it comes to planning and decision-making. ReCity’s role in addressing youth disconnection in Durham has evolved since our inception because of their unwavering support, input and feedback.

Leaders in the community have the biggest voice in addressing social issues, and since ReCity doesn’t provide direct programs like many non-profits, we have to be very selective in working with organizations that are well-respected in the greater Durham community. These organizations must use appropriate methods when addressing core issues, with a focus on personal and professional development over reinforcing the need for ongoing services. Durham’s population is culturally diverse, therefore the youth we serve are equally diverse. 56% of ReCity partner organizations are minority-led, which is critical for us because one our driving core values as an organization is to reflect the diversity of the community we serve.

Me: What are the current needs in the Raleigh-Durham metro area (or focus in on the city you live in) as they relate to social determinants of health (i.e SES, poverty, access to care, transportation, safety, etc.)?

RS: Affordable housing is a huge concern, which is why I’m excited our network has added partners doing amazing work in this area like Housing for New Hope and Jubilee Home. Providing shelter is only one aspect, but creating paths to social mobility and wealth creation through home-ownership is the key. If we can make progress in raising rates of home-ownership, there’s potential to break generational cycles of systemic injustice and poverty.

Access to regular, reliable transportation is another issue, especially for the youth that our network serves. ReCity has started to consolidate services and resources among our partner organizations and we hope to one day be a “one-stop shop” for every type of resource needed to serve children and families more efficiently and holistically. We also hope innovative partnerships can help improve access to regular, reliable transportation. Private companies already have the vehicles and drivers – it’s a matter of reallocating funds to local transportation companies like Uber or Lyft to serve our target populations. Often times, the highest impact isn’t a result of new programs being created, but from intentionally re-purposing or redirecting the resources that are already in place. And that’s what ReCity is all about.

Public Health in Action – Rachel Safeek Fights the Status Quo with “Fight Stigma”

fightstigmaIn an earlier post, I marveled about Twitter and all the great things that have happened to me post-Twitter.  It blows my mind how much information there is out there on the internet…which is how I found Rachel Safeek.  Being the public health, upstreamist, social determinants of health geek that I am, I ran a Google search on “health disparities Duke” preparing for a trip down to Durham for one of my consulting projects.  Lo and behold, there were pages and pages of interesting websites, one of which was Rachel’s blog, blue devil banter.  Her perspective and activism was something that I wanted to bring into this blog.  What I value so much in activism and community mobilizing is that anyone and everyone has a voice – whether it’s a solo one or an army of voices – each and every one of us has a voice.

“Never be afraid to raise your voice for honesty and truth and compassion against injustice and lying and greed. If people all over the world…would do this, it would change the earth.” — William Faulkner

So without further ado…

Rachel Safeek
Founder, Fight Stigma Campaign
Duke University 2013
Program II: Health Policy, Human Rights, and Health Disparities

Me: How did you end up doing the work that you’re currently doing?  Student to activist to working at Duke.

RS: I first began working with HIV prevention and advocacy while studying global health as an undergraduate at Duke. I became interested in the various socio-economic factors that predispose women to HIV. My interests led me to spearhead a seven-month research project in Salvador, Brazil, investigating how violence (domestic, sexual, etc.) and economic vulnerability predispose women to HIV and other sexually transmitted infections.

Following my work with HIV, I joined and later became Director of an HIV testing program that offered free, rapid HIV testing at various locations in Durham, North Carolina, including Duke University Campus, Durham Technical and Community College, and El Centro Hispano, a resource center catering to predominantly Spanish speaking populations.

While engaging in HIV prevention work, I observed the manner and degree to which stigma was associated with HIV.  Moreover, overall sexual health served as a deterrent for many seeking HIV testing and/or medical treatment after sexual assaults, and openly discussing safer sex behaviors. This led me to found my organization, the “Fight Stigma Campaign” (FSC). The initiative was launched as a social media-based photo-campaign dedicated to educating the campus community about HIV/AIDS and encouraging HIV testing and open discourse surrounding safer sex, particularly among young adults.

