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Using Data to
Drive Policy Change
The Power of Law and Policy for Community Health
Marice Ashe, JD, MPH
ChangeLab Solutions
Practical Playbook National ConferenceMay 23, 2016
Healthy communities
for all through better laws & policies
Overview
The Problems
Cancer
Heart Disease
& Stroke
Diabetes
Respiratory
Diseases
Four diseases that
cause…
…over 50% of ALL premature deaths
Education
Clinical Interventions
Long-lastingProtective Interventions
Changing the Context to
Make Individuals’ Default
Decisions Easier
Socioeconomic Factors
Source: Friedrn T.R. (2010). A Framework for Public Health Action: The Health Impact Pyramid.
American Journal of Public Health, 100(4), 590-595.
Problem
Tobacco Use
Public policy
drove the decline of tobacco use
1900 20101930s 1960s
Sm
okin
g R
ate
s
WWII
Education
First Surgeon
General’s Report
Federal
Cigarette
Tax Doubles
Policy Change
Start Nonsmokers
Rights Movement
First Great
American
Smokeout
25% fewer tobacco-related
diseases (compared to the
rest of the nation)
California 1989-2008
$134 billion saved
6.79 billion fewer packs
Problem
Unhealthy Housing
BLMurch
PhotoDu.de
Wayne’s eye view
Insufficient quality
housing that is affordable
= families in substandard
housing
Healthy People 2020
CDC Studies
IOM Reports
Housing Codes and Inspection Reports
American Housing Survey
Joint Center for Housing Studies
Sources of Data
Community-led participatory research
Image: Greensboro Housing Coalition
Problem
Physical Inactivity Unhealthy Foods
Healthy People 2020
CDC Studies
IOM Reports
Comprehensive/General Plans
Local Zoning Codes
Neighborhood Surveys/Audits
Sources of Data
Transportation
Healthy Schools Active Living
Healthy Eating Healthy,
SmokefreeHousing
Economic Opportunity
Healthy
Policies
