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Goal 3: Health Equity

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Objective Strategy Progress
3A. Define and pursue a science-based approach to identify and eliminate health disparities related to HIV/AIDS, viral hepatitis, STDs, and TB and associated diseases and conditions.

I. Develop, implement and evaluate a surveillance and public health prevention research agenda for addressing health disparities and fostering health equity in HIV/AIDS, viral hepatitis, STDs, and TB through comprehensive and multi-level approaches including addressing the social determinants of health (SDH).

Indicator: Annual publication of integrated surveillance report that routinely evaluates absolute and relative health disparities (by 2015)

FY 2010 Accomplishments

  • Hired fellow to work on research agenda
  • Published Public Health Reports (PHR) special issue on SDH.
  • Issued call for papers for PHR special issue in 2011.
  • Developed NCHHSTP SDH white paper.
  • Completed 5 years of the NCHHSTP Third Thursday Lunch and Learn Health Equity Scientific Series.
  • Wrote and submitted for publication statistical method for assessing SDH and morbidity.
  • Drafted paper utilizing inequity measures using HIV data.
  • Supported REACH survey to monitor access to viral hepatitis prevention services in 27 racial/ethnic minority communities.
  • Published national data on sexual behaviors and outcomes by race and ethnic groups experiencing STD inequities.

FY 2011 Plans

  • Develop research agenda in collaboration with Divisions.
  • Publish NCHHSTP SDH white paper.
  • Sponsor SDH symposium for CDC colleagues.
  • Publish statistical method for assessing SDH and morbidity.
  • Work with partners to develop strategy for addressing TB in the homeless.

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Goal has not started.

II. Prioritize investments with explicit goals in programs and interventions to eliminate health disparities and promote health equity among all populations by working in collaboration with the NCHHSTP divisions and branches.

FY 2010 Accomplishments

  • Collaborated on the National HIV/AIDS Strategy.
  • Participated in HHS planning for prevention of viral hepatitis.
  • Concluded sexual and reproductive health linkage intervention for school-based adolescents in an area with high rates of STDs.
  • Conducted formative research to generate social marketing interventions for African Americans in areas with high rates of STDs.
  • Generated mini-FOA for evaluations of social marketing and health communications campaigns regarding Chlamydia for adolescents and young adults.

FY 2011 Plans

  • Convene one or more multi-disciplinary technical consultations to identify surveillance strategies and a research agenda to better characterize the extent and burden of HIV/AIDS among populations that represent a small share, nationally, of the U.S. epidemic, including: American Indians, Alaska Natives, Asian Americans, and Pacific Islanders.

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III. Ensure that all funding opportunity announcements include a component that addresses reducing health disparities and promoting health equity.

FY 2010 Accomplishments

  • Developed health equity and SDH language for FOAs.

FY 2011 Plans

  • Include health equity and SDH language in all Center FOAs.

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Goal is completed.

IV. Promote, support, and evaluate evidence-based approaches on recommended hepatitis A and B and HPV vaccinations, and screening for HIV, viral hepatitis, and STDs for providers who serve predominately disproportionately affected populations in public and private health care settings.

Goal is completed.
3B. Mobilize partners and stakeholders to promote health equity and social determinants of health as it relates to HIV, viral hepatitis, STD, and TB prevention.

I. Develop, implement and evaluate a communication science plan that articulates the vision for achieving health equity through comprehensive and multi-level approaches that are culturally appropriate and relevant.

FY 2010 Accomplishments

  • Developed draft communication science plan.
  • Identified CDC partners for SDH website.

FY 2011 Plans

  • Finalize communication science plan.
  • Enhance SDH website.
  • Develop and publish SDH newsletter.

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Goal is in progress.

II. Foster collaboration within CDC and among other federal and Department of Health and Human Services agencies to facilitate the conduct of public health research to eliminate health disparities and to integrate studies of social determinants of health.

