May 27, 2024
Show Notes:
Somava Saha's interest in medical school began late in her career. She studied molecular biology in her fourth year at Harvard, but she eventually enrolled in the Berkeley UCSF joint MediCal program. There, she learned about medicine from the perspective of people and cases, as well as the economics of medicine and the history of healthcare and public health. She also completed a master's thesis with the Bahai Community Health Partnership in Guyana, South America, where she worked alongside community health workers, villagers, and teachers to create conditions for collective healing. Somava explains the approach taken and how it led to significant health improvements, such as 90% reductions in malaria rates and elimination of acquired developmental delays.
Getting to Know the People Who Experience Homelessness
Somava also talks about the impact the Spare Change newspaper and getting to know the people experiencing homelessness in Harvard Square had on her and her career. She started to get involved in programs like Phillips Brooks House, and food recovery programs. By listening to the stories of people who were homeless, Somava found that there was an incredible wealth of human potential and people with enormous gifts to offer one another and others in creating communities. This experience taught her how to value the knowledge stored in stories, how to connect people's stories with policies, and see the gift in others as valuable tools for creating better change.
Community-driven Change
Somava talks about her time at Harvard Medical School and the Cambridge Health Alliance. She learned about the importance of community-driven change and how it can build social connections and change systems. During her residency training, Somava learned about the differences in structures and systems. She also encountered the challenges of supporting patients who had recently been assaulted. She talks about the process of collecting evidence and how this experience led to her belief in a model of seamless care that demonstrates true dignity and cultural competence is an important model to follow. She realized that the presence or absence of money does not determine whether systems work for people and communities experiencing inequities. Instead, it is the choices we make as a society and how structures and systems are designed to create a sense of dignity.
Leading a Community Health Center
Somava talks about leading a community health center in Revere, using the same lessons and methods as her life at Cambridge Health Alliance. Over the next two and a half years, the center became known as a national model, and she became elected as the next president of the medical staff. Somava went on to become the Vice President leading the care transformation in Massachusetts. The transformation focused on designing a system that works for people, giving dignity and agency, and valuing all workers based on their expertise, talents, gifts, and contributions. This transformation was chosen by the Assistant Secretary for Planning and Evaluation as one for innovative and effective transformations in the country.
Designing a Health System that Works
Somava realized that health doesn't happen when someone goes into the doctor's office, but rather throughout life, leading to toxic stress and harmful outcomes. This led her to propose the 100 million healthier lives initiative, which built a global network across 30 countries and over 1850 partners reaching over 500 million people. In three and a half years, the network improved 738 million lives. She also founded Well Being and Equity in the World, focusing on changing the underlying conditions and root causes that perpetuate harm in people's lives, holding back their potential throughout their lifespan.
A Progressive Medical Clinic Model
Somava explains what made the Revere Clinic a progressive model and offers an example of how it worked for patients. The clinic created high-functioning teams to cater to the needs of the community, ensuring longer hours and safety appointments. The clinic recognized the importance of community members, such as medical assistants and receptionists, who could play a larger role than their technical capacity. Revere changed its financing model to focus on improving health and connecting with people throughout the year. They focussed on quality of care over quantity, building relationships, and supporting the patients. These approaches are just a few that were incorporated and prioritized preventative care, chronic disease management, and provided more time and coaching for individuals to work on their health and well-being goals.
Creating Well-being Initiatives
Somava has worked with over 500 communities across the nation, including black, indigenous Latinx, and other communities, to create wellbeing initiatives designed by people closest to the problems. These initiatives saved over 60,000 years of life and helped communities of color, expunged prison records, and fed and housed the community back in their homes.She emphasizes the importance of understanding that those experiencing inequities have enormous gifts to offer the nation and that it is a loss is when we prevent them from expressing their genius.
A Mission to Advance Well-being
Somava’s mission is to advance intergenerational well-being and equity based on racial and economic justice. She talks about methods employed to create pathways for intergenerational health building and community building, including the Well Being in the Nation network, which connects the dots across organizations and provides support in multiple ways. Many of their initiatives and frameworks have been adopted by organizations and federal agencies. The most important part of their work is building community, and building change agents who can create better change. They have worked with organizations like the Robert Wood Johnson Foundation, the CDC, and the Surgeon General to build capacity in the public health system and to create a network of change agents.
Influential Harvard Courses and Professors
Somava mentions professor Diana Ecks on World Religions, and courses Lessons Learned from the Weimar Republic, Medical Anthropology
Timestamps:
05:17 Healthcare, poverty, and social connection
10:18 Homelessness, poverty, and healthcare
18:11 Improving healthcare systems for marginalized communities
24:05 Transforming healthcare through community-centered approaches
28:45 Healthcare system redesign for better patient outcomes
36:43 Improving diabetes care through patient-led groups
40:56 Trusting patients' knowledge for health and wellness
46:07 Building collective leadership for health equity
Links:
Website: https://weintheworld.org/
Featured Non-profit:
The featured non-profit of this episode is CAPE, recommended by Melinda Hsu Taylor who reports: “Hi, this is Melinda Hsu from the class of 1992. And this week's featured organization is the coalition of Asian Pacific's in entertainment. They're a group that's been around for about 30 years in Hollywood, fostering and Amplifying Voices from the creative side from the industry talent side, all from the Asian Pacific Islander native Hawaiian community. And I'm very pleased to have been involved with many of their outreach programs and the Asian American writers brunch, as well as the mentoring program that they have through not just the cape writers fellowship, but also the showrunner incubator, which I'm helping launch this year. And I hope that you will look up their website which is Cape usa.org To find out more about the work they do the initiatives and also the screenings and the kind of like programs that they do to let people know about what films are coming out and how to support them and how to get involved with all of these things. And now here is Will Bachman and this week's episode.”
To
learn more about their work visit: CapeUSA.org