Extension's National Framework for Health Equity

TABLE OF CONTENTS

Attribution .............................................................................................................................................. 2

Table of Contents..................................................................................................................................... 3

Authors ................................................................................................................................................... 5

Introduction ............................................................................................................................................ 6

Methods.................................................................................................................................................. 7

The Changing Health Landscape ............................................................................................................... 8 America’s Opioid Misuse Crisis ........................................................................................................................................... 8 Mental Health ..................................................................................................................................................................... 8 COVID-19............................................................................................................................................................................. 9 Climate Change ................................................................................................................................................................... 9 Food Insecurity ................................................................................................................................................................... 9 Health Insurance ............................................................................................................................................................... 10 Cooperative Extension Evolves ............................................................................................................... 11 Nutrition Education .......................................................................................................................................................... 11 Expansion of Health Programming ................................................................................................................................... 11 Health Extension Comes of Age........................................................................................................................................ 12 Extension Engagement with the Health Care Community ............................................................................................... 12 Engagement with Clinical and Transformational Science ................................................................................................ 12 Capacity Building and Professional Development ............................................................................................................ 13 Transition from Expert to Partner .................................................................................................................................... 13 New Partnerships, New Investments ............................................................................................................................... 14 Health Equity as a Core Theme ............................................................................................................... 15 Definitions of Health Equity.............................................................................................................................................. 16 Rurality and its Relationship to Inequities ........................................................................................................................ 16 Racism as Driver of Inequity ............................................................................................................................................. 17 Recognizing Inequities ...................................................................................................................................................... 17 Targeted Universalism ...................................................................................................................................................... 17 Social Determinants of Health as a Core Theme ...................................................................................... 18 Contemporary Population Health Frameworks................................................................................................................ 18 Strengthening Extension’s Capacity to Engage ................................................................................................................ 18 Coalitions and Community Health Assets as a Core Theme...................................................................... 20 Community Coalitions....................................................................................................................................................... 20

Cooperative Extension’s Framework for Health Equity and Well Being .................................................... 22