Practical Approaches for Promoting Health Equity in Communities

Calancie, Larissa; Batdorf-Barnes, Ann; Verbiest, Sarah; White, Nevillene; Lich, Kristen Hassmiller; Corbie, Giselle; Mullenix, Amy; Cilenti, Dorothy

doi:10.1007/s10995-022-03456-9

Cited by 2 publications

(10 citation statements)

References 20 publications

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“…Below we provide descriptions of these themes and their subthemes and indicate their alignment with Calancie et al's recommended approaches. 9 Making explicit the relationship between CDPH's processes and the Calancie approaches to health equity illustrates how CDPH's selection and implementation of FCC demonstrate a commitment to health equity.…”

Section: Resultsmentioning

confidence: 99%

“…This recognition of persistent MCH inequities and the need to change course demonstrate CDPH's commitment to understanding the drivers of health and being accountable to outcomes affecting people's lives (Approaches A, H) . 9 …”

Section: Resultsmentioning

confidence: 99%

“…However, given CDPH's stated commitment to health equity, 19 , 20 in this analysis, the team explored whether this expressed commitment to health equity was demonstrated in the qualitative data. To do so, the team identified the processes used by CDPH to select and implement FCC, and over the course of multiple meetings, organized the data into categories, examined the categories for patterns, used an iterative process to synthesize data patterns into themes and subthemes, and then explored whether these themes aligned with the health equity approaches proposed by Calancie et al 9 ( Table 2 ).…”

Section: Methodsmentioning

confidence: 99%

“… 7 , 8 Furthermore, while MCH policy-makers and advocates have provided a clear rationale for addressing inequities, guidance on how to do so is limited. 9 …”

Section: Introductionmentioning

confidence: 99%

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The Role of a Local Health Department in Advancing Health Equity: Universal Postpartum Home Visiting in a Large Urban Setting

Zimmermann,

Haen,

Desloge

et al. 2023

Health Equity

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Introduction: Racial and ethnic inequities persist among birthing families in urban U.S. communities, despite public health efforts to improve outcomes. To address these inequities, in 2020, the Chicago Department of Public Health (CDPH) launched Family Connects Chicago (FCC), an evidence-based, universal, postpartum home visiting program. We examine CDPH's transition from “high risk” to universal home visiting to determine whether and how this change represent an explicit commitment to advancing maternal and child health equity. Methods: We conducted a secondary analysis of key informant interview data ( n =45 interviews) collected from stakeholders involved in FCC's early implementation. Our analysis involved identifying processes used by CDPH in their planning and early implementation of FCC and examining the alignment of these processes with approaches for promoting health equity proposed by Calancie et al. Results: The processes used by CDPH to plan and implement the FCC pilot are reflected in two major themes: (1) CDPH emphasized improving outcomes for all birthing families, and (2) CDPH prioritized engaging multiple stakeholders throughout planning and implementation. Alignment of these themes and their subthemes with the approaches proposed by Calancie et al. demonstrated that CDPH's implementation of FCC represents a commitment to advancing health equity. Discussion: In their planning and implementation of FCC, CDPH appears to have exhibited a concerted effort to address Chicago's persistent health inequities. Institutional commitment, continued stakeholder engagement, ongoing data sharing, and sustainable funding will be crucial to implementing and expanding FCC. Health Equity Implications: The implementation of FCC, a new service delivery approach for maternal and infant health, marks a new beginning in tackling inequities for Chicago's birthing families.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“… 7 , 8 Furthermore, while MCH policy-makers and advocates have provided a clear rationale for addressing inequities, guidance on how to do so is limited. 9 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Role of a Local Health Department in Advancing Health Equity: Universal Postpartum Home Visiting in a Large Urban Setting

Zimmermann,

Haen,

Desloge

et al. 2023

Health Equity

View full text Add to dashboard Cite

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“…Acknowledging the impact of discrimination and marginalization on the health of children with disabilities, the orthopaedic surgeon can take several steps: 23 Foster an inclusive clinical environment. The physical and sensory environment should be designed to accommodate the needs of individuals with disabilities.…”

Section: Heath Equity and The Orthopaedic Surgeonmentioning

confidence: 99%

Health Equity for Children with Disabilities

Houtrow¹,

Sabatini²,

Jarvis³

2023

Journal of the Pediatric Orthopaedic Society of North America

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Like all children, children with disabilities deserve the fair and just opportunity to be as healthy as possible. There are many barriers to optimal health for children with disabilities. Eliminating health disparities requires removing or minimizing the obstacles that keep children from being healthy. Because pediatric orthopaedic surgeons are often engaged in the clinical management of children with temporary or permanent disabilities, they are uniquely suited to advocate for inclusive orthopaedic care for all children regardless of their circumstances. Pediatric orthopaedic surgeons can promote health equity for children with disabilities by recognizing how ableist beliefs and actions negatively impact the clinical care of children with disabilities and can take action by addressing biases in their clinical practices and beyond. Key Concepts• Children with disabilities face discrimination in healthcare which put them at risk for worsening health disparities.• Health equity for children with disabilities is defined as the "fair and just opportunity to be as healthy as possible and thrive throughout their lives (e.g., from school to the workforce), without discrimination, and regardless of the circumstances in which they were born or live," according to the Maternal and Child Health Bureau's Blueprint for Change.• Orthopaedic surgeons can promote health equity in their practices by fostering an inclusive clinical environment, employing sensitivity in communication, checking and addressing personal biases, seeking practice-level changes, and engaging with the disability community to better understand their lived expertise.

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Practical Approaches for Promoting Health Equity in Communities

Cited by 2 publications

References 20 publications

The Role of a Local Health Department in Advancing Health Equity: Universal Postpartum Home Visiting in a Large Urban Setting

The Role of a Local Health Department in Advancing Health Equity: Universal Postpartum Home Visiting in a Large Urban Setting

Health Equity for Children with Disabilities

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