SANTA ROSA HEALTH EQUITY PLAN - Florida Department Of Health

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SANTA ROSAHEALTH EQUITYPLANJuly 2022 – June 2025

DOH-Santa RosaHealth Equity PlanTable of ContentsI. Vision . 4II. Purpose of the Health Equity Plan . 5III. Definitions . 6IV. Participation . 7A. Minority Health Liaison. 8B. Health Equity Team . 8C. Health Equity Taskforce . 9D. Coalition. 11E. Regional Health Equity Coordinators . 12V. Health Equity Assessment, Training, and Promotion . 13A. County Health Department Health Equity Training13B. Minority Health Liaison Training . 13C. National Minority Health Month Promotion14. 14VI. Prioritizing a Health Disparity . 16VII. SDOH Data . 23A. Education Access and Quality . 24B. Economic Stability. 29C. Neighborhood and Built Environment . 34D. Social and Community Context . 38E. Health Care Access and Quality . 43VIII. SDOH Projects . 47A. Data Review . 47B. Barrier Identification . 47C. Community Projects. 482

DOH-Santa RosaHealth Equity PlanIX. Health Equity Plan Objectives . 50A. Overweight and Obesity. 50X. Performance Tracking and Reporting. 52XI. Revisions. 54XII. Addendum . 553

DOH-Santa RosaHealth Equity PlanI. VISIONIn December of 2021, the DOH-Santa Rosa’s Minority Health and Health EquityLiaison announced the adoption of health equity as an integral focus in allaspects of the county health department. The process of recruitment began andsoon after DOH-Santa Rosa had developed a Health Equity Team and integratedhealth equity into a major collective impact effort in the community, AchieveHealthy EscaRosa. Over a several month period, the Health Equity Team wasasked to determine what health equity in Santa Rosa County meant for them.Similar themes and key words were seen in every member’s individual thoughtsabout health equity, and on March 3rd of 2022, the Health Equity Team came to aunanimous vote on the final health equity Mission and Vision for Santa RosaCounty.Vision: To reduce health disparities and improve healthoutcomes for all Santa Rosa County residents.Mission: To educate and empower the Santa Rosa Countycommunity to achieve their full health potential.The newly developed Mission and Vision statements have been displayedthroughout the county during community meetings, events and outreaches toshow Santa Rosa County residents and community leaders DOH-Santa Rosa’scommitment to improving health outcomes for all individuals in the community.4

DOH-(COUNTY)Health Equity PlanII. PURPOSE OF THE HEALTH EQUITYPLANHealth Equity is achieved when everyone can attain optimal health.The Florida Department of Health’s Office of Minority Health and Health Equity(OMHHE) works with government agencies and community organizations toaddress the barriers inhibiting populations from reaching optimal health. A focuson health equity means recognizing and eliminating the systemic barriers thathave produced disparities in achieving wellness. In response to Chapter 20211700 of the Florida Statute, effective July 1, 2021, each county healthdepartment (CHD) has been provided resources to create a Health Equity Plan toaddress health disparities in their communities.The Health Equity Plan should guide counties in their efforts to create andimprove systems and opportunities to achieve optimal health for all residents,especially vulnerable populations. County organizations have a critical role inaddressing the social determinants of health (SDOHs) by fostering multi-sectorand multi-level partnerships, conducting surveillance, and integrating data frommultiple sources, and leading approaches to develop upstream policies andsolutions. This plan acknowledges that collaborative initiatives to address theSDOHs are the most effective at reducing health disparities.The purpose of the Health Equity Plan is to increase health equity within SantaRosa County To develop this plan, Santa Rosa health department followed theFlorida Department of Health’s approach of multi-sector engagement to analyzedata and resources, coordinate existing efforts, and establish collaborativeinitiatives. This plan addresses key SDOH indicators affecting health disparitieswithin Santa Rosa County. This Health Equity Plan is not a county healthdepartment plan; it is a county-wide Health Equity Plan through which the HealthEquity Taskforce, including a variety of government, non-profit, and othercommunity organizations, align to address the SDOH impact health and wellbeing in the county.5

DOH-(COUNTY)Health Equity PlanIII. DEFINITIONSHealth equity is achieved when everyone can attain optimal healthHealth inequities are systematic differences in the opportunities groups haveto achieve optimal health, leading to avoidable differences in health outcomes.Health disparities are the quantifiable differences, when comparing twogroups, on a particular measure of health. Health disparities are typicallyreported as rate, proportion, mean, or some other measure.Equality each individual or group of people is given the same resourcesor opportunities.Social determinants of health are the conditions in which people are born,grow, learn, work, live, worship, and age that influence the health of people andcommunities.6

