Challenges and Opportunities in Developing and Implementing State Offices of Minority Health: The Case of Two States

Demographic changes and economic uncertainty in the United States have highlighted the persistence of racial and ethnic health disparities and the need to achieve health equity. One approach states have taken to eliminate racial and ethnic health disparities is the development and implementation of state Offices of Minority Health (OMHs). Currently, most states have an OMH or related entity; however, little is known about how these offices were developed, how they are being implemented, and similarities and differences between them. A comparative case study was conducted to determine how two states approached the development of their OMHs through legislation, the challenges the states face in implementing OMHs, and opportunities these offices have in improving community and population health in their states. In-depth key informant interviews were conducted with OMH leadership, staff, community partners, and legislators and interviews were analyzed thematically. Study participants discussed the importance of political will and policy entrepreneurship in developing and implementing OMHs, the role of passion, the importance of developing community leadership, capacity, and sustainability of health disparities programs, and the role of community, academic, and legislative partnerships and relationships. Study results provide a foundation for future evaluations of state OMHs and also present opportunities for sharing lessons learned that are applicable for advocates working to advance health equity in their communities.