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Overcoming Health Disparities – Edgecombe County

Health outcomes vary by racial and ethnic background in North Carolina. Length and quality of life are worse for Native Americans and African Americans. Racial disparities begin early, as African American babies are more than twice as likely to die during childbirth than white or Hispanic babies in North Carolina. Additionally, a Black woman in North Carolina is three times more likely to die from childbirth than a white woman.

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Health and Community Wellbeing

The County Health Rankings model indicates that medical care influences 20 percent of health outcomes, while social determinants of health (determinants) influence 80 percent of health outcomes. These determinants are closely integrated with one another and mutually influence factors related to medical care, shaping health outcomes in a com­plex way. These drivers interact, creating different experiences for North Carolina residents. The top drivers of health outcomes identified for the purpose of this model are poverty, racism, food insecurity, housing insecurity, and adverse childhood experiences.

The ncIMPACT Initiative coordinates the Opioid Response Project, an intensive two-year collaborative learning model that provides direct support to ten North Carolina communities enacting an integrated and innovative policy and practice response to their local opioid crises. In another project, a research team from the ncIMPACT Initiative collaborates with RTI International on a project for the US Department of Health & Human Services to clarify the role social capital plays in human service programs and identify model programs based on their characteristics, approaches, and measures of success. The goal involves sharing these models nationwide in an effort to increase employment, reduce poverty, and improve child and family wellbeing. Our team also completed a project for the Kate B. Reynolds Charitable Trust to examine its funding strategy in the Health Improvement in North Carolina program area and further align its funding strategy within the dynamic environment of health outcomes and health care players in the state.


Data Snapshots

Rate of Opioid Prescription

Maternal Mortality in the Southeast

Infant Mortality

Food Insecurity

Disconnected Youth

Cost Burden

Broadband Access

Asthma Related ER Visits

Water Systems

Drinking Water Systems