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Cities and towns often face limited capacity to assess and address community health needs. Recognizing similarities between their neighboring towns, staff from the Andover and North Andover health departments collaborated on a joint community health assessment (CHA) and community health improvement plan (CHIP). The project encompassed the Assess, Prioritize, and Plan elements of HRiA’s CHI process, as illustrated in our lens.

1

Assess

Assess and understand a community’s assets, challenges, and experiences using qualitative and quantitative methods and a community engaged approach.

2

Prioritize

Prioritize areas of focus based on key themes that emerged from your assessment.

3

Plan

Collaboratively develop goals, objectives for your priority areas and organize them into a 3-to-5-year plan.

4

Implement

Implement strategies outlined in your plan to meet objectives and impact community health.

5

Monitor

Monitor key metrics to assess progress toward community health improvement goals.

6

Evaluate

Evaluate the progress and impact of community health improvement and efforts.

Process

To guide the assessment and planning processes, HRiA supported the creation of an Advisory Committee. This Committee consisted of community members, leaders, and staff from both towns. With guidance from the Advisory Committee, HRiA facilitated the assessment process, including a review of secondary data, a community survey, eight resident focus groups, and 16 community leader interviews. HRiA then synthesized these data into key themes (Figure 2). Committee members reviewed the findings, discussed themes, and prioritized three areas of focus for their CHIP: Mental Health Across the Lifespan; Affordable Housing; and Diversity, Equity, and Sense of Community. In a series of virtual interactive planning sessions, participants co-created CHIP components and an accompanying one-year action plan.

Results

HRiA presented each of the towns with key findings, representing multiple real-time perspectives on town assets and health needs. Town officials and partners participated in capacity-building sessions exploring topics such as power, influence, and health and racial equity to ensure their CHIPs can better affect systems change. In partnership with HRiA, teams of over 20 people from each of the towns created an actionable, data-informed plan to focus their efforts over the next three years. This plan included a detailed roadmap for the first year of work. To support the Towns’ communication about the assessment findings and resulting plan, HRiA also developed infographics for the three priority areas to share key findings and aspects of the CHIP in an easily digestible way.

The infographics highlighted key data and plan elements so the towns can easily communicate the process, priorities, and plans for the future.

Abby Atkins,
Managing Director of Community Health Assessment

Key Takeaways

• Data from the assessment can be used beyond the plan; for instance, the Town of Andover is using findings to inform additional areas of their work, including refugee and immigrant health, healthy eating, and vaping concerns.
• Engaging community stakeholders throughout your process increases awareness of public health, buy-in and support for your plan.
• A strong CHA-CHIP process supports effective implementation.
• Having a trusted, experienced external partner to act as a neutral party can make the CHA-CHIP process less overwhelming.

Deep dive: Youth Mental Health

HRiA heard from young people in two formats—focus groups and key informant interviews. In focus groups, young people shared their experiences with mental and behavioral health. Of this project’s nine focus groups, five included youth or parents of youth. Six of 17 interviewees held experience or expertise in working with youth. These experiences later informed each town’s community health improvement plan. Following the assessment, HRiA and town residents—including youth—collaboratively developed a shared three-year community health improvement plan. 

This collaborative endeavor demonstrates the drivers behind some of our key approaches. Below, we reflect on how this project benefited from amplifying voices, diverse perspectives, and collaboration.

Rather than providing standardized strategies or predetermined answers, HRiA brings expertise in facilitation, listening, and empathy to ensure we are centering the voices of those most impacted. Our strategies are thoughtfully designed to amplify the voices of those closest to the issues, strengthen relationships, and co-create healthy, equitable communities where all can thrive.

Leadership

Abby Atkins, MSW
Managing Director, Community Health Assessment

Amanda K. Henry, MPH
Managing Director, Strategic Planning & Organizational Effectiveness