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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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  • The convergence of three major issues could make long-standing health inequities even more severe. Two years after the pandemic emerged, COVID-19 and global migration emergencies continue to affect society. At the same time, the health of the planet is deteriorating, and trust in our most established institutions is eroding. These developments have disproportionately affected people who have been…
    April 2022
    Social/Structural Determinants, Systemic Determinants, Sustainable Development
  • As Healthy People has evolved over the decades to reflect the most current science and address the latest public health priorities, it has strengthened its focus on health equity. This focus is reflected in one of the overarching goals of Healthy People 2030: “Eliminate health disparities, achieve health equity, and attain health literacy to improve the health and well-being of all.”…
    March 2022
    Education, Systemic Determinants, Racism
  • Asian, Black, Indigenous, and Latino Americans die earlier, have higher infant mortality rates, and suffer more chronic conditions and disabilities than most white Americans. These health inequities are due in part to systemic racism and the social determinants of health (SDOH). Racial equity tools enable decisionmakers to identify how policies and programs can disproportionately harm racial and…
    March 2022
    Systemic Determinants
  • Structural racism toward American Indians and Alaska Natives is found in nearly every policy regarding and action taken toward that population since non-Natives made first contact with the Indigenous peoples of the United States. Generations of American Indians and Alaska Natives have suffered from policies that called for their genocide as well as policies intended to acculturate and dominate…
    February 2022
    Policy & Law, Social/Structural Determinants, Historical Trauma, Systemic Determinants, Racism
  • Racism is not always conscious, explicit, or readily visible—often it is systemic and structural. Systemic and structural racism are forms of racism that are pervasively and deeply embedded in systems, laws, written or unwritten policies, and entrenched practices and beliefs that produce, condone, and perpetuate widespread unfair treatment and oppression of people of color, with adverse health…
    February 2022
    Policy and Practice, Systemic Determinants, Racism
  • The $4 trillion municipal bond market is one of the largest pools of private investment capital flowing into America's states and localities, shaping the built environment in communities across the country and directly impacting health and equity. Through a $4 million grant, the Robert Wood Johnson Foundation is seeking to identify the factors in a municipal bond issuance that can create progress…
    January 2022
    Systemic Determinants
  • Social and racial injustice and inequity plagued America long before the deep roots of systemic racism were underscored during the COVID-19 pandemic and the deployment of a vaccine to prevent it. Systemic racism is not something that a few people or institutions choose to practice. Rather, it has been a component of the social, economic, and political systems in which we all exist, and it is a…
    November 2021
    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
  • The root causes of disparate health outcomes include racism and bias, structural flaws in the health care system, and deep inequities within the drivers of health (DOH). To advance health equity, organizations should look outside of the traditional health care system and address these social, economic, and environmental factors that lead to healthy or unhealthy outcomes. This research focuses on…
    November 2021
    Services & Programs, Systemic Determinants
  • With discussions of health equity and health justice in the news, you may be hearing terms like “social determinants of health” and “health disparities” in frequent conversation. What do health equity, health literacy, health disparities, and social determinants of health mean, and what do they have to do with one another? (author abstract) 
    October 2021
    Social Environment, Systemic Determinants
  • For generations, Indigenous Peoples have known that our health is intertwined with the health of our earth. Their worldview recognizes that being healthy means ensuring the natural resources that give us life are well cared for. In contrast, Western mindsets tend to view the natural world as an inventory of useful commodities—separate from, and existing only in service to, humanity. Overusing…
    October 2021
    Interventions, Historical Trauma, Systemic Determinants, Environmental Injustice
  • Introduction & Background: Global persistence of health inequities for Indigenous peoples is evident in ongoing discrepancies in health and standards of living. International literature suggests the key to transformation lies in Indigenous efforts to control Indigenous health and healthcare. Previous authors have focused upon participation, structural transformation, and culturally…
    September 2021
    Community-rooted/Participatory Research, Systemic Determinants
  • Darrick Hamilton, the Henry Cohen Professor of Economics and Urban Policy at The New School, has gained national recognition for shaping policy solutions to close the racial wealth gap, which refers to how hundreds of years of structural racism have deprived Black families of resources that accumulate and transfer from one generation to the next. The typical White family has 10 times the wealth…
    September 2021
