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CENTRE FOR CROSS BORDER STUDIES JOURNAL LAUNCH 2016 Leading Cross-Border Collaboration in the USMexico Border Region: What is Important?". TODAY • • • • • • Collective Impact and Live Well San Diego • U.S. – Mexico Border Region • Political/Operational roles at various levels of U.S. and Mexican government • Status of border collaboration • Leadership research/survey • Where are we trying to go President Elect Trump & cross-border work COLLECTIVE IMPACT No single organization has the ability to solve any major social problem at scale by itself. Collective impact is a powerful approach to cross-sector collaboration that is achieving measurable effects on major social issues. USED FOR MANY COMPLEX ISSUES Health Community Safety Homelessness Education Poverty COLLECTIVE IMPACT FRAMEWORK 1. 2. 3. 4. 5. Common agenda Shared measurement Mutually reinforcing activities Continuous communication Backbone Organization Mark Kramer & John Kania SSIR 2011 COLLECTIVE IMPACT IS… 6 THE COLLABORATION SPECTRUM Trust Compete Co-exist Competition for clients, resources, partners, public attention. No systematic connectio n between agencies. Communicate Cooperate Coordinate Collaborate Inter-agency information sharing (e.g. networking). As needed, often informal, interaction, on discrete activities or projects. Organizatio ns systematical ly adjust and align work with each other for greater outcomes. Longer term interaction based on shared mission, goals; shared decisionmakers and resources. Integrate Fully integrated programs, planning, funding. Turf Loose Tight CALL TO ACTION More than Result in Lead to THAT THREE NUMBERS AFFECT US ALL: BEHAVIORS DISEASES PERCENT No Physical Activity Poor Diet Tobacco Use Cancer Heart Disease & Stroke Type 2 Diabetes Lung Disease of deaths in San Diego 1 World Health Organization (WHO). “The Global Strategy on Diet, Physical Activity and Health.” http://www.who.int/dietphysicalactivity/media/en/gsfs_general.pdf (Accessed September 22, 2011). 2 3Four50, www.3four50.com (Accessed September 22, 2011). OUR VISION 2009 2011 2014 JULIAN AND THE UNION SCHOOL DISTRICT HOW TO DO THIS IN THE BORDER REGION Shooting for this We are about here CALIFORNIA – BAJA CALIFORNIA: BORDER HEALTH OVERVIEW US-Mexico Border Region: Total Length: ~3,000 km (1,863 miles) North/South: 100 km (62 miles) CA/Baja CA: 322 km (200 miles) Source: Pan American Health Organization CALIFORNIA – BAJA CALIFORNIA: BORDER HEALTH OVERVIEW San Ysidro/TJ Mexico land point of entry (POE) is the busiest in the world. In 2015 there was approximately 65.4 million total individual north- and southbound crossings. For reference, LAX handled over 74.9 million total passengers in the same year Sources: US Department of Transportation, SANDAG EL PASO, TEXAS AND JUAREZ, MEXICO Estimated Unauthorized Immigrant Populations Numerical Size and Share of the Foreign-Born Population in the United States, 1970-2014 Table 1: Numerical Size and Share of the Foreign-Born Population in the United States, 1970-2014 Source: Migration Policy Institute (MPI) tabulation of data from the U.S. Census Bureau's 2010 and 2014 American Community Surveys (ACS), and 1970-2000 decennial Census. Different Roles FEDS/STATES ON POLICY: MEXICO MEXICO: REPATRIATION CENTERS The Migrant Health Program operates at four of the largest points where U.S. immigration authorities deport Mexican migrants: Tijuana (2012) Nuevo Laredo (2016) Reynosa (2016) Matamoros (2014) BINATIONAL COORDINATION Population-Based Strategies to Combat Heart Disease and Stroke TB AND EPIDEMIOLOGICAL BINATIONAL COMMUNICATION Binational communication regarding infectious diseases of concern e.g. Rise of Meningococcal disease in 2013, Ebola 2014 County of San Diego 2015 Annual Vector-Borne & Zoonotic Disease Meetings CURE TB program; http://www.sandiegocounty.gov/hhs a/programs/phs/cure_tb/ Program dedicated to continuity of care for Tb patients & their contacts who travel between the US & Mexico WORKING IN SILOS More than Result in Lead to BORDER REGION BEHAVIORS DISEASES PERCENT No Physical Activity Poor Diet Tobacco Use Cancer Heart Disease & Stroke Type 2 Diabetes Lung Disease of deaths in San Diego Border Region SAN DIEGO BORDER HEALTH COLLABORATIVE Objective: To address health priorities in the border region, network and share information with one another Goals: Communication, Coordination and Collaboration Meetings: Bi-monthly meetings in San Diego Support: County of San Diego, Public Health Services & CDPH Office of Binational Border Health Steering Committee provides oversight BORDER HEALTH CONSORTIUM OF THE CALIFORNIAS Purpose Networking Trainings & Capacity building Information Dissemination Elevating key border health issues to ultimately impact policy 4 Work Groups HIV, TB, Obesity, Mental Health Meeting Biannual binational meetings (California & Baja California) Support County of San Diego, Public Health Services, CDPH Office of Binational Border Health & US-Mexico Border Health Commission Binational Executive Committee provides oversight CROSS-BORDER LEADERSHIP RESEARCH SURVEY Example Survey Statements Have a good understanding of the politics of any issue being considered by the group, Ensure that cross border collaboration meetings are held in a neutral location and or equally held on each side of the border. Work to diversify the leadership of the steering committee and the collaborative as a whole (academia, government…) Understand the motives for cross-border collaboration members to be involved in the group Survey Demographics Leadership Themes/Categories Restated 1. Communicate to Engage the Collaborative 2. Steer the Collaborative 3. Understand the Members of the Collaborative 4. Manage the Collaborative 5. Strategic Relationship Building for the Collaborative. Leadership Themes/Categories “Working at the edge of our competence and at the height of being uncomfortable” Dr Michael McAphee; Promising Neighborhoods USA PRESIDENT ELECT TRUMP