The

Bay Area Regional Health Inequities Initiative

(BARHII) is a unique undertaking by local health departments in the San Francisco Bay Area to confront health inequities. The regional collaboration includes public health directors, health officers, senior managers and staff from Alameda, Contra Costa, Marin, San Francisco, San Mateo, Santa Clara and Solano counties, and the City of Berkeley.

To carry out its mission, BARHII has organized its work into a Practice Committee and Internal Capacity Committee. The Practice Committee is where health department staff re-examine the work they do with communities and other partners to change conditions that contribute to health inequities. The Practice Committee is divided into work groups that focus on Communities, the Built Environment and Schools. A media advocacy component is infused throughout the work groups in order to develop better communications strategies. In addition, a Data Work Group is focused on developing the epidemiological capacity to support this expanded practice. The Internal Capacity Committee is developing trainings, peer consultations and assessment tools to help change the organization and culture of health departments to make work on health inequities central to their missions.

In addition to its work to help health departments learn from and teach each other, BARHII is developing regional strategies that supplement and support local work. Since many of the forces that shape neighborhood living conditions are regional—from the economy to media to certain regulatory agencies—there is good reason to act regionally. Regional approaches are particularly important in policy and advocacy work, where the influence of several health departments can often be more effective than one.

With financial support from The California Endowment, San Francisco Foundation, Silicon Valley Community Foundation and East Bay Community Foundation in collaboration with the Public Health Institute.