    Systemic Determinants, Racism
  • In order for health interventions to be effective, stakeholders must understand the deeply rooted systemic problems responsible for bottlenecks and miscommunications. The final blog in our series on implementation science examines how the study of participatory system dynamics can give implementation teams more insight into the root causes of health system pain points. Throughout this series…
    August 2021
    Services & Programs, Systemic Determinants
  • Black people living in Africa must be involved in setting the priorities for global health research, policies and programs that affect their daily lives, in order to move away from a funding culture that fosters colonialism, racism and white supremacy. The killing of George Floyd in the United States in 2020 bolstered the Black Lives Matter movement that began in 2013 and sparked unprecedented…
    June 2021
    Interventions, Systemic Determinants, Global Health, Racism
  • In the 1980s, a set of historical city maps resurfaced to reveal a hidden facet of our neighborhoods—the redlined status. As it turns out, the implementation of these maps saved the housing sector and bolstered prosperity for some demographic groups but increased disparities in homeownership, wealth, and health for others. The structural inequalities set in place by federal policies over 80 years…
    May 2021
    Housing Discrimination, Physical Environment, Systemic Determinants
  • Health equity is the fair and just opportunity for every individual to achieve their full potential in all aspects of health and well-being. The combination of the COVID-19 pandemic and last summer’s demonstrations over social injustice helped to shed critical light on health inequities. Our recent paper on health equity describes the impact systemic racism has on health and actions that leaders…
    May 2021
    Services & Programs, Systemic Determinants
  • In a time where the world is recovering from a global pandemic, opinions surrounding healthcare are more relevant than they have been many years. In December of 2020, the Center for Disease Control and Prevention (CDC) published an article reporting that racial minorities were disproportionately affected by the consequences of COVID-19. Interestingly enough, one of the factors affecting these…
    May 2021
    Social/Structural Determinants, Social Environment, Systemic Determinants, Racism
  • On April 20, 2021, CDC launched an agency-wide health equity science and intervention strategy to holistically reimagine how the agency approaches health equity. CDC commits to: Cultivate comprehensive health equity science, Optimize interventions, Reinforce and expand robust partnerships, and Enhance capacity and workforce engagement (also known as CORE commitments). CDC Director, Dr. Rochelle…
    April 2021
    Interventions, Services & Programs, Social/Structural Determinants, Systemic Determinants
  • The majority of hospitals and health systems are collecting race, ethnicity, language and other data on demographic and socio-economic factors about their patients. But how can health care organizations use that data to tell a story that guides the delivery of quality care and improves outcomes for all patients? A new Market Insights report from the AHA Center for Health Innovation describes how…
    March 2021
    Systemic Determinants, Racism
  • Despite a number of important global public health successes, for many health behaviours there is a continued lack of interventions that have been sufficiently scaled up to achieve system-wide integration. This has limited sustainable and equitable population health improvement. Systems change plays a major role in the relation between implementation processes and at-scale institutionalisation of…
    March 2021
    Social/Structural Determinants, Systemic Determinants
  • Cross-sector collaboration and systems alignment can address social determinants of health, improve family well-being, and create a more equitable society. In attempts to align Temporary Assistance for Needy Families (TANF) and Medicaid to promote health through its trauma-informed program, The Building Wealth and Health Network (The Network) encountered three major challenges to meeting those…
    March 2021
    Medicaid, Social Environment, Systemic Determinants
  • There is striking racial disparity in the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection rates in the United States. We hypothesize that the disparity is significantly smaller in areas with a higher ratio of green spaces. County level data on the SARS-CoV-2 infection rates of black and white individuals in 135 of the most urbanized counties across the United States were…
    February 2021
    COVID-19/Coronavirus, Systemic Determinants
  • The events of the past year raised our collective awareness of racial and ethnic health disparities, social inequities, and some of the systemic policies driving these inequities. In response to this awakening, numerous organizations issued statements condemning the injustices and committing to address inequities. In an effort to provide a more complete picture of how foundations have…
    February 2021
    Services & Programs, Systemic Determinants, Racism
  • Everyone has their own way of coping with pain and finding hope in times of distress. When walking through a health crisis, many turn to spirituality for comfort, and many people find their spiritual center in religion. The World Religion Database counts 18 major religious categories around the world. Scholars estimate that about 2,400 religions exist in total. Spirituality and healthcare,…
    December 2020
    Systemic Determinants

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