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2 O 1 8 D E T R O I T C O M M U N I T Y H E A LT H A S S E S S M E N T

Letter from Our Mayor

The Detroit Health Department has been providing valuable


support and outreach efforts across our communities, and in
some neighborhoods, door to door communication. When our
citizens have better access to resources and care, their qual-
ity of life improves and this helps provide more opportunities
for our community. DHD will continue to be a resource you
and your families can rely on.
Mike Duggan
Mayor, City of Detroit

Steering Committee Organizations


Matrix Human Services Detroit Area Agency American Indian Health Henry Ford Health System United Way for
Brad Coulter, MBA on Aging and Family Services Susan Hawkins, MBA, FACHE Southeastern Michigan
President and Chief Ronald S. Taylor, MBA, MUP Ashley Tuomi, DHSc Senior Vice President of Eric Davis (Co-Chair)
Executive Officer President and Chief Chief Executive Officer Population Health Vice President of Basic
Executive Officer Needs, Health, and Outreach
Detroit Hispanic CHASS Center (Community MOSES (Metropolitan
Development Corporation Courtney Adams, MHA Health and Social Services) Organizing Strategy Detroit Health Department
Angela G. Reyes, MPH Community Wellness Dr. Felix M. Valbuena, Jr., MD Enabling Strength) Dr. Joneigh Khaldun, MD,
Executive Director Manager Chief Executive Officer G. Ponsella Hardaway MPH, FACEP(Co-Chair)
Executive Director Director and Health Officer
Focus: HOPE Neighborhood Service H.A.N.D. (Homeless Action
Jasahn Larsosa Organization Network of Detroit) Wayne State University Tim Lawther, MPH, MA
Director of Advocacy, Linda Little, MBA, RN, CCM Tasha Gray, MUP Dr. Herman Gray, MD, MBA Deputy Director
Equity, and Community President and Chief Executive Director Chair of Department of
Esperanza F. Cantú, MPH
Empowerment Executive Officer Pediatrics
Detroit Black Family Director of Planning and
Michigan Environmental Sheila P. Clay Development Community Development Engagement
Council President Emerita Alice G. Thompson Advocates of Detroit
Gadah Sharif
Chris Kolb Chief Executive Officer Sarida Scott, JD
Eastern Market Program Associate
President Executive Director
Corporation Detroit Wayne Mental
Adaora Ezike, MHS
ACCESS Daniel S. Carmody Health Authority Detroit Regional Chamber
Mona Makki, MA President Dr. Barika Butler, MD, MHCM Sinziana Luchian Lauren Fink, MPH
Director of Community Chief Medical Officer Director of Healthcare Haifa Haroon, MPH
Ruth Ellis Center
Health and Research Center Initiatives Bianca Lawrence, MPH
Pamela Alexander, MPA, MUP Joy-Southfield Community
Samah Noureddine Deputy Director Development Corporation
Medical Clinic Supervisor David Law, Ph.D.
Executive Director

Esperanza Cantú,
from the Detroit Health
Department, leads the
youth visioning session
with a young artist.

Many residents, stakeholders, and organizations contributed to this report. We thank them for their contributions and expertise.
For more information, please contact the Detroit Health Department at detroitcha@detroitmi.gov.
3

Letters from Our Steering Committee Leaders

Dear Detroit Partners, Dear Detroit Partners,


I am thrilled to share the 2018 Detroit Community Health The act of coming together to identify opportunities for our
Assessment (CHA) with you. This work was guided by the community to improve the overall health and wellbeing of
understanding that Detroiters are the experts on Detroit. Not Detroiters is crucial toward the long-term success of the City
only did you inform us on the health priorities described in this and its residents. Over the past year, the Detroit Health Depart-
report, you also presented the solutions. All too often Detroit is ment has facilitated a thoughtful and intentional conversation
unfairly defined by our challenges. Instead, this report reflects with stakeholders throughout the City of Detroit to ensure we
what we know to be true about Detroit—our residents are the have the collective knowledge to create a plan to make sure that
strong and talented leaders we need to solve the critical health we all have the opportunity to be healthy. Through this work we
challenges we face. Please join us in continuing this conversa- have the knowledge to work collaboratively to address issues
tion and being part of the health improvement planning beyond of equity, access and environment and create a brighter, health-
this report. I look forward to working with you to make Detroit a ier Detroit for all. There is still much work to be done, but this
healthy and equitable place, for everyone. report and the effort of the community to create it moves us
closer to that vision.
Dr. Joneigh S. Khaldun, MD, Eric Davis
MPH, FACEP Vice President of Basic Needs,
Director and Health Officer, Health, and Outreach
Detroit Heath Department United Way for Southeastern
Michigan

Table of Contents
Letter from Mayor..............................................................2 What does a healthy Detroit look like to you?....................10

Steering Committee Organizations.....................................2 What Determines Our Health?..........................................11

Letters from Our Steering Committee Leaders....................3 Community Gardens........................................................11

Table of Contents..............................................................3 District #1 Health ....................................................12-13

Our Action Plan and What We Found...................................4 District #2 Health ....................................................14-15

Our Timeline .....................................................................4 District #3 Health ....................................................16-17

Our Work in the Community................................................5 District #4 Health ....................................................18-19

State of Detroit’s Health.....................................................6 District #5 Health ....................................................20-21

Maternal and Child Health..................................................7 District #6 Health ....................................................22-23

Healthcare Services...........................................................8 District #7 Health ....................................................24-25

Other Health Measures......................................................9 Our Work Continues.........................................................26

Health Behaviors...............................................................9 Detroit Community Health Goals......................................26

Promoting Healthy Neighborhoods...................................10 Detroit Health Department’s Contact Resources................27


4

Our Action Plan and What We Found

The Detroit Health Department (DHD) worked with community


organizations, leaders, and nearly 2,000 residents to determine
priority public health issues. We hosted various community-based
activities and conducted a city-wide survey to discuss visions for
a healthier Detroit, public health issues, and community strengths.
The key findings serve as a foundation to develop our priorities
and action plans. We invite you to continue working with us as we
strive to improve the health of all Detroiters. For more detailed
information, we invite you to visit the Detroit Open Data Portal.

