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Turning the tide on inequity through systematic equity action-analysis.
Katrina M Plamondon1, Jenna Dixon2, Ben Brisbois3
1Science of Health Equity Learning Lab & Assistant Professor, School of Nursing, University of British Columbia ART360, 1147 Research Road, Kelowna, BC, Canada. katrina.plamondon@ubc.ca.
BMC Public Health
|May 15, 2023
Summary
Advancing health equity requires systematic approaches. The Systematic Equity Action-Analysis (SEA) Framework empowers leaders and communities to integrate equity into their work, promoting agency and interrupting oppression.
Area of Science:
- Health equity research and practice.
- Systems transformation and social justice.
Background:
- Growing consensus on the importance of equity in health research, practice, and policy.
- Challenges in advancing equity due to diffused responsibility and overlooking existing scholarship.
- Need for systematic, evidence-guided tools to foster agency in advancing equity.
Purpose of the Study:
- To introduce and describe the Systematic Equity Action-Analysis (SEA) Framework.
- To provide a structured process for leaders, teams, and communities to advance equity.
- To translate equity scholarship and evidence into actionable strategies.
Main Methods:
- Development through a dialogic, critically reflective, and scholarly process.
- Integration of methodological insights from years of equity-centered research and practice.
- Grounding in critical and relational lenses, synthesizing theory and practice.
Main Results:
- The SEA Framework balances agency, humility, dialogue, and systems thinking.
- It guides users through four analytical elements: worldview, coherence, potential, and accountability.
- Applicable to diverse settings for retrospective or prospective equity analysis.
Conclusions:
- The SEA Framework equips individuals to recognize and interrupt their role in oppressive systems.
- It is a novel contribution to the science of health equity.
- Facilitates explicit action towards dismantling inequities.
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