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 [email protected]/healthcare system anchor
Jennifer [email protected]
Public health anchor
Maryiam [email protected]
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”