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Making Injustice Visible: How a Health Department Can Demonstrate the Connection Between Structural Racism and the
Lauren J Shiman1, Kim Freeman, Jane Bedell
1Bureau of Bronx Neighborhood Health, Center for Health Equity and Community Wellness, NYC Department of Health and Mental Hygiene, New York City, New York (Mss Shiman and Freeman and Drs Bedell and Bassett). Dr Bassett is now at François-Xavier Bagnoud Center for Health and Human Rights, Harvard University, Boston, Massachusetts.
The New York City Department of Health and Mental Hygiene (DOHMH) used the "Undesign the Redline" exhibit to educate about structural racism. The program fostered dialogue and led to lasting changes in participants' personal and professional actions.
Area of Science:
- Public Health
- Social Determinants of Health
- Health Equity
Background:
- Historically redlined neighborhoods face systemic disadvantages impacting community health.
- The New York City Department of Health and Mental Hygiene (DOHMH) committed to addressing structural racism.
- Tremont, a historically redlined area in the Bronx, was selected for engagement.
Purpose of the Study:
- To educate and engage diverse audiences on historical and current structural racism.
- To utilize the "Undesign the Redline" exhibit as an educational tool.
- To foster dialogue and promote understanding of racism's impact on health.
Main Methods:
- Exhibited "Undesign the Redline," a pictorial timeline of redlining, in a DOHMH office.
- Conducted 101 tours for 950 visitors, including staff, community partners, and residents.
- Facilitated interactive workshops and collected immediate and long-term feedback via surveys.
Main Results:
- Participants reported increased awareness and discussions about structural racism.
- Exhibit tours and workshops led to participants seeking more information and applying an equity lens to their work.
- The initiative contributed to sustainable changes within DOHMH's internal practices.
Conclusions:
- Hosting the exhibit in a health department building provided a practical platform for discussing structural racism.
- The program demonstrated immediate and long-term impacts on participants' perspectives and actions.
- This approach effectively visualizes injustice and builds community trust through open dialogue.
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