Community members work together to determine


their vision for a healthier Detroit.

Community members discuss ‘What a Healthy Detroit Means to The Detroit Health Department’s Lead Community Outreach team
Me’ during the Detroit Health Department visioning session. walks door-to-door in the community to provide lead education.

Our Timeline

Community Survey Complete Identification Community


Partner Kick-Off Door-to-Door of Key Findings Action Planning
Meeting Survey Complete Begins

August May July September December February June


2017 2018 2018 2018 2018 2019 2019

Visioning Complete Overall Data Identification of


• Community Collection Complete Strategic Issues
Conversations • Community Complete
• Social Media Conversations
Campaign • Interviews and
• Youth Drawing Focus Groups
Activity • Data Walks
• Youth PhotoVoice
Activity
5

Our Work in the Community

Our team leads many outreach efforts,


directly touching our community.

SisterFriends Detroit
Ms. Joyce Penn, a SisterFriends Detroit
volunteer, holds baby Camry during the
SisterFriends Detroit Baby Shower. Mentors
are key in providing community-based
support to pregnant moms and their babies.

Community Events
The Detroit Health Department attends
community events throughout the year.
The Safe Summer Youth Jam is an annual
event held at Butzel Family Center in
June and encourages youth to have a
safe, healthy, and peaceful summer.

Safe Sleep Walk-N-Rally


The Detroit Health Department’s
Fatherhood Initiative engages men
who are fathers, uncles, brothers and
mentors to help ensure the programs
address varying family structures.
6

State of Detroit’s Health

DETROIT AT A GLANCE Our living conditions and access to resources affect our health
and quality of life. One way to assess community health is by
• Geography: 139 square miles of land, 143 square miles measuring how long we are expected to live. The average life
including water
expectancy in Michigan is 78 years; Detroit’s life expectancy
• Population: 651,802 residents is lower in nearly every neighborhood. Another way to assess
• Population Breakdown: Race – 83.2% African-American, community health is through self-rated health status. Between
14.4% White, 7% Asian & Pacific Islander, and 0.7% Native 2014 and 2016, twenty-eight percent (28%) of Detroiters ranked
American; Ethnicity – 8.4% Hispanic or Latinx (Any Race) their health as“fair or poor” in comparison to 18% statewide.

• Strength: Deep and rich cultural history providing great Together we can use these data to build highly-localized and
scholarship, cultural and industrial legacies across the nation. community-relevant interventions to improve the health and
• Challenges: Faced with structural injustices such as red-lining quality of life of our residents.
and historical disinvestment continually impacting Detroiters
today. Detroit has the highest percentage of poverty in any
major U.S. city, with 38% of all Detroiters living in poverty.

Life Expectancy (years)

Michigan
78 YRS 62 69 73 76 87

Wayne County No Data/Unavailable


75 YRS Detroit Boundary
Source: CDC (2010-2015)
City of Detroit
72 YRS Data shown is at the
census tract level

What Detroiters said was very important


to their quality of life
0% 20% 40% 60% 80%

In addition to interviews, focus groups, and Grocery Stores 81%


community meetings, the Detroit Health Depart- Schools 80%
ment and community partners worked with the Public Transportation 79%
University of Michigan Detroit Metropolitan Area Programs to help people find jobs 76%
Community Study (DMACS) team to conduct a Parks and Recreation Centers 75%
citywide survey to collect information about the Community Organizations 69%
community’s priorities for health, wellness, and Childcare for babies and young children 67%
quality of life. The graph shows what Detroiters Small Businesses 66%
said about organizations, businesses, and institu- Places of Worship 64%
tions that are very important to their quality of life.
Art or Cultural Institutions 59%
Block Clubs 51%

0% 20% 40% 60% 80%

Source: University of Michigan Detroit Metropolitan Area Community Study (2018)


7

Maternal and Child Health

Jurisdictions often measure a community’s health


by focusing on maternal and child health data.
These indicators reflect health and quality of life,
including access to healthcare, education, and
poverty. Mortality rates measure the number of
deaths in a specific group of people over a period
of time. The infant mortality rate in Detroit is 14
per 1,000 live births of children under one year of
age, compared to 7 per 1,000 across the State of
Michigan.

Maternal Mortality

32
12

Pregnancy -related maternal mortality


(per 100,000 births)

Detroit Michigan

Source: Michigan Department of Health Cerenzi and her baby Camry participate in the SisterFriends Baby
and Human Services (2011-2015) Shower. Little Sisters (pregnant women) receive access to resources
to support healthy pregnancy and birth experience.

