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Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Summary Report/Recommendations
This article compared community health workers (CHWs) in Indiana and Texas based on the results of two research studies in order to 1) investigate the unique role of CHWs and their Spanish-speaking counterparts, promotores de salud, in rural communities and 2) understand how their advocacy efforts represent a central form of caregiving. An analysis was done of how CHWs connect structurally vulnerable clients in rural areas to resources, health education, and health and social services. CHWs and promotores de salud have acted as first responders to the needs of marginalized rural populations, especially during the COVID-19 pandemic. In addition to health education and translation work, CHWs also play an important role in advocacy, bridging the gap between clients and community leaders. While informing clients of available resources, they empower the clients to advocate for their own needs in different settings. CHWs also have the ability to engage with stakeholders and policy makers in better addressing client needs.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Evaluation Report
This evaluation report described the Pima County Housing First Initiative pilot phase, which provided permanent supportive housing and case management to justice-involved individuals experiencing homelessness in Pima County, Arizona. Justice-related service utilization and health care costs declined for program participants enrolled in the program for 12 months or more, offsetting the program costs. However, additional analysis is needed to determine whether there is a causal relationship between program enrollment and reduction in service utilization.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Evaluation Report
This case study presents findings on place-based initiatives to address social determinants of health and health inequities through the Action Centers in New York City. The Action Centers, hosted by the Health Department, are a way to address community-level social determinants of health by providing low-cost office space to partner organizations and free convening space for events, meetings, and programs. This ultimately increases community members’ access to services, beyond what the Health Department or individual organizations can offer.
Promising Practices that show evidence of effectiveness in improving public health outcomes in a specific real-life setting, as indicated by achievement of aims consistent with the objectives of the activities, and are suitable for adaptation by other communities.
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Peer Review Study
This report examines decarceration as a public health response to the COVID-19 pandemic. People in correctional facilities are more susceptible to COVID-19 for a wide variety of reasons, including overcrowding and higher rates of pre-existing conditions. Public health agencies can advocate for these decarceration policies or participate directly in discharge planning or health care provision to these vulnerable populations.
Best Practices that show evidence of effectiveness in improving public health outcomes when implemented in multiple real-life settings, as indicated by achievement of aims consistent with the objectives of the activities.
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Summary Report/Recommendations
This framework focuses on strategies and action steps recommended for health departments to enhance access to testing, quality care, and prevention methods in correctional/incarceration facilities. This resource opines that health departments, which often provide health care in carceral settings or contract private organizations to provide health care, should strengthen health care services for incarcerated people. All people, regardless of whether they are incarcerated, should have immediate access to testing, care, and the ability to protect themselves from disease.
Novel Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and are in the process of generating evidence of effectiveness or may not yet be tested.
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Case Study
This case study describes a secondary purpose of Chicago’s Racial Equity Rapid Response Team, which is to improve health outcomes among communities that have been most heavily impacted. The work has included campaigns, town halls, prevention programs, city testing sites, and securing grant funding.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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Summary Report/Recommendations
In this report, the authors evaluate health equity across race and ethnicity, both within and between states, to illuminate how state health systems perform for Black, White, Latinx/Hispanic, American Indian/Alaska Native, and Asian American, Native Hawaiian, and Pacific Islander populations.
Emerging Practices that show potential to achieve desirable public health outcomes in a specific real-life setting and produce early results that are consistent with the objectives of the activities and thus indicate effectiveness.
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White Paper/Brief
This paper serves as a foundational look into how structural racism and social determinants of health impact communities of color — particularly Black and Latino communities — in Massachusetts. This document uses local Massachusetts and national data sources to examine multiple factors for health inequities among racial minorities within the state. The primer covers demographic profiles, social drivers of health, access to coverage and care, service utilization, health outcomes, and the disparate impact of COVID-19 with infographics across multiple areas of health.