Coalitions: Building Partnerships to Promote Agricultural Health and Safety

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Coalitions Building Partnerships to Promote
Agricultural Health and Safety
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• Authors
• Teri Palermo, NIOSH
• Janet Ehlers, NIOSH
• Acknowledgments
• Jie Chen, NIOSH Intern
• Robert McKnight, Southeast Ag Center,
• Susan Jones, Western Kentucky University,
• Brian Day, NIOSH
• All those who responded to requests for
  information via e-mail list servers

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Promotion of AG Safety and Health

• Diverse problems, priorities and values
• Access to populations
• Identification of feasible interventions
• Effective dissemination

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Coalitions

• Alliances of factions for specific purpose
• Issue oriented
• Formally organized
• Unite individuals and groups
• Specific goals
• Diverse talents and resources

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Historical Guidance

• AG at Risk
• Surgeon Generals Conference
• NIOSH Ag Program Extramural Review Report

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Ag at Risk

• Expand communication among all parties
• Increase communication gt public/private sector
• Include professionals of diverse disciplines
• Promotion of coalitions

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Surgeon Generals Conference

• Coalition Building
• Within professional community
• Between professional and agricultural communities
• Communicating to those affected
• Concern
• Help available
• Contributions are important

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NIOSH External Review Report

• Create linkages between researchers communities
• Involved affected communities

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Types of Coalitions
Consensus Development

• Agricultural at Risk
• National Committee for Childhood Injury
  Prevention
• North American Guidelines for Childrens
  Agricultural Tasks
• National Adolescent Farmwork Occupations Health
  Safety Committee
• Tractor Risk Abatement Control The Policy
  Conference

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Philanthropic

• Kellogg funded - 11 Projects
• Promote and support partnerships between
  institutions communities
• Empowered women to reduce risks
• Developed community leadership
• Implemented Agromedicine training
• Developed targeted programs
• Identified stress, implemented interventions

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Philanthropic

• Initiative evaluated
• Set of generalized lessons developed
• Five barriers to success identified

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Federally Funded

• NIOSH Agricultural Centers
• Advisory boards, task forces
• Support coalition development
• Occupational Health Nurses in Agricultural
  Communities (OHNAC)
• Enhance surveillance,
• Facilitate intervention

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Federally Funded

• Community Partners for Healthy Farming
• Surveillance Intervention Research Components
• Researchers stakeholders active partners

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Response to Tragedy

• Farm Safety 4 Just Kids
• Promotes safe farm environments
• SHAUN
• Provides mental health services

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Legislative

• I-CASH
• Fostered other coalitions
• Agrisafe Network
• Farm Safety 4 Just Kids
• SHAUN

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Grass roots

• Located in all regions of the country
• Target local issues
• Share resources, expertise
• Develop, plan, and implement interventions
• Provide funding
• Often lack evaluation

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State
National
Farm magazines
Trade Pubs
Universities
Board of Education
Health Depts
Co-op ext
Migrant clinics
FFA
agribusiness
Mental Health
4-H
Commodity groups
physicians
Insurance Companies
Seed Salespeople
Labor unions
Producer Groups
media
schools
vets
Local
Regional
Legal Advocacy groups
hospitals
teachers
Local businesses
Faith Based org
Corporate Farm mgt
Farm workers
clinics
Fire Depts
Co-ops
Farm Bureau
Banks
Tool manufacturers
Equip Dealers
Ag org
nurses
Ag Centers
Family farms
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Impact

• Provided legitimacy and acceptability of messages
• Reached large numbers
• Increased community ownership of problem
• Developed problem solving skills within community

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Impact

• Increased research capacity
• Created new innovative approaches
• Increased credibility of researchers
• Access to target populations

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Impact

• Educated rural health care providers
• Enhanced understanding of issues
• Developed consensus recommendations
• Increased number of effective acceptable
  interventions
• Replicated successfully

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Impact

• Played role in policy and legislation
• Promoted open dialog and understanding
• Critical issues
• Differences in stakeholders priorities

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Impact

• Coalition members
• Increased personal knowledge and skills
• Increased self esteem
• Increased personal satisfaction
• Involved out of concern for future of
  Agricultural lifestyle

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Ag at Risk

• Develop and promote collaborative projects
• Community Partners
• Annual scientific forum and journal
• JASH
• Ag Centers National and Regional Conferences

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Ag at Risk

• Develop grass roots organizations
• Farm Safety 4 Just Kids
• Develop state legislative agenda
• I-CASH
• Private sector initiatives
• Certified Safe Farms
• Kentucky ROPS

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Challenges

• Evaluation
• Sustainability
• Minority Populations

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Challenges

• Evaluation
• Promote rigorous evaluation
• Emphasize importance, e.g.
• Encourages re-direction of energy funds
• Plan evaluation at the beginning
• Partner with existing coalitions
• Determine extent of effectiveness

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Challenges...

• Sustainability
• Support and active participation by all
  stakeholders
• Clear mission
• Effective leadership
• Adequate resources
• Integrate into all activities
• Plan for sustainability early

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Challenges

• Coalitions in minority and migrant communities
• Active participation
• Leadership roles
• Intervention, implementation and evaluation
• Literacy issues

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Individuals change their behaviors - only in
response to some event or reinforced message
- that has particular meaning to them...
Peer and family pressure can create personal
messages Awareness and involvement of the
community can provide the motivation and
reinforcement to change health and safety
behaviors
Rowley (1990)
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Coalitions have been successful in moving
individuals, communities organizations to
action to reduce or prevent ag-related disease
and injury