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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 article focuses on strategies to create a “Chief Health Strategist” role to engage with relevant partners and drive initiatives that address upstream health determinants in communities.
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 article describes strategies to embed equity into the standard operations of the health department. These include incorporating equity-focused language into written documents like strategic plans and mission statements; utilizing an organizational evaluation toolkit (e.g. Bay Area Regional Health Inequities Initiative Organizational Self-Assessment Toolkit) to find opportunities to improve equity focus of public health strategy; and establishing organization-wide equity-focused work groups to ensure the continued focus on health equity in future interventions.
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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Case Study
This case study outlines how the city of Long Beach, California created an Office of Equity. These offices can help promote conversations on equity and social justice, align programming, and build capacity among many department divisions. Stakeholders are encouraged to allocate funds, find grants, and understand how health departments and other city/county departments work together, when working to consolidate or build an Office of Equity.
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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Case Study
This case study outlines how the Harris County Public Health Department (HCPH), Texas, developed and championed health equity-focused policies, structures, staffing positions, and trainings. In addition to outlining specific resources and frameworks other health departments can use, the report notes that HCPH used their health equity policy and procedures to redesign their response to the Zika virus.
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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Case Study
This case study outlines how the Boston Public Health Commission in Massachusetts, ensured that their workforce reflected the populations they serve. This included developing an Anti-Racism Advisory Committee to prioritize workforce development, retention, and hiring practices that advance equity; conducting all-staff trainings; and adopting an organization Racial Justice and Health Equity Initiative.
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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Case Study
This case study describes how the Virginia Equity Leadership Task Force (ELT) uses data to drive allocation of resources. ELT used a data-driven approach to learn where they should allocate resources to make a maximum impact, with a specific focus on marginalized and underserved populations who are at greatest risk of severe disease from COVID-19. They profiled neighborhoods by equity factors including income, race and ethnicity, comorbidities, crowded housing, and preferred language, and then distributed personal protective equipment with priority given to more vulnerable populations. They used similar analyses of social determinants of health; up-to-date COVID-19 vaccination status; and data on cases, hospitalizations, and deaths to determine where to place vaccine centers and hold mass vaccination events.
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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White Paper/Brief
This brief outlines The Public Health Alliance of Southern California’s priority areas for elevating public health & equity in the COVID-19 response. This includes outlining what is needed in infrastructure, health and safety, economic security, food security, housing stability, and data.
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 brief outlines case studies, resources, and recommendations that counties and cities can take to explicitly and intentionally embed equity staff and practices into their emergency operations structures within the public health emergency response and recovery process. To implement this strategy, health departments should build robust community partnerships before a crisis occurs. They should collaborate with community based organizations, non-profits, and leaders to ensure that interventions are responsive to community needs. Before an emergency, health departments should create a coalition of community partners, and establish a Community Organization Active in Disaster group and agree upon decision-making structures, values, and resources. Health departments should compensate partners for their time. Finally, they should provide opportunity for feedback by creating a Community Advisory Group.
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 cross-sectional analysis uses national nursing home COVID-19 reports linked to other data to determine racial/ethnic disparities in weekly country of new COVID-19 cases and deaths among nursing home residents or staff. The study found that nursing homes caring for a disproportionately higher number of racial/ethnic minority residents reported more weekly new COVID-19 confirmed cases and/or deaths. Authors suggest immediate actions are needed to address these system-level disparities.
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 discusses the Medical Adaptations series and reveals several lessons. It offers recommendations on providing and utilizing information technology for online learning to mitigate some inequities borne by socioeconomic and generational differences, English as a second-language learners, and those with disabilities who do not have access to adaptive technology.