Formalizing the role of community key individuals in Utrecht, the Netherlands

Abstract Issue The disconnect between (underserved) communities and governmental bodies in Utrecht, The Netherlands, has led to uneven access to (essential) healthcare services, increasing health inequalities. This gap is often bridged by key community individuals, whose roles have historically been informal. Key individuals are often seen as volunteers who are necessary to gain access to certain communities but are rarely seen as equals in a project team, resulting in mistrust and reduced collaboration on the long term on the side of the key individuals. Description of the problem This practice describes the start of a new foundation in Utrecht that formalizes and compensates key individuals’ roles in public (health) projects. The aim was to empower them and to encourage continued participation. Effects In 2024, the foundation supported key individuals in three government projects, including a childhood vaccination awareness campaign. Interviews revealed that key individuals felt more empowered and equally valued compared to other project members. They also felt a strong responsibility for project success. However, some noted that formal structures could be restrictive. The government felt more convenience working with a formal foundation. Lessons Empowering key individuals is crucial for effective collaboration in public health. There needs to be a balance between formal structures and the flexibility of informal approaches to prevent barriers for key individuals to participate in government projects. Key messages • Formalizing key individual roles enhances public health interventions. • Fair compensation to key individuals fosters sustainable collaboration.