DOH-(COUNTY)Health Equity PlanIV. PARTICIPATIONCross-sector collaborations and partnerships are essential components ofimproving health and well-being. Cross-sector collaboration uncovers the impactof education, health care access and quality, economic stability, social andcommunity context, neighborhood and built environment and other factorsinfluencing the well-being of populations. Cross-sector partners provide the rangeof expertise necessary to develop and implement the Health Equity Plan.DOH- Santa Rosa takes pride in establishing and maintaining strong communitypartnerships. Pictured above are members from Achieve Healthy EscaRosa, alsoknown as AHER. AHER is a collective impact effort created to unite and alignresources to improve the health and wellbeing of both Escambia and Santa RosaCounty residents. The AHER collaboration consists of several different teams:CHNA Planning Team, currently transitioning into the CHIP Team,Communications Team, Data Team, and a developing Health Equity Task Force.At the beginning of 2022, through a collaborative effort with the different teams,AHER released the Achieve Dashboard and the 2022 Community Health NeedsAssessment available to all residents.7

DOH-(COUNTY)Health Equity PlanDOH-Santa Rosa strives to ensure active representation and participation inmany parts of the community. DOH-Santa Rosa is present in communitycoalitions including but not limited to Santa Rosa Healthy Babies Coalition,EscaRosa Suicide Prevention Coalition, and Tobacco Free Santa Rosa Coalition.Participation in community events and outreaches is also an important role toDOH-Santa Rosa to reach community residents, providing education andresources.A. Minority Health LiaisonThe Minority Health Liaison supports the Office of Minority Health and HealthEquity in advancing health equity and improving health outcomes of racial andethnic minorities and other vulnerable populations through partnershipengagement, health equity planning, and implementation of health equity projectsto improve social determinants of health. The Minority Health Liaison facilitateshealth equity discussions, initiatives, and collaborations related to elevating theshared efforts of the county.Minority Health Liaison: Erin MooreMinority Health Liaison Backup: Kimberly PaceB. Health Equity TeamThe Health Equity Team includes individuals that each represent a differentprogram within the CHD. The Health Equity Team explores opportunities toimprove health equity efforts within the county health department. Members ofthe Health Equity Team assess the current understanding of health equity withintheir program and strategize ways to improve it. The Health Equity Team alsorelays information and data concerning key health disparities and SDOH in(County) to the Health Equity Taskforce. The Minority Health Liaison guidesthese discussions and the implementation of initiatives. The membership of theHealth Equity Team is listed below.NameTitleProgramLeslie AdamsSenior Community HealthNurseSchool Health8

DOH-(COUNTY)Health Equity PlanR. Matthew DobsonJack BoydElisabeth JordanAdministratorAccountant IBreastfeeding ProgramCoordinatorMHHE LiaisonPublic Health ServiceManagerErin MooreSherry WorleyFiscalWICCommunity HealthEpidemiologyThe Health Equity Team met on the below dates during the health equityplanning process. Since the Health Equity Plan was completed, the Health EquityTeam has met at least quarterly to track progress.Meeting DateFebruary3rd,Topic/Purpose2022Discuss Health Equity Team goals and responsibilitiesrelated to the Health Equity Plan.To provide updates regarding the Health Equity Plan andto come to a final decision on the prioritized HealthDisparity to be features in the Health Equity Plan.To provide Health Equity Team updates on the HealthEquity Plan and Health Equity Assessment. To ensure ashared understanding of health equity terms andconcepts.March 3rd, 2022April 7th, 2022C. Health Equity TaskforceThe Health Equity Taskforce includes CHD staff and representatives fromvarious organizations that provide services to address various SDOH. Membersof this Taskforce brought their knowledge about community needs and SDOH.Collaboration within this group addresses upstream factors to achieve healthequity. The Health Equity Taskforce wrote the Santa Rosa Health Equity Planand oversaw the design and implementation of projects. Health Equity Taskforcemembers are listed below.NameTitleOrganizationSocial Determinantof HealthAdrienneMaygardenService LineDirector forAscension SacredHeartHealth Care Access andQuality9

