Online Program

Building state capacity for health equity: A guide for health practitioners and partners

Tuesday, November 3, 2015 : 10:30 a.m. - 10:45 a.m.

Erin Knight, PhD, MPH, School of Public Policy & Administration, University of Delaware, Newark, DE
Cassandra Codes-Johnson, MPA, Delaware Division of Public Health, Dover, DE
Gabrielle Ransford, Community Health, Delaware Division of Public Health, Dover, DE
Background: Achieving health equity will require a concerted effort from stakeholders within and outside of public health agencies. Upstream strategies addressing social determinants of health in the community, including a “Health in All Policies” approach, are critical for meaningful and sustainable change. At the same time, there are many opportunities for addressing health inequities in clinical settings, often described as downstream interventions. While the stream metaphor for prevention is particularly useful for describing changes needed for health equity, it should not be used in a way that suggests a dichotomy between community-oriented public health and healthcare. It is important to recognize that interventions along the entire continuum are needed. Public health agencies are seeking guidance and support in promoting a multifaceted approach to health equity. Methods: As part of a strategic planning effort of the Delaware Division of Public Health, we developed a guide for health practitioners and partners for promoting health equity. We researched promising practices, interviewed key informants, and incorporated feedback from local stakeholders. Results: The guide includes attention to place-based strategies, clinical strategies, policy-oriented strategies, research and evaluation, and leadership. It relies heavily on resources developed by others around the country and builds on local efforts. It integrates promising practices and existing recommendations in a way that promotes a full continuum of strategies. Conclusions: Although developed for the state of Delaware, we believe the approach used in the guide may be useful for others working to advance health equity through multifaceted and partnership-driven approaches.

Learning Areas:

Administration, management, leadership
Program planning
Public health or related public policy

Learning Objectives:
Identify four dimensions of a place-based strategy for improving social determinants of health in the community. List three ways in which healthcare providers can address the social needs of patients. Describe the continuum of strategies needed to achieve health equity.

Keyword(s): Community-Based Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: My research focus is improving public health capacity for health equity. I am the principal on this project and co-investigator on related projects addressing community health promotion.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.