Infant Mortality Rate


(Deaths per 100,000 births)

0.0 - 12.0

12.0 - 18.0

18.0 - 23.8

No Data/Unavailable

Source: Michigan Department of Health


and Human Services (2014-2016)
8

Healthcare Services Percent of Children Under Age 6 with


Elevated Blood Lead Level
Limited access to basic healthcare services affects
overall health. Areas impacted may have less prenatal
care, lower youth contraceptive use, higher teen preg-
nancy rates, and lower immunization coverage among
toddlers. Childhood lead poisoning varies across the
City, with 9% of Detroit children having elevated blood
lead levels, compared to 4% statewide. On the positive
side, immunization coverage among schoolchildren is
high and the percentage of high school students who
felt sad and hopeless is lower than what is reported
statewide.
Immunizations
0.0 - 5.0%

95% 94% 5.0 - 11.0%


74%
60% 11.0 - 22.2%

No Data/Unavailable
% of immunization coverage, % of children meeting school
19-35 months* immunization requirements
Source: Michigan Department of Health and Human Services (2016)
Detroit Michigan

Source: Michigan Department of Health and Human Services (2017- 2108)


*4313314 coverage

Prenatal Care Mental Health

74% 34% 37%


59%

% of women who received prenatal % of HS students who felt


care during first trimester persistently sad or hopeless

Detroit Michigan Detroit Michigan

Source: Michigan Department of Health Source: Michigan Youth Risk Behavioral


and Human Services (2017) Surveillance System (2017)

Teen Pregnancy Access to Contraceptives

70 27%
27
15%

Teen pregnancy rate % of youth who did not use any method to prevent
(per 1,000 births) pregnancy during last sexual intercourse

Detroit Michigan Detroit Michigan


A young resident poses with iDecide Detroit Teen Health
Source: Michigan Department of Health Source: Michigan Youth Risk Behavioral Center swag at DILLA Youth Day at The Charles H. Wright
and Human Services (2017) Surveillance System (2017) Museum of African American History.
9

Other Health Measures


Health Insurance
Detroit has lower access to health insurance and dental care, and much Source: American
Community Survey
higher rates of HIV and deaths related to drug poisoning. A telling indicator of
(2013-2017)
primary care access is the rate of hospitalizations for ambulatory care sensi- 12%
tive conditions (health conditions which can be addressed by a primary care 7%
physician in the office). For every 10,000 people, 534 Detroiters go to hospital
emergency rooms compared to 271 statewide for healthcare conditions that No health insurance
could be treated by a primary care physician (MDHHS, 2016).
Detroit Michigan

Oral Health HIV Incidence Drug Poisoning Deaths

50% 32 39
8 24
31%

Adults with no dental visit in the past year Incident Rate of HIV per 100,000 Drug poisoning deaths related to
Heroin or Opioids per 100,000
Detroit Michigan Detroit Michigan
Detroit Michigan
Source: Michigan Behavioral Risk Factor Source: Michigan Department of Health
Surveillance System (2014-2016) and Human Services (2017) Source: Michigan Department of Health
and Human Services (2016)

Health Behaviors

Living conditions and our access to social and health services activity, contributing to higher rates of obesity than those at the
impact health behaviors. People living under strained conditions state level. Detroit adults are also more likely to smoke. Detroit
without these services are more likely to abuse drugs and alcohol, high school students are more likely to get a low amount of physical
and less likely to develop habits that prevent injuries and promote activity and eat vegetables less regularly, contributing to higher
safety. Detroit adults are more likely to get no regular physical rates of obesity.

Adults High School Students

35% 37%
33% 31%
25% 24%
21% 19%
16% 17%
10%
7%
No physical Currently Obesity Low physical Does not regularly Obesity
activity smoking activity eat vegetables
Detroit Michigan Detroit Michigan

Source: Michigan Behavioral Risk Factor Surveillance System (2014-2016) Source: Michigan Youth Risk Behavioral Surveillance System (2017)
10

Promoting Healthy Neighborhoods Social Determinants of Health

Our neighborhoods and living conditions have a tremendous 20%


Unemployed
impact on our health. Employment, education, transportation, 7%
housing, access to healthy food, and poverty are just some exam- Detroit
20%
ples of what are called the “social determinants of health.” As you Did not graduate high school Michigan
10%
can see on the right, Detroiters face far greater challenges than
our counterparts in the rest of the State. 25%
Households without a vehicle
8%
The opportunities we have access to impact the choices we make.
33%
The social determinants of health often determine the availability Families living in poverty
11%
of those opportunities. Furthermore, our laws and policies have
also impacted our opportunities, causing differences in people’s Households without internet
45%
health across our neighborhoods. The Detroit Health Department 23%
(DHD) and partner organizations use data shown to the right to 63%
focus our efforts where the obstacles to health are the greatest. Rent >30% of income
50%
Together, we have knocked on thousands of doors over the past
year to help connect residents to health and human services. 0% 20% 40% 60% 80%

Source: American Community Survey (2013-2017)

What does a healthy Detroit look like to you?

When we asked youth about their visions for a healthier


Detroit, they showed a great understanding of how health
operates in our neighborhoods. Take a look at some
of their submissions below:
11

What Determines Our Health?

The socioeconomic impact of our behaviors and environment


on our health far outweigh that of our clinical care. Health Environment
determinants begin at home and in our neighborhoods and
are extended to schools and workplaces. Safe housing and Health
neighborhoods plus access to quality education and jobs Genetics Care
support a complete state of health.

Social and
Clinical Care Economic
Factors

20%
10% 40%
Behavior Social

30%
Physical “ Health is a state of complete physical, mental and
Environment social wellbeing and not merely the absence of
disease or infirmity.”
Behaviors From “A System of Prevention:
– World Health Organization, 1946.
Achieving Health Safety, and
Wellbeing for All”, 2019

Community Gardens

Creating gardens and green spaces where our community


can engage with nature adds to a healthy neighborhood.

