Health Equity Roadmap

This roadmap is intended to take health departments, CBOs, providers, and community health workers on a journey to understand health equity fundamentals and how they may be applied to increasing vaccine access, awareness, and confidence for diverse communities. 

person holding a cell phone showing a map

How Can My Organization Build Health Equity Capacity?

Over the next several months, the VRH will lead you on a health equity journey. The intention is to provide VRH resources grouped in a way that helps you implement health equity principles within your organization. We are providing a variety of resources – they may not all resonate with you, but hopefully you will find some that do. The journey will introduce health equity core concepts, provide guidance for implementing health equity into your work, share tools for tracking and sharing the outcomes of these efforts, and discuss ways to work with specific communities.

Here we lay a foundation by providing definitions and frameworks to round out one’s understanding of health equity. When reviewing these resources, consider how these concepts can be applied to a variety of health and health care topics, including increasing vaccine access, awareness, and confidence.

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Executive Summary
Report: What is Health Equity?
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A report cover that reads "Key Equity Terms & Concepts: A Glossary for Shared Understanding"
Tool: Key Equity Terms & Concepts Glossary
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Report: A Guide to Language, Narrative, and Concepts in Health Equity
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Toolkit: Ways to Talk About Structural Racism and Health Equity
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Video
Race/Ethnicity:
Multiple Races/Ethnicities
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Three roads - bearing the words 'programs,' 'measurement,' and 'policy' - leading to a half circle labelled 'health equity.'
Factsheet: Paving the Road to Health Equity
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Webinar: What Are Social Determinants of Health (SDOH) and Why They Matter (English, Spanish)
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Generations of racism and maltreatment have resulted in some communities being less trustful of government initiatives, including vaccination. These resources present context that may result in someone being distrustful of vaccination.

Video: Racism and Medical Mistrust in Health Care (7:34)
Video: Racism and Medical Mistrust in Health Care (7:34)
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Report: Vaccine Hesitancy in Black and Latinx Communities
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Document (Text)
Race/Ethnicity:
Black/African American, Hispanic, Latinx, Latino, Latina
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English
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Cartoon illustrations include a doctor's briefcase and a man and woman holding a magnifying glass. Text reads: "Medical Mistrust, "suspicion or lack of trust in medical organizations."
Video: Historical Catalysts of Medical Mistrust in African American Individuals Within the 21st Century (8:02)
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Video
Race/Ethnicity:
Black/African American
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English
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A Black man wearing a mask is vaccinated by a health care provider
Report: Understanding and Ameliorating Medical Mistrust Among Black Americans
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Website
Race/Ethnicity:
Black/African American
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English
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Report: State of Vaccine Confidence Insights - Vaccination in Rural America
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Report: State of Vaccine Confidence Insights - Vaccine Hesitancy Among Pregnant People
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A core function of equity work is to reduce disparities in health outcomes. To do this, it is important to know how to find and collect both numeric (quantitative) data and descriptive (qualitative) data that describe health in different communities, as well as how to interpret the information. This section provides sources of information and ideas for measuring and monitoring health disparities. 

A map of the united states appears with multiple shades of orange from light to dark.
Tool: "Vaccine Track" Routine Vaccination Dashboard
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Website
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Asian, Black/African American, Hispanic, Latinx, Latino, Latina, Multiple Races/Ethnicities
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English
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Webpage shows text next to a red heatmap
Tool: Vaccine Activity Planner Mapping Tool
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Website
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English
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webinar title page
Webinar: Using the Spatial Equity Data Tool to Measure Geographic Disparities
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Video
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English
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Webinar: Collecting Qualitative Data (English, Spanish)
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Video
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English
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Podcast: Improving Health Equity With Data (28:06)
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Audio
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Multiple Races/Ethnicities
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English
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Community partnerships can increase the relevance and effectiveness of equity work. These resources can help CBOs, local health departments, and community members build and sustain strong partnerships. 

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Report: Advance Health Equity Through Community Engagement
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Toolkit: Effectively Implementing Community Health Worker Programs Using Health Department and CBO Partnerships
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Video, Document (Text)
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English
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First page of a presentation features the Partnership for Vaccine Equity title and logo.
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Webinar: Partnering with Local Health Departments for Vaccine Equity (English, Spanish)
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Video, Document (Text)
Race/Ethnicity:
Multiple Races/Ethnicities
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English
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Report: Developing Public Health Communities of Practice
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Document (Text)
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English
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Report: Community Voice and Power Sharing Guidebook
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English
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Toolkit: Engaging People with Lived Experience
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Website
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Multiple Races/Ethnicities
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English
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Engaging communities relies on trust. Resources in this section can help build trust through effective communication with communities, including using plain and inclusive language. 

