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#LA40by2030 Campaign 

The 2020 America’s Health Rankings ranks Louisiana 50th in the United States. In response, LCHE has developed the LA40by2030 campaign to improve health outcomes and quality of life for children and families across the state. The goal of the campaign is to improve the state’s national ranking to 40th by the year 2030. LCHE recognizes that improving Louisiana’s health ranking by 2030 will require the participation of government officials, public healthcare professionals, and the general public. LCHE is inviting stakeholders to develop a health equity database and action platform and contribute to achieving #LA40by2030.

Annual Health Summit

LCHE leads an annual health summit with the goal of improving health in Louisiana through the lens of health equity and determinants of health. The summit is designed to engage a diverse array of stakeholders in better understanding rapdily changing conditions of health with the goal of informing policy and building partnerships for community health improvements. This goal of the summit is to inspire action on the state, regional and local levels, and to facilitate progress towards LA40by2030.

The 2023 health summit will focus on population heath, and women and children's health. The summit is also aligned with the Louisiana Department of Health (LDH) state health improvement priorities: behavioral health, chronic disease, community safety, and maternal and child health.

Louisiana Resources and Educational Assessments for Children’s Health (LA REACH)

LA REACH is a pilot program to develop a holistic approach to improving school environments for teachers and students by decreasing instances of student disciplinary actions, violence, alternative school placement, increasing graduation rates, grade point averages, and standardized test scores. The program goals are to address the lack of awareness and resources for mental health, provide trauma-informed training to school personnel, and build stronger home and school relationships. The program strategy is to provide a safe and conducive environment for learning.

Office of Women's Health and Community Health (OHWHCH)

In 2022, LCHE’s organization and activism led to the creation of the first Louisiana office focused on women’s health. The Office of Women’s Health and Community Health (OWHCH) was established under a bill passed by the Louisiana Legislature on June 18, 2022. The office exists to improve women’s health outcomes and act as a coordinating agency and resources center for women’s health data and strategies. 

The Wade Institute for Youth Equity

The Wade Institute for Youth Equity is a year-round program dedicated to pursuing youth equity in key quality indicators, and promoting community safety in communities across Louisiana. For more than a decade, the Louisiana Center for Health Equity has devised and implemented a holistic public health approach to adolescent health. This includes, but is not limited to, youth violence prevention, positive youth development, healthy living including sexual risk avoidance, and mental health wellness. The Institute aims to create a well-rounded and equipped student for positive decision making. 

Louisiana Center for Health Equity: Mission and Vision

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LCHE is dedicated to advancing health equity to improve the overall health and well-being of all Louisianans. Since its founding in 2010, LCHE has worked to eliminate health and healthcare disparities attributed to structural, institutional, or social disadvantages. LCHE educates, advises, and mobilizes in an effort to advance health equity by dismantling health disparities caused by poverty, lack of access to quality healthcare, and unhealthy environmental conditions. In recent years, LCHE’s agenda has centered around supporting the behavioral health needs of youth exposed to trauma and childhood adversity. 

LCHE also provides opportunities for undergraduate and graduate students to participate in experiential learning opportunties through internships and fellowships. Click here to learn more.  

Affiliated Organizations, Collaboration and Critique

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LCHE often collaborates with the following organizations: Louisiana Department of Health, Pennington Biomedical Research Center, Southern University Law Center, Dillard University, and Louisiana State University (LSU), as well as national, state, and community-based organizations, such as the National Collaborative on Health Equity, League of Women Voters, March of Dimes), American Association of University Women (AAUW), National Congress of Black Women, among others. Interdisciplinary collaboration is talked about as an integral component of health equity advocacy. In her Career Pathways interview, founder and director Alma Stewart-Allen has highlighted the importance of bridging gaps between policy, medicine, social science, social services, business, and law. 

LCHE also often works closely with high school and university students, including but not limited to the Louisiana Youth Advisory Council (LYAC). Youth play an integral role in LCHE’s research and advocacy initiatives, through which they acquire the leadership, research and advocacy skills necessary for advancing environmental justice and health equity (see LCHE programs). 