DOH-(COUNTY)Health Equity PlanWomen’s andChildren’s ServicesBethany MillerChristina KruegerChandra SmileyDenise ManassaCommunity BenefitManagerChief ExecutiveOfficerErin MooreDirector ofCommunityPreventionAssociateProfessor of HealthPromotionHealth EducatorJennifer GroveVice PresidentJoy SharpCommunity HealthPrograms DirectorPublic HealthService ManagerDebra VinciKimberly PaceLaura GilliamPresident & CEOMarie MottAdministratorMary ZaledonisDirector ofCommunity ImpactNicole GislasonExecutive DirectorPatricia BarringtonProfessorPaula BidesR. Matthew DobsonAdministratorAscension SacredHeartAscension SacredHeartCommunity Healthof NorthwestFloridaCDAC BehavioralHealthUniversity of WestFloridaHealth Care Access andQualityHealth Care Access andQualityHealth Care Access andQuality, Social andCommunity ContextHealth Care Access andQuality, Social andCommunity ContextEducation Access andQualityDOH-Santa RosaHealth Care Access andQuality, Social andCommunity ContextBaptist Health Care Health Care Access andQuality, Social andCommunity ContextBaptist Health Care Health Care Access andQualityDOH-Santa RosaHealth Care Access andQuality, Social andCommunity ContextUnited Way of West Economic Stability, SocialFloridaand Community Context,Health Care Access andQualityDOH-EscambiaHealth Care Access andQuality, Social andCommunity ContextUnited Way of West Economic Stability, SocialFloridaand Community Context,Health Care Access andQualityWest Florida AHEC Social and CommunityContextUniversity of WestEducation Access andFloridaQualityAscension FloridaHealth Care Access andand Gulf CoastQualityDOH-Santa RosaHealth Care Access andQuality, Social andCommunity Context.10

DOH-(COUNTY)Health Equity PlanRachelle BurnsSandra DonaldsonSara LefeversStudent CrisisDirectorChief AdvocacyOfficerPensacola StateCollegeCommunity HealthNorthwest FloridaFoundationExecutive DirectorPensacolaChamberEducation Access andQualityHealth Care Access andQuality, Social andCommunity ContextSocial and CommunityContextThe Health Equity Taskforce met on the below dates during the health equityplanning process. Since the Health Equity Plan was completed, the Health EquityTaskforce has continued to meet at least quarterly to track progress.Meeting DateOrganizationsTopic/Purpose1/3/2022Achieve HealthyEscaRosaDOH-Santa Rosa, DOHEscambia, University ofWest Florida, AscensionSacred HeartTask Force recruitment4/14/20225/12/20226/9/2022DOH-Santa Rosa, DOHEscambia, PensacolaState College, Universityof West Florida,Community Health NWFL,Ascension Sacred Heart,United Way West FloridaDOH-Santa Rosa, DOHEscambia, PensacolaState College, Universityof West Florida,Community Health NWFL,Ascension Sacred Heart,United Way West FloridaReview Escambia and Santa RosaCommunity Health NeedsAssessment, Top Health Priorities,and begin planning for theCommunity Health ImprovementPlan.Review a Community OrganizationSurvey that will be distributed to fivedifferent community leaders involvedin Escambia and Santa Rosa tophealth priorities.Review the Community OrganizationSurvey submission and projects toaddress the top health disparities.D. Coalition11

DOH-(COUNTY)Health Equity PlanThe coalition discussed strategies to improve the health of the community. Thestrategies focused on the social determinants of health: education access andquality, health care access and quality, economic stability, social and communitycontext, and neighborhood and built environment. Membership includescommunity leaders working to address each SDOH, as well as any relevant subSDOHs. The coalition assisted the Health Equity Taskforce by reviewing theirHealth Equity Plan for feasibility. See Section XII for a list of coalition members.E. Regional Health Equity CoordinatorsThere are eight Regional Health Equity Coordinators. These coordinatorsprovide the Minority Health Liaison, Health Equity Team, and Health EquityTaskforce with technical assistance, training, and project coordination.NameRegionExpertiseCarrie RickmanEmerald CoastQuincy WimberlyCapitolDiane PadillaNorth CentralIda WrightNortheastRafik BrooksWestLesli AhonkhaiCentralFrank DiazSouthwestKelly GroveSoutheastTechnical assistance, training andproject coordinationTechnical assistance, training andproject coordinationTechnical assistance, training andproject coordinationTechnical assistance, training andproject coordinationTechnical assistance, training andproject coordinationTechnical assistance, training,project coordination, and FaithBased EngagementTechnical assistance, training andproject coordinationTechnical assistance, training andproject coordination12

