Sources for Health Equity Evaluation Measures
Rural communities can identify evaluation measures from a range of sources. More information on evaluation
measures for rural communities addressing health inequities can be found in the Social Determinants of Health in Rural Communities Toolkit.
Health Rankings & Roadmaps website describes indicators related to many underlying factors that
affect health equity, such as housing, transit, income, and education.
The Bay Area Regional Health Inequities Initiative developed a guide for leveraging social determinants of health
indicators to advance health equity. Indicators are divided into different areas, including
economic, service, social, and physical domains. The guide includes 72 priority indicators, potential data
sources, data analysis strategies, and considerations and recommendations for using the indicators.
The Funders Forum on Accountable Health, a project of the George Washington University Milken Institute
School of Public Health, developed a framework for measuring health
equity impacts of Accountable Communities for Health. The framework document includes several
appendices that list potential metrics and sources.
With funding from Robert Wood Johnson Foundation and the Kresge Foundation, NeighborWorks America developed
tools that describe evaluation
measures for community development and health. The tools focus on health status, beliefs, attitudes,
and behaviors; individual factors and influences; environmental factors; community demographics and social
factors; healthcare service availability, quality, and cultural sensitivity; and collaboration and
In addition to measures on specific conditions that contribute to health equity, communities may find it
helpful to develop a single composite metric that scores equity in their community. A summary health equity
score can simplify reporting and reduce the number of indicators.
For example, U.S. News & World Report and the Aetna Foundation developed a Healthiest Communities tool that
includes an overarching equity score
based on measures of educational equity, health equity, income equity, and social equity.
Similarly, the Public Health Alliance of Southern California developed a Healthy Places Index that provides an overall
score and indicators that include economic, education, housing, healthcare access, transportation,
social, and environmental factors.
Vulnerability Index (SVI) provides information about 15 social factors at the census tract
level, including measures related to poverty and housing.
HRSA and the University of Wisconsin-Madison offer the Area Deprivation Index (ADI) to
visualize factors of neighborhood disadvantage at the census tract and county level.
for Advancing Community Transformation is a tool developed in collaboration by 100 Million Healthier
Lives/Institute for Healthcare Improvement, County Health Rankings & Roadmaps, and the Georgia Health
Policy Center. The tool helps communities assess collaborations to improve health equity.
Mapping is an approach that can help assess how policy, systems, and environmental changes influence
health equity. Ripple Effect Mapping also helps to visualize complex programs and processes.
100 Million Healthier Lives and the National Committee on Vital and Health Statistics supported a
collaboration of more than 100 organizations and communities to develop the Well Being In the Nation (WIN) measures.
The WIN measures evaluate health and well-being across sectors and include core measures and leading
Resources to Learn More
Determinants of Equity: Identifying Indicators to Establish a Baseline of Equity in King County
Describes how community-level indicators created for King County, Washington, are useful in developing a
baseline of conditions to better understand the impact of the social determinants of health.
Author(s): Beatty, A. & Foster, D.
Organization(s): University of Washington, King County Office of Performance, Strategy and Budget
Evaluating Progress in Promoting Health Equity: A Review
of Methods and Tools for Measurement
A detailed analysis of the National Collaborative on Childhood Obesity Research (NCCOR) registry tool, or
NCCOR-R tool, offering consistency in the use of tools and methods for research in childhood obesity and obesity
prevention programs. Includes discussion on other tools and methods used for monitoring progress.
Organization(s): Institute of Medicine, Committee on Evaluating Progress of Obesity Prevention Effort, Food and
A Field Guide to Ripple Effects Mapping
Describes Ripple Effects Mapping and provides steps for implementing the Ripple Effects Mapping process.
Author(s): Chazdon, S., Emery, M., Hansen, D., et al.
Organization(s): University of Minnesota
Equity Tools 2.0, 2016
Presents a list of health equity tools with descriptions, applications, and evaluations. Tools are categorized
into different areas of application such as health impact assessment tools, indicators and measurement,
community engagement, and population-specific approaches.
Author(s): Pauly, B., MacDonald, M., Hancock, T., et al.
Island's Statewide Health Equity Indicators
Describes the health equity indicators used by the State of Rhode Island to evaluate progress toward achieving
Organization(s): Rhode Island Department of Health Community Health Assessment Group