Action steps to eliminate racism and advance equity

Data and research evidence are clear that racism is a systemic and ongoing crisis with serious consequences for the health and wellbeing of Ohioans. The 2021 Health Value Dashboard™ Equity Profiles demonstrate that communities of color in Ohio face multiple barriers to being healthy. As a result, Ohioans of color experience much poorer health outcomes.  

HPIO’s Connections Between Racism and Health policy brief explains how the health challenges faced by communities of color are rooted in racism and provides action steps to dismantle racism and advance health equity. This page, as a companion to this brief, lists resources that can be used to dismantle racism in all its forms, both at the individual (internalized and interpersonal) and systemic (institutional and structural) level. 

How can racism be eliminated?

HPIO has released three fact sheets to outline actions that can be taken to support the health and well-being of Ohioans of color and move Ohio toward a more economically vibrant and healthier future:

HPIO’s Action Steps to Eliminate Racism and Advance Equity diagram outlines how individuals and groups, private organizations and state and local government leaders can work to eliminate racism in all its forms and advance equity. 

Policy brief racism and health

Resources to take action

Resources are categorized based on their relevance for use by: 

  • Individuals (I
  • Organizations (O)  
  • State and local government (S

To achieve equity and ensure that all Ohioans reach their full health potential, racism and discrimination must be eliminated for all systematically disadvantaged populations. This resource page also includes resources to support elimination of discrimination experienced by people with disabilities, LGBTQ+ communities, women and gender non-conforming individuals. 

If you have a resource you would like HPIO to consider adding to this page, please email Carrie Almasi at For additional equity resources, see HPIO’s equity resource page.

Acknowledge racism as a crisis (includes assessing personal and organizational awareness, attitudes and beliefs)

  • One Journey: Racial Equity, Diversity & Inclusion, W.K. Kellogg Foundation ( I O)
    This guide describes the Kellogg Foundation’s racial equity journey and provides resources for other organizations looking to advance racial equity through board leadership, internal policies and practices and by leveraging networks, research and voice.
  • Confronting structural racism in research and policy analysis, Urban Institute (O) 
    This brief provides guidance for policy research organizations to address structures and systems of racism by building awareness among staff, improving data sources and methods and engaging diverse audiences. 
  • Implicit bias module series, Kirwan Institute for the Study of Race and Ethnicity (I O)
    This series includes four interactive modules that help participants understand the origins of implicit associations, uncover their biases and learn strategies to address them.  
  • Organizational assessment: An overlooked approach to managing diversity and addressing racism in the workplace, Journal of Diversity Management (O S)
    This article summarizes reviews of eight assessment tools organizations can use to advance diversity, uphold accountability and address racism in their work.  
  • Project Implicit, Harvard (I)
    Project Implicit provides Implicit Association Tests to assess unconscious attitudes and beliefs on topics such as race, gender, disability and skin tone.   
  • Race Matters: Organizational self-assessment, The Annie E. Casey Foundation (O)
    This assessment provides a tool for organizations to increase awareness about their own embedded racial inequities and develop appropriate action plans to address racism and other biases. 

Educate, train and support

  • Addressing racism: Anti-racism resources, University of Minnesota Alumni Association (O)
    This page provides books, webinars and tools that explain racial bias and systemic racism.  
  • Health equity resources/tools, National Association of Chronic Disease Directors (O S)
    Developed by the NACDD’S Health Equity Council, those involved in public health can educate themselves through a list of research and toolkits on equity, cultural competency, social determinants of health and advocacy.
  • Public Health Resources for Understanding Environmental Racism, 2U Inc. (O S)
    A resource to bring awareness to the connection between environmental health and racial inequities.
  • Racial equity resource guide, W.K. Kellogg Foundation (I O)
    By reviewing this resource, individuals and organizations can use data, interactive guides and workshops to increase racial equity and healing amongst their communities and in their work.  
  • Racial equity tools websiteRacial Equity Tools (I O S)
    Using this website, those at any level can learn about racism and how to engage in building racial equity through various research, tools and curriculums. 
  • The groundwater approach: building a practical understanding of structural racism, Racial Equity Institute (I O S)
    This paper can be used to deepen individual understanding of structural racism and the need for systemic change, as well as a tool for facilitated group learning and development. 


