The
Bay Area Regional Health Inequities Initiative
(BARHII) s 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, Napa, San Francisco, San Mateo, Santa Clara, Santa Cruz, Solano and Sonoma counties, and the City of Berkeley.
To carry out its mission, BARHII has organized its work into committees focused on data, community, built environment and internal capacity. The
Data, Community and
Built Environment Committees, as well as an
Ad Hoc Work Group on Social Determinants of Health, are where health department staff are attempting to redefine public health practice to change conditions that contribute to health inequities. The
Internal Capacity Committee is developing trainings, peer consultations and an organizational self-assessment toolkit to help change the organization and culture of health departments to make work on health inequities central to their missions.
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