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CHTI Health Equity Toolkit

The Community Health Training Institute's Health Equity toolkit is designed to help community members, stakeholders, organizations, and many more explore and tackle the roots of health inequity by addressing the social determinants of health. According to Healthy People 2020, health equity means achieving the highest level of health for all people, and it entails focused societal efforts to address avoidable inequalities by equalizing the conditions for health for all groups, especially for those who have experienced socioeconomic disadvantage or historical injustices. Creating a just and equitable society where all can participate and prosper requires the joint effort of many sectors, and we hope you can find some guidance in this toolkit. 

What is Health Equity?

Introduction to Health Equity in Community Building 

 

 

 

 

 

 

 

 

 

Brought to you by the Community Health Training Institute, this webinar aims to provide a broad overview of health equity and how to apply a health equity lens to community health work, particularly with an emphasis on building individual nad coalition capacy to engage diverse communities through empowering competant approaches.There are numerous barriers to such engagement; some conscious, and some unconscious. Race, class, and cultural communication styles all influence the ways in which diverse communities relate to the work. This webinar will introduce participants to health equity, culturally competent approaches, and how to think collaboratively about ways to effectively engage diverse populations/communities in their efforts. We also offer a Health Equity Training Series.

 

RWJFWhat is Health Equity? And What Difference Does a Definition Make? 

From The Robert Wood Johnson Foundation: Health equity means that everyone has a fair and just opportunity to be as healthy as possible. This requires removing obstacles to health such as poverty, discrimination, and their consequences, including powerlessness and lack of access to good jobs with fair pay, quality education and housing, safe environments, and health care. The purpose of this report is to stimulate discussion and promote greater consensus about the meaning of health equity and the implications for action within the Culture of Health Action Framework. 

Learn more

 

rootsRoots of Health Inequity: A Web-Based Course for the Public Health Workforce

From NACCHO: Roots of Health Inequity is an online learning collaborative and web-based course designed for the public health workforce. The site offers a starting place for those who want to address systemic differences in health and wellness that are actionable, unfair, and unjust. Based on a social justice framework, the course is an introduction to ground public health practitioners in concepts and strategies for taking action in everyday practice.

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HIAP newHealth In All Policies: Strategies to Promote Innovative Leadership

From ASTHO: In support of the National Prevention Strategy, ASTHO produced this innovative resource to educate and empower public health leaders to promote a Health in All Policies (HiAP) approach to policymaking and program development. By collaborating across multiple sectors to address health disparities and empower individuals, promoting healthy communities, and ensuring quality clinical and community preventive services, we can increase the number of Americans who are healthy at every stage of life.

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Social Justice and Health Equity

CJLevels of Racism: A Theoretic Framework and a Gardener's Tale

From The American Journal for Public Health: Dr. Camara Jones presents a theoretic framework for understanding racism on 3 levels: institutionalized, personally mediated, and internalized. This framework is useful for raising new hypotheses about the basis of race-associated differences in health outcomes, as well as for designing effective interventions to eliminate those differences. She then presents an allegory about a gardener with 2 flower boxes, rich and poor soil, and red and pink flowers. This allegory illustrates the relationship between the 3 levels of racism and may guide our thinking about how to intervene to mitigate the impacts of racism on health. It may also serve as a tool for starting a national conversation on racism.

Learn more and watch a video of Camara Jones telling the Gardener's Tale here 

 

CDC Health Impact PyramidRace and Socioeconomic Factors Affect Opportunities for Better Health

From  the Commission to Build a Healthier America: To understand health disparities, it is not enough to consider only race or only socioeconomic factors because both affect health. Dramatic differences in health among racial or ethnic groups in the United States have been observed repeatedly across a wide range of important indicators of health from the beginning of life through old age. For example, person’s income and education—along with other correlated characteristics including accumulated wealth, occupation and neighborhood socioeconomic conditions—can influence health in myriad ways. This report explores these topics more in depth. 

