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Equity and EPH clearinghouse

A publicly accessible Clearinghouse of resources to support the application of a health equity lens in environmental public health (EPH) practice.

Do you have resources that can support environmental health officers or public health inspectors to apply an equity lens in their work? We are looking for resources that frontline professionals can use, or that can help support the integration of health equity principles into organizations and health authorities.
Recommend or share resources

NEW! By sharing information across regions and jurisdictions, we can learn from one another and focus resources on adaptation or building new tools (rather than repeating work that has already been done elsewhere), and can learn from the experiences of others with shared goals. 

Some examples of resources that will be included in this Clearinghouse of health equity resources for EPH:
  • Frameworks and tools for health equity in public health, that can be used in an EPH context
  • Promising practices
  • Examples to illustrate how EPH can consider health equity or the social determinants of health into practice
  • Data about vulnerable populations and health disparities
  • Evaluation frameworks or reports to assess effectiveness of approaches
  • Multilingual resources or translated tools
  • Context- or population-specific resources or information
BC Community Health Data
This website provides local-level health data that highlights community strengths and areas for improvement. There are three complementary health data tools that can help to paint a picture of health status of the community level:
1. Community Health Profiles provide a standard community health data set for the province.
2. Community Health Database provides an interactive platform to explore health topics of interest.
3. Community Health Atlas allows health indicators of interest to be mapped across the province of BC.
Visit http://communityhealth.phsa.ca/ for more information and to access the tools for your community.

BC Health Equity Indicators
Population and Public Health has facilitated the development of a suite of priority health equity indicators that will inform equity target-setting. Visit http://www.phsa.ca/our-services/programs-services/population-public-health/health-equity and click on the “Reports & resources” tab for links to the indicator project reports and frameworks.

PROOF Food Insecurity Policy Research 
This research study at the University of Toronto uses data from the Canadian Community Health Survey to release annual reports that provide a comprehensive view of food insecurity across Canada. Visit http://proof.utoronto.ca  for data reports and infographics about food insecurity.

My Health My Community
The My Health My Community survey collects data to reflect the health and wellness of residents living in the Vancouver Coastal Health and Fraser Health regions. It includes community and neighbourhood profiles for a range of factors related to health and wellness. There is also an interactive web tool called the My Health My Community Atlas, which provides community-level health information for Metro Vancouver, the Fraser Valley, and Coastal Rural regions of British Columbia. Visit https://www.myhealthmycommunity.org/ to view all the survey results.

 
10 Promising Practices
The Sudbury and District Health Unit conducted a literature review and analysis to identify practices that can reduce social inequities in health. They have produced a list of “10 Promising Practices” relevant to reducing inequities the local public health level. Visit https://www.sdhu.com/health-topics-programs/health-equity/10-promising-practices-health-equity to view the list, along with illustrative examples, facilitators, and challenges associated with each “promising” practice.

Culturally Connected
This BC-based health literacy skills tool was designed to help health professionals develop cultural humility and establish cultural safety for their clients. It includes information about cultural humility, information about developing cultural humility skills, and case studies to illustrate cultural humility and health literacy in practice, as well as a resource library for additional information. Visit https://culturallyconnected.ca/ for more information and to access all the tools.

San’yas Indigenous Cultural Safety Training
San’yas is an online Indigenous Cultural Safety (ICS) training program delivered by the Provincial Health Services Authority of British Columbia. The core training is available free of charge to all  British Columbia health authority or Ministry of Health employees, and to any Indigenous people living in British Columbia who work in the health or mental health fields. It takes approximately eight hours over an eight week period to complete. The Core ICS Health Training is designed to improve access to health services and health outcomes for Aboriginal people. Visit http://www.sanyas.ca/ for more information or to register.

A Practitioner’s Guide for Advancing Health Equity
The Division of Community Health at the National Center for Chronic Disease Prevention and Health Promotion at the US Centers for Disease Control and Prevention produced an evidenced-based guide to help practitioners address inequities in chronic disease health outcomes. It includes sections specific to foundational public health skills, tobacco reduction, healthy food and beverage strategies, and active living. Download the tool from https://www.cdc.gov/nccdphp/dch/pdf/HealthEquityGuide.pdf.

Better Health Through Equity – Case Studies
This series of Case Studies in Reframing Public Health Work from the American Public Health Association (APHA) shares lessons learned during APHA’s Better Health Through Equity project. These five case studies share the experience of public health departments working toward health equity in the United States in areas such as health services, Indigenous health, community health, and environmental health. The case studies illustrate application of a health equity lens, cross-sector collaboration, community engagement, operationalizing health equity, and community health services. Download the report from https://www.apha.org/~/media/files/pdf/topics/equity/equity_stories.ashx.

 
Health Equity Impact Assessment
The HEIA is used to help identify potential health impacts (both positive and negative) of a policy, program or initiative on vulnerable or marginalized groups within the general population, and encourages users to identify mitigation strategies to reduce the negative impacts and amplify the positive ones. Although used by health care organizations, it can also be used by non-health care entities to help assess the potential impacts of a policy or program on health outcomes, particularly as it uses the social determinants of health in scoping the populations. The tool also helps embed equity thinking into the policy and program development process, encouraging users to infuse equity considerations in the work they do. Additionally, there are three supplementary resources to assist in completing the tool for specific population.  This includes a Public Health Unit supplement to help Ontario’s Public Health Units meet the Ontario Public Health Standards, which have requirements pertinent to health equity. Visit Ontario’s Ministry of Health and Long-Term Care at http://www.health.gov.on.ca/en/pro/programs/heia/ to access the HEIA tools. 

Reflex-ISS
Reflex-ISS is a tool to guide teams through observation, understanding, and analysis of interventions with respect to health inequities. As a discussion tool for team members and stakeholders, it aims to help ensure that interventions do not exacerbate inequities and ideally contribute to reducing inequities. This tool can be used to improve existing programs or during planning for new programs. Access an online or PDF version of the tool in English or French at http://www.equitesante.org/chair-realisme/tools/reflex-iss/ (PDF version also available in Spanish).

We all have a role to play…
This fact sheet from the Winnipeg Regional Health Authority highlights how equity-focused patient care, health system leadership, and community partnerships can improve health for all residents. It offers 10 questions for health professionals to reflect on to help them promote health equity at work. Download the tool at http://www.wrha.mb.ca/about/healthequity/files/RoleToPlay.pdf.

Health Equity Into Action
This resource was produced by the Wellesley Institute in Ontario to support local health networks to operationalize health equity. It provides links to tools and resources that can guide actions, strategies, planning, evaluation, innovation, and collaboration toward health equity. Download the report, including links to specific tools, from http://www.wellesleyinstitute.com/wp-content/uploads/2010/09/Health_Equity_Resources_for_LHINs_1.pdf.

 

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