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A disproportionate number of the uninsured in New York State are immigrants. This study focused on the identification of barriers to enrollment in insurance programs among NY's immigrant population and strategies to expand immigrant health insurance coverage. Lead by The New York Immigration Coalition and the United Hospital Fund, NYAM provided technical assistance in the development of the study protocol, in the analysis of focus group and interview data, and in the development of a report describing study findings: "Study of Determinants of Immigrant Enrollment in Health Coverage."
The Strengthening Capacity Project provides training, support and technical assistance to immigrant focused community based organizations (CBOs) focused on ameliorating systemic and individual level barriers to health insurance and care among immigrant populations. With funding from the New York State Health Foundation, the NYAM was contracted to 1) appraise of project design; 2) identify processes and activities utilized in project implementation, as well as factors affecting implementation; 3) assess outcomes; and 4) and document of lessons learned. Using primarily qualitative methods, including observation of project activities and in-depth interviews with staff, program directors and clients, the evaluation provided specific knowledge regarding program impact and more general knowledge regarding the effectiveness of a particular coalition structure on the development of individual and organizational capacity. Findings are described in the report: "Strengthening The Capacity of Immigrant Community-Based Organizations: Findings from An Evaluation of The New York Immigration Coalition Health Collaborative.
With funding from NIH's National Center on Minority Health and Health Disparities (NCMHD), the Faith Based Outreach Initiative (FBOI) is focused on prevention and management of diabetes and cardiovascular disease; improved access to and utilization of the health care system; and increased awareness of, and advocacy related to, health disparities and their individual and systemic causes and impact. The evaluation of the FBOI incorporates qualitative and quantitative techniques to assess process, outcomes and impact. Using key informant interviews, focus groups, and observation of project activities, as well as surveys assessing change in health-related knowledge, attitudes, beliefs and behaviors of participants, the evaluation operates on two levels: assessment of FBOI as an integrated whole, and focused evaluation studies of specific program activities.
New York REACH - CEED, a CDC funded project of the Institute for Family Health, is a multifaceted initiative focused on the elimination of ethnic and racial disparities in diabetes and cardiovascular disease. Building on the accomplishments of Bronx Health REACH, REACH-CEED combines local level interventions with education and advocacy at the city, state, and national level. The overarching goal of the REACH evaluation is the collection and analysis of data that can be used to describe and assess the effectiveness of the initiative for quality improvement purposes, and to facilitate expansion, dissemination and translation of effective practices. The evaluation utilizes a mixed-methodology incorporating measures and descriptors of process, outcome, and impact. Consistent with CBPR principles, the evaluation plan is a "work in progress," subject to revision based on recommendations of coalition members.
Getting into Real Life Science and Health Professions (GIRLS), a project of NYAM's Office of School Health Programs (OSHP), is designed to support interests in math and science among middle school girls and to increase the participation of underrepresented minority women in careers in the sciences, medicine, health and allied health professions. The program, funded by the New York Community Trust and the Toyota Foundation provides enhanced educational and mentorship opportunities to participating girls throughout the school year. The evaluation of GIRLS is assessing process and outcome measures in order to examine program effectiveness, guide quality improvement, and facilitate scale-up and replication of the program.
The goal of this HRSA-funded Institute for Family Health-led project is to demonstrate how community health centers can use electronic health records effectively to address health disparities evident among their patients. Specifically, the project will: create a replicable model for documenting detailed patient race, ethnicity and language (REL) data; use enhanced REL data to address identified health disparities and improve services; evaluate the project impact, identify best practices, and disseminate findings. The Center for Evaluation and Applied Research is collaborator in the project, providing research support in the examination of REL data and the evaluation of project impact.
This 5-year Hunter College study, funded by the National Institutes of Health, is investigating Chinese Buddhist and Christian institutions and their potential role in HIV prevention for Asian immigrant communities. The ultimate goal of the study is to develop strategies for increasing involvement of these key organizations in HIV education and prevention. The Center for Evaluation and Applied Research serves as consultant to the project, working with Hunter College faculty and staff on the management and analysis of data from qualitative interviews with leaders and members of the religious institutions.
Dr. Boufford's Letter to The New York Times: Poverty and Obesity
NYAM President Jo Ivey Boufford addresses the racial disparities in childhood obesity rates in New York City and the need to fight obesity in every community.
This past fall, with the support of Bristol-Myers Squibb Foundation, NYAM’s Office of School Health Programs (OSHP) developed and launched a new component of The Junior Fellows Program, The Junior Fellows Philanthropy Project. This pilot is designed to teach students how to utilize health research as a tool in learning about philanthropy and community service. Read More >>