DOH-(COUNTY)Health Equity PlanV. HEALTH EQUITY ASSESSMENT,TRAINING, AND PROMOTIONA. County Health Department Health Equity TrainingThe Florida Department of Health in Santa Rosa recognizes that ongoing trainingin health equity and cultural competency are critical for creating a sustainablehealth equity focus. At a minimum, all DOH-Santa Rosa staff receive the CulturalAwareness: Introduction to Cultural Competency and Addressing Health Equity:A Public Health Essential training. In addition, the Health Equity Team providesregular training to staff on health equity and cultural competency. The training isrecorded below.DateTopicsNumber of Staff inAttendance2/11/2022Health Equity and CulturalCompetency12 Clinic and School HealthNursesB. Minority Health Liaison TrainingThe Office of Minority Health and Health Equity and the Health Equity RegionalCoordinator provide training and technical support to the Minority Health Liaisonon topics such as: the health equity planning process and goals, facilitation andprioritization techniques, reporting requirements, and taking a systems approachto address health disparities. The Minority Health Liaison training is recordedbelow.DateTopics1/25/2022Cultural Competency and Health Equity Training13

DOH-(COUNTY)Health Equity Plan3/23/2022ClearPoint Technical Assistance Training4/12/20224/13/2022Minority Health and Health Equity Liaison Onboarding Training5/10/20226/14/2022Grant Writing TrainingC. National Minority Health Month PromotionLeft to right: Erin Moore (Minority Health & Health Equity Liaison), MattDobson (DOH Santa Rosa Administrator), Billy Mills (Guest Speaker and1964 Olympic Champion), Chief Dan “Sky Horse” Helms (Santa RosaCreek Indian Tribal Council).On April 8th, 2022, DOH-Santa Rosa presented “Billy Mills- Evening ofInspiration” to celebrate National Minority Health Month. Billy Mills, an OglalaLakota (Sioux), grew up on the Pine Ridge Indian Reservation in South Dakotaand overcame many obstacles to win the 10,000-meter run at the 1964 Tokyo14

DOH-(COUNTY)Health Equity PlanOlympic Games. Mills spoke passionately about his life as a Native American, hischildhood, a lifelong struggle with diabetes, and rewards of maintaining an activelifestyle. His presentation was an inspiration to people of all ages, abilities, andcultures to promote health equity within Santa Rosa County.Resources were provided to attendees before and after the event. TheCommunity Health Team distributed information on diabetes screening, theNational Diabetes Prevention Program, Public Health Preparedness, and otherservices offered by the health department.On April 23rd, 2022, DOH-Santa Rosa sponsored The Walk for Mommy and Meheld at Carpenter’s Park in Milton, FL. The event was held to emphasize physicalactivity and good nutrition as parent of a healthy lifestyle. The walk around thepark featured booths from 40 vendors with information of interest to parents,including nutrition and care seat safety, activities, and games for children. TheBig Red Bus was onsite for blood donations and various health screenings wereprovided to participants such as blood pressure and Type 2 Diabetes screenings.15

DOH-(COUNTY)Health Equity PlanVI. PRIORITIZING A HEALTH DISPARITYThe Health Equity Team identified and reviewed health disparities data in SantaRosa County. Data was pulled from multiple sources including FLCharts, theU.S. Census Bureau, and the Achieve Dashboard. Information regarding the datasources can be reviewed below.FLChartsFLCharts is a Community Health Assessments Resource Toolset poweredby Florida’s Bureaus of Community Health Assessment and VitalStatistics10. FLCharts provides a wide range of data on the health of Floridaresidents including information on the prevalence of infectious diseases,chronic diseases, maternal and child health, and social and behavioralhealth. The data can be broken down by Florida county and demographicssuch as age, gender, and race. FLCharts is a very useful tool whenassessing the health of a community and was used thoroughly during thedevelopment of the Health Equity Plan.U.S. Census BureauThe U.S. Census Bureau provides quality data pertaining to U.S. residentsand the economy. The Bureau conducts and distributes various surveysincluding the American Community Survey and demographic surveys toprovide information on the American population such as income andpoverty levels, education, and housing quality21. Quick Facts informationrelating to the people, business, and geographic area can be found forevery county in the U.S. This information is important in obtaining a basicunderstanding on various factors of a community.Achieve DashboardThe Achieve Dashboard is a local data source for Escambia and SantaRosa County1. It was developed in collaboration with Achieve HealthEscaRosa and the Haas Center at the University of West Florida. TheAchieve Dashboard compiles data elements on 5 different aspects of16

