Table 1.

Conceptual Framework–A Health Equity Framework (adapted from the REAP Framework).

	Decentralization	Disproportionality	Voice
Actors, Institutions and Networks	Are key actors and institutions operating at the national, state, and/or local level? How do these levels of government connect to other actors and institutions across other levels?	Are key actors from, representatives for, or connected in network to, disproportionately impacted communities?	Do they meaningfully engage and incorporate disproportionately impacted communities, and center their interests in the policy process? Whose voices are most powerfully connected across and within networks?
Contexts and Events	What are the economic and political contexts within which policy is being enacted and implemented and what are the relevant policies and events?	How are economic and political contexts, policies, and events impacting communities disproportionately?	What roles in shaping these contexts are held by disproportionately impacted communities and how do these policies and events disproportionately affect these communities?
Ideas	What ideas are reflected in policy outputs and discourse, and how do these vary at the national, state, and/or local levels?	How are disproportionately impacted communities constructed or depicted in policy ideas?	What roles in shaping policy discourse and ideas are held by disproportionately impacted communities?

Adapted from: Michener, A Racial Equity Framework for Assessing Health Policy (Commonwealth Fund, January 2022). https://doi.org/10.26099/ej0b-6g71 (accessed on 15 August 2022).