Equity Analysis of a Reproductive Health Association: a Case Study.

IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Maternal and Child Health Journal Pub Date : 2025-02-01 Epub Date: 2024-12-14 DOI:10.1007/s10995-024-04034-x
Ndidiamaka Amutah-Onukagha, Adriana Black, Emily W Harville, Jacqueline Gifuni-Koutsouris, Ayesha Shah, Brenda Hernandez, Isha Datta, Sophie Howard
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Abstract

Purpose: To demonstrate the process and results of an equity analysis of a reproductive health association.

Description: A series of quantitative surveys and qualitative interviews were conducted with employees of Planned Parenthood League of Massachusetts (PPLM), assessing different aspects of equity. Amaka Consulting and Evaluation Services, LLC, an external consulting agency, analyzed the results and provided recommendations for improvements.

Assessment: Between 25% and 33% of the employees identified as Black, Indigenous, and people of color (BIPOC). Staff expressed a high degree of satisfaction with the organization's alignment to its mission and commitment to equity. Turnover was higher among BIPOC employees, and employees of color were less likely to say they