DOH-(COUNTY)Health Equity Planquality of life for Escambia and Santa Rosa County. These aspects are (1)Health and Social Well-Being, (2) Education, (3) Quality of Place, (4)Economic Vitality, and (5) Workforce and Demographics. The AchieveDashboard was used thoroughly during the development of the HealthEquity Plan.The following health disparities were identified in Santa Rosa County2: Overweight and ObesitySubstance AbuseMental Health IssuesDiabetesThese four health priorities were identified through data analysis of CHNAResident Survey and CHNA Leader Survey. The findings were presented in theEscambia – Santa Rosa 2022 Community Health Needs Assessment, developedby Achieve Healthy EscaRosa. The Health Equity Team used the findings fromthe 2022 Community Health Needs Assessment and a Multi-voting Techniqueafter reviewing data found in the U.S. Census Bureau and FLCharts to finalizethe decision in prioritizing Overweight and Obesity in the Health Equity Plan.The data below will provide information about the priority populations determinedby the Office of Minority Health and Health Equity. These populations includeBlack and African American, American Indian and Alaskan Native, Asian, NativeHawaiian and Other Pacific Islander, elderly, children, people living withdisabilities, veterans, LGBTQ , and immigrants.It is important to note that data gaps exist regarding several of the prioritypopulations in Santa Rosa County. These gaps include data on LGTBQ community, immigrant populations, and several racial groups such as AmericanIndian and Alaskan Native, Asian, and Native Hawaiian and Pacific Islander. TheSanta Rosa County Health Equity Team will work to update any data as itbecomes available.Data regarding Overweight and Obesity in Santa Rosa County can be foundbelow.17

DOH-(COUNTY)Health Equity PlanSanta Rosa County Populations DemographicsAs of July of 2021, an estimated 193,993 residents live in Santa Rosa County21.At #15 out of 67, Santa Rosa County is ranked among the top healthiest countiesin Florida in both health outcomes and health factors7. Children under 18 consistsof 21.8% of the population while 16.3% of the population are individuals 65 yearsand older. An estimated 24,259 veterans live in Santa Rosa County and 11.6% ofresidents under 65 years of age are living with a disability21.Santa Rosa County has a larger percentage of white, non-Hispanic residents at82.0% compared to Florida at 77.3% and a smaller percentage of Black, Asian,and Hispanic populations compared to Florida at 16.9%, 3.0%, and 26.4%respectively15. Some areas in Santa Rosa County are home to more diversitythan others such as the City of Milton (census tracks 105.05, 106.01, and106.02)3. Further demographic information on specific census tracks can beviewed in Section VII-B.Santa Rosa County Race and Ethnicity9082%% of Total Indian andAlaska NativeAsainNativeHawaiian andOther PacificIslander3.4%5.9%0White alone,not Hispanic orLatinoBlack aloneTwo or moreracesHispanic orLatinoSource: US Census Bureau18

DOH-(COUNTY)Health Equity PlanOverweight and Obesity in Santa Rosa CountyThe 2022 Escambia-Santa Rosa Community Health Needs Assessmentidentified the most important health issues, most concerning unhealthybehaviors, and the significant needs for Santa Rosa County. In these categories,overweight and obesity was determined an important health issue and significantneed, with poor eating habits identified as a top concerning unhealthy behavior2.As of 2019, Santa Rosa County was in the lowest percentage of adults who wereconsidered overweight or obese compared to other Florida counties10. 64.6% ofadults in Santa Rosa County were considered overweight or obese compared toFlorida at 68.4% in 2019, a 1.4% increase in Santa Rosa from the year before.69.5% of both White non-Hispanic and Hispanic residents in Santa Rosa Countywere considered overweight or obesity in 2019. Santa Rosa County also saw animprovement in the percentage of adults ages 65 and older who were consideredoverweight or obese from 71% in 2016 to 64.8% in 2019. It should be noted thatgaps in data exist for information including race, immigrate, veteran and LGBTQ populations.Adult Overweight and Obesity by Ethnicicty, 20197069.5%69.5%% of Total Population696867.2%6766656463.2%63626160Santa RosaFloridaWhite Non-HispanicHispanicSource: FLCharts19