Indicator: Comprehensive surveillance and research agendas for promoting health equity in focus diseases are written and vetted (by 2011)

FY 2010 Accomplishments

  • Conducted and completed CDC BRAC (Base Realignment and Closing), a collaboration which used a health in all policies (HiAP) approach to contribute to a Department of Defense process with a focus on addressing social determinants of health.
  • Developed proposal for infectious disease demonstration model for community investment projects (i.e., BRAC; ID-focused Health Impact Assessments).
  • Health Equity workgroup (HEWG) met monthly to update members on center and division activities and to communicate on HEWG activities.

FY 2011 Plans

  • Capitalize on the CDC BRAC projects and broaden the engagement processes to include additional community invested stakeholders.
  • Convene HEWG monthly to update members on center and division activities and to communicate on activities.
  • HEWG will write one article on social determinants of health and health equity.

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Goal is in progress.

III. Continue to build community capacity and improve partnerships with communities affected by HIV/AIDS, viral hepatitis, STDs, and TB.

FY 2010 Accomplishments

  • Developed Frequently Asked Questions (FAQs), Glossary of Terms, Training/ Awareness slides.
  • Launched public-private partnerships to conduct viral hepatitis education in communities experiencing health disparities
  • Sponsored CDC-wide screening of the documentary series Unnatural Causes: Episodes 1, 3, and 7.

FY 2011 Plans

  • Finalize and disseminate FAQs, Glossary of Terms, and Training/Awareness slides.
  • Build capacity among NCHHSTP staff by presenting at New Employee Training
  • Sponsor CDC-wide screening of the documentary series Unnatural Causes: Episodes 2, 4, 5, and 6.

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Goal is in progress.

IV. Create global partnerships to better characterize and address health disparities internationally.

FY 2010 Accomplishments

  • Work with the World Health Organization to build Global Hepatitis Program in response to 2010 World Health Assembly resolution.

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Goal is in progress.
3C. Identify which social determinants of health are important to address to reduce health disparities in HIV/AIDS, viral hepatitis, STDs, and TB and develop and advance appropriate plans for addressing these social determinants in NCHHSTP programmatic and scientific work.

I. Support expert consultations to assist NCHHSTP in prioritizing policy, programmatic, and research efforts based on the social determinants of health that have the greatest impact in reducing health disparities.

FY 2010 Accomplishments

  • Planned SDH symposium, with informal consultation with invited speakers.
  • Conducted first CDC symposium on homelessness.

FY 2011 Plans

  • Hold informal consultation with invited speakers.
  • Complete and disseminate the Public Health and Homelessness Meeting Report and Resources.

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Goal is completed.

II. Develop strategic, multidisciplinary, and collaborative activities to facilitate novel cross-programmatic activities to reduce health disparities due to various social determinants of health.

Goal is in progress.

III. Develop or refine methodologies for obtaining, analyzing and presenting data on social determinants of health for NCHHSTP diseases using existing or novel supplemental surveillance systems.

Indicator: Guidance on SDH definitions, measures, indicators, and data sources for NCHHSTP programs and science is written and vetted (by 2011)

FY 2010 Accomplishments

  • Draft Guidance on SDH definitions, measures, and data sources in clearance.

FY 2011 Plans

  • Finalize and disseminate guidance on SDH definitions, measures, and data sources.

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Goal is completed.

IV. Develop and implement social determinants of health and health disparities training for all NCHHSTP staff and partners.

FY 2010 Accomplishments

  • Drafted slides for SDH and health disparities training.

FY 2011 Plans

  • Finalize and implement training/awareness sessions with branches.
  • Disseminate training slides within CDC and on the internet.

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Goal is completed.

V. Enhance partnerships with both traditional and non-traditional sources to strengthen the social determinants of health effort.

FY 2010 Accomplishments

  • Developed partnerships with 3 national level organizations which focus on homelessness and health related issues, and several HHS agencies as part of the first CDC symposium on Public Health and Homelessness.
  • Consulted with researchers on NIH-funded research into the health and SDH-related experiences of Black men.

FY 2011 Plans

  • Develop and implement partnership communication and engagement plans between CDC, federal, and non-federal partners that focus on public health and homelessness.

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Goal is in progress.

 
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