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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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Systematic Review/Meta-Analysis
This review of state data collection and reporting practices during the COVID-19 pandemic found inconsistencies and gaps in data collected by race and ethnicity. Improved standardization across the U.S.–which may come in the form of a federally-operated centralized database–would address some of the concerns in data representation of all Americans.
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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Systematic Review/Meta-Analysis
This analysis explores regional variation in COVID-19 death rates across America. It unpacks the “two Americas” narrative of some parts of the country having high demand for vaccines and others having widespread vaccine hesitancy, and shows that a divide between rates of exceeds death existed prior to the introduction in vaccines. This difference is likely due to a difference in mask use, social distancing, and other behaviors. Results underscore the importance of excess mortality measures such as wastewater testing to get a more accurate picture.
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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Systematic Review/Meta-Analysis
This study analyzes different epidemic models of COVID-19. It demonstrates the variability of models’ ability to predict COVID-19 transmission and outbreak. It advises public health practitioners to exercise caution when formulating public health strategies based on the prediction results of mathematical models due to this variability.
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
The Health Equity Assessment Toolkit (HEAT) is a software application that facilitates the assessment of within-country health inequalities. It was developed for use on desktop or laptop computers and mobile devices. Explore inequality, which enables users to explore the situation in one setting of interest (e.g. a country, province or district) to determine the latest situation of inequality and the change in inequalities over time. Compare inequality, which enables users to benchmark, i.e. compare the situation in one setting of interest with the situation in other settings.
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.
RELEASE DATE:
Systematic Review/Meta-Analysis
In an effort to help build the evidence base around social determinants of health (SDOH), the Assistant Secretary for Planning and Evaluation (ASPE) engaged RAND in a project to evaluate the current evidence from programs and policies targeting SDOH and identify research questions, data sources, and data gaps. RAND used a multi-methods approach that included an environmental scan of the published and gray literature of SDOH interventions; key informant interviews with subject matter experts; and a convening of U.S. Department of Health and Human Services agencies and operating divisions to review the results of the environmental scan and offer insights on findings.
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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Toolkit
The Community Information Exchange (CIE) Data Equity Framework’s goal is to build data systems to help institutions, and the communities they serve, approach CIE® planning and systems change work from a place of anti-racism by: (1) naming how data system design reflects understanding of and participation by the intended beneficiaries of current programs and interventions; (2) acknowledging and documenting the effects of a spectrum of data system design types on oppressed populations and communities; (3) identifying strategies needed to eliminate the harm of current processes and practices; (4) highlighting the behavior change needed to rebuild or change the overall data system to better meet community needs across racial and ethnic populations; and (5) adopting practices that promote restorative justice and mitigate harm and exploitation.