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Influencing Public Transportation Policy Through Community Engagement and Coalition Building - Process and Preliminary Outcomes
Influencing Public Transportation Policy Through Community Engagement and Coalition Building - Process and Preliminary Outcomes
Phillip Summers, Elim Chao, Paula McCoy, James Perry, Scott D. Rhodes
[ Access provided at 28 Jan 2023 21:31 GMT from The University of British Columbia Library ]
POLICY AND PRACTICE 489
Corresponding Author: Phillip Summers, MPH, Wake Forest School of Medicine, Medical Center Blvd, Winston Salem NC 27157. e-mail: Phsummer@wakehealth.edu.
The Wake Forest Clinical and Translational Science Institute is supported by the National Center for Advancing Translational Sciences (NCATS), National Institutes of Health,
through Grant Award Number UL1TR001420.
Abstract
The Problem: Public transportation is a social determinant Conclusions: Partnerships between community-based
of health and is crucial to aspects of health like access to organizations are crucial to identifying and addressing the
healthcare, employment, and nutrition. Existing health needs of a community. The Transportation Coalition will
inequities are exacerbated by inefficient or inaccessible public continue its work in local public transportation policy. A
transportation systems. long-term policy objective is fare-free transit on the city bus
system.
Purpose: To provide a detailed analysis of the issues and
concerns related to public transportation in Winston-Salem,
North Carolina, and describe how coalition-building was
used to influence positive change in transportation policy. Keywords
Key Points: Members from various organizations aligned Transportation, Poverty, Social change, Urban population,
with local transit riders to create the Transportation Coalition Population, Primary prevention, Appalachian region,
and advocate for extended night and weekend services for Community health partnerships, Health disparities, Health
the Winston-Salem public transportation system. promotion, Political systems
O
ver the last two decades, Winston-Salem, North and associated pollution, decrease traffic-related injuries and
Carolina, has experienced economic growth. Despite fatalities, boost physical activity by walking to and from bus
this economic growth and a well-established health stops, improve access to health care and other resources (e.g.,
care presence, health inequities persist and are driven by social grocery stores), and influence economic growth.2
determinants of health.1 Social determinants of health are Lack of transportation is a common reason that individu-
socially constructed systems that act to promote or constrain als in Winston-Salem, North Carolina, delay health care or
the health of individuals. Public transportation is a critical miss medical appointments, according to the 2014 Forsyth
social determinant of health. Introducing, expanding, and
2 Futures Understanding Access to Healthcare survey.3 Without
improving public transportation systems could increase regular visits to primary care providers, preventable or man-
access to and use of public transit, reduce traffic congestion ageable illnesses can quickly become life threatening. As a
Progress in Community Health Partnerships: Research, Education, and Action Winter 2020 • vol 14.4
Advisory Committee established a policy subcommittee to The lead author was identified as a champion of this issue 491
connect community policy-related priorities with medical because of his connections with transportation leadership and
center health expertise. The subcommittee helped identify his own use of the bus system to commute to work.
and advocate for local policies that could promote health. The Coalition building allowed successful expansion of public
first issue the subcommittee addressed was with expanding transportation services as a result of the input and collective
the Saturday hours of the hazardous household waste facil- action of the Coalition’s membership. The key points below
ity so that more residents could access the environmental detail how the Transportation Coalition influenced the suc-
health benefits of proper disposal. In 2016, the subcommit- cessful translation of social determinant of health research to
tee identified public transportation as a critical area ripe for local policy change via community engagement. By working
policy change, given the impact of public transportation on with the transit authority and city planners to draft revisions
access to care, economic development, and quality of life for to the system redesign, the Coalition was influential in the
the community and formed the Transportation Coalition in City Council’s approval of an $800,000 budget increase to
October 2016. The coalition was formed while a changing expand night and weekend service on 11 routes. Other wins
landscape of issues was affecting mobility of the community. included getting WSTA bus routes into Google Maps and
Urbanization and growth in downtown Winston-Salem restoring service to excluded neighborhoods.
caused traffic congestion, which prompted a major planned
remodel of a primary thoroughfare.12 At the same time, in an KEY POINTS
effort to modernize bus routes, WSTA launched redesigned Table 1 provides key points from the process of influencing
transit routes as of January 2, 2017. However, these new routes public transportation policy through community engagement.