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Webinar: How to Be a Trusted Messenger for Vaccine Conversations – Nurses
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Video, Document (Text)
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English
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Factsheet: Standards for Culturally and Linguistically Appropriate Health Care
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Document (Text), Website
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English
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health literacy online webpage
Tool: Create Web Content to Increase Health Literacy Online
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Website
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English
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Cover page of toolkit reads 'Strategies for Developing Culturally Driven Public Health Communications.'
Webinar and Tool: Tailoring Health Communications to Build Understanding and Trust
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Multiple Races/Ethnicities
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English
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Title slide for the webinar titled: Building Back Trust in Science: Community-Centered Solutions
Webinar: Rebuilding Trust in Science
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Video
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title page for the webinar shows a photo of a white woman and a photo of a black male physician
Webinar: How Clinicians Can Establish Trust During Racially Discordant Clinical Encounters
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Video
Race/Ethnicity:
Black/African American, Hispanic, Latinx, Latino, Latina
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English
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Before any organization can effectively address health equity externally, they must look at their own culture, policies, and practices to ensure equity is being addressed from the inside-out. These resources provide tools for evaluating and advancing diversity, equity, and inclusion within your own organization.

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Toolkit: Operationalizing Anti-Racism, Social Justice, and Health Equity Principles through Performance Improvement
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Webinar: Tangible and Actionable Strategies to Address Internal Health Equity
Webinar: Tangible and Actionable Strategies to Address Internal Health Equity
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Video
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English
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Webinar: Addressing and Promoting Health Equity (59:20)
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Video
Race/Ethnicity:
Hispanic, Latinx, Latino, Latina, Indigenous People, Pacific Islander
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English
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Tool: Racial Equity Readiness Assessment for Workforce Development
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Health equity work requires financial resources. This section provides general funding information and information on funding health equity specific work.

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Toolkit: Technical Assistance Resources for CDC Partners
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CDC webpage
Factsheet: How to Apply for CDC Grants
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Webinar: Winning Proposals to Sustain Your Health Equity Work (English, Spanish)
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RHIhub webpage
Toolkit: Funding Rural Health Through Philanthropy
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Website
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Organizations may want to evaluate their efforts, whether that be to report back to funders, or for their own continuous quality improvement. Resources in this section provide evaluation frameworks, or more simple quality improvement guidance.

introductory slide of webinar with CDC and EPA Logos at top
Webinar: Program Evaluation Webinar Series
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Website
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Tool: Template to Guide Evaluation of Program Performance
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Toolkit: Tools to Set Your Program Up for Performance and Evaluation Success
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Webinar: Best Practices for Program Evaluation
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Toolkit: Introduction to Program Evaluation for Public Health Programs: A Self-Study Guide
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Evaluaction homepage
Toolkit: EvaluACTION Evaluation Planning Framework
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Report describing mini-randomized controlled trials (RCTs).
Report: How Program Managers Can Conduct Mini-Randomized Controlled Trials To Improve Outcomes
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Toolkit: Quality Improvement Workbook
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Toolkit: Building Equitable Data in Public Health
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Toolkit: Quality Improvement (QI) Quick Guide for Healthcare Practitioners
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Website
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Dissemination of information is key to providing information back to the community you work with, or funders who may have reporting requirements. There are many formats that dissemination can take – social media, reports, data visualizations, and more. Resources below can be adapted to tell the story of your health equity journey.

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Webinar: Using Data Visualization to Show and Celebrate Impact (English, Spanish)
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Hispanic, Latinx, Latino, Latina
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English, Spanish
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Report: Centering Accessibility in Data Visualization
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health literacy online webpage
Tool: Create Web Content to Increase Health Literacy Online
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Website
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English
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Webinar: Keeping Your Website Content Up to Date
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Video
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English
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Webinar: Using Social Media for Public Health Communications
Webinar: Using Social Media for Public Health Communications
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Video
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English
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Webinar slides in English
List of upcoming conferences and abstract submission dates. List of CDC-compiled abstract resources . Successful Aabstract submission examples from the 2022 APHA Annual Meeting.
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Webinar: Creating Compelling Conference Abstracts (English, Spanish)
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Dive Deeper

These resources provide more detailed information for further exploration.

The Health Equity Roadmap provides an introduction to concepts and actions that organizations can take to advance health equity. However, there is much more information available on the VRH. These resources may be of interest for those looking to delve more deeply into equity concepts.

A tree grows out of the soil to produce leaves and fruits. The tree has three distinct colors of roots, which are braided together to form the trunk and branches. The soil is labeled "cultural determinants" and includes racism, heterosexism, and sexism. Each other level of the tree corresponds to a level of health influence, from the structural determinants to health and wellbeing in the fruits.
Report: Intersectionality - Amplifying Impacts on Health Equity
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Toolkit: Rural Health Equity
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Website
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Webinar: Faith-Based Outreach for COVID-19 and Beyond
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An Asian woman with her baby at the farmers market
Toolkit: Achieving Health Equity
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Website
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Multiple Races/Ethnicities
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English
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Graphic of four stick people watching a baseball game over a fence. One is standing on two milk crates to watch the game, one is standing on a single crate, one is on the ground, and one is in a ditch.
Video: What is Health Equity? (English, Spanish) (3:53)
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English, Spanish
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Toolkit: Transforming the Narrative: Health Equity & The Community
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Webinar: Transportation Access as a Social Determinant of Health (English, Spanish)
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Banner image shows an older adult smiling and holding a health care provider's hand on his shoulder.
Toolkit: Resources to Understand Health Equity
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Toolkit: Strategic Practices to Advance Health Equity
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Website screenshot reads 'health equity and social justice' and displays a group of four men and women, representing various racial identities.
Toolkit: Understanding Health Equity and Social Justice
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Website
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