DOH-(COUNTY)Health Equity PlanSanta Rosa County Children Under 18 Overweight and ObesityAs adults in Santa Rosa County have seen a small increase in the percentage ofoverweight and obesity, there has been a larger increase in the percentage ofstudents in the county who are condidered overweight and obese. From 20142018, Santa Rosa County students had remained below the Florida overallpercentages for overweight and obesity. In 2020, the percentage of students inSanta Rosa County who were considered overweight or obese increased from26.5% to 29.5%, while Florida remained at 30.4%.% of Total PopulationStudents Considered Overweight or 0Axis TitleSanta RosaFloridaSource: FLChartsThis data can be further broken down by race and ethnicity. Data from the FloridaYouth Tobacco Survey shows the percentage of Non-Hispanic Black studentswho are overweight or obese is 38.1% compared to Non-Hispanic White studentsat 28.7% and Hispanic students at 26.2% in 2020. Non-Hispanic Black studentsin Santa Rosa County have also seen a sharp increase in overweight and obesityprevalence from 20.5% in 2016 to 38.1% in 2020. The other racial and ethnicgroups in Santa Rosa, Non-Hispanic White and Hispanic students, have seen adecline or have remained stagnant in overweight or obesity rates. It should benoted gaps in data exist for other races including Alaskan and Native American,Asian, and Native Hawaiian and Pacific Islander.20

DOH-(COUNTY)Health Equity PlanStudent Overweight and Obesity by Race/Ethnicity, 20204538.1% of Total a RosaWhite Non-HispanicFloridaBlack Non-HispanicHispanicSource: FLChartsSanta Rosa County Student Overweight and Obesity byRace/Ethnicity% of Total Population40353025201520102012White Non-Hispanic20142016Black Non-Hispanic20182020HispanicSource: FLChartsIn Santa Rosa County, male students have remained at a higher percentage foroverweight and obesity compared to female students. In 2018 the percentage ofmale students considered overweight or obese was 30.5% compared to the21

DOH-(COUNTY)Health Equity Planpercentage of female students at 22.7%. In 2020, the percentage of femalestudents considered overweight or obese increased significantly to 27.7% whilethe percentage of male students increase to 31.2%. This was a 5% increase from2018 for female students with the percentage of male students consideredoverweight or obese increasing only by 0.7%. It should be noted that gaps indata exist for LGBTQ communities and children with disabilities.Student Overweight and Obesity by Sex37.535.5% of Total Santa Rosa Male20122014Santa Rosa Female2016Florida Male20182020Florida FemaleSource: FLChartsThe increase in percentages of students in the county who are consideredoverweight or obese, the significant disparities between populations and theimportance of instilling healthy behaviors at a young age has led the HealthEquity Team to choose school aged children as the top health priority in SantaRosa County.22

DOH- (County)Health Equity PlanVII. SDOH DATASocial Determinants of Health (SDOHs) are conditions in the places wherepeople live, learn, work, and play that affect a wide range of health and quality-oflife-risks and outcomes. The SDOHs can be broken into the following categories:education access and quality, health care access and quality, neighborhood andbuilt environment, social and community context, and economic stability. TheHealth Equity Team identified multiple SDOHs that impact overweight andobesity. They are listed below.23

DOH- (County)Health Equity PlanA. Education Access and QualityEducation Access and Quality Data in Santa Rosa CountyVoluntary Pre-Kindergarten ProgramVoluntary Pre-Kindergarten Programs, or VPK, are programs for children ages 45 to prepare them for kindergarten. The percentage of children participating inVPK decreased sharply in 2012 and has remained under 30% into 2021. In 2021,the percentage of participation in VPK programs in Santa Rosa County was24.7% compared to Florida at 27.8%.Student Enrolled in Voluntary Pre-Kindergarten Programs% of Total Population807060504030202006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020FloridaSanta RosaSource: FLCharts24

DOH- (County)Health Equity PlanIn 2021, 372 white children were enrolled into VPK programs, and 33 Blackchildren were enrolled. Santa Rosa county does have a larger population of whitechildren compared to Black children, which can account for the gap. Through

DOH- Santa Rosa takes pride in establishing and maintaining strong community partnerships. Pictured above are members from Achieve Healthy EscaRosa, also known as AHER. AHER is a collective impact effort created to unite and align resources to improve the health and wellbeing of both Escambia and Santa Rosa

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