infusing health equity into multi-sector collaborations

Infusing Health Equity into Multi-

Sector CollaborationsMonday, May 23, 2016 | 2:15 PM – 3:45 PM

Facilitators: Anna Brewster, MPH; Jennifer Hadayia, MPA; and Maryiam Saifuddin

The Harris County BUILD Health Partnership

Our Premise

Equity Lives in the BackboneEquity needs to be the private practice of your backbone before it

can be your public policy.

Equity needs to live in the backbone and be baked into how it functions. Equity needs to be an explicit lens for your work, through which you do

your analysis and strategy design….

[F]or organizations playing backbone roles in collective impact, this means looking internally and changing your own behaviors, practices,

and policies in order to practice what you preach.”Juan Sebastian Arias and Sheri Brady, Collective Impact Forum (April 15, 2015)

Today’s Goals

Share specific strategies for infusing equity into the structure

and management of an active multi-sector collaboration

focused on upstream factors

Inspire next steps for baking equity into your backbones and

collective structures

Who is Here?

Raise your hands if you represent:

• A local health department

• A hospital or healthcare system

• A community-based organization

• An academic or research institution

• A municipal government

• Who did we miss?

Stand up if you:• Are part of a collaborative• If your collaborative is new• Are the backbone in a collaborative• Are a BUILD awardee• Feel that equity lives in your

collaborative• Let’s share!

Nonprofit organizations Hospital/healthcare systems

Municipal governments Community coalitions FQHC

School of public health

People who live and work in north Pasadena

Who We Are

Our BUILD Model

Types of Collaborations

Networks

Coalitions

Movements

Strategic Alliances

Strategic Co-Funding

Public-Private Partnerships

Collective Impact Initiatives

Increasing

Level of

Formality

Low

High

Source: Grantmakers for Effective Organizations

Isolated vs. Collective Impact

• Social problems arise from the interaction of

many organizations within a larger system

• Organizations actively coordinate their

action and share lessons learned

• Progress depends on working toward the

same goal and measuring the same things

• Government and corporate sectors are

essential partners

Collective ImpactIsolated Impact• Funders select individual grantees that offer

the most promising solutions

• Grantees work separately and compete to

produce the greatest independent impact

• Evaluation attempts to isolate a particular

grantee’s impact

• Corporate and government sectors are

disconnected

Collective Impact

Collective impact is the commitment

of important actors from different

sectors to a common agenda to solve

a specific social problem at scale

Common Agenda

Shared Measurement

Mutually Reinforcing Activities

Continuous Communication

Backbone Support

Key Conditions:

Importance of Equity in Collaborations

Equity Strategies: Sharing is caring

• Shared leadership

• Shared power

• Shared decision-making

Equity Strategies: Governance

• Partnership charter

• Guiding principles

• Organization chart

• Shared meeting

facilitation

• Voting limitations

• Centralized space for

information sharing (Cloud

based storage: Box,

Dropbox, Google Drive,

OneDrive)

• Shared decision making

• Shared data systems/shared

evaluation

• Conflict of interest forms

Equity Strategies: Governance

•Community TrusteesProgram

Development

•PIR (Parity-Inclusion-Representation)

Governance Structure

•CBPR

•Community IRBEvaluation

Equity Strategies: Engagement

Equity in the Real World

How could equity strategies course-correct the

challenge faced in your case study?

How could equity strategies have prevented the

challenge in the first place?

How else could equity be baked into the collaborative

in your case study?

Case Studies of Collaborative

Challenges

Take-Aways

Awareness of power structures within partnerships is a

powerful first step to infusing equity.

Any collaborative structure can adopt equity actions.

Equity applies at all levels, from governance structures to

program implementation to evaluation

For More Information

Contact Us!

Anna BrewsterABrewster1@mdanderson.orgHospital/healthcare system anchor

Jennifer HadayiaJhadayia@hcphes.org

Public health anchor

Maryiam Saifuddinmsaifuddin@houstonfoodbank.org

Non-profit anchor

Visit our Webpages!

National BUILD Health Challengehttp://buildhealthchallenge.org/

Click “Our Communities” at the top

Click “North Pasadena, Texas” on the right

Healthy Living Matters (HLM)http://healthylivingmatters.net

Click “Why Does Healthy Living Matter” at the top

Hold/scroll to “Pasadena” and then

“BUILD Health Challenge”