Table 2.
Approaches for Promoting Health Equity in Communities, Adapted from Calancie et al.
| Approach | Description |
|---|---|
| A | Expand the understanding of the drivers of health and work across sectors: Acknowledging that the structural and social determinants of health are the major drivers of health status. Furthermore, these determinants are complex and interconnected, requiring multisectoral collaborations to make changes in the pursuit of health equity. |
| B | Take a systems approach: Understanding how and why systems advantage some individuals and disadvantage others can be examined through systems thinking. Systems thinking can help identify multifactorial problems, bust silos, and uncover cross-sector opportunities for policy change. |
| C | Reflect on your own organization: Looking inward to examine how diversity, equity, and inclusion manifest within one's own organization can influence the perspectives brought to community-based efforts. |
| D | Follow the lead of communities who experience injustices: Every step of developing strategies to promote health equity, from determining needs to interpreting data, should center the knowledge and perspectives brought forth by community members. |
| E | Work with community members, decision-makers, and other stakeholders to prioritize action: It is essential to align health equity solutions with community-identified strengths, needs, priorities, and constraints. In doing so, flexibility and adaptability are critical, so that changes can be made based on stakeholder input. |
| F | Foster agency within individuals and collective action within groups: In efforts to address inequities, those with power need to direct support and financial resources to those with lived experience. Sharing power develops agency in individuals and fosters collective action within groups. |
| G | Identify and collect data to show where health inequities currently exist to inform equitable investment of resources: In taking a community-engaged approach to implementing interventions, it is important to work with communities to identify data sources, determine outcomes of interest, and analyze and interpret the data in a way that is credible and does not promote false narratives or biases. |
| H | Be accountable to outcomes that reflect real improvements in people's lives: Organizations need to think critically about their goals and objectives and align their resources with an outcome-oriented approach. Asking questions that engage individuals and communities is key to addressing inequities. |