Community Gardens
Large-Scale Urban
Farming (>1 acre)
City Council Districts

Source: Detroit Food Map Initiative based on data from Keep Growing Detroit,
City Commons, and Detroit Agriculture Network. Note that this map may not
capture all community gardens in Detroit.
12

District #1 Health

Social Determinants of Health

16% District #1
Did not graduate high school
20% Detroit
Residents of District 1 report strong social support Source: American
in their community, and the district has higher 20%
Households without a vehicle Community Survey
levels of education and lower poverty than the 25% (2013-2017)
city overall. District 1 residents care about their 30%
schools, and recognize the importance of Families living in poverty
33%
addressing mental health in their community.
41%
Households without internet
45%

0% 20% 40% 60% 80%

Social Support

Community Story: One way social networks support Someone to confide in or talk
36% 12%
residents’ success is by providing positive relation- to about myself or my problems
ships that result in a connection to other social service Someone to take me to the
supports. We talked to a resident who believes there 42% 20%
doctor if I had to go
should be more support for programs like Detroit Police
Someone to help me with my
Athletic League (PAL), which helped him develop 32% 23%
daily chores if I was sick
positive relationships in his neighborhood. “…I played
PAL football on a neighborhood team, which allowed Someone to loan me a small
22% 22%
amount of money if I needed it
me to have some interaction and develop relationships
with kids in my neighborhood since I didn’t go to 0% 20% 40% 60% 80% 100%
school with them.”
All of the time A little of the time
– Resident, 48235 All of the time Most of the time Some of the time
Most of the time None of the time
A little
Some of the time
of the time None of the time

Source: University of Michigan Detroit Metropolitan Area Community Study (2018)


13

Community Story: People in District 1 agreed What District 1 residents said was very important to
public transportation was one of the top five their quality of life
0% 20% 40% 60% 80%
things supporting their neighborhood quality
of life. One resident tells the story of her fellow Schools 81%
church-goer and neighbor who struggles with his Grocery Stores 78%
diabetes and often feels isolated. She recognizes Programs to help people find jobs 77%
it takes resources to help people stay in their Public Transportation 75%
homes and engaged in their communities. Of Childcare for babies and young children 69%
her neighbor she says, “He would love to come Community Organizations 69%
out and socialize but transportation is a real Parks and Recreation Centers 68%
challenge for him. He is handicapped, and he Small Businesses 66%
has to find someone [to help him get] in and out of Places of Worship 62%
the car.” Fortunately, his church is able to provide Art or Cultural Institutions 55%
him transportation so that he can go to church Block Clubs 53%
and socialize with others while he is there.
– Resident, 48219 0% 20% 40% 60% 80%

Source: University of Michigan Detroit


District #1 Detroit Metropolitan Area Community Study (2018)

Priorities to Improve Community Health


0% 20% 40% 60% 80%

Mental health 70%


Pollution of air and water 68%
Affordable housing 66%
Child abuse/neglect 66%
Childhood lead poisoning 65%
Access to healthy food 62%
Elder abuse/neglect 61%
Health care for infants and children 61%
Domestic violence 61%
Alcohol abuse 60%
Diabetes 59%
Illegal drug use 59%
Health care for pregnant women 59%
Unintended teen pregnancy 55%
Stray animals 52%
Tobacco use 52%
Services for returning citizens 50%

0% 20% 40% 60% 80%

Source: University of Michigan Detroit


District #1 Detroit Metropolitan Area Community Study (2018)
14

District #2 Health

Social Determinants of Health

15% District #2
Did not graduate high school
20% Detroit
District 2 residents care about the health and wellbeing
Source: American
of the children in their community. Children’s health is 22%
Households without a vehicle Community Survey
a top priority for District 2, where schools were most 25% (2013-2017)
frequently cited as a quality of life asset. Furthermore,
28%
child abuse, neglect, childhood lead poisoning prevention, Families living in poverty
33%
and healthcare for infants and children were consistent
public health priorities. 42%
Households without internet
45%

0% 20% 40% 60% 80%

Social Support

Community Story: One challenge faced by our older Someone to confide in or talk
43% 15%
adult residents is social isolation. The need for to about myself or my problems
support and connection emphasizes the importance Someone to take me to the
of community places where people can gather and 49% 15%
doctor if I had to go
connect. One of our older adult residents who lives
Someone to help me with my
in an assisted living facility discussed with us how 42% 11%
daily chores if I was sick
nice it is to live close to the Northwest Activity Center.
“[The] community center provides games such as Someone to loan me a small
26% 26%
amount of money if I needed it
checkers and family feud. It’s a lot of fun.”
– Resident, 48235 0% 20% 40% 60% 80% 100%

All of the time A little of the time


All of the time Most of the time Some of the time
Most of the time None of the time
A little
Some of the time
of the time None of the time

Source: University of Michigan Detroit Metropolitan Area Community Study (2018)


15

Community Story: Residents in District 2 indicate What District 2 residents said was very important to
schools, grocery stores, jobs, transportation, and their quality of life
0% 20% 40% 60% 80%
community organizations are vital to the health
of the community. We talked with a resident who Schools 88%
discussed the importance of after school programs Grocery Stores 86%
for children. He says, “When I was growing up, a Programs to help people find jobs 82%
village raised a child.” He says more after-school Public Transportation 81%
programs are needed and children need more Community Organizations 76%
parental support at home. “After-school programs Small Businesses 74%
keep our children out of trouble.” Parks and Recreation Centers 72%
– Resident, 48235 Childcare for babies and young children 69%
Places of Worship 69%
Block Clubs 52%
Art or Cultural Institutions 52%

0% 20% 40% 60% 80%

Source: University of Michigan Detroit


District #2 Detroit Metropolitan Area Community Study (2018)

