Abstract
Purpose: We examined coalition health equity capacity using a three-dimensional conceptual framework in a 3-year study (2011–2014) of 28 local coalitions engaged in health promotion.Methods: Coalition health equity capacity was defined according to (1) conceptual foundations, (2) collective action and impact, and (3) civic orientation. This framework was used to qualitatively assess progress in capacity building efforts at two time points. Coalition materials and archival documents were analyzed qualitatively for indications of each dimension of coalition health equity capacity.Results: The overall cohort of coalitions was initially determined to be near mid-range in conceptual foundations, above mid-range on collective impact, and below mid-range on civic orientation. As part of ongoing training and technical assistance, coalitions were offered examples of high coalition health equity capacity in each dimension. At time point two, growth in health equity capacity was observed in a majority of coalitions.Conclusions: These findings indicate that a multidimensional approach to coalition health equity capacity can be useful for both analysis and practical purposes of community capacity building, which may, in turn, produce long-term gains in health equity.
Highlights
Advancing health equity is an international priority.[1]
It is widely agreed upon that to work toward health equity, social determinants of health (SDoH) need to be addressed; it is less clear what capacities are needed among practitioners to advance health equity
In year 1 of Transform Wisconsin (TWI), 30 grants were awarded to 28 local coalitions to implement evidence-based policy, systems, and environmental (PSE) changes around
Summary
Efforts in the United States have provided resources for communities to include equity in chronic disease prevention. This includes the Centers for Disease Control and Prevention (CDC) Community Transformation Grants,[4] which aimed to maximize health impact through prevention, advance health equity, and use and expand the evidence base. Health inequities are differences in population health status that are patterned and systemic They are avoidable and unfair.[7] many are calling for action on the SDoH to reduce health inequities.[8,9,10] In contrast, health equity requires opportunities for all people to achieve their full health and human potential regardless of social identity or socially prescribed disadvantages.[11].
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