Structural Racism Interventions

Services should be delivered in a manner that acknowledges a collective history and people’s own lived experiences with structural and interpersonal racism. Interventions must address systemic oppression and racism, and health disparities with Black, Indigenous, and other
people of color (BIPOC) communities as well as aim to build community trust and improve the quality of care.

Reproductive Justice Civic Engagement

Examples of Organizations and Interventions

• The Alliance for Justice has created the Reproductive Rights, Health, and Justice Resource Guide to assist 501(c)(3) agencies engage in lobbying and advocacy efforts.
• Spark has created various trainings on leadership development and community mobilization through civic engagement.
• Reproductive Justice as a Civic Engagement Framework is an online training provided by Reproaction. 
• Contraception Justice Coalition believes that all people should have access to contraception and pregnancy prevention care. The coalition is comprised of government officials, consumer advocates, and community members.

Addressing Systemic Oppression and Racism

Examples Interventions

• A Racial Equity Framework for Assessing Health Policy is a resource guide for policymakers seeking assistance on assessing policies, especially for those who aim to address racial equity in health policy.
• If your organizations is seeking assistance on getting started or reviewing current policies, the Equity, Inclusion & Engagement Policy Assessment Toolkit provides exercises and additional tools to help get started.
• Leadership for a Diverse and Inclusive Family Planning Organization eLearning: The Reproductive Health National Training Center has created this eLearning course for family planning organizations to address barriers to creating a diverse, equitable, and inclusive environment within their organization.  

• A Toolkit to Advance Racial Health Equity in Primary Care Improvement is a guide created by California Improvement Network to assist providers with translating their health equity efforts with improving data collection, determining key drivers of advancing health equity, and how to assess current projects.

Incorporating Antiracist Values within Health Care

Examples of Interventions

• Comprehensive Organizational Self-Assessment Related to Racial Equity
• Conduct an organizational assessment, and this rubric aims to take a look at where your current organization is at and areas that need improvement
• Race Equity Practices Spectrum Tool is intended to review an organization’s goals and strategies to incorporate racial justice practices within your organization.
• The Anti-racist Organizational Development resources created by the National Juvenile Justice Network contains a host of resources to get started and assess your organization.
• Additional racial equity organizational tools and resources provided by Equity in the Center:
• Implementing Anti-Racism Interventions in Healthcare Settings: A Scoping Review

Addressing Health Disparities with BIPOC Communities

Examples of Organizations and Interventions

• Hood Medicine Initiative created a YouTube series to address health equity among BIPOC communities to expand access to care.
• Mental Health America has curated an online resource guide called “Healthcare Disparities Among Black, Indigenous, and People of Color,” with various resources on how to support BIPOC communities including an organization search engine to increase access to mental health services.
• The Centers for Disease Control and Prevention (CDC) has created the STD Health Equity initiative with resources on sexual health cultural competency and reducing health disparities with additional tools and resources.
• The Kaiser Family Foundation (KFF) conducted a study to review COVID-19 and racial justice movements with a focus on health disparities: Disparities in Health and Health Care: 5 Key Questions and Answers
• The American College of Obstetricians and Gynecologists (ACOG) has committed to addressing and confronting racial bias and racism and this report intends to inform policy-level strategies to close health equity gap: Racial and Ethnic Disparities in Reproductive Health Services and Outcomes
• Also see: Interventions by Population

Building Community Trust

Examples of Organizations and Interventions

• The SHARE Approach: A Model for Shared Decision-making is 5-step process to ensure that providers and patients work together to develop a health care plan that best meets the needs of the patient.
• The Guttmacher Institute published policy recommendations for long-acting reversible contraceptives (LARCs) to prevent coercive tactics while promoting LARCs. Some of the policy recommendations includes using a person-centered framework, reducing racial bias by building trust, and increase community engagement: Powerful Contraception, Complicated Programs: Preventing Coercive Promotion of Long-Acting Reversible Contraceptives.
• Learn more about non-paternalistic models on how to better support patient needs by building trust and supporting the autonomy of all patients: Provider-Patient Relationship
• Person-Centered Contraceptive Counseling (PCCC) measure is a tool to evaluate patient experience of contraceptive care, and particularly how health care providers are supporting patients during the contraceptive decision-making process.
• ASTHO has created an introductory guide on Multi-Sector Intersections and Collaborations to Advance Health Equity to support coalition building and community collaboration.
• Learn more about multi-sectoral community coalition building within your community in this published article: “Hey, We Can Do This Together”: Findings from an Evaluation of a Multi-sectoral Community Coalition
• The PATH Framework is a person-centered model to encourage providers engage in conversations with their patients about their sexual health needs.