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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 Packed Promise intervention sent monthly food boxes and food vouchers to families with children eligible for free school meals in Chickasaw Nation territory in rural Oklahoma. The deliveries themselves were successful and led to modest improvements in children’s fruit, vegetable, and whole-grain consumption, but the intervention did not result in statistically significant reductions in children’s food insecurity. Adult food insecurity was reduced initially, but the reduction was not sustained after 18 months. 2 articles were written to assess Packed Promise’s impacts on food insecurity (Briefel et al.) and fruit/veg consumption (Cabili et al.).
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 Public Health Madison & Dane County (PHMDC) hired health equity coordinators to build capacity within PHMDC to promote racial health equity. Efforts included professional development and training among staff, strategic planning around equity, and forming a racial equity team within PHMDC.
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 Cook County Department of Public Health (CCDPH) in Illinois partnered with community organizers on worker and immigrant rights to create a multisectoral collaborative to address root causes of health inequity called the Collaborative for Health Equity. This collaborative explicitly works to address structural racism and health inequities. It has built relationships with local social justice organizations that have helped guide CCDPH to center health equity in its strategic plans.
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.
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 article details how the Rhode Island Department of Health built its community-level COVID-19 response from existing capacities and networks through its Health Equity Zone Initiative. The initiative is a place-based, community-level model that brings a range of community members together to address pressing health issues and build capacity for systemic changes surrounding the social determinants of health. The state has used federal pandemic relief funds to expand the Health Equity Zone Initiative by providing resources to community partners, social service agencies, and grassroots organizations to be engaged in the pandemic response. The initiative’s partners provided critical community-based services including COVID-19 testing and vaccination sites, quarantine and isolation supports, distribution of masks and other personal protective equipment, and direct outreach and education by community health workers and community outreach specialists.
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 article describes how the Pennsylvania Department of Health’s Health Equity Response Team, which is made up of more than 100 community partners, helps implement recommendations from the task force. The team meets every two weeks to address health inequities associated with COVID-19. Over the past 18 months the team has led initiatives to serve vulnerable populations. Initiatives such as faith-based vaccine sites, immigrant testing access, mobile community testing options, and agricultural worker testing bolstered the department’s response to COVID-19. The team facilitated community partnerships that drove personal protection equipment distribution, investigation of improved paid sick family/medical leave options, and the digital clemency process in the corrections field. The team also spawned the department’s efforts around improved race and ethnicity data enrichment, assessment, and reporting improvements.
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 article describes how Virginia collected and reported data to inform COVID-19 response efforts and decisions. Virginia officials noted a hallmark of Virginia’s success has been the focus on data strategies and mapping techniques to identify COVID-19 testing, vaccination, and resource allocation priorities. For example, the working group used geospatial data to inform the distribution process for a personal protective equipment (PPE) pilot program that successfully distributed more than two million units of PPE across 66 local governments. The task force uses data stratified by race and ethnicity, medical vulnerability, and other social and environmental factors to identify locations for community engagement, outreach, testing, and vaccination clinics. The task force also launched two equity dashboards to provide a transparent measurement of ways COVID-19 resources have been allocated and equity gaps across various social determinants of health identified in Virginia House Joint Resolution 537.