Top Equity Resources for Pursuing Change in 2021
A collection of NICHQ articles and resources on equity and social determinants of health
Throughout this year, it has become clearer to many that the hard truth of the racism that shaped our nation requires us all—now, today—to acknowledge and address its impact in our health care systems and in ourselves.
Racism has long affected social determinants of health, underlying a breadth of negative health outcomes for children of color and their families in America. The COVID-19 pandemic has been ruthless in both exposing inequities across the country and simultaneously intensifying them. Communities of color continue to be disproportionately shortchanged due to the barriers of implicit and explicit bias and continued denial of access to resources. As the pandemic persisted, George Floyd's killing at the hand of police served as a catalyst for months of protest in nearly every U.S. city and around the world, with people of all races calling for an end to injustices that are woven into the fabric of our country.
Despite these threats to children's health, NICHQ is firmly committed to leveling the playing field so that every child and family is treated equitably and can achieve their optimal health. Outlined in this statement by NICHQ’s CEO Scott D. Berns, NICHQ's vision and priorities for 2021 and beyond will focus on addressing racism as the public health crisis that it is.
As we begin a new year on our journey toward equity, we're sharing a collection of NICHQ articles and webinars that your community found most valuable in their equity journeys. Make sure you're signed up for NICHQ News so you stay informed of new resources, webinars, and innovations in children's health.
Persistent and unacceptable disparities in infant mortality and perinatal outcomes affect the health of families in every state in the nation. For the past 30 years, the federal Healthy Start program has provided integral maternal and child health services in communities disproportionately impacted by negative birth outcomes. Now, NICHQ is working with all 101 Healthy Start community sites to harness lessons learned, implement innovative approaches to improvement, and ultimately start to close the disparity gap in maternal and infant health. Learn more here.
Racism has been baked into U.S. systems and structures since enslavement, and Black families and other people of color are still suffering its consequences. As health professionals, it’s vital to acknowledge that all forms of racism—institutional, personally mediated, and internalized—are real, are present in health systems, and are adversely affecting the health of Black families. One person can’t solve a systemic problem, but there are impactful steps everyone can take to help address it. Learn more here.
In New York State (NYS), Black women are more than three times as likely to die from pregnancy or giving birth as white women. This disparity has persisted alongside the U.S.’s rising maternal mortality rate, which has doubled in the past 15 years. Recognizing the urgent need for change both within their state and across the nation, NYS launched an initiative to engage women of color in identifying sustainable solutions for improvement. Learn more here.
A serious compounding problem of COVID-19 is how it intensifies inequalities across the country, including in Ohio – where significant disparities in maternal and child health persist. This article details how Mahoning County is proactively identifying how the pandemic will affect at-risk populations and then developing a comprehensive plan that brings together partners from across the health system.
Institutional racism continues to plague the health of children and families across the country. How do we pursue sustainable change? The answer starts with intentionally confronting and deconstructing how health systems were designed. In this article, we're summarizing advice from experts from the Global Infant Safe Sleep Center on opportunities to move towards equitable systems.
In the first webinar of our COVID-19 series, our faculty experts take an in-depth look at how implicit bias limits quality care for those who need it most during this national crisis, share resources and ideas focused on achieving health equity, and address the health disparities rooted in the structures of our systems. After watching the webinar, viewers will be able to:
- Recognize the dual role COVID-19 plays for Black and Brown children with special healthcare needs by illuminating pre-existing inequities while also further exacerbating the inequities
- Recognize and identify bias within your system and yourself
- Learn ideas, tools, and resources to effect change on the individual and system level
This is the third webinar in NICHQ's series on health equity, focused on providing strategies and guidance that health care professionals can use to identify and address racism and racial bias. After watching the webinar, viewers will be able to:
- Understand and contextualize the three levels of racism: internalized, interpersonal, and institutionalized/structural racism
- Apply a racial equity lens to collective impact-based health improvement initiatives using six guiding questions
- Identify key strategies for designing intentional, action-oriented, and strengths-based approaches to start and sustain an equity-focused organizational culture shift
There is very little research about Black people's grief and its connection to systemic racism and the social injustices connected to it. Understanding the impact of racism and its influence on how a person reacts to loss sets the stage for addressing how best to support communities who are disproportionately affected by infant death.
This webinar offers insight on how some women of color deal with compounded loss and trauma. Participants will walk away with an opportunity to gain additional knowledge on how to best serve communities of color affected by infant loss. View the recording here.
Looking for more resources on improving equity? Visit our Resources page, where you'll find social media toolkits, resource guides, interactive E-handouts, and much more that inspire and guide meaningful change for ALL children.
Look for NICHQ at 2022 American Public Health Association Annual Meeting
Join the National Institute for Children's Health Quality (NICHQ) on Nov. 6 at 2 p.m. for The Ever-Evolving Path to Equity in Children’s Health, a panel highlighting the evolution of NICHQ's equity work at the 2022 American Public Health Association Annual Meeting.
NAPPSS-IIN Hosting Community of Practice Meetings to address policies and Share Experiences about Safe Sleep and Breastfeeding
The NICHQ National Action Partnership to Promote Safe Sleep Improvement and Innovation Network (NAPPSS-IIN) project will continue to convene six Community of Practice (CoP) groups from September 2022 – March 2023. CoPs include Birthing Professionals, Community Advocacy Organizations, Community-Based Home Visitors, Early Childcare Providers, First Responders, and Researchers. Each group will convene twice to continue to address policies, improve skills, and learn from each other’s experiences in the areas of safe sleep and breastfeeding.
NICHQ Employee Spotlight: Kelly Edwards, MPH, Senior Project Manager
Kelly Edwards discusses her journey from NICHQ intern to Senior Project Manager, and shares highlights and key takeaways from the six NICHQ projects she's supported.
Children and Their Families Have a Right to Gender-Affirming Healthcare
As physicians, public health professionals, and care providers, we have an obligation to support youth with unique healthcare needs who are at higher risk for negative health outcomes from discrimination, including bullying, physical assault, and suicide. Join us by engaging in meaningful dialogue about best practices for gender diverse kids to improve quality of life, reduce mental health disparities, and most importantly, help the most historically marginalized kids achieve their optimal health.
3 Ways to Close Gaps in Sickle Cell Disease Care: Recommendations from NICHQ Projects
In the past several decades, clinicians, public health professionals, and those with lived experience have seen advancements in Sickle Cell Disease (SCD) treatments and research that have significantly improved outcomes and increased life expectancies for people living with SCD. For example, the FDA-approved medication hydroxyurea (HU) has been recommended as a SCD standard of care due to its ability to help people with SCD mitigate pain and the need for blood transfusions. Preventative measures, such as screening children and adolescents for risk of stroke and ensuring that all people who have SCD receive recommended vaccinations, have also been instrumental in reducing complications associated with SCD. And recently, development of gene therapies has presented possibilities of a new cure. Conversations on how to improve access to care should continue, and these three recommendations begin with some of the most pressing needs.
Racially Motivated Violence is a Children’s Health Issue
In the wake of recent mass shootings in Buffalo, Uvalde, and Highland Park, and too many others, we discuss the mental health implications of racially motivated and gun violence on children and their families with Stacy Scott, PhD, MPA, Executive Project Director and Equity Lead at NICHQ, and Becky Russell, MSPH, Senior Director of Applied Research and Evaluation at NICHQ.