Recruit, support, promote and train diverse leadership and staff 

Prioritize and ensure equitable outcomes in policy 

  • An analysis of state health impact assessment legislation, National Conference of State Legislatures (S)
    This report outlines the implementation of health impact assessments, which use primary data and published research to determine how legislation will affect various communities and advance priorities such as health equity. 
  • Health impact reviews, Washington State Board of Health (S)
    This resources lists examples of health impact reviews conducted in Washington State, which provide policymakers with information about how proposed legislation may impact health and health equity. 
  • Racial equity impact assessment guide, Race Forward (O S)
    This guide explains how Racial Equity Impact Assessments, tools which examine how proposed policies or actions will affect different racial and ethnic groups, can reduce, eliminate and prevent racial discrimination and inequities. 
  • Senate Bill S1739A, New York State Senate (S)
    This New York State bill provides an example of legislation which establishes a committee to conduct racial equity impact assessments for all proposed legislation.  

Advocate for, implement and fund anti-racist polices, programs and practices that advance equity 

  • Racial Equity in Public Policy: Message Guide, Voices for Healthy Kids, American Heart Association (I O)
    This guide includes messages and tips to help advocates advance the conversation on racial equity, link racial inequity and structural racism to policy and obtain specific racial equity language in policy.
  • State Policy and Program Strategies to Advance Health and Racial Equity, National Academy for State Health Policy (O S)
    This chart highlights efforts by state and local governments to advance equity through cross-agency collaboration, effective use of data, and improved community input and staff diversity.
  • Resources for States to Address Health Equity and Disparities, National Academy for State Health Policy (O S)
    This page features resources and examples from state policy efforts to achieve health equity.
  • Executive Order 19-24: Affirming the government to government relationship between the State of Minnesota and Minnesota Tribal Nations, State
    of Minnesota (S)
    This order established that state agencies must directly collaborate with the Minnesota Tribal Nations in developing new agency policies and practices. Although unique to Minnesota, this executive order can be used as a framework to build relationships with tribal nations among other states.  
  • Interim ReportCOVID-19 Minority Health Strike Force (I O S)
    This interim report includes recommendations for action to address COVID-19 and its impact on people of color in Ohio. 
  • Stand against racism, YWCA (I O)
    Stand Against Racism is a national campaign for individuals and organizations to work together to raise awareness about systemic racism in the U.S. through education, advocacy, civic engagement and promotion of racial justice. 
  • 2020-2022 State Health Improvement plan, Ohio Department of Health (O S)
    This is a plan to strengthen state and local efforts to improve health equity, well-being and economic vitality in Ohio.
  • Stress on the Streets (SOS): Race, policing, health, and increasing trust not trauma, Human Impact Partners (O S)
    This report provides an assessment of policing practices in Ohio, describes how current policing practices affect health and well-being, and points toward better practices that will help restore trust and respect, improve public health and build safer environments. 
  • Strategic Practices, Health Equity Guide, (O S)
    This resource provides strategic practices that can be implemented by local health departments and other government agencies to advance equity.
  • Tools and Resources, Government Alliance on Race and Equity (O S)
    This page provides resources for local and regional government to proactively work to advance racial equity, including creating racial equity plans and measuring the impact of racial equity work.

Tailor policies towards and authentically engage communities of color 

Collect/report disaggregated data for surveillance and outcome evaluation

  • Measures to Advance Health and Opportunity, the HOPE Initiative (S)
    This data tool tracks social determinants of health and health outcomes by race, ethnicity and socioeconomic status and identifies where individual states can improve equity.
  • Sources for data on social determinants of health, Centers for Disease Control and Prevention (O S)
    Compiled by the CDC, this website provides links and descriptions of various data tools on key health indicators which can be used to collect and monitor disaggregated data.  
  • Racial health equity: Data, Center for the Study of Racism, Social Justice, & Health (O S)
    This resource lists data sources that examine racial health disparities on a variety of health indicators and quality of life measures and can be used to develop research and policies that address racial inequities. 
  • Leading Practices to Advance Equity within Federal Agencies, Mathematica (S)
    A series of recommendations to the U.S. Office of Management and Budget about advancing equity within federal agencies, including the role of data collection and program innovation.

Resources to eliminate other forms of discrimination

Homophobia, transphobia and discrimination experienced by LGBTQ+ communities 

  • Resources for LGBT equality, ACLU (O)
    This resource lists podcasts, videos and other materials covering 5 topic areas to support LGBTQ+ equality. 

Women, gender inequality and sexism 

Last updated 12/13/2021