Priorities to Improve Community Health


0% 20% 40% 60% 80%

The GOAL (Get On And Learn) Line is one Child abuse/neglect 72%
example of a city initiative aiming to address Childhood lead poisoning 70%
the after-school challenges. Since August 2018, Health care for infants and children 69%
Northwest Detroit families have benefited from Affordable housing 69%
an unprecedented partnership between charter Access to healthy food 68%
school operators, Detroit Public Schools Elder abuse/neglect 67%
Community District, teachers, parents, multiple Mental health 65%
foundations, and city leaders to improve Pollution of air and water 65%
educational opportunity for Detroit students. Domestic violence 64%
The GOAL Line transports K-8 students from Illegal drug use 63%
ten schools to the participating school of their Health care for pregnant women 62%
choice and then to the after-school program Diabetes 59%
located at Northwest Activity Center. For more Services for returning citizens 58%
information, please visit the following link: Unintended teen pregnancy 58%
goaldetroit.org/ Alcohol abuse 57%
Tobacco use 50%
Stray animals 50%

0% 20% 40% 60% 80%

Source: University of Michigan Detroit


District #2 Detroit Metropolitan Area Community Study (2018)
16

District #3 Health

Social Determinants of Health

20% District #3
Did not graduate high school
20% Detroit
Residents of District 3 show a strong concern for the
Source: American
most vulnerable members of their community. A very Households without a vehicle
20%
Community Survey
high proportion of residents cited abuse and neglect for 25% (2013-2017)
children and older adults as their top two priorities to
33%
improve community health. Many residents in District 3 Families living in poverty
33%
also have strong social support networks compared to
the other districts. 49%
Households without internet
45%

0% 20% 40% 60% 80%

Social Support

Community Highlight: Residents in District 3 identified Someone to confide in or talk


37% 10%
healthcare for infants and children as a top community to about myself or my problems
health priority. One organization impacting infant health Someone to take me to the
is the Black Mothers Breastfeeding Association, a 47% 9%
doctor if I had to go
nonprofit organization located in District 3 whose goal
Someone to help me with my
is to have a national impact on the reduction of racial 46% 10%
daily chores if I was sick
disparities in breastfeeding success. They provide
education, valuable resources, and ongoing support Someone to loan me a small
28% 24%
amount of money if I needed it
to Black families and public and private agencies that
serve these families. For more information, please 0% 20% 40% 60% 80% 100%
visit blackmothersbreastfeeding.org
All of the time A little of the time
All of the time Most of the time Some of the time
Most of the time None of the time
A little
Some of the time
of the time None of the time

Source: University of Michigan Detroit Metropolitan Area Community Study (2018)


17

Community Story: Residents in District 3 What District 3 residents said was very important to
identified access to healthy, affordable their quality of life
food as a significant priority improving 0% 20% 40% 60% 80%

community health. Create Northeast Detroit Public Transportation 89%


is a collaborative project where residents Schools 87%
take care of unused and abandoned lots, Programs to help people find jobs 86%
creating community gardens and green Grocery Stores 85%
spaces to host many community events. Parks and Recreation Centers 85%
Residents worked with neighborhood Childcare for babies and young children 84%
associations plowing land, planting trees, Places of Worship 84%
vegetables, and fruit to share with the larger Community Organizations 82%
community. This was a collaborative effort Small Businesses 78%
between Restore NED, Allied Media Projects, Art or Cultural Institutions 70%
and the Work Department. Through a grant from Block Clubs 59%
Art Place America, residents brought to life
visions for land use, public art, and landscape 0% 20% 40% 60% 80%
architecture, all reflecting community pride.
Source: University of Michigan Detroit
District #3 Detroit Metropolitan Area Community Study (2018)

Priorities to Improve Community Health


0% 20% 40% 60% 80%

Elder abuse/neglect 82%


Child abuse/neglect 82%
Health care for infants and children 81%
Mental health 79%
Access to healthy food 78%
Pollution of air and water 78%
Affordable housing 77%
Childhood lead poisoning 75%
Domestic violence 74%
Health care for pregnant women 74%
Diabetes 71%
Illegal drug use 70%
Unintended teen pregnancy 65%
Services for returning citizens 65%
Tobacco use 63%
Alcohol abuse 61%
A grandfather attends the Detroit Health Department’s Infant
Stray animals 60%
Safe Sleep class with his granddaughter. Attendees learned
about the ABC’S of Safe Sleep which include: Babies should
sleep ALONE, on their BACKS, in a CRIB, and in a SMOKE-FREE 0% 20% 40% 60% 80%
environment.

Source: University of Michigan Detroit


District #3 Detroit Metropolitan Area Community Study (2018)
18

District #4 Health

Social Determinants of Health

19% District #4
Did not graduate high school
20% Detroit
District 4 residents reported having strong social Source: American
support and concern for the health and wellbeing 24%
Households without a vehicle Community Survey
of young children. They identified schools, parks, 25% (2013-2017)
and recreation centers as their top quality of life 36%
assets. They ranked child abuse and neglect, mental Families living in poverty
33%
health, and healthcare for infants and young children
among their top three priorities. 47%
Households without internet
45%

0% 20% 40% 60% 80%

Social Support

Community Story: One resident describes how his Someone to confide in or talk
35% 20%
neighborhood has become less populated, but is to about myself or my problems
getting better overall. He said, “Houses in the area are Someone to take me to the
being restored all the time.” He also acknowledged 44% 18%
doctor if I had to go
Hope House as a community resource where
Someone to help me with my
adolescents can learn important life skills. 35% 32%
daily chores if I was sick
– Resident, 48215 Someone to loan me a small
26% 33%
amount of money if I needed it
Hope House’s activities and programs include
Teen Council, Bible Study, Girls’ Club, Guy’s Group, 0% 20% 40% 60% 80% 100%
and more. For more information, please visit:
All of the time A little of the time
hopehousedetroit.org/ All of the time Most of the time Some of the time
Most of the time None of the time
A little
Some of the time
of the time None of the time

