This template and suggested agenda are for Public health practitioners who want to use the Public Health Institute webinar on January 8, 2015 as an opportunity to advance health equity practice in their US state and local health departments. The worksheet, agenda and flyer is my effort to create a participatory education experience for a group of participants after the webinar. The worksheet focuses on the 7 Elements of Equity Practice described in the National Association of County and City Health Officials' publication Expanding The Boundaries: Health Equity and Public Health Practice

1. WHAT: Webinar and Discussion on Health Equity and Public Health Practice
WHEN: Thursday, January 8, 2015
WHERE:
WEBINAR PARTICIPANTSWILL LEARN:
 Why public health should focus on the underlying social inequalities that create health inequities;
 The importance of creating an organizational culture that supports confronting those underlying causes;
 Approaches to working with communities to integrate social equity issues into public health; and
 Strategies for engaging agencies and organizations outside of the traditional public health sector in this work.
Learning Objectives:Participantswill be able to
1. Describethe difference between underlyingsocial inequalitiesas rootcauses of health inequities and
consequences of social inequalities.
2. Apply the seven elements of health equity practicedescribed in ‘ExpandingThe Boundaries’in
analyzingthe activities,programs and strategy of the agency.
AGENDA
X:15 - X:30 x.m. Welcome,Intro,Distributefree hardcopiesof NACCHOBookletExpandingthe Boundaries:
HealthEquityandPublicHealthPractice
X:30 – X:00 x.m. ViewWebinar
X:00 – X:30 p.m. 7 Elementsof HealthEquityPractice:Individual Reflection (Worksheet)andDiscussion

2. Individual Worksheet and Group Discussion INSTRUCTIONS
1. Individual Reflection Exercise--WORKSHEET (10 Minutes):
 First, consider howthe webinar you justwatched described the 7 Elements of Health Equity Practice (you
can refer to the detailed description of the seven Elements of Health Equity Practice in pp.40-48). What
are practiceexamples of the Elements described in the Webinar and the book? Second, think of the work
activities and practices of [name of LHD or SHD]. In your opinion,how do the practices that[name of LHD
or SHD] carries outor engages in correspond to the 7 Elements? Please fill in any blank spaces in the
worksheet of the Element(s) that best describes the [name of LHD or SHD] practice(strategies,programs,
policies).
2. Small Group Discussion (20 minutes):Time permitting, break up in pairs and describeto your partner one or two
activities you choseto describe.
3. Close.Give your worksheet to the Facilitator.The work of the entire group will be summarized and sent out to all
participants.
Products: a) Notes and summary of participants’written comments from the worksheets; b) Summary of participants’descriptions
of [name of LHD or SHD] activities in theframework described by NACCHO.

3. 7 Elementsof HealthEquityPractice WORKSHEETDRAFTDRAFT Name ______________________________
Elementof HealthEquity
Practice
Example from ‘Expanding
the Boundaries’pp. 40-48
[LHD SHD] example from my knowledge ofthe
agency’s work and activities
Health department explores health
equity practicedirected toward the
causes of social inequalities and not
justthe health consequences of
those inequalities.
CLASS Issues:San Francisco HIA’s on
living wage legislation,
displacement (gentrification), paid
sick leave, day laborer’s working
conditions
Develop alliances with other
agencies and organizations to create
openings for participation in policy
decisions,beyond the perceived
boundaries of public health
programs that directly affect the
social inequalities atthe root of
health inequities.
King County, WA:Strategic plan
and ordinance obligates the public
health department to work with
other agencies to advance equity
and social justice in the county.
Develop relationshipswith
communities that are based on
mutual recognition of each other’s
strengths and leadership
capabilities,arelong-term rather
than situational and arebased on
shared interests in directly
confrontingthe social inequalities
that are the root of health
inequities.
Health departments in 5 Midwest
states (MI, MN, MO, OH, WI) joined
Healthy Heartlands Coalition to
build base of residents to address
mass incarceration, low wage work
educational opportunity, and more.
Participatestrategically in
campaigns initiated and led by
others, which might not be primarily
about health but nonetheless
advancehealth equity goals.
Alameda County (CA) involved in
campaign initiated and led by
communityactivists on
displacement and diesel pollution in
West Oakland.
Develop strategies to protect
againstpolitical risk,sometimes
associated with health equity
practice,by buildinga basethatcan
help create openings to participate
in activities thatwould otherwise be
politically constrained.
Boston Center for Health Equity and
Social Justice:established
organizational bases to work
systematicallywith communities to
create demands for health
department participation.
Adopt organizational development
strategies that incorporatehealth
equity principles into categorical
programs as well as new and
creative practice.
Ingham County (Michigan)
dialogue-based approaches with
public health staff and community
to illuminate how class, racism, and
other forms of oppression are root
causes of health inequities.
Develop a public narrativethatis
not circumscribed by diseases,risk
factors,or populations butrather
articulates therelationship between
health inequities and the underlying
social inequalities.
Narratives Strategy Team:
communitypartners and Minnesota
DPH, uncovering where the
individual-based public narratives
dominate discussions of health.
Please return yourcompleted worksheetto [name].Thankyou!
Comments:_____________________________________________________________________________________.
Includeme in futurediscussionsof how [LHD or SHD] can expand theboundariesof health equity practice(X) :__