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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
The purpose of this brief is to highlight some of the strategies states are pursuing to address equity in allocating their ARPA child care funds. It also provides a framework to support decision making around how to use recovery funds that focuses on the needs and preferences of families—particularly families that face barriers to accessing high-quality ECE. Strategies include: (1) Conducting town halls with families, providers, and other early childhood stakeholders to inform state priorities for allocating the funding.(2) Partnering with intermediary organizations to conduct outreach and technical assistance around the stabilization grants with ECE providers. (3) Using the Social Vulnerability Index to distribute grants to ECE providers that serve the communities most in need within their state.
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 Sonoma County Department of Health Services created a framework called Health Action, outlining goals for improving the most pressing health disparities in their region. The study also describes how the Department convened a collaborative Health Action Council, comprised of community partners to address the key indicators of health outlined in the framework. They created a report based in data to align the work of the Department and its partners in order to more effectively address health disparities. Some of the most pressing problems identified included disparities around education and the relationship between education and health. Formation of Health Action has resulted in multiple groups using the strategic plan to inform their efforts.
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 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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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.
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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Toolkit
This guide provides tools for states, counties, and city health departments to advance community-based workforce principles. It provides an overview, suggested strategies, and resources for adopting the six principles. The principles include: recruiting with a racial equity framework; investing in trusted voices (including community health workers); strengthening connections with psychosocial services; embedding job training and pipelines to careers; launching community-based jobs programs; and strengthening community funding.
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 objective of this observational, cross-sectional study was to identify, document, and assess the progress made to date in implementing various processes involved in statewide community health worker (CHW) workforce development initiatives. A conceptual model of processes involved in implementing statewide CHW initiatives was developed and applied. Twelve statewide CHW workforce development processes were identified and an average of 8 processes were implemented per state. The results of the study showed that stakeholders have advanced statewide CHW workforce development training initiatives using the processes reflected in the conceptual model, and these results could help to inform future CHW initiative design, measurement, monitoring, and evaluation efforts, especially at state level.
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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Peer Review Study
This study provides short, intermediate, and long term research and policy recommendations by behavioral scientists on how to mitigate COVID-19 through behavior change to slow its spread by enhancing the understanding of impact of health inequities on underserved minority populations. Both the research and policy recommendations included in this commentary emphasize equity-driven (1) research practices, including applying a social determinants of health and health equity lens to monitoring, evaluation, and clinical trials activities on COVID-19; and (2) policy actions, such as dedicating resources to prioritize high-risk communities for testing, treatment, and prevention approaches and implementing organizational, institutional, and legislative policies that address the social and economic barriers to overall well-being that these populations face during a pandemic.
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 report outlines the catalyzing conditions for sustaining healthy communities, with the central premise being community power-building approaches. Public health partners can use this roadmap to build community power, which includes setting agendas, changing public discourse, building relationships with decision makers, and creating governance structures. The report also highlights sixteen community power-building efforts across the United States.
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.