Source: University of Michigan Detroit Metropolitan Area Community Study (2018)


19

Community Highlight: The importance of parks What District 4 residents said was very important to
and green space was identified by District 4 their quality of life
0% 20% 40% 60% 80%
residents as an important contributor to health
and quality of life. Eastside Community Network Schools 84%
(ECN), formerly known as the Warren/Conner Parks and Recreation Centers 84%
Development Coalition, is an organization Programs to help people find jobs 83%
working with residents and partners driving Public Transportation 80%
lasting, positive change in neighborhoods and Grocery Stores 80%
communities. Their mission is to develop people, Community Organizations 76%
places, and plans for sustainable neighborhood Childcare for babies and young children 74%
growth on Detroit’s Eastside. In 2015, ECN Small Businesses 72%
worked with multiple community partners such Places of Worship 68%
as St. John Providence Hospital, Chandler Park Block Clubs 56%
Conservancy, Detroit Community Academic Art or Cultural Institutions 55%
Urban Research Center, Gensler, and DHD. ECN
enhanced the social and urban infrastructure at 0% 20% 40% 60% 80%
Chandler Park, and made an impact on physical
activity and other lifestyle changes. They continue Source: University of Michigan Detroit
to work with residents and other community District #4 Detroit Metropolitan Area Community Study (2018)
partners to drive positive transformations on
the east side of Detroit. For more information,
please visit: ecn-detroit.org

Priorities to Improve Community Health


0% 20% 40% 60% 80%

Child abuse/neglect 84%


Mental health 81%
Health care for infants and children 78%
Childhood lead poisoning 77%
Domestic violence 76%
Elder abuse/neglect 74%
Affordable housing 70%
Health care for pregnant women 70%
Access to healthy food 70%
Illegal drug use 67%
Diabetes 64%
Unintended teen pregnancy 63%
Alcohol abuse 63%
Pollution of air and water 62%
Stray animals 60%
Tobacco use 58%
Services for returning citizens 58%

0% 20% 40% 60% 80%

Source: University of Michigan Detroit


District #4 Detroit Metropolitan Area Community Study (2018)
20

District #5 Health

Social Determinants of Health

20% District #5
Did not graduate high school
20% Detroit
District 5 residents consider grocery stores an Source: American
35%
important quality of life asset in their community. Households without a vehicle Community Survey
25% (2013-2017)
They also consider access to healthy food as the
most important priority to address. Residents in 34%
Families living in poverty
this district struggle with access to transportation, 33%
ranking it as another important priority to address.
49%
Households without internet
45%

0% 20% 40% 60% 80%

Social Support

Community Highlight: It is important to have Someone to confide in or talk


33% 16%
community organizations utilizing and leaveraging to about myself or my problems
residents’ strengths to improve neighborhoods. Someone to take me to the
MACC Development is an organization founded by 37% 18%
doctor if I had to go
the Mack Avenue Community Church providing this
Someone to help me with my
outreach. Their goal is to seek the holistic revitalization 27% 22%
daily chores if I was sick
of Detroit’s 48214 ZIP code, block by block and
neighbor by neighbor, to transform the community, Someone to loan me a small
32% 19%
amount of money if I needed it
both spiritually and physically. Some of their activities
include a mission trip, a sports league, community 0% 20% 40% 60% 80% 100%
planning, education and literacy programs, and
legal services. For more information, please visit All of the time A little of the time
All of the time Most of the time Some of the time
maccdevelopment.com Most of the time None of the time
A little
Some of the time
of the time None of the time

Source: University of Michigan Detroit Metropolitan Area Community Study (2018)


21

Community Story: Residents in District 5 agree What District 5 residents said was very important to
grocery stores and access to healthy food are their quality of life
0% 20% 40% 60% 80%
important contributors to health in their
neighborhoods. One resident describes his Grocery Stores 82%
challenges with food, saying that “[he] shops Parks and Recreation Centers 78%
everywhere because [he] is mobile,” but overall Public Transportation 78%
says we are disconnected from our food. He says Schools 74%
that WIC and Project Fresh are good programs, Programs to help people find jobs 67%
but “[there is a] lack of information. People Small Businesses 66%
don’t know what’s out there.” Art or Cultural Institutions 65%
– Resident, 48206 Childcare for babies and young children 63%
Community Organizations 60%
This lack of information about healthy food Places of Worship 59%
access and the connection to chronic disease Block Clubs 46%
is a challenge for residents and other decision
makers. This resident leader has stepped up 0% 20% 40% 60% 80%
to the challenge by creating a learning market
teaching people how to shop and cook, Source: University of Michigan Detroit
District #5 Detroit Metropolitan Area Community Study (2018)
emphasizing the importance of eating
together with others.

