Introduction
Evaluation Methods
Key Stakeholder Interviews and Community Member Focus Groups
Community Member Survey
Results
Impact on Community Programming
I think we have really good communication. … my contact over at [the hospital], and we're in probably weekly conversation to make sure. And I think also that it's ongoing, you know, in the goals to make something sustainable. (Stakeholder interview)
[Community members] have been very involved, you know. All the people I work with, we call each other, “I’m having this, this, this. Come support me. Help me.” We all know who our leaders are, and also we trying to get more people to come on board to become leaders. (Stakeholder Interview)
Stakeholders also described the variety of CHVI-affiliated programs and services their organizations offered, as well as the perceived benefit to community members, including increased knowledge and awareness and improved access to activities that promote health and wellness.I would say [a strength] is the involvement that they've gotten from leaders in the community. Like the tenants' association presidents and stuff. That's no small feat. (Stakeholder interview)
I think that you've got to realize … that conversations about healthy eating and exercise don't exist in the South Bronx. I've lived here for years and I've never even heard a conversation like that. So, the fact that they're introducing this, that they're just getting people thinking about it. That they are doing events around it. I think there is some ripple effect. (Stakeholder interviewee)
The Urban Ambassadors, so here, that has been successful, has had an impact. And not only have we had, let’s say, sixty kids go through leadership development, it’s also been a lever to affect kind of the priorities of those organizations and of the neighborhood, so introducing the idea about healthy living, right your path, getting people to think about their careers… so those types of things. (Stakeholder interview)
Several stakeholders attributed their own organizational and program expansion to engagement with CHVI, describing increases in referral networks and linkages to health care services; financial and/or in-kind support provided by the anchor organizations; and connections to outside resources, including funders. In addition, small CBOs described an increase in recognition facilitated by their new affiliations with larger, more established organizations.It's good because the community – there's so much going on and you don't expect one event or one thing to satisfy all the community. Whether it's youth service or children's services, something for seniors or something for adults, something that's inter-generational. We have mental health training coming up. There's a lot a moving parts, you wanna get folks out and you don't wanna burn people out. (Stakeholder interview)
They brought … the hospital into the community. We now know more services that’s offered in the hospital as a result of being part of the partnership, and some of the benefits that were reaped from this partnership were the fact that now we have home visits for the elderly, and the sick, and infirm, and shut-in from [the hospital]. That was unheard of, but because of conversations, we were able to make that happen. (Stakeholder interview)
So, for elected officials, it’s raised our visibility. We had existed in the community for several years. We operated the Beacon Program for fifteen years. We operated at [school name] for eight years. We operated at [housing complex name] for four years. And we had never gotten any type of traction, in terms of funding, from our council person or our state officials. Where now, [our council person] allocated $100,000 for renovations right outside of the community center that needed to be done that hadn’t been done and another $100,000 for capital improvements just to get our internet up to speed. So, that’s helped. And I think CHVI has been a big part of that. And also, another thing I know, just in resources, getting our families able to be part of the [hospital] network, so that they can receive expedited appointments for checkups and physicals and things like that. That’s been helpful. (Stakeholder interview)
I would say that the core group of people who have been leading the interactions for the residents have been able to leverage a lot of city and neighborhood resources to participate – to let these people know that, “Yes, you’re a part of the city, and these are all the services that are available to you.” (Stakeholder interview)
[The senior center is] really nice. We have a lot of activities and trips. You can learn the computer. There are people who sew and knit and crochet. There are a lot of things to do. I love it here. As soon as I hit sixty, I headed right here. (Focus group participant)
Focus group participants emphasized that additional programming was still needed, as well as better outreach, particularly for youth and older adults.We had a program [in this housing complex] about a month ago, and it was a little program about bringing peace. We had an art program. Lovely time. It was very relaxing. Very engaging with the families that came. Children had a very nice time. (Focus group participant)
They felt that, without sufficient alternatives, youth end up on the internet or “hanging out,” creating an uncomfortable environment for other members of the community. Older adults were described as hesitant to leave their homes because of their fear of the youth.I should not have to go all the way to Harlem for my sons to play football. I should not have to go all the way uptown for my son to get in a basketball program. They need more programs. If we have more positive programs, the children will learn to get along with each other, because they find something that they have in common, so they can actually build instead of looking out the social media. (Focus group participant)
It’s a benefit, but they’re just, you know, they’re not sure… I have to literally take people by their hand and say, “Come on, let me show you what I’m telling you.” I don’t know, how much more where we can make people, especially when you get older, but older people get afraid to come down. Six o’clock PM, “I’m not coming downstairs, and I can’t get back upstairs.” (Focus group participant)
Impact on Health and Well-being
I feel more supported from the [hospital] aspect of it, because when I ask them for support, like if I need someone to come and do blood pressure at an event, family day, or we have the health fair initiative, Christmas extravaganza, very supportive. They will send a diabetes tester, blood pressure person, tons of information. Family day, the same thing. They’ll set up a table. They’ll be out there. (Focus group participant)
If we have a youth participant in our program and their grandmother or whomever needs medicine or needs some type of senior service, they're able to – we're able to pick up the phone [to the senior center] and say, "Hey, listen, one of ours needs something that you have, how can we make this work?" And then you throw in the hospital, where they have a whole department for physical health and mental health, that always comes up. And that's always an issue on some level. And so, having that resource, we've been able to pick up the phone or shoot [them] an email and say, you know, "This person needs a physical, this person's medicine isn't being carried or covered by the pharmacy anymore, and can your pharmacy give them something, you know, until this situation is resolved?" Or, “Can you get your health workers to do a presentation to our families on how to eat better, why to eat better?”… That is, I think the strength of their initiative. (Stakeholder interview)
Increased opportunities to eat a healthy diet and increased activities for youth were reported by over half the survey respondents (54% and 53%, respectively); qualitative data suggest a range of opinions, with stakeholders reporting on expanded programing and focus group participants commonly emphasizing continuing needs, as alluded to in the previous section.A lot of people are more aware of different health and all that stuff. Such as asthma, high blood pressure, or prostate, breast cancer. You know, these people – they’ve been really helping these people out. Because a lot of them found out that they didn’t know that they had such things that were going on. (Stakeholder interview)
In the community member focus groups, violence and sanitation were considered very significant problems, generating extended discussions. As mentioned previously, several participants attributed violence in the community to youth who have insufficient options or are dealing with their anger in destructive ways. Roughly 40% of survey respondents felt that violence had worsened in the past 3 years, compared with 31% who felt it had improved and 27% who felt it had stayed the same. Survey respondents expressed more positive views on sanitation: 42% reported that sanitation had improved in recent years, compared with 30% who felt that it had gotten worse and 29% who felt it had stayed the same.And so, that’s the way I see our impact is that we may not have a big impact with adults, but for [our organization] and our lens through CHVI, we’re really able to change and positively impact the next generation of Claremont residents to be more proactive and owning their own health, physical and mental health. (Stakeholder interview)
We’ve got twenty-one year-olds, twenty-two, a little younger than that; we got violence going on—robbing, mugging, stealing. It’s sad. That’s what’s going on now. That’s why you see so many cops, and they parking like check points. (Focus group participant)
So, you wanna find something get some boxing, get some martial arts, get some self-defense, because they’re angry and they [the youth] need to learn how to redirect their energy when they get angry instead of [using] guns and you know trying to kill each other. (Focus group participant)
If you’re here for so long, you’re not surprised by the rats [anymore], like you’re expecting a rat to come out. It doesn’t matter whether it’s daytime, nighttime, it’s just rats. (Focus group participant)