0920-23AA Att. 6a Health Equity Capacity Assessment Updated

Attachment 6a. DELTA AHEAD Health Equity Capacity Assessment

Form Approve
OMB No: xxxx-xxxx
Exp. Date: xx-xx-xxxx
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time for reviewing instructions, searching existing data sources, gathering and maintaining the data
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CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NW, MS D-74, Atlanta, GA 30333; Attn:
PRA (xxxx-xxxx).

Background
This is an assessment of your coalition’s current capacity to enhance and expand health equity
work, or those activities that address social determinants of health and the inequities that create
disproportionate burden of intimate partner violence (IPV).
Information for Recipients:
Please note that the term "coalition" refers to your State Domestic Violence Coalition (SDVC). This
survey has been sent to you as the Project Lead on the DELTA AHEAD project for your SDVC. However,
you may complete the survey with any other Coalition staff or external evaluators that you feel would
be appropriate. Please submit only ONE survey per Coalition.
The questions are referring to the coalition as a whole unless it is specified that they are in reference to
DELTA staff and activities specifically.
Health Equity refers to the attainment of the highest possible standard of health for all people and
giving special attention to the needs of those at greatest risk of poor health, based on social conditions.
Health equity is the state in which everyone has a fair and just opportunity to attain their highest level
of health (CDC). Achieving heath equity means valuing everyone equally with focused efforts to address
avoidable inequities, historical and contemporary injustices, and the elimination of health and
healthcare disparities.
Social Determinants of Health refers to the conditions in the environments in which people are born,
live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-oflife outcomes and risks. Healthy People 2030 groups social determinants of health into 5 domains:
economic stability, education access and quality, health care access and quality, neighborhood and built
environment, and social and community context.

The assessment should take approximately 30 minutes to complete.

Att. 6 - Health Equity Capacity Assessment

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DELTA AHEAD Health Equity Capacity Assessment
Internal Capacity: Current internal capacity to meet the current and future needs of the program related to advancing health equity.
Questions
Responses
Staff Capacity and Knowledge, Skills, and Abilities (KSAs)
1. To what extent do coalition staff have the
resources and trainings necessary to
To no extent
implement health equity into programming?
2.

To what extent do coalition staff have a clear
understanding of health equity concepts?

To what extent do coalition staff have a clear
understanding of the social determinants of
health that impact intimate partner
violence?
4. To what extent do coalition staff have
experience with providing programming or
services for populations disproportionately
impacted by violence?

To little extent

To some extent

To a large extent

To a very large extent

To no extent

To little extent

To some extent

To a large extent

To a very large extent

To no extent

To little extent

To some extent

To a large extent

To a very large extent

To no extent

To little extent

To some extent

To a large extent

To a very large extent

To no extent

To little extent

To some extent

To a large extent

To a very large extent

3.

Leadership Buy-In and Policies
5. To what extent is coalition leadership
committed to advancing health equity?
6.

What strategies, if any, have been used to
engage leadership in health equity related
efforts?

What can be done differently to further
engage leadership in health equity related
efforts?
8. How, if at all, does your coalition provide
training to staff on health equity?
7.

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9.

To what extent are experience and
knowledge of health equity considered
during the hiring process?

To no extent

To little extent

To some extent

To a large extent

To a very large extent

To no extent

To little extent

To some extent

To a large extent

To a very large extent

10. To what extent do the staff working on

DELTA AHEAD reflect the priority
population(s) of DELTA AHEAD?
11. Is achieving health equity an explicit goal of
your coalition (e.g., is included in the mission
statement or strategic plan)?

No

Yes

Unsure

No

Yes

Unsure

No

Yes

Unsure

12. Are racism and other forms of oppression

acknowledged as root causes of violence in
your coalition?

13. Does the coalition currently have a dedicated

arm for health equity (such as a health equity
team, advisory group, etc.)?

Data Availability: Data related to health equity and social determinants of health currently available in your state, data use, and
additional data needs to advance health equity.
Questions
Data availability
14. How many data sources used for planning
and monitoring/evaluating DELTA activities
are disaggregated by demographic variables?

Responses
None

Some (less than 50%)

Most (more than 50%)

All

15. How many data sources used for planning

None

Some (less than 50%)

Most (more than 50%)

All

and monitoring/evaluating DELTA activities
are used for their information on one or
more of the social determinants of health
that impact violence?
Data Use

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16. To what extent are data demonstrating

health equity gaps (outcomes disaggregated
by demographic and/or socioeconomic
variables) considered when making
programmatic decisions?

To no extent

To little extent

To some extent

To a large extent

To a very large extent

To no extent

To little extent

To some extent

To a large extent

To a very large extent

To no extent

To little extent

To some extent

To a large extent

To a very large extent

17. How if at all are data used to monitor

processes or outcomes related to health
equity?

18. What, if any, data collection methods are

used to ensure the needs of priority
populations experiencing health inequities
are identified and inform program
implementation?

19. To what extent do you engage your priority

population to seek meaning and
understanding of the findings from
evaluation or other data?

