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7 Reflections on the Day
Pages 63-68

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From page 63...
... Collaboration requires identifying common beliefs and value systems and building from them. Creating programs and then imposing them on people is a failure in public health, Martinez Garcel said.
From page 64...
... Rashad Massoud of the U.S. Agency for International Development Applying Science to Strengthen and Improve Systems Project provided an analogy from maternal mortality reduction (a target of the ­ illennium Development Goals)
From page 65...
... Mary Pittman of the Public Health Institute noted that she was encouraged that the discussion is finally moving from defining the problem to developing concrete steps for taking action. Planning for Scale Neal Kaufman of the University of California, Los Angeles, suggested thinking about scale in a business context, in the sense that something that cannot be sustained should not be built.
From page 66...
... At the population level, the number of people who may take unfair advantage of a program will be very small relative to the number of people who have a true need and will benefit. Six Drivers of Population Health Improvement Kindig reminded the workshop participants that part of the roundtable's mission is to "catalyze urgently needed action." He repeated the six drivers that shape population health improvement and that the roundtable hopes to influence -- metrics, resources, policy, research, relationships, and communication -- and he observed that, based on the discussions, there is much work to do on catalyzing action.
From page 67...
... Jeannette Noltenius of the National Latino Tobacco Control Network pointed out that there is a cost associated with not scaling up when there is the possibility to do so. When people work with a community and the community becomes excited about an initiative and that initiative is not scaled, it discourages the community, and it becomes a barrier for future scale up possibilities.


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