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Many communities use the Healthy People framework to address health equity and social justice. Washington DC Department of Health initiative to address health equity in the community (Figure 2.6) is drawn from Healthy People. The DC Department of Health monitors nine drivers: education, employment, income, housing, transportation, food environment, medical care, outdoor environment, and community safety. Because of their individual impact, but especially given their interconnectedness, the nine key drivers provide the main framework that collectively engineer how health is created outside of traditional healthcare and public health. Together, they illustrate the importance of social and structural determinants, which, intentionally or otherwise, produce persistently inequitable health outcomes (District of Columbia Health Department, 2020).

Figure 2.6 DC Healthy People 2020 Framework and Action Plan to Achieve Health Equity

Source: DC.Gov