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MCHwork: Transforming Learning

MCHwork: Transforming Learning

Session 1.2: Creating Equity Opportunities

MCHwork

Introduction

Working with diverse stakeholders across settings to to create equity opportunities can be a daunting process, but one critical to advancing health equity at national, state, and local levels. Tools such as the new Creating Equity Opportunities Discussion Guide allow us to:

The purpose of this tool is to identify opportunities to transform an aspect of your MCH system to better advance equitable outcomes. The process of developing an Equity Opportunity Statement — a carefully-crafted one- or two-sentence summary to clarify the problem to be solved or opportunity at hand — follows a two-part process, beginning with individual brainstorming and moving to group discussion. It’s important to include a diverse group of people with lived experiences, family members, youth, and those disproportionately affected by inequities in this conversation in order to have an authentic and meaningful discussion.

MCHwork provides a jump start to developing Equity Opportunity Statements through a Ready-Set-Go approach. Use the following resources to start your learning, dig deeper, and move from knowledge to practice.

READY: Creating Equity Opportunities — Identifying Leverage Under the Water Line

Before we dive into writing Equity Opportunity Statements, we need to ground ourselves with some background on understanding the systems in which we hope to make improvements and identifying the root causes for issues that we want to address. Watch this video from the National MCH Workforce Development Center that discusses this process, including a review of the Iceberg Model of Systems Thinking:

Resources from the MCH Navigator. Use these resources to dig deeper and understand how to implement what you've learned:

1. Understanding Systems. First, we need to quickly refresh ourselves on what systems are.

2. Identifying Underlying Causes. Next, we want to understand what the underlying causes are that lead to an acute event or issue. The Iceberg Model explains how structures “below the surface” or waterline of an iceberg are often invisible without systems analysis, but lead to events, trends, and patterns above the waterline. Racial and health equity can be seen through the Iceberg Model.

SET: What Needs to Change to Produce Equity in Your MCH System?

An Equity Opportunity Statement is a carefully-crafted one- or two-sentence summary to clarify the problem to be solved or opportunity at hand. It helps to identify root causes to avoid addressing only symptoms of the issue. Watch this introductory video from the National MCH Workforce Development Center to reflect on what a well-functioning MCH system would look like:

Resources from the MCH Navigator. Use these resources to dig deeper and understand how to implement what you've learned:

GO: Brainstorming Actions to Transform Your System and Dismantle Inequities

Combining the Iceberg Model with Opportunity Statements is a way to brainstorm ways to dismantle inequities. When we “flip the iceberg,” we can envision a different purpose for the structures we identified and begin planning to address inequities. This process allows us to envision what needs to change to produce equity in our MCH systems. Watch this video from the National MCH Workforce Development Center:

Resources from the MCH Navigator. Use these resources to dig deeper and understand how to implement what you've learned:

PUTTING IT ALL TOGETHER: Creating Equity Opportunities Discussion Guide

The Creating Equity Opportunities Discussion Guide is a structured conversation guide you can use with diverse partners and collaborators across setting to:

Key considerations before you begin:

 

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UE8MC25742; MCH Navigator for $180,000/year. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.