Contextual criteria: Examples were chosen to reflect a diversity of communities, populations, solutions, and demographic characteristics.Aspirational criteria: Examples were considered based on the convening organization’s ability to engage nontraditional partners and to work in an interdisciplinary and multilevel manner and also on the documentation of plans to achieve outcomes and sustain the effort.address at least one (preferably more) of the nine social determinants of health identified by the committee (education, employment, health systems and services, housing, incomeĪnd wealth, physical environment, public safety, social environment, and transportation) and be.Core criteria: All examples chosen for this chapter must.The committee developed three sets of criteria to guide the selection of the case studies: Rather, the committee sought out community-driven solutions that target the social determinants of health with strong links to health outcomes, as evidenced by the literature. It is important to note that the committee did not evaluate the overall effectiveness of these community efforts.
In brief, the committee queried local and state organizations, relevant philanthropic organizations, researchers and others reviewed relevant reports and publications on the topic of community health and undertook a literature review. NOTE: The community-driven solutions are highlighted here to convey the focus of this chapter. The committee engaged in a robust process, described in complete detail in the Chapter 5 Annex, to review a total of 105 examples gathered and select the 9 community examples that are outlined in this chapter.įIGURE 5-1 Report conceptual model for community solutions to promote health equity. Finally, the committee summarizes a number of lessons learned from both the success and the failures of the strategies described. The committee also comments on a number of crosscutting essential elements that show promise for promoting health equity in communities. The committee provides a summary of each example to demonstrate both the innovative work conducted by communities and the challenges that they face. The examples identified in this chapter span health and non-health sectors and take into account the range of factors that contribute to health inequity in the United States, such as systems of employment, public safety, housing, transportation, education, and others.
The committee was asked to identify and examine six or more examples of community-based solutions (see the report conceptual model in Figure 5-1) that address health inequities, drawing from interventions or activities that intentionally or indirectly promote equal opportunities for health.
Too often these community efforts go unmentioned in the media while stories of blight, crime, or community unrest receive more attention. Examples of Communities Tackling Health InequityĬommunities across the United States are developing and putting into action strategies that can contribute to the reduction of health inequities.
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