Health Equity Roadmap

This roadmap provides tools, strategies, recommendations, and fundamentals for building sustainability within an organization. Health departments and community-based organizations (CBOs) can use these resources for strategic planning, building organizational capacity, performing program evaluation, communicating with funders, and fostering partnerships. This roadmap also includes resources organizations can use to apply for funding diversity to sustain program initiatives.

Diverse Audiences

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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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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Report: A Roadmap to Health Equity
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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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Black/African American, Hispanic, Latinx, Latino, Latina
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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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Black/African American
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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
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Black/African American
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English
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report title page showing a group of people of various races and genders wearing masks sit in a circle, talking to one another.
Report: State of Vaccine Confidence Insights - RSV Vaccination in Older Adults
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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.
Factsheet: "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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Tool: Vaccine Activity Planner Mapping Tool
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Webinar: Using the Spatial Equity Data Tool to Measure Geographic Disparities
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Community members sitting in a circle wearing masks.
Toolkit: How to Conduct a Rapid Community Assessment to Inform Program Design (English, Spanish)
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Document (Text), Website
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English, Spanish
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Webinar: Collecting Qualitative Data (English, Spanish)
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Webinar: Develop, Test, Field: Set Yourself Up for Survey Success! (English, Spanish)
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Screenshot of title page of the learning community webinar 'Data to Action: Vaccine Confidence survey results and how to use them' hosted by the the Partnering for Vaccine Equity and presented by Dr. Richard Quartarone from the Center for Disease Control.
Webinar: Data to Action: Vaccine Confidence Survey Results and How to Use Them
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Video
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Hispanic, Latinx, Latino, Latina
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English, Spanish
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Podcast: Improving Health Equity With Data (28:06)
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Audio
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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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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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Black/African American, Hispanic, Latinx, Latino, Latina, Indigenous People, Multiple Races/Ethnicities
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Report: Developing Public Health Communities of Practice
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Report: Community Voice and Power Sharing Guidebook
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Toolkit: Engaging People with Lived Experience
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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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Factsheet: Creating a Welcoming Facility for Native Elders
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Indigenous People
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Webinar: How to Be a Trusted Messenger for Vaccine Conversations – Nurses
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key findings, implications, and messaging tips to build trust in communities. Association of State and Territorial Health Officials, the National Public Health Information Coalition, and the Harvard T.H. Chan School of Public Health logos are at the bottom.
Report: Building Trust in Public Health, Boosters and Beyond
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Report: Plain Language for Public Health
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Factsheet: Standards for Culturally and Linguistically Appropriate Health Care
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health literacy online webpage
Tool: Create Web Content to Increase Health Literacy Online
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Website shows a video featuring  Paula Tran and Kimberlee Wyche-Etheridge and a description of the event below
Webinar: The Value of Using a Health Equity Approach When Advocating for COVID-19 Vaccinations - Perspective of Wisconsin
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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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Title slide for the webinar titled: Building Back Trust in Science: Community-Centered Solutions
Webinar: Rebuilding Trust in Science
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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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Black/African American, Hispanic, Latinx, Latino, Latina
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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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Webinar: Addressing and Promoting Health Equity
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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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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.

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Webinar: Program Evaluation Webinar Series
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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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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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Webinar: Faith-Based Outreach for COVID-19 and Beyond
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Toolkit: Achieving Health Equity
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Video: What is Health Equity? (English, Spanish) (3:53)
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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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Webinar: Paths to Vaccine Equity - Vaccine Toolkits and Educational Materials
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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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Toolkit: Understanding Health Equity and Social Justice
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