Community Context and Challenges

  • Poverty disproportionately affects children and minorities; 25% of children live in poverty, compared to 21% nationwide, and the poverty rate among Hispanic and black residents is over twice what it is for white.

  • Granville County has higher rates of chronic disease like type 2 diabetes and obesity in the county than the state and the nation.

  • Historic inequities have led to sharp disparities in health outcomes and educational attainment for black residents, yet officials have not had much success engaging the black community in countywide health assessments.

  • Mental health and substance abuse are rising concerns in Granville County; suicide rates exceed that of the state and admissions to mental health facilities and substance abuse treatment centers increased by nearly 60% from 2011 to 2013.


Community Actions: A First Look

Citizens, partner organizations, and policy makers are coordinating to make Granville County a healthier, more livable environment for all.

In partnership with nearby Vance County, Granville has revitalized the process for engaging residents in health decisions, enabling more active lifestyles, and promoting community well-being as a shared goal. With targeted initiatives taking hold, Granville County has started to see early signs that they’re on the right track.

These baseline reports, created in 2016, track community programs and initiatives in their early stages and measure initial progress only. Future reports will provide more in-depth insights and analysis into this community's efforts to build a Culture of Health.

Going Forward: Questions for Consideration

Additional surveillance, data and information gathering, analysis, and reporting will examine the extent to which stakeholders’ desire for a more inclusive process and their awareness of social determinants of health lead to more involvement by Granville County’s black population in community-wide discussions and initiatives to address disparities in health and well-being. Future reports will also examine how stakeholders are working to create a healthier, more equitable community; the impact of new and ongoing initiatives to address priority health concerns; and whether gaps are emerging in priority areas.

Several questions remain, including the following:

  • In what ways is Granville County evolving its activities to engage more residents, particularly black residents, in discussions and decisions regarding health and well-being? What are the narratives that drive or inform health in the black community, and how do key leaders use them for civic engagement around health?

  • To what extent does Granville County consider and plan for active promotion of health and well-being, and not simply disease prevention?

  • What is the structure of the broader health system, and how do actors and key sectors work together to address shared challenges?

  • What are the interrelationships among economic, educational, and other social drivers of health in the county, and how are leaders planning for them in a coordinated way, particularly in the context of equity and opportunity discussions?

  • To what extent are other coalitions and collaborations addressing the social, structural, and economic drivers being leveraged to consider their role in health and well-being, and what efforts have been tried to link across? What are key facilitators and barriers to initiating and/or maintaining those linkages?

  • What models or strategies are being debated to address conditions of the physical environment in order to promote quality living? How can the story/successes to improve walking and biking opportunities be transferred or scaled to other features of the community?