Health E Englewood Health and Wellness Program: A Social Determinants of Health Intervention in Englewood, New Jersey.

BACKGROUND: The Health E Englewood Health and Wellness Program is a social determinant of health (SDoH) intervention developed to address social factors affecting the health of the North Hudson Community Action Corporation (NHCAC) patients', a Federally Qualified Health Center located in Englewood, New Jersey. The main aim of this integrated wellness approach was to educate and motivate participants from the local community by strengthening the development of healthy lifestyles and providing the necessary tools for positive behavior change. METHODS: Health E Englewood was a four consecutive week workshop series focused on three areas of health: physical, emotional, and nutritional wellness. The program targeted Spanish-speaking patients from NHCAC and was offered virtually via Zoom in Spanish. RESULTS: The Health E Englewood program was launched in October 2021 with 40 active participants. About 63% of participants attended at least three of the four workshop sessions, with at least 60% of participants reporting improved lifestyle changes after the program. Additional follow-up data collected six months later also indicated evidence of the program's long-term benefits. DISCUSSION: Social factors are the primary drivers of health outcomes. While many determinant interventions have failed to show long-lasting benefits, studying these interventions and their impact is crucial as it avoids "re-creating the wheel" inside health care and increasing costs.

Power quality and modern energy for all.

"Modern energy for all," an internationally supported initiative to connect populations to electricity services, is expected to help reduce poverty-induced vulnerabilities. It has become a primary strategy for meeting sustainable development goals, especially in sub-Saharan Africa. However, when electricity is supplied by a capacity-constrained grid to a resource-constrained population, the service quality can vary both spatially and temporally. This research explores the quality of electricity services based on a case study of Unguja, Tanzania. Using 1) open-ended interviews, 2) detailed electricity-systems monitoring, and 3) household surveys, we show how voltage quality varies significantly, even within highly localized settings. Fluctuations result in dim lights at best and power outages and broken appliances at worst, denying many Unguja residents the expected benefits of access to modern energy. By combining an extensive understanding of the physical system together with interviews and surveys, this work presents a unique mapping of voltage quality in a system that is financially and physically constrained and highlights the consequences of poor-quality service for poor users.