20. To what extent do you share evaluation data

in ways that ensure communities and priority
populations have access to them?

Data Needs
21. What gaps do you observe in available data
to inform programmatic decisions in ways
that promote health equity?

Training and Technical Assistance (TTA): Current capacity to provide training and technical assistance on health equity and opportunities for
improvement
Questions
22. What types of training and technical
assistance (TTA) on health equity, if any, are
available to your DELTA-funded Coordinated
Community Response Team(s) (CCRT)?
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Responses

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23. To what extent are you assessing TTA to

CCRT(s) for provision of culturally-competent
services?

To no extent

To little extent

To some extent

To a large extent

To a very large extent

To no extent

To little extent

To some extent

To a large extent

To a very large extent

24. To what extent are community members

meaningfully included as recipients of TTA
opportunities to build capacity within
communities?

Current State of Partnerships: How partnerships are or are not meeting the current and future health equity needs of the program
Questions
25. To what extent do you involve your priority

population(s), as a key partner, in planning
and implementation DELTA AHEAD
activities?

Responses

To no extent

To little extent

To some extent

To a large extent

To a very large extent

26. What methods are currently used to engage

diverse and inclusive new and existing
partners in program planning and
implementation efforts?

Policy Work: Current capacity to plan and implement policy efforts that promote health equity
Guiding Questions
27. To what extent is coalition staff
knowledgeable about the connection
between policies that strengthen economic
supports for families and violence
prevention?
28. To what extent do DELTA AHEAD staff have
the knowledge skills, and abilities to
implement policy efforts?
29. To what extent do CCRT(s) have the
knowledge skills, and abilities to implement
policy efforts?
Att. 6 - Health Equity Capacity Assessment

Responses

To no extent

To little extent

To some extent

To a large extent

To a very large extent

To no extent

To little extent

To some extent

To a large extent

To a very large extent

To no extent

To little extent

To some extent

To a large extent

To a very large extent

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30. Is promoting health equity an explicit goal of

your DELTA-funded policy efforts?

No

Yes

Unsure

Current Activities: List any activities related to health equity that have not yet come up in the capacity assessment
Optional
Health Equity Activity

Att. 6 - Health Equity Capacity Assessment

Plan for Continuation

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Additional Resources
Resource

Improving Health Equity:
Assessment Tool for Health Care
Organizations
Building Organizational Capacity to
Advance Health Equity

Race Matters: Organizational SelfAssessment
Health Equity and Social Justice in
Public Health Work: A Dialogue
Based Assessment Tool
Health Equity Indicators

Att. 6 - Health Equity Capacity Assessment

Description
A tool for leadership of health care organizations to
identify areas in need of strengthening to achieve
health equity goals.

Links
http://www.ihi.org/resources/Pages/Publications/ImprovingHealth-Equity-Guidance-for-Health-Care-Organizations.aspx

A tool for public health practitioners to identify
existing capacity to determine what is required to
enhance organizational capacity for health equity
action. Includes 6 recommendations with guiding
questions and a short example.
A tool for organizations to raise organizational
awareness, start focused conversations, contribute to
the development of equity action plans, and track
organizational change specific to racial equity.
A tool designed for public health practitioners and
their community partners to use dialogue to assess
their organization’s ability to address health equity
and social justice using four domains: leadership,
workforce, community, and systems change.
A Canadian tool including 15 indicators grouped by
public health roles to advance health equity.
Resource for those who want to dig in to indicators,
but not exhaustive and not all relevant to violence
prevention in the US.

https://www.cdc.gov/nccdphp/dnpao/state-localprograms/health-equity-guide/pdf/health-equityguide/Health-Equity-Guide-sect-1-1.pdf
https://assets.aecf.org/m/resourcedoc/aecfRACEMATTERSorgselfassessment-2006.pdf
HESJ-Dialogue-Based-Needs-Assessment-MPHI-CHEP.pdf

http://nccdh.ca/resources/entry/health-equity-indicatorsfor-ontario-local-public-health-agencies

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Summary
Guiding Questions:
1. What are the overall recommendations identified through the assessment?
2. What is the feasibility of addressing the gaps identified and implementing the
recommendations?
• Consider what areas are feasible to accomplish within the timeframe and given
resources of the funding period.
• Consider what areas are feasible to begin addressing but may not be accomplished
until after the funding period.
3. What roadblocks or challenges were identified through the capacity assessment?
• Consider strategies for addressing or overcoming barriers.
Response:

Based on the results of this capacity assessment, recipients should be able to provide detailed
recommendations and action steps to implement recommendations across capacity areas to improve and
expand health equity work in your state. It may also be helpful to consider the sustainability of your state’s
capacity to continue health equity strategies beyond the funding period when developing the
recommendations.
Glossary
Health equity: Striving for the highest possible standard of health for all people and giving special
attention to the needs of those at greatest risk of poor health, based on social conditions.
Social Determinants of Health: Conditions in the environments in which people are born, live,
learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life
outcomes and risks.

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