Community Story: A mother and daughter, in a Priorities to Improve Community Health


0% 20% 40% 60% 80%
joint interview, said, “If you want to help children,
you need to target the parents because they are Access to healthy food 72%
teaching the children.” Service providers should Affordable housing 70%
make the services more accessible to reduce the Pollution of air and water 69%
stigma often associated with accessing services. Health care for infants and children 68%
– Resident, 48202. Child abuse/neglect 68%
Childhood lead poisoning 65%
Focusing on parents providing the skills, resources, Mental health 64%
and opportunities to help their families be healthy is Domestic violence 62%
a fundamental tool in breaking the intergenerational Health care for pregnant women 57%
poverty cycle. Many community organizations are Elder abuse/neglect 56%
working together providing services to residents at Unintended teen pregnancy 55%
pre-existing community events, including those in Illegal drug use 55%
District 5. Diabetes 54%
Services for returning citizens 51%
Alcohol abuse 50%
Tobacco use 43%
Stray animals 42%

0% 20% 40% 60% 80%

Source: University of Michigan Detroit


District #5 Detroit Metropolitan Area Community Study (2018)
22

District #6 Health

Social Determinants of Health

35% District #6
Did not graduate high school
20% Detroit
District 6 residents consider grocery stores as an
Source: American
important quality of life asset in their community. 25%
Households without a vehicle Community Survey
Furthermore, they consider access to healthy food 25% (2013-2017)
as a very important priority. District 6 residents also 36%
place a significant value on programs helping people Families living in poverty
33%
find jobs in their community.
46%
Households without internet
45%

0% 20% 40% 60% 80%

Social Support

Community Story: While we benefit from our social Someone to confide in or talk
39% 11%
networks and relationships, we also need coordinated to about myself or my problems
health and social services. One resident said, “There Someone to take me to the
are more health issues and barriers in the poor areas 39% 14%
doctor if I had to go
than in the growing neighborhoods, so as the city
Someone to help me with my
continues to grow we can’t continue to forget the basic 32% 19%
daily chores if I was sick
necessities those in the poor parts of the city need.”
Someone to loan me a small
– Resident, 48210 17% 21%
amount of money if I needed it

This is why it is important to focus services and 0% 20% 40% 60% 80% 100%
outreach in neighborhoods with the greatest needs.
All of the time A little of the time
All of the time Most of the time Some of the time
Most of the time None of the time
A little
Some of the time
of the time None of the time

Source: University of Michigan Detroit Metropolitan Area Community Study (2018)


23

Community Highlight: In response to the


Gordie Howe International Bridge construction
proposals in 2008, residents formed the SW
Detroit Community Benefits Coalition (CBC). What District 6 residents said was very important to
In 2017, $45 million was approved for a City- their quality of life
0% 20% 40% 60% 80%
State Agreement providing community benefits
in SW Detroit covering the costs for job training, Grocery Stores 83%
health monitoring, air quality monitoring, home Programs to help people find jobs 72%
swaps, and home improvements. In 2018, the Public Transportation 70%
Detroit Health Department worked with the SW Parks and Recreation Centers 69%
Detroit CBC, University of Michigan, and Detroit Schools 68%
Hispanic Development Corporation to conduct Community Organizations 58%
a household survey documenting environmental Art or Cultural Institutions 58%
health and safety concerns. One tangible impact Small Businesses 55%
has been an increase to 3 permanent air quality Childcare for babies and young children 51%
monitors in the area. Up to 40 families will also Places of Worship 48%
host moveable indoor air monitors, and a mobile Block Clubs 44%
air quality monitoring vehicle providing residents
and leaders with real-time data for more
0% 20% 40% 60% 80%
informed decisions.

District #6 Detroit Source: University of Michigan Detroit


Metropolitan Area Community Study (2018)

Priorities to Improve Community Health


0% 20% 40% 60% 80%

Access to healthy food 73%


Health care for pregnant women 71%
Affordable housing 70%
Domestic violence 70%
Mental health 69%
Pollution of air and water 69%
Child abuse/neglect 67%
Health care for infants and children 64%
Elder abuse/neglect 64%
Illegal drug use 63%
Childhood lead poisoning 62%
Diabetes 58%
Unintended teen pregnancy 58%
Services for returning citizens 54%
Alcohol abuse 53%
Tobacco use 51%
Stray animals 45%

0% 20% 40% 60% 80%


Gadah Sharif, from the Detroit Health Department, leads Source: University of Michigan Detroit
community members through a health visioning exercise. District #6 Detroit Metropolitan Area Community Study (2018)
24

District #7 Health

Social Determinants of Health

20% District #7
Did not graduate high school
20% Detroit
District 7 residents highlighted public transportation Source: American
as a very important asset to their quality of life in 22%
Households without a vehicle Community Survey
the community. Furthermore, they share a citywide 25% (2013-2017)
concern about the wellbeing of infants and children. 35%
They ranked child abuse and neglect as the highest Families living in poverty
33%
community health priority to address.
44%
Households without internet
45%

0% 20% 40% 60% 80%

Social Support

Community Story: When it comes to institutions Someone to confide in or talk


33% 18%
supporting people and quality of life, one resident to about myself or my problems
reported that “We need a resurgence on another Someone to take me to the
level of community activism...” She said faith-based 31% 19%
doctor if I had to go
organizations, nonprofits, community-based groups,
Someone to help me with my
and self-help groups have all been great resources; 28% 18%
daily chores if I was sick
however, we need more.
Someone to loan me a small
– Resident, 48239 20% 33%
amount of money if I needed it

The City has hundreds of block clubs and community 0% 20% 40% 60% 80% 100%
organizations that could use your support and activism.
All of the time A little of the time
We encourage residents to find out more by getting All of the time Most of the time Some of the time
Most of the time None of the time
engaged with your local Detroit Department of
A little
Some of the time
of the time None of the time
Neighborhood District Manager at detroitmi.gov/
departments/department-neighborhoods
Source: University of Michigan Detroit Metropolitan Area Community Study (2018)
25

