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The Partners for Advancing Health Equity (P4HE) Resource Library is a virtual portal containing action-oriented health equity research, practice, and policies. The library aims to increase equity in health by offering free access to field-tested, evidence-informed and evidence-based programs strategies and high-quality research.


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  • Strategies such as diversifying the public health workforce; building capacity related to diversity, equity, inclusion, and belonging; and conducting research on oppression are necessary but insufficient to improving health in communities that have been marginalized by systems of oppression. Working toward health and racial equity requires changing the structural drivers of health. Public health…
    October 2023
    Systemic Determinants
  • Context: Within the field of public health, there is growing awareness of how complex social conditions shape health outcomes and the role that power plays in driving health inequities. Despite public health frameworks lifting up the need to tackle power imbalances to advance equity, there is little guidance on how to accomplish this as an integral part of health promotion.Objective: …
    January 2023
    Policy and Practice, Social/Structural Determinants, Systemic Determinants
  • Chronic diseases are increasingly responsible for the burden of health outcomes across the world. However, there is also increasing recognition that patterns of chronic disease outcomes (e.g., mortality, quality of life, etc.) have inequities across race, gender, and socioeconomic groups that cannot be solely attributed to these determinants. There is a need for an organizing framework which…
    September 2022
    Social/Structural Determinants, Systemic Determinants
  • This three-part series highlights learnings from Lead Local: Community-Driven Change and the Power of Collective Action, a collaborative effort funded by the Robert Wood Johnson Foundation that convened well-respected local organizations and leaders in the fields of community organizing, advocacy, and research to examine the relationship between health and power building. Building on the National…
    June 2022
    Community-rooted/Participatory Research, Systemic Determinants
  • Power is a growing area of study for researchers and practitioners working in the field of health policy and systems research (HPSR). Theoretical development and empirical research on power are crucial for providing deeper, more nuanced understandings of the mechanisms and structures leading to social inequities and health disparities; placing contemporary policy concerns in a wider historical,…
    November 2021
    Policy and Practice, Systemic Determinants
  • Social factors are becoming more widely recognized as having an impact on health. There is growing evidence that social, economic, and environmental factors contribute significantly to disparities in health outcomes (Braveman et al 2011). As a result, those looking to close health disparities are increasingly looking at interventions that address structural issues that create an unfair and…
    September 2020
    Community-rooted/Participatory Research, Systemic Determinants
  • Transgender people experience intersecting forms of social marginalization and are disproportionately affected by health inequities. We elucidate a novel conceptual framework for transgender health research that theorizes the constructs and pathways through which social inequities produce health inequities for transgender populations. Drawing on theories of intersectionality and structural…
    October 2019
    Systemic Determinants, Transphobia
  • This article arises out of our work over several decades in the evaluation field and in philanthropy with a focus on designing and facilitating the implementation of systems-change strategies and evaluation. It addresses our current thinking about how foundations and communities can work within complex systems to identify key levers for change and use evaluation to track progress and assess…
    March 2018
    Systemic Determinants
  • In the wake of the waves of women speaking out about sexual harassment; gerrymandering rising to the level of a US Supreme Court case; inaction on gun control in the face of multiple mass shootings; and the riots around the removal of Civil War-era confederate monuments, there is an awareness that these events have affected the health and well-being of our communities. Public health professionals…
    February 2018
    Social/Structural Determinants, Systemic Determinants
  • Idealized versions of health care are common, and access to health care is often viewed as an unambiguous good. In the social determinants of health literature, for example, access to health care is treated as an intermediate determinant of health. This conceals a simplistic inference: the better your access to health care, the better your health. The reality is more complex: a modern industrial…
    January 2017
    Services & Programs, Social/Structural Determinants, Historical Trauma, Systemic Determinants
  • Racial scholars argue that racism produces rates of morbidity, mortality, and overall well-being that vary depending on socially assigned race. Eliminating racism is therefore central to achieving health equity, but this requires new paradigms that are responsive to structural racism's contemporary influence on health, health inequities, and research. Critical Race Theory is an emerging…
    April 2010
    Systemic Determinants, Racism
  • Improving population health requires understanding and changing societal structures and functions, but countervailing forces sometimes undermine those changes, thus reflecting the adaptive complexity inherent in public health systems. The purpose of this paper is to propose systems thinking as a conceptual rubric for the practice of team science in public health, and transdisciplinary,…
    August 2008
    Systemic Determinants

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