were criticized by riders because they reduced service. These
changes afforded an opportunity for the Transportation Authentic Engagement
Coalition to advocate for expanded service. The Transportation Coalition had collaborative part-
The Coalition grew to include representatives from 20 nership from its inception. The Coalition sought to shape
organizations and transit riders who were concerned about discourse around transportation, and so it prioritized the
public transportation within Winston-Salem, North Carolina. need to engage with policy makers early in the process.13
Progress in Community Health Partnerships: Research, Education, and Action Winter 2020 • vol 14.4
493
Table 2. Initial Transportation Coalition Member Organizations
Organization Description
Adaptables Works to alleviate barriers that keep people with disabilities from full participation in the community and
provides advocacy, independent living skills training, peer support, information, and referral services that
together help people with disabilities exercise control over their own lives.
Center for Design Innovation Establishes and sustains substantive inter-institutional, interdisciplinary, and inter-sectoral programs that
bring (UNC School of the Arts and Winston-Salem State University) faculty and students of all ages and
disciplines into diverse experiences to develop meaningful solutions to relevant contemporary challenges.
City of Winston-Salem Moves people and goods safely and efficiently on the surface transportation system in Winston-Salem and
Transportation Department Forsyth County.
Creative Corridors Coalition Influences community and architectural design over the major redesign of Interstate Business 40 that
bisects downtown Winston-Salem.
Second Harvest Food Bank Works to provide essential food assistance through a network of partners, while educating and engaging
our communities in the elimination of hunger and its causes.
Forsyth Futures Studies the challenges facing the community through data-based analyses conducted by our team of
experts.
Health Department Prevents disease and promotes a healthy community through regulation, education and partnerships.
MudPies Childcare Serves over 700 children across Forsyth, Stokes and Davie counties at accredited child development centers
with a special outreach to parents who work second shift.
Neighbors for Better Believes that long term change in communities only happens when residents participate in creating
Neighborhoods solutions and seeks to support neighborhood groups and encourage resident-led problem solving; involving
residents in research and policy change.
Piedmont Authority for Enhances all forms of transportation in the Piedmont Triad Region.
Regional Transportation
Piedmont Together Builds a resilient, prosperous economy and a better quality of life for all of North Carolina’s Piedmont Triad
residents through advocacy around the importance of public transportation.
Transit Riders Community members who ride public transportation and directly benefit from its service.
Transit Alliance of the Convenes together organizations, leaders and citizens to advocate for public transit in the Piedmont Triad
Piedmont region of North Carolina.
Wake Forest Baptist Medical Improves health in the local community, state and nation and is the only academic medical center in
Center western North Carolina.
Wake Forest School of Works to improve community and population health through promoting and facilitating community-
Medicine, Clinical And relevant and engaged research.
Translational Science
Institute, Program in
Community Engagement
Wake Forest University- Pro Serves as a core of learning, teaching, service, and action that transforms the ethos of WFU into an explicit
Humanitate Institute mission connected to clear practices with meaningful social justice outcomes.
Winston-Salem City Council Adopts and provides support for all ordinances, rules and regulations as necessary for the general welfare of
the city
Winston-Salem Foundation A community foundation comprised of more than 1,300 funds created by charitable individuals and
organizations that provides grants to meet community needs.
Winston-Salem Planning Serves Winston-Salem and unincorporated Forsyth County as well as the smaller municipalities of
Department Bethania, Tobaccoville, and Rural Hall to plan city ordinances and land use zoning.
Winston-Salem Transit Operates the bus transportation system.
Authority
Winston-Salem Urban League Empowers and advocates for African Americans and other disenfranchised communities, and promotes
socioeconomic progress and parity through education, training and civic engagement.
Progress in Community Health Partnerships: Research, Education, and Action Winter 2020 • vol 14.4
expanded service on nights and weekends, an $800,000 annual REFERENCES 495
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Progress in Community Health Partnerships: Research, Education, and Action Winter 2020 • vol 14.4
APPENDIX 1. POLICY BRIEF 497
Progress in Community Health Partnerships: Research, Education, and Action Winter 2020 • vol 14.4