Project Prevention in Action was conceived of with a view to addressing gaps and barriers in knowledge among healthcare providers as to the everyday challenges that low-income, disenfranchised, marginalised populations experience, particularly those who identify as Black, Asian and Minority Ethnic (BAME) and/or people living with NCDs, when attempting to engage in healthy and active living. To do this, C3 is inviting healthcare providers to join with local community members in using our innovative community engagement, digital health strategy known as Community Health Engagement Survey Solutions (CHESS™) in three communities in England, Ireland and France.
The community chosen by C3 in England was Brent, an outer borough in the north-west of London. It is ethnically diverse, with 65% of residents identifying either as black, Asian or minority ethnic. The poverty rate in Brent is significantly higher than that of the rest of London at 33%, compared to 28% across the capital. Though the proportion of people in poverty is above average, pay inequality (based on the 80:20 ratio) is lower in Brent than in most London boroughs. Those at the 80th percentile earn 2.45 times more than those at the 20th percentile, whereas in London, on average, this number is 2.74. The child poverty rate, at 41%, is significantly higher than the national average of 31%. Housing in Brent is less affordable than the London average.
From a health point of view, Brent is one of the most physically inactive boroughs in the country, with one of the highest levels of type 2 diabetes.
The CHESS Walk
On Saturday 4th September, C3 and local residents from Brent, took part in a CHESS™ walk as part our our Prevention in Action programme. The walk took place in Harlesden (Harlesden High Street and Park Parade). The High Street in Harlesden is a busy, bustling shopping area, mostly occupied by convenience stores and independent fast food take-away restaurants.
During the walk along the High Street, several participants commented on how many shops appeared to sell the same or similar products. They noted that on one side of Park Parade in particular, five convenience stores all sold what appeared to be exactly the same products. Some of the participants who have shopped in the area every week had not remarked upon this before.
It was an eye opener as to how many shops did little to promote healthy food.
The CHESS™ tool allowed participants to collect quantitative data about the local food environment and how the way the built environment is constructed affects exercise habits. C3 asked residents about their own experience of living in Brent allowing us to collect qualitative data during the walk itself. The CHESS™ walk in Brent made it possible to identify places to evaluate including:
- Indoor and outdoor physical activity spaces
Once all the data was collected, it was sent to a member of C3’s team responsible for analysing the data collected. This will then be discussed between C3 and the participants at an insight session to be held on Saturday 18 September 2021.