Simonsen, Sara E., Ralls, Brenda, Guymon, Anna, Garrett, Teresa, Eisenman, Patricia, Villalta, Jeannette, Tavake-Pasi, O. Fahina, Mukundente, Valentine, Davis, France A., Digre, Kathleen, Hayes, Stephen, and Alexander, Stephanie
Background The Coalition for a Healthier Community for Utah Women and Girls (CHC-UWAG) focused on addressing obesity-related health disparities impacting Utah women of color using community-based participatory research, a gender-based approach, and culturally sensitive health promotion activities delivered through community health workers (CHWs). A randomized trial of low vs. high intensity wellness coaching by CHWs was initiated. During this process, numerous policy issues emerged and were tracked. We present a case study illustrating how we identified, tracked, and engaged with emerging policy initiatives. Methods Between September 2011 and August 2017, policy initiatives addressing obesity-related disparities among Utah women and girls were identified, tracked in a shared document, and updated regularly. Policies were classified by level (organizational, local, and statewide) and by focus (healthy eating, active living, and promotion of community health workers). CHC-UWAG engagement with policy work was also documented and tracked. Results Broad dissemination of study findings generated interest in the role of CHWs in addressing obesity. Partnering community-based organizations implemented policies focused on healthy eating and physical activity. Barriers to the broader use of CHWs in Utah were addressed in policy initiatives including the formation of a Utah Public Health Association Section for CHWs and a statewide CHW Coalition with involvement of CHC-UWAG members. Conclusions The regular solicitation of information about policy initiatives resulted in successful policy tracking and engagement in policy work. The utilization of a gender-based approach helped illuminate the impact of emerging policies on the health of women and girls. [ABSTRACT FROM AUTHOR]