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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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Case Study
The case study outlines how Solano Public Health used funding to create a Race Equity Team, which conducted trainings internally and built relationships with external partners to address policy changes focused on racial equity. The Solano Public Health Division used this grant funding to work with community partners and other government agencies to undertake projects focused in low-resourced neighborhoods, such as conducting healthy store makeovers, adopting and implementing policies to increase access to water in parks and schools, improving clinical prevention referrals, and introducing policies that address access and exposure to tobacco. Of note, much of this work has focused on racial equity in the realm of chronic disease prevention in low-resourced neighborhoods.
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 article outlines how Rice County Public Health (RCPH) used a health equity data analysis tool to complete an assessment of internal policies and practices related to health equity. Given this assessment, RCPH developed a health equity plan with seven recommended practices to implement, and RCPH created trainings to increase staff awareness of health 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
The case study outlines how Lake County Health Department (LCHD) in Illinois created a health equity team whose job included facilitating relationships with community and agency partners. The case study includes examples of how the team created tools to increase awareness within LCHD of the impact of social determinants on health. For the team, LCHD specifically prioritized candidates who had lived experience in historically vulnerable communities and those who were used to multicultural bridging.
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
The case study outlines how the Tacoma-Pierce County Health Department (TPCHD) created a dedicated health equity team that put together a Health Equity Assessment report, which, in turn, allowed TPCHD to create a variety of tools, including maps and short documents, to help advance health equity. TPCHD also hired a health equity coordinator who uses these tools to encourage partner government agencies to prioritize health equity. These tools also inform internal policies at TPCHD, particularly around program planning and implementation.
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
The case study outlines how the city of King County created an interbranch team to focus on developing tools and policies to focus on equity across all government departments. The team has focused on providing trainings and assistance, helping with equity strategic planning and implementation, and training teams within each agency/department to focus on 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 Cuyahoga County Board of Health (CCBH) in Ohio helped to found, coordinate, and facilitate a multisectoral consortium that created a Community Health Improvement Plan for the county. The consortium also implemented trainings on equity. The CCBH’s participation in the consortium helped bring equity to the front of CCBH’s strategic plan.
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
The article presents strategies of how Durham County Department of Public Health operationalized equity into multiple phases of its COVID-19 response through infrastructure changes and how to apply these methods to future public health emergencies to better serve vulnerable populations. This response relied upon robust data collection of demographic data to identify inequities. Infrastructure changes included standing up multiple COVID-19 Task Forces (Homeless, Community, Food Security, African American) and Strike Teams (Long-Term Care Facility, Clusters) targeting vulnerable populations; placing testing sites in targeted locations; collaborating with multisector and community partners for feedback; and providing Health Ambassadors for in-person dissemination of COVID-19 information. The paper reviews results from these interventions and lessons learned.
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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Key Informant Interview
The director of the Black Hawk County Public Health Department in Iowa shares her thoughts on best practices for community engagement and public health leadership in this Q and A with The Kresge Foundation. The conversation is geared towards her experiences dealing with a highly segregated community and varying needs during COVID-19.
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.
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.