U.S.-Brazil Joint Action Plan to Eliminate Racial & Ethnic Discrimination & Promote Equality (JAPER)

JAPER - Brazil-U.S. Joint Action Plan to Promote Racial and Ethnic Equality
CDC collaborates with partners globally on initiatives to promote health equity.

One example is OMHHE’s collaboration with Brazil as part of the U.S.-Brazil Joint Action Plan to Eliminate Racial and Ethnic Discrimination and Promote Equality (JAPER).


U.S.-Brazil Joint Action Plan to Eliminate Racial and Ethnic Discrimination and Promote Equality (JAPER)external icon

The United States and Brazil share a commitment to combat discrimination based on race, gender, ethnicity, or lesbian, gay, bisexual, and transgender (LGBT) status; to advance gender equality; to fight exploitative child and forced labor; and to promote human rightsexternal icon. The U.S.-Brazil Joint Action Plan to Eliminate Racial and Ethnic Discrimination and Promote Equality, a bilateral instrument that targets racial discrimination, provides a platform for cooperation to combat racial discrimination broadly, and to share best practices in tackling discrimination in education, law enforcement, labor, health, gender-based violence, economic empowerment, and many other areas.

OMHHE staff provided an overview of CDC’s involvement in JAPER at the National Institute on Minority Health and Health Disparities’ Science of Eliminating Health Disparities Summit, held in December 2012 in Maryland

What can public health practitioners in the U.S. and Brazil learn from each other about engaging communities in the development of national plans to reduce health disparities, paying particular attention to the role of racial and ethnic discrimination?

To examine this question, CDC and the Brazilian Ministry of Health are collaborating under the U.S. Department of State led U.S.-Brazil Joint Action Plan to Eliminate Racial and Ethnic Discrimination and Promote Equality (JAPER), a bi-national agreement signed in 2008.

CDC has engaged with other agencies across the Department of Health and Human Services to support JAPER by facilitating a health subcommittee. CDC’s Office of Minority Health and Health Equity (OMHHE) coordinates US participation in the JAPER health subcommittee.

In preparation for the 2014 JAPER Health Seminar, the HHS Office of Global Affairs (OGA) coordinated a meeting between Brazilian Ministry of Health representatives and the HHS Offices of Minority Health.

About the JAPER Health Seminar 2014

International Seminar to Confront Racism in Health

JAPER Health Seminar 2014, Brasilia, Brazil

In February 2014 a JAPER Health Seminar was held in Brasilia, Brazil.

To further the JAPER health collaboration, a delegation from the U.S., including Dr. Nadine Gracia, HHS Deputy Assistant Secretary for Minority Health and Dr. Leandris Liburd, Director of OMHHE, met with representatives from the Brazil Ministry of Health, Brazilian public health scholars and service organizations as part of an international seminar on racism and health.

The seminar highlighted the need for specific binational actions to develop an agenda between both countries on racial and ethnic health disparities, and to highlight experiences in each country that can help both countries strengthen their disparities approaches.

Recent Publications

Journal of Health Care for the Poor and Underserved (JHCPU) Volume 26, Number 3, August 2015external icon

Full articles available online
Meharry Medical College

The bulk of the volume is organized into four thematic parts:

Part 1 – Medical Education: Achieving Racial/ Ethnic Equity
Part 2 – Children
Part 3 – Interventions and the Voices of People in Care
Part 4 – Epidemiology in the U.S. and Abroad

Ethnicity & Disease
Volume 25, Number 3, Summer 2015
Focus – Minority Men’s Health
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Abstracts available online
International Society on Hypertension in Blacks (ISHIB)

The articles in this issue provide a roadmap for some of the needed research and interventions that can enable the field to fully understand and better implement comprehensive, multi-level solutions to improve the health of minority men.

See Selected Abstracts:

Preface: Minority Men’s Health
David R. Williams, PhD, MPH

Cardiometabolic Health in African Immigrants to the United States: A Call to Re-examine Research on African-descent Populationsexternal icon
Yvonne Commodore-Mensah, PhD, RN, Cheryl Dennison Himmelfarb, PhD, ANP, RN, Charles Agyemang, PhD, MPH, Anne E. Sumner, MD

Page last reviewed: August 3, 2016