Community Highlight: The Cody Rouge What District 7 residents said was very important to
Community Action Alliance Community their quality of life
0% 20% 40% 60% 80%
Development Corporation is a nonprofit
organization charged with achieving Public Transportation 81%
sustainable economic growth for the Schools 78%
entire Cody Rouge community. In Grocery Stores 77%
partnership with the Detroit Planning Programs to help people find jobs 73%
and Development Department, the Parks and Recreation Centers 73%
Skillman Foundation, General Motors, Community Organizations 69%
Joy-Southfield Community Development 68%
Childcare for babies and young children
Corporation, Trinity Health System, 66%
Places of Worship
and others, they are creating a community 59%
Art or Cultural Institutions
centered on children’s wellbeing. 57%
Small Businesses
For more information about the Cody Rouge 53%
Block Clubs
Community Action Alliance, please visit:
codyrouge.org/
0% 20% 40% 60% 80%

Source: University of Michigan Detroit


District #7 Detroit Metropolitan Area Community Study (2018)

Priorities to Improve Community Health


0% 20% 40% 60% 80%

Child abuse/neglect 76%


Access to healthy food 73%
Mental health 73%
Health care for infants and children 72%
Domestic violence 72%
Illegal drug use 72%
Affordable housing 71%
Unintended teen pregnancy 68%
Alcohol abuse 67%
Childhood lead poisoning 67%
Elder abuse/neglect 66%
Diabetes 66%
Pollution of air and water 65%
Health care for pregnant women 65%
Stray animals 57%
Services for returning citizens 57%
Tobacco use 53%

0% 20% 40% 60% 80%

Source: University of Michigan Detroit


District #7 Detroit Metropolitan Area Community Study (2018)
26

Our Work Continues

Many factors impact how long and how well we live. These The steps we take over the next couple of years to address the
include our socioeconomic status, where we live, living conditions, issues raised by our residents will undoubtedly define our city
access to social and health services, stress, health behaviors, and for generations to come. No government or organization can do
genetics. All these factors impact our health outcomes and quality this work alone, but together our vision for a city that allows all
of life. To make an impact on health equity, we need to improve people to have the opportunity to live the healthiest lives possible
the social determinants of health impacting our residents and can be achieved.
neighborhoods.
The Detroit Health Department will continue working with
We have tremendous residents, community partners, and local community stakeholders prioritizing our community health
assets helping us achieve our community’s vision for a healthier goals. Together, we will develop community action plans building
Detroit. While we acknowledge there are many challenges, we upon our current strengths and resources.
have also encountered many opportunities to positively impact
health. Our vision for this work is challenging but achievable: to establish
accountability for achieving healthy and thriving communities,
After reviewing input from almost 2,000 people, we are left with where all Detroiters engage and participate in a compassionate,
the goals identified below. Three of these goals will be prioritized coordinated public health system supporting complete well-being.
by the community and will become the foundation for a health
improvement plan.

Detroit Community Health Goals

1 Improve health and quality of life by strengthening educational and


economic policies.

2 Protect and promote neighborhood environments that support healthy living


opportunities for all.

3 Ensure the basic housing needs and health of residents are supported and sustained
by increasing access to safe and affordable homes in all neighborhoods.

4 Build safe and supportive neighborhoods with all residents through collaborative
social networks and community partners.

5 Promote healthier habits and wellbeing for everyone by strengthening the


community’s access to resources.

6 Improve health access and outcomes by coordinating community and health


resources.
DETROIT HEALTH DEPARTMENT’S CONTACT RESOURCES

SisterFriends Detroit Food Safety


313-961-BABY (2229) 313-876-0135
The SisterFriends Detroit Program is an initiative of the Food Safety inspects, licenses, and reviews proposals
health department that focuses on the reduction of infant to open small and large food businesses and temporary
mortality by providing and linking pregnant women to events serving food. Food Safety also educates the
viable resources and community volunteers that provide community about safe food handling and storage, and
mentoring and social support throughout their pregnancy responds to restaurant complaints.
and one year after the birth of their child.
Detroit Animal Care and Control
iDecide Detroit Teen Health Center 313-224-6356
833-9-DECIDE 7401 Chrysler Drive, Detroit, MI 48211
www.idecidedetroit.com
HOURS:
iDecide Detroit is a network of teen-friendly reproductive Monday - Saturday: 10:30 am to 3:30 pm
health providers offering teens and adults services like Sunday: 11 am to 1 pm for lost dog identification
condoms, STD/STI testing and treatment. purposes only

Lead Prevention and Intervention Women, Infants, & Children (WIC)


313-876-0133 313-876-4555
www.detroitmi.gov/leadsafe
The Detroit Health Department WIC program provides
Provides lead testing, case management, and nutritious foods, nutrition education & counseling,
lead education. breastfeeding support, and referral services that may
help your family in a time of need.
Immunizations
Vaccines for infants, children and adults. Patients should STD/HIV Testing
bring their shot record, picture, ID and insurance card. 313-577-9100
HOURS: Confidential testing and resources.
Monday, Tuesday, Thursday, and Friday: 8 am to 5 pm
Wednesday: 9 am to 6 pm.
Saturday: 10 am to 4 pm
Communicable Disease
313-876-4000
The Samaritan Center Cases of suspected communicable diseases are
5555 Conner Street Detroit, MI 48213 required to be reported.
313-410-8142

Health Department Main Line


Detroit ID
313-876-4000
313-876-4000 General information and connection to programs
The Detroit ID is for all Detroiters. Use it to access city and services.
services, open utility accounts, open a bank account,
and receive discounts at local businesses.
Detroit Health Department
3245 E Jefferson Ave #100, Detroit, MI 48207 | (313) 876-4000 | https://detroitmi.gov/departments/detroit-health-department

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