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Equity Development Levels

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Frameworks

      
Development Level Title Description
Early The Health Equity Framework This article describes a Health Equity Framework (HEF) model to understand how health outcomes are affected by the complex relationships between people and their environment. The framewok is a tool that allows public health workers to understand and reflect on how addressing health inequities in their community can lead to positive changes in mutliple spheres of influence, from the entire community down to the individual.
Established Center for Addiction and Mental Health: Health Equity and Inclusion Framework This framework demonstrates the process of integrating health equity into trainings. Organizations can use the framework (as a guide) to review trainings of all topics to make sure they are appropriate for the organization, and equitable in content and delivery methods.
Development Level Title Description
Early Build Health Challenge: Keys to Collaboration The BUILD Health Challenge (BUILD) is a framework that identifies four dynamic stages of collaboration that are essential to developing successful partnerships aimed at promoting health equity. The stages include examples, and takeaways for organizations for Building Relationships, Establishing a Team, Defining Roles and Creating Structure, and Communicating to Build Trust.
Early Communicating About Health Equity Concepts (CHEC) Communicating using a health equity frame means focusing on creating broader understanding of the social, structural, and systemic factors that may impact health outcomes. This resource offers public health professionals three evidence-based principles with tangible strategies to clearly and effectively communicate about health equity concepts with diverse audiences.
Development Level Title Description
Early Mapping and Goal Setting Worksheet The Making Space initiative offers a worksheet designed to support inclusive community engagement by helping practitioners identify and plan for equity-deserving groups and vulnerable communities. This tool guides users through a structured process of mapping local demographics, identifying barriers to engagement, and setting meaningful goals. It emphasizes intersectionality and encourages the use of both quantitative data and community insights. The worksheet includes planning prompts and a matrix to help users design strategies that reduce barriers and track progress. It is intended to be flexible and interactive—encouraging users to highlight, annotate, and adapt it to their specific context. Recommendations are included to help practitioners embed equity into their engagement practices and measure impact effectively.
Early Community Engagement Framework This community engagement framework assesses the strengths of an organization instead of starting from a needs-based approach. Values in this framework include integrity, transparency, collaboration, equity, and self-reflection.
Established Prevention Institute: Collaboration Multiplier The Collaboration Multiplier is a framework and tool used for analyzing collaborative efforts across sectors. It is designed to serve as a starting point for understanding the contributions of different fields and for building effective interdisciplinary efforts through partnerships.
Established Tulare County Community Engagement Framework The Community Engagement Framework (CEF) recognizes the importance of community mobilization in collaboration with community partners and residents. It serves as a roadmap for building credible and trustworthy relationships with key community members. By implementing the Power Building strategies, efforts are guided on how to collaborate and share power among community members and stakeholders, strengthening the foundation for improved health outcomes. It is essential to acknowledge the different levels of engagement that occur both internally and externally within your respective organization.
Strong The Spectrum of Community Engagement to Ownership The Spectrum of Community Engagement to Ownership charts a pathway for strengthening and transforming local democracies. Leaders across multiple sectors such as CBOs, local governments, and philanthropic partners, can use this spectrum to assess and advance community engagement efforts.
Development Level Title Description
Early Prevention Institute: Collaboration Multiplier Collaboration Multiplier is a framework and tool for analyzing collaborative efforts across sectors. It is designed to serve as a starting point for understanding the contributions of different fields and for building effective interdisciplinary efforts through partnership.
Development Level Title Description
Early Making Health Equity a Priority As part of the University of Victoria’s Equity Lens in Public Health project, this framework outlines six key strategies that organizations can take to commit to health equity. For each strategy, the guide explains the reasoning behind choosing this specific step in simplified and explicit language.
Established North Carolina Health Equity Framework This framework from the North Carolina Department of Health and Human Services puts communities at the center and lists concrete steps for organizations to take to ensure health equity is at the center of all work.
Strong Multnomah County Equity and Empowerment Len Multnomah County, OR presents their racial justice focused Equity and Empowerment Lens. This tool focuses on the processes of planning, decision-making and resource allocation, and explains concept of the Four Ps: People, Place, Process, and Power. The tool also comes with a conceptual document that outlines the foundational assumptions of the tool, resources, a worksheet to complete during the toolkit process, and other helpful guides.
Strong Los Angeles County Department of Public Health (DPH) Equity Framework The Framework serves as a guide for designing or enhancing Public Health programs and administrative practices to achieve health equity, determine the best use of resources and investments, and ultimately achieve desired results.
Development Level Title Description
Early Equity Pyramids The Equity Pyramid, developed by the Rhode Island Department of Health and modeled after the CDC’s Health Impact Pyramid, is a resource that local health departments can use to prioritize work efforts, equitably allocate funding and resources, and inclusively involve community partners to advance health equity.
Established City of Long Beach : Equity Investment PowerPoint Slides This resource provides the PowerPoint slides from the City of Long Beach which defines the health equity framework and RFP process.
Established City of Long Beach Memorandum : Equity Investmanet Framework This resource is a memorandum released by the City of Long Beach and highlights the equity investment framework and the approach taken by the LHJ.
Established Public Health Alliance of Southern CA: Principles for Funding Equity State funding inequities have placed residents served by local health departments (LHDs) across Southern California at an unfair disadvantage that contributes to persistent gaps in health outcomes and underinvestment in our communities. The principles below provide a framework to achieve more equitable allocations of California Department of Public Health (CDPH) resources across California.
Development Level Title Description
Early IAP2 Spectrum of Public Participation from the City of Long Beach Office of Equity Toolkit (Page 28-29) This toolkit provides guiding questions and examples of how to apply an equity lens to multiple strategies, including gathering data and information (of interest for this competency). The guiding questions span different levels in the spectrum of early, established, and strong. Additionally, the appendix of this toolkit includes the IAP2 Spectrum of Public Participation, which can be used to guide shared analysis with external stakeholders from “Inform” to “Empower.”
Early Health Equity Guide: Develop a Shared Analysis The Health Equity Guide is a comprehensive resource for public health departments and practitioners to plan and implement health equity and racial justice work. It offers 15 strategic practices, organized using a cyclical gardening framework, to illustrate how each mutually supports health equity goals.
Strong Approaches to Service and Resource Sharing An overview of the approaches to service and resource sharing in public health
Development Level Title Description
Strong Advancing California’s Workforce Equity Through Population-Specific Strategies This framework provides guidance for state agencies and workforce practitioners to support populations facing systemic barriers, offering actionable insights to promote equity-driven workforce strategies. It includes case studies from California.
Development Level Title Description
Strong Operationalizing Equity Operationalizing Equity looks at how the Annie E. Casey Foundation is embedding equity principles in its grantmaking and administrative operations. The report includes tools for operationalizing equity work and examines how tying race equity to an organization's mission can help staff shift their priorities over time.