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首页> 外文期刊>Journal of Health Disparities Research and Practice >Mapping the Alignment of Programmatic Mission, Functions and Outcomes with the Attainment of Health Equity: An Overview of the Approach and Initial Outcomes through the Lens of the USDA’s CYFAR SCP Program
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Mapping the Alignment of Programmatic Mission, Functions and Outcomes with the Attainment of Health Equity: An Overview of the Approach and Initial Outcomes through the Lens of the USDA’s CYFAR SCP Program

机译：绘制计划性任务，职能和成果与实现卫生公平的关系：通过美国农业部CYFAR SCP计划的视角概述方法和初步成果

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Eliminating health disparities is a priority across national agenda and initiatives such as the National Partnership for Action to End Health Disparities (NPA), the National Prevention Strategy, and Healthy People 2020. To advance this priority under the NPA, the Federal Interagency Health Equity Team (FIHET), which is an NPA federal cross-sector and collaborative platform, initiated a voluntary pilot “health equity mapping” exercise in 2014. This exercise served as a strategy to clarify the strategic alignment between participant federal partner program missions, goals, and activities, and the goal to end health disparities and promote health equity. The mapping process included an examination of how participant programs applied the “equity lens” within the context of executing their missions. It also included identification of opportunities within participant programs to enhance the existing equity lens, or include one where it did not exist. In this paper, we exemplify this strategy and its outcomes using a case study approach conducted in collaboration with the “Children, Youth, and Families at Risk Sustainable Communities Program” (CYFAR SCP) in the Division for Youth and 4-H, at the National Institute of Food and Agriculture, within the US Department of Agriculture (USDA). Overall, we deduced that the CYFAR SCP program though not driven by an explicitly stated health equity mandate promotes health equity through existing programming. Specifically, we found evidence of the use of an equity lens in how the program targets resources and specific programs to benefit youth that are socially and economically disadvantaged. We also noted alignment between CYFAR SCP’s mission and promoting health equity in the program’s emphasis on improving the social determinants of health for its beneficiaries. Given these initial findings, we conclude that health equity mapping is a potentially insightful first line of inquiry into the tangible connections between a program’s mission, functions and implementation, and the promotion of health equity.
机译：消除健康差异是国家议程和倡议（如《消除健康差异国家行动纲领》，《国家预防战略》和《 2020年健康人群》）的优先事项。为了在NPA下推进这一优先事项，联邦机构间健康公平团队（FIHET）是NPA联邦跨部门和协作平台，于2014年发起了一项自愿性的“健康公平地图”试点活动。该活动是一项战略，旨在阐明参与的联邦合作伙伴计划任务，目标和目标之间的战略一致性。活动，以及消除卫生差距和促进卫生公平的目标。映射过程包括检查参与者程序在执行任务的背景下如何应用“平等视角”。它还包括在参与方计划中确定机会，以增强现有的平等视角，或在不存在的机会中纳入机遇。在本文中，我们通过与青年和4-H部门的​​“儿童，青年和处于危险中的家庭可持续发展社区计划”（CYFAR SCP）合作进行的案例研究方法，说明了该策略及其成果。美国农业部（USDA）内的国家粮食与农业研究所。总体而言，我们推论CYFAR SCP计划虽然不受明确声明的健康公平授权的推动，但可以通过现有计划促进健康公平。具体而言，我们发现有证据表明，该计划如何针对资源和特定计划使用平等视角，以造福于处于社会和经济不利地位的青年。我们还注意到CYFAR SCP的使命与促进健康平等之间的一致性，因为该计划的重点是改善受益人健康的社会决定因素。根据这些初步发现，我们得出结论，健康公平映射是对计划的任务，职能和实施与促进健康公平之间的切实联系进行潜在的有见地的第一线询问。

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