After working with HIV prevention and advocacy for a year, I then turned my focus to HIV treatment. Currently, I am working as a Clinical Research Coordinator for the HIV drug trials at Duke Medicine, in which I oversee the enrollment and progress of patients in HIV drug studies at Duke. While I am now focused on the treatment end of HIV, I still dedicate significant time and effort to advocacy efforts for the FSC, all while I applying to medical school.  I hope to one day continue to work with issues related to women’s health and infectious disease as a medical doctor.

Me: What inspires you on a daily basis, especially when things get hard?

RS: As a Latina woman who represents diversity in healthcare, I am deeply motivated by a desire to give back to my community. Everyday, I have the privilege of engaging patients from a wide array of socio-economic and racial/ethnic backgrounds. These clinical experiences have afforded me the opportunity to observe first-hand the manner and degree to which racial/ethnic minorities are disproportionately affected by negative health status. Each individual interaction motivates me to continue along my trajectory of working with underserved communities—many of whom represent members of my own community—currently as a clinical research coordinator and HIV prevention worker, and later on, as a medical doctor.

Me: What do you think it will take for our healthcare system improve?  What do you think it will take our society’s health outcomes to improve?

RS: From a human rights standpoint, I believe that before health disparities can be adequately addressed, we must first acknowledge health as a human right. By ensuring individuals that they have a right to health, communities can mobilize to demand this right, raising awareness to the various socio-economic factors that prevent communities from attaining optimal health status. These socio-economic factors, including education level, access to healthcare facilities, transportation barriers, and poverty must be addressed in order to improve health care in our nation. I believe that these conditions stand a higher chance of being addressed if we can empower communities to vocalize their concerns by affording them the right to optimal health.

Me: In the health policy world, what do you think is the next big opportunity and how does this compare to the actual need of the population?  What I mean is that sometimes Congress and the needs of the public aren’t always on the same page…

RS: I think we can all agree that the Affordable Care Act represents a tremendous forward stride, in terms of affording individuals access to care. However, beyond health care coverage, there are still a multitude of factors that predispose populations to poor health, including lack of transportation to health care facilities, lack of access to sustainable nutrition, poverty, low socio-economic status, etc.

One prominent issue in healthcare that I believe is often overlooked is the lack of representation of minorities in healthcare settings. Having physicians and other healthcare workers of diverse backgrounds is necessary for appealing to the culturally-specific needs of patients.

According to the AAMC (Association of American Medical Colleges), African Americans, Hispanics, and Native Americans make up 25% of the U.S. population, but only account for 6% of doctors. Increasing the number of physicians from racial/ethnic minority backgrounds ensures the delivery of culturally competent and sensitive care, thereby fostering a sense of trust between patients and their providers and increasing patient safety and satisfaction. Minority physicians have also historically been linked to working with patients from underrepresented and marginalized groups, who often represent a large fraction of the sick population, further highlighting the importance of adopting progressive policies that encourage and aid minorities in their pursuit of careers in healthcare.

Me: What are the current needs in Durham, as they relate to social determinants of health (ie SES, poverty, access to care, transportation, safety, etc.)?

RS: Durham, North Carolina, home to Duke University, is uniquely nestled in the Research Triangle Park (RTP), which is renowned for having the highest concentration of MD’s and Ph.D.’s in the world. While boasting this impressive statistic, the city’s high yield of educated individuals also creates a gradient of educational disparities within the area. As a result, there are tremendous racial and socio-economic disparities between the faculty and students of Duke University and the rest of the city.

Duke University Medical Center, nationally ranked as one of the top 10 hospitals in America, plays an instrumental role in affording individuals in Durham County and surrounding counties and states top-notch care. Also, Duke University, as a whole, is the largest employer in the county. However, while the University affords Durham locals various job opportunities, I believe a disparity still exists. Like most of America, the large racial minority population does not comprise the majority of the decision makers who determine how resources are allocated. While there is some representation on boards, this is not enough. In the end, the decision-makers are the ones who control resource allocation, who drive change and make improvements to benefit the community, especially in healthcare.

I believe there should be more progressive policies that aid those of disadvantaged socio-economic backgrounds and under-represented minorities in their pursuit of higher degrees to help diminish the gap in racial/ethnic disparities in education and health.