NORTH CAROLINA






 

NORTH CAROLINA
North Carolina Office of Minority Health and Health Disparities
Prepared by National Association of State
Offices of Minority Health (NASOMH)
 
Belinda Pettiford, Interim Director
Office of Minority Health and Health Disparities
North Carolina Department of
Health & Human Services         
5605 Six Forks Road, Suite 3-2-B12
1906 Mail Service Center
Raleigh, North Carolina   27609
Phone: (919) 707-5699 
Fax: (919) 676-6145
 
 
Organizational Structure/History
 
 History
 
In 1992, the North Carolina General Assembly established the Office of Minority Health, and the Minority Health Advisory Council (MHAC). MHAC advises the Governor and the Secretary of the Department of Health and Human Services (DHHS) on minority health issues. This fifteen-member Council consists of state legislators, community leaders, and health/human service professionals. 
 
Current Organizational Structure
 
Office of Minority Health and Health Disparities (OMHHD) reports to the State Health Director, Division of Public Health, DHHS.
 
Purpose/Mission Statement
 
The mission of OMHHD and MHAC is “To promote and advocate for the elimination of health disparities of all racial and ethnic minorities and other underserved populations in North Carolina.”
 
 
Program Focus/Activities
 
The focus of OMHHD and MHAC is to reduce health disparities. OMHHD engages faith-based
organizations, local non-profits, American Indian Tribes and other organizations. To equip these
state and local agencies, OMHHD provides a range of capacity building services, including training;
leadership and skills’ development; resource development; financial assistance, infrastructure
development; consultation; and technical assistance. 
 
OMHHD’s five focus areas are (1) Research and Data; (2) Culture and Language; (3) Policy and Legislation; (4) Communications; and (5) Partnership Development.
                                                                           
Health Planning and Policy Development - Legislation/Policy
 
The Minority Health Advisory Council (MHAC) has been very deliberate in building its capacity to
achieve a proactive legislative agenda, advocating for racial/ethnic and underserved populations
and seeking expansion funding each year. Successful funding initiatives include:
 
         The 2005 General Assembly appropriated $2,000,000 to establish the Community Focused Eliminating Health Disparities Initiative (CFEHDI).  
 
            The 2005 General Assembly appropriated $250,000 to fund interpreter positions in local health departments in order to meet the language access requirements of Title VI of the 1964 Civil Rights Act.
 
Hispanic Health Task Force - Twenty-eight Hispanic/Latino leaders from the public
and private sector work collaboratively to address health and human services needs of
the Hispanic/Latino population in North Carolina.
 
American Indian Health Task Force - The American Indian Health Task Force is a joint
partnership created by the DHHS Secretary, OMHHD and the NC Commission of Indian
Affairs to address American Indian health issues in North Carolina. It is a twenty-one member Task
Force, consisting of Tribal appointed representatives and 4 DHHS representatives.
 
Training and Technical Assistance
 
Cultural Diversity Training Initiative - In order to build culturally competent state and local
health and human service systems, OMHHD conducts the following: Basic Foundational
Training, Hispanic/Latino Culture Training, African American Culture Training, and
Interpreter Services Training.
 
Training and Technical Assistance is provided to statewide network of partners via conferences,
training sessions, and site visits.
 
Health Initiatives/Programs/Services
 
Infrastructure development and capacity building within community and faith based
organizations, local health departments, American Indian Tribes, and state agencies
are critical to eliminating health disparities. 
 
Community Focused Elimination Health Disparities Initiative (CFEHDI)
 
OMHHD provides grants to community and faith based organizations, local health departments and
American Indian Tribes to address health disparities in HIV/AIDS, infant mortality, homicide,
motor vehicle deaths, diabetes and cancer. The CFEHDI was established by the General Assembly 2005. In FY 2008-2009, the state appropriation for the CFEHDI was $3,000,000. National Office of Minority Heath State Partnership Grant funds are used to enhance support and enhance CFEHDI capacity building efforts.
 
Local Health Department Interpreter Services
Pilot project to support language  interpreter  services positions in local health departments in order to meet the language access requirements of Title VI of the 1964 Civil Rights Act.
                                                   
Northeastern North Carolina Partnership for Public Health
OMHHD works with The Northeastern North Carolina Partnership for Public Health. This partnership is a collaborative network of 11 local health departments covering 19 counties. OMHHD provides leadership and guidance to this partnership. The partnership has identified eliminating health disparities as a priority.
 
 
NC DHHS EHD Statewide Initiative - At the state level, OMHHD provides leadership and
guidance in implementing an integrated, comprehensive and coordinated approach to identify
and reduce disparities in services, access, and health. The Department’s plan, “From Disparity
to Parity in Health: Eliminating Health Disparities Call to Action,” guides the work of 14
Divisions and Offices. Each division’s action plan is tailored to its specific services. 
Evaluation strategies include biannual progress reports and an annual progress review with
DHHS Secretary.
 
Impact of Program Activities on Communities/Program Evaluation
 
   ▪         Report Card
              The Racial and Ethnic Health Disparities in North Carolina Report Card is used to grade and monitor the state’s progress toward eliminating health status gaps between racial and ethnic minorities and the White population for 37 health indicators.
 
   ▪         CFEHDI
               In FY 2008-2009, the Office of Minority Health and Health Disparities contracted with 49 community based organizations, faith based organizations, American Indian tribal organizations and local health departments through the Community Focused Eliminating Health Disparities Initiative. Target populations included African Americans, Hispanic/Latinos and American Indians. The CFEHDI focus areas included HIV/AIDS and STDs, diabetes, cancer, infant mortality, homicides, and motor vehicle deaths.
 
             
Level of Funding Sources
 
 
 
Year                             Federal                         State                           Other
           
FY 2006
$576,242
$2,241,584
$285,397
FY 2007
$375,721
$2,561,918
$744,630
FY 2008
$375,721
$2,561,918
$744,630
FY 2009
$250,017
$ 3,470,426
$0.00
 
     
 
Recent Publications
     
The following reports are located on the OMHHD website: www.ncminorityhealth.org
 
The Racial and Ethnic Health Disparities Report Card, Update 2006
              The Racial and Ethnic Health Disparities in North Carolina Report Card is used to grade and monitor the state’s progress toward eliminating health status gaps between racial and ethnic minorities and the White population for 37 health indicators.
 
North Carolina Minority Health Facts


Fact sheets present basic health facts about racial/ethnic populations in North Carolina in the areas of: mortality, chronic diseases, HIV and sexually transmitted diseases, health risks factors, access to health care, quality of life, maternal and infant health, and child and adolescent health.
Hispanics/Latinos 2006
American Indian  2005
            African American  2005