Arizona Department of Health Prevention Services’ Work to Advance HealthEquity Starts with an Assessment of Its Own Organizational Culture
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Arizona Department of Health Prevention Services’ Work to Advance HealthEquity Starts with an Assessment of Its Own Organizational Culture

Filetype[PDF-570.28 KB]


  • English
    • Details Supporting Files You May Also Like

    Details:

    • Alternative Title:
      J Public Health Manag Pract
    • Personal Author:
    • Description:
      Objective:

      To identify skills, organizational practices, and infrastructure needed to address health equity.

      Design, Setting, and Participants:

      We developed an anonymous online staff survey to assess how to address health equity and policy implications. We distributed invitations to participate to all Arizona Department of Health Services (ADHS) Division of Prevention Services (DPS) state and non-state designated employees February 2021.

      Main Outcome Measures:

      Employee perceptions of how agency, division, and programs address health inequities; information about (1) organizational and individual traits needed to support our ability to implement effective health equity focused work and (2) processes that will enable improved organizational and workforce capacities; implications for strategic planning.

      Results:

      Seventy-eight percent (78.0%, N=123) of eligible staff participated. Overall, we identified 21 of 28 organizational and 17 of 31 workforce capacities needing significant improvement. Organizational capacities needing significant improvement were “Institutional Commitment to Address Health Inequities” (described using 6 elements), “Hiring to Address Health Inequities” (2), “Structure that Supports True Community Partnerships” (3), “Support Staff to Address Health Equities” (4), “Transparent and Inclusive Communication” (4), “Community Accessible Data and Planning” (1), and “Streamlined Administrative Process” (1). Workforce capacities were “Knowledge of Public Health Framework” (4), “Understand the Social, Environmental, and Structural Determinants of Health” (1), “Community Knowledge” (1), “Leadership” (4), “Collaboration Skills” (3), “Community Organizing” (3), and “Problem Solving Ability” (1). Using survey results, staff groups identified change needed, specific actions, and training and communication to increase employee understanding. Proposed activities focused on data/evaluation, program planning/contracts, communications, personnel development, and community engagement.

      Conclusions:

      This survey allowed ADHS to prioritize increasing staff knowledge of the ADHS organizational commitment to address health inequities; results show us how to strengthen our capacity to achieve better outcomes and improve health outcomes and improve health and wellness for all Arizonans.

    • Subjects:
    • Keywords:
    • Source:
      J Public Health Manag Pract. 30(1):79-88
    • Pubmed ID:
      37966952
    • Pubmed Central ID:
      PMC11044202
    • Document Type:
      Journal Article
    • Funding:
      U01 DP006581/DP/NCCDPHP CDC HHSUnited States/
    • Collection(s):
    • Main Document Checksum:
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