LCHE  acts on behalf of Louisianans who are most impacted by structural inequities. In 2020, ProPublica published an article highlighting the disparities in Covid-related deaths between Black and white patients treated by Oschner Health, the largest nonprofit, academic health system in Louisiana. The journal’s analysis of data from the Centers for Disease Control and Prevention, and the local coroner’s office, found that patients that were Black were more likely to be sent home, and therefore also more likely to die at home. Families reported that Oschner staff pressured them into accepting hospice care. In response, the Louisiana Legislative Black Caucus also called for an investigation of Oschner’s practices. However, the Louisiana Health Department responded by declaring that the complaint was outside their purview. Following this development and seeking more impactful systems-change, LCHE filed a civil rights complaint against Oschner with the Department of Health and Human Services Office of Civil rights. Results of the civil rights investigation are still pending. 

 

Organizational Structure

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LCHE is led by founder and director Ms. Alma Stewart Allen, a registered nurse, former career state civil servant, entrepreneur, and public health policy advocate. For decades, she has testified at legislative hearings, run advocacy campaigns, and emphasized the significance of social and political determinants of health. She led an advocacy campaign to improve access to healthcare coverage, which resulted in Louisiana becoming the first state in the deep south to expand Medicaid under the Affordable Care Act in January 2016. Aiming to improve the state’s health rankings to 40th in the nation by the year 2030 (Louisiana currently ranks 46th), Ms. Stewart Allen continues her advocacy work by developing programs and initiatives aimed at improving health in Louisiana, particularly children’s mental health.

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stephanie.niev…

"'Environmental Justice and Cumulative Impacts' is intended to create stronger environmental and land use policy tools at the local level to prevent and mitigate additional pollution associated with a variety of development and redevelopment projects. It also addresses environmental justice by helping to prevent Newark, which has a disproportionate number of low-income and residents of color, from having a disproportionate number of polluting projects placed within its borders" (Hislip par. 1).

"showed a graph developed by environmental justice community organizers, which detailed the differences between communities that experience pollution versus the predominant race of those communities, which showed that as the number of people of color or the level of poverty in a neighborhood increased, so too did the cumulative impacts. In New Jersey, the amount of pollution you experience is directly correlated to your income and skin color" (Hislip par. 5).

"She explained that zoning laws in Newark are slowly changing, including rezoning and getting rid of outdated rules that were grandfathered in. But the impacts from the pollutants that were allowed to run rampant are very evident. Before Newark’s zoning laws were updated in 2012, the last time they had been updated was in 1954 and therefore had little regard for quality-of-life issues. The Ironbound district later became a hotbed for environmental justice movements due to its adjacency to industrial areas. Many heavy pollutants that were planned for this area saw heavy protest from EJ activists, like automobile shredding plants and chicken crematoriums" (Hislip par.8).

"The ordinance itself requires individuals applying for commercial or industrial developments within Newark to take the following steps:

  1. Reference the city’s ERI and prepare a checklist of pollutants
  2. Submit checklist and development application to the city
  3. Checklist goes to the Environmental Commission
  4. Checklist goes to the Planning or Zoning Board (where appropriate)" (Hislip par. 9)

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stephanie.niev…

The main sources of resilience are: discussing the list of pollutants that are spread across through a demographic structure, how pollutants affect and become more apparent to different race and economic levels; the information about possible new pollutants that could appear due to the addition of new companies; and the reconstruction on the zoning laws in Newark. Additionally, there are numerous environmentalists of all types behind this new addition to the zoning and land use regulations. 

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rramos

The first point that peaked my interest is when Dr. Nicky Sheats brought up the real world example of a powerplant that was placed in the Ironbound District. It's an example of how government standards don't reflect or align with individual standards. I thought this was interesting to see how the people didn't have their due justice in deciding to have a polluting plant in their neighborhood. The other fact that caught my eye is that Newark zoning laws, previous to being updated in 2012, had been grandfathered in since 1954. This goes to show the complete lack of awareness for public health that has resided in New Jersey's History. The last point that truly shaped this article is how steps were being taken to prevent environmental justice issues. Commercial and Industrial developers have to go through the following process when proposing for a building: "

  1. Reference the city’s ERI and prepare a checklist of pollutants
  2. Submit checklist and development application to the city
  3. Checklist goes to the Environmental Commission
  4. Checklist goes to the Planning or Zoning Board (where appropriate)

The public has full access to this checklist to weigh in on it and make their voices heard." 

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rramos

A process is placed that allows for social justice to take place in the development phase. 

"Commercial and Industrial developers have to go through the following process when proposing for a building: 

  1. Reference the city’s ERI and prepare a checklist of pollutants
  2. Submit checklist and development application to the city
  3. Checklist goes to the Environmental Commission
  4. Checklist goes to the Planning or Zoning Board (where appropriate)

The public has full access to this checklist to weigh in on it and make their voices heard."