Improving Social Determinants of Health

Resources tailored to help health departments use law & policy to promote health equity

Everyone’s health is shaped by conditions in the places where they are born, grow, live, learn, play, work, and age. Research shows that these conditions have a more significant impact on health than clinical factors. These conditions — and the systems and forces that shape them — are the social determinants of health (SDOH). Conditions in our environment include income, wealth, education, employment, workplace climate, housing, food security, community cohesion, neighborhood safety, transportation, health care, and air and water quality.

State, tribal, local, and territorial (STLT) health departments play a critical role in safeguarding public health — both in emergency situations and in pursuing long-term solutions that improve SDOH. Recognizing that STLT health departments vary in their readiness to address SDOH, we have designed a suite of policymaking and community engagement tools to improve their capacity to use law and policy to promote health equity and improve SDOH.

This suite of law and policy resources incorporates feedback from public health practitioners, offering tailored solutions to the challenges that STLT health departments face. For more information on the research and development behind these tools, read our blog post. The collection includes tools to help health departments understand public health authority, confront misinformation, assess their readiness to use the tools of law and policy, and conduct equitable community engagement.

This collection of resources was developed with support from the Centers for Disease Control and Prevention.

Understanding Legal Authority to Address Social Determinants of Health
Understanding Legal Authority to Address Social Determinants of Health
This resource explains the sources and limits of legal authority delegated to health departments and provides examples of how US health departments have applied their legal authority to address SDOH and reduce health inequities.
MISINFORMATION & DISINFORMATION FACT SHEET
Confronting Misinformation
This guide for health department staff at all levels offers evidence-based strategies to counteract mis- and disinformation through the use of law, policy, community engagement, multi-sectoral partnerships, and other measures.
ASSESSMENT & ROADMAP
Health Department Assessment & Roadmap
This resource helps health departments assess their readiness to use law and policy to address health equity, then suggests ways to improve areas like institutional commitment, staff competence in SDOH, partnerships, data for action, and communication
COMMUNITY ENGAGEMENT TOOLKIT
Supporting Equitable Community Engagement
This guide explains the roles and activities that state health departments can pursue to support local health departments in equitable and inclusive community engagement that advances their work to address SDOH and promote health equity.
1937 Baltimore City Residential Security Map
How Does the Law, Past & Present, Affect Health Equity?
Part 1 of our training series on how public health law affects social determinants of health explains how unjust laws drive structural racism and health inequities.
Inclusive governance
How to Use Law & Policy to Affect Health Equity
Part 2 of our training series on how public health law affects social determinants of health describes actions that health departments can take to close inequitable gaps in health outcomes.

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