Lessons Learned from Implementing a Place-Based, Racial Justice-Centered Approach to Health Equity
- PDF / 594,909 Bytes
- 6 Pages / 595.276 x 790.866 pts Page_size
- 16 Downloads / 175 Views
FROM THE FIELD
Lessons Learned from Implementing a Place‑Based, Racial Justice‑Centered Approach to Health Equity Rebecca Reno1 · Emily Warming1 · Claudia Zaugg1 · Kate Marx1 · Cheri Pies1 Accepted: 7 November 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Purpose As theories about the causes of racial inequities in infant mortality evolve, they are becoming increasingly complex. Interventions to address these inequities must be similarly complex, incorporating both upstream and downstream approaches. Description The Best Babies Zone Initiative (BBZ) has been in operation since 2012 with an aim of reducing racial inequities in infant mortality. BBZ is designed to be flexible and responsive to the conditions creating toxic stress in communities of color. After seven years of operation in nine sites across the United States, and interventions implemented in housing, economic, and environmental justice, the Initiative has identified strategies to support the development and advancement of aligned programs. Assessment Lessons learned and opportunities were identified across the Initiative’s theoretical foundation (the life course perspective) and each of the four foundational strategies: place-based, community-driven, multi-sector work that contributes to broader social movements. Overarching lessons learned about advancing equity in MCH were identified including: the need to focus explicitly on racial equity, the imperative of shifting the time horizon for change, and the importance of identifying sustainable funding mechanisms. Conclusion A complex initiative such as BBZ is relatively nascent in the field of Maternal and Child Health. However it represents an innovative approach to building community power and fostering strategic organizational partnerships in service of addressing root causes of racial inequities in birth outcomes. The lessons learned and opportunities identified by BBZ can serve as a foundation from which to build other programs and initiatives to advance racial justice. Keywords Infant mortality · Life course theory · Place-based approach · Social determinants ofhealth · Racial and socioeconomic disparities
Significance To address the complex contributing factors of racial inequities in infant mortality, dynamic programs are needed that are responsive to the lived experiences of those most at risk. The Best Babies Zone Initiative is one such program that has been in operation since 2012, implemented in nine cities across the U.S. This Initiative has generated a number of lessons learned, and identified strategic opportunities to build upon this work. These are shared in an effort to build the knowledge base on how to design and implement
* Rebecca Reno [email protected] 1
School of Public Health, University of California, Berkeley, Berkeley, USA
programs that address social determinants of health, in order to advance racial equity.
Introduction The causes of health inequities, such as infant mortality whereby African American infants are 2.3 t
Data Loading...
