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With the overall goal to address health disparities and Focus Groups
<br /> identify needs of populations who are most disadvan-
<br /> taged, 240 households were randomly selected from 40 Six focus groups (47 voices) were conducted among
<br /> census blocks using the CDC's CASPER survey meth- under-represented populations to gain an in-depth
<br /> odoloay, with the goal to over sample low-income and understanding of the health concerns, strengths, and
<br /> predominantly minority communities. Surveyors visited challenges that are experienced in Orange County.
<br /> close to 800 households and received 197 door-to-door Focus group questions explored important aspects
<br /> survey responses, compared to 166 door-to-door survey of good health, community strengths and barriers to
<br /> responses in 2015. A duplicated health opinion survey overall well-being, with additional questions tailored to
<br /> was placed online and was completed by 147 communi- specific groups. Focus groups were held in partnership
<br /> ty residents, using a non-random, snowball approach of with Refugee Community Partnership, Orange County
<br /> sharing the link with partner organizations and mailing Public Library, Inter-Faith Council (IFC) and Family Suc-
<br /> lists. Combined, this created 355 total survey responses. cess Alliance. Focus groups were successfully facilitated
<br /> among youth, individuals experiencing homelessness,
<br /> Over a two month period, survey collection was carried Spanish speakers, Kinyarwanda speakers, Karen speak-
<br /> out by a team of 85 volunteers. Prior to surveying, all ers, and Burmese speakers.
<br /> volunteers participated in a mandatory training which
<br /> covered safety plans and procedures for conduct- Recruitment for focus group participation was done
<br /> ing surveys (e.g. techniques for conducting unbiased through existing networks and relationships with com-
<br /> surveys, what to do if someone was not home or chose munity partners. Each focus group was led by a facilita-
<br /> not to participate, procedures for non-English speaking for and all feedback was captured by a note-taker and
<br /> residents, etc.). Volunteers conducted surveys in teams was digitally recorded and transcribed to help ensure
<br /> of two and each team was assigned a specific list of that participants' thoughts, concerns, expressed barri-
<br /> addresses grouped by proximity. Households who were ers, and recommended methods for improvement were
<br /> unable to participate in person were given the option to thoroughly captured. Community findings and respons-
<br /> either complete the survey over the phone or online, via es are presented throughout the document under the
<br /> a personalized link, to complete at a later date. All sur- Focus Group headings.
<br /> vey respondents who completed a door-to-door survey Community Input Sessions
<br /> were given a small incentive for their participation.
<br /> A 53-question door-to-door survey was administered Three community input sessions were held where com-
<br /> by hand (pen and paper) and entered into data ana- munity members had a chance to learn and hear the re-
<br /> lyzing software. Online health opinion surveys were sults from the data collection process; discuss concerns
<br /> administered and analyzed through Survey Monkey. All with elected officials, people who work in government,
<br /> data was combined and analyzed, by the Health Depart- and the health department; and help prioritize and de-
<br /> ment's Informatics Manager, through custom formulas cide what health issues will be selected for 2020-2024.
<br /> and reports, comparing all question responses against Each community input session had representation from
<br /> multiple categories of age, race/ethnicity, and gen- an Orange County Board of Health member, where
<br /> der. Community findings and responses are presented Board members encouraged community members to
<br /> throughout the document under Survey Data headings. share their honest opinions and feedback on the health
<br /> Promotion of both online and door-to-door surveying of Orange County. Sessions were held at Cedar Grove
<br /> was created through: electronic emailing, postal mail, Community Center, Southern Human Services Center
<br /> local media outlets (newspapers, radio), social media, and Chapel Hill Public Library, where input was received
<br /> community partners, various community coalitions and from 55 community residents.
<br /> partnerships, HCOC member listserv, Orange County 2020-2024 Priority Areas
<br /> Government, community and neighborhood newsletters
<br /> and listservs, county agencies and organizations, HCOC Results from secondary data, opinion surveys, and
<br /> committees, Orange County Board of Health, and the community input sessions resulted in the identification
<br /> Orange County Board of County Commissioners. of the three priority areas that will be addressed over
<br /> the next four years. Those priority areas are 1) Access to
<br /> Care, 2) Health Behaviors, and 3) Health Equity.
<br /> 2 2019 COMMUNITY HEALTH ASSESSMENT
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