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ARCHEStructural Racism and Health Inequities in the USA: Evidence and Intervention

From ARCHE: Despite growing interest in understanding how social factors drive poor health outcomes, many academics, policy makers, scientists, elected officials, journalists, and others responsible for defining and responding to the public discourse remain reluctant to identify racism as a root cause of racial health inequities. In this conceptual report, the third in a Series on equity and equality in health in the USA, we use a contemporary and historical perspective to discuss research and interventions that grapple with the implications of what is known as structural racism on population health and health inequities. We argue that a focus on structural racism offers a concrete, feasible, and promising approach towards advancing health equity and improving population health.
 
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Health Equity Data

500 cities new500 Cities: Local Data for Better Health

From the CDC: The 500 Cities project is a collaboration between CDC, the Robert Wood Johnson Foundation, and the CDC Foundation. The purpose of the 500 Cities Project is to provide city- and census tract-level small area estimates for chronic disease risk factors, health outcomes, and clinical preventive service use for the largest 500 cities in the United States. These small area estimates will allow cities and local health departments to better understand the burden and geographic distribution of health-related variables in their jurisdictions, and assist them in planning public health interventions.
 
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CHRCounty Health Rankings & Roadmaps

From Robert Wood Johnson Foundation: The County Health Rankings & Roadmaps program compares the health of nearly all counties in the United States to others within its own state, and supports coalitions tackling the social, economic and environmental factors that influence health. The annual Rankings provide a revealing snapshot of how health is influenced by where we live, learn, work and play. As the Rankings provide a starting point for change, the Roadmaps provide guidance and tools to understand the data, and strategies that communities can use to move from education to action.
 
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NEANational Equity Atlas 

From PolicyLink: America will soon be a majority people-of-color nation, yet inequality is skyrocketing and low-income people and communities of color face persistent barriers to accessing the resources and opportunities they need to reach their full potential. Equity, inclusion, and fairness are more than the right things to do, they are economic imperatives. Equity is the superior growth model. The National Equity Atlas was developed as a tool for the growing movement to create a more equitable, sustainable, and resilient economy. It is a comprehensive resource for data to track, measure, and make the case for inclusive growth in America’s regions, and states, and nationwide. The Atlas contains data on demographic change, racial and economic inclusion, and the potential economic gains from racial equity for the largest 100 cities, largest 150 regions, all 50 states, and the United States as a whole.
 
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Health Equity Action Guides

urban heartUrban Health Equity Asessment and Response Tool User Manual

From WHO: Urban HEART is a user-friendly guide for local and national officials to identify health inequities and plan actions to reduce them. Using evidence from WHO’s Commission on Social Determinants of Health, Urban HEART encourages policy-makers to develop a holistic approach in tackling health equity. Since the launch of the pilot programme in 2008, Urban HEART has been pilot-tested in cities in Brazil, Indonesia, Islamic Republic of Iran, Kenya, Malaysia, Mexico, Mongolia, Philippines, Sri Lanka and Vietnam.

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reportHealth Equity From the Inside Out: A Data-Driven Exploration of the Challenges and Best Practices for Operationalizing Health Equity

From ARCHE: The public health field has been instrumental in identifying how social determinants impact the health of individuals, families, and communities.  We brought together leaders and community stakeholders to build consensus and incubate the best ideas that promote equity in key policy and program areas ripe for intervention or innovation. Its central focus is on changing policy, systems, practices and environments to affect the social determinants of health, and this report works to identify best practices, recommendations and innovative solutions that can be deployed by policymakers and the field at large to advance change.

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cdcA Practitioner's Guide for Advancing Health Equity

From the CDC: The comprehensive guide provides lessons learned and innovative ideas on how to maximize the effects of policy, systems and environmental improvement strategies—all with the goal of reducing health disparities and advancing health equity. It goes over Incorporating health equity into foundational skills of public health, along with maximizing healthy food and beverage strategies, tobacco-free living strategies, and maximizing active living strategies all to advance health equity

Learn more

 

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