CENTER FOR PREVENTION
Health Equity in All Policies
Vayong Moua MPA,
Senior Advocacy and Health Equity Principal
Center for Prevention
Confidential and proprietary.
Blue
BlueCross®
Cross®and
andBlue
BlueShield®
Shield®ofofMinnesota
Minnesotaand
andBlue
BluePlus®
Plus®are
arenonprofit
nonprofitindependent
independentlicensees
licenseesofofthe
theBlue
BlueCross
Crossand
andBlue
BlueShield
ShieldAssociation.
Association.
THE SPIRIT CATCHES YOU AND
YOU GET UP!
Confidential and proprietary.
OUR VALUES AND GOALS
Our Values
•
•
•
•
Engagement: We collaborate with others to achieve sustainable change.
Creativity: We apply ingenuity and imagination to our work.
Accountability: We take responsibility for our actions and decisions.
Equity: We advocate for the health of all Minnesotans.
Our Goals
REDUCE
TOBACCO
USE
Confidential and proprietary.
INCREASE
PHYSICAL
ACTIVITY
INCREASE
HEALTHY
EATING
INCREASE
HEALTH
EQUITY
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Structural Inequities Require Structural
Solutions
"Stark inequalities persist in some parts of
our society - even after factoring in
individual choices...So to address these
inequities, we need to include the issue of
addressing health disparities as part of a
broad spectrum of public investments in
housing, transportation, education,
economic opportunity and criminal justice."
- Commissioner Ed Ehlinger, Minnesota Department of Health
Confidential and proprietary.
WHAT WE’RE UP AGAINST
Confidential and proprietary.
WHO IS THE TARGET AUDIENCE?
Confidential and proprietary.
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Target Marketing: Find Your Voice
Confidential and proprietary.
SOCIAL OR POLITICAL
DETERMINANTS OF HEALTH?
Confidential and proprietary.
COURAGEOUS CONVERSATIONS:
EQ AND CULTURAL COMPETENCE
Confidential and proprietary.
COLOR BLIND = JUST BLIND
Confidential and proprietary.
Profoundly Obvious or
Revolutionary Recognition?
Internalized—The set of private beliefs, prejudices, and ideas that individuals have about the superiority of whites and
the inferiority of people of color. Among people of color, it manifests as internalized oppression. Among whites, it
manifests as internalized racial superiority.
Interpersonal—The expression of racism between individuals. It occurs when individuals interact and their private
beliefs affect their interactions.
Institutional—Discriminatory treatment, unfair policies and practices, inequitable opportunities and impacts within
organizations and institutions, based on race, that routinely produce racially inequitable outcomes for people of color
and advantages for white people. Individuals within institutions take on the power of the institution when they reinforce
racial inequities.
Structural—A system in which public policies, institutional practices, cultural representations, and other norms work in
various, often reinforcing ways to perpetuate racial group inequality. It is racial bias among institutions and across
society. It involves the cumulative and compounding effects of an array of societal factors including the history, culture,
ideology and interactions of institutions and policies that systematically privilege white people and disadvantage
people of color.
*Adapted from Applied Research Center
Confidential and proprietary.
UNNATURAL AND UNACCEPTABLE
CAUSES
Confidential and proprietary.
HIAP = UPSTREAM ALIGNMENT AND
CONNECTIVITY
Confidential and proprietary.
HEALTH EQUITY IN ALL POLICIES
(HIAP)
Confidential and proprietary.
THE MASTER FRAMEWORK
Note to Self: Don't Do This Slide
HEALTH
OUTCOMES
STRUCTURAL
Industry
∙
∙
∙
∙
Marketing
Lobbying
Practices
Products
Physical environment
• Transportation and
Infrastructure
• Roads/bike paths
∙ Convenience stores
SOCIAL
Culture
Communications
∙
∙
∙
∙
∙ Social norms
∙ Behavior
TV
Radio
Internet
Newspaper
Communities
∙ Neighborhoods
INDIVIDUAL
Perceived
Demographics
social norms
Biology
∙ Peers
∙ Family
∙ Culture
HEALTH
BEHAVIORS
Self-efficacy
∙ Barriers
∙ Benefits ∙ Skills
∙ Susceptibility
Attitudes
Policy environment
∙
∙
∙
∙
Confidential and proprietary.
Health policies
Laws and enforcement
Economic policies
Social policies
Organizations
∙ Schools
∙ Worksites
∙ Faith-based
∙ Clinics
∙
∙
∙
∙
Knowledge
Family/Friends
∙ Traditions
Tobacco Use
Exposure to SHS
Physical Activity
Healthy Eating
Decrease
cardiovascular
risk
Decrease
cancer risk
Confidential and proprietary.
Confidential and proprietary.
Confidential and proprietary.
Confidential and proprietary.
Confidential and proprietary.
Confidential and proprietary.
5 Key Elements of HiAP
- Amercian Public Health Association
• Promote Health, Equity, and Sustainability
• Support Intersectoral Collaboration
• Benefit Multiple Partners
• Engage Stakeholders
• Create Structural or Process Change
Confidential and proprietary.
MDH’S ADVANCING HEALTH
EQUITY REPORT
1: Advance health equity through a health
in all policies approach across all sectors
2: Continue investments in efforts that currently are working to
advance health equity
3: Provide statewide leadership for advancing health equity
4: Strengthen community relationships and partnerships to
advance health equity
5: Redesign MDH grant-making to advance health equity.
6: Make health equity an emphasis throughout MDH
7: Strengthen the collection and analysis of data to advance
health equity
Confidential and proprietary.
CHANGE EQUATION and LEVERS
PSE Change for Communities Experiencing Inequities
• Childcare Licensing: Health Standards and Flexibility
• Who are Friends, Family, and Neighbors?
• Hard to Reach OR Hardly Reached Populations?
Confidential and proprietary.
SOLUTIONS FOR MOST VULNERABLE =
SOLUTIONS FOR ALL
Confidential and proprietary.
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THANK YOU
Vayong Moua, MPA
Senior Advocacy and Health Equity Principal
1750 Yankee Doodle Road, s113
Eagan, MN 55121
651-662-9530
[email protected]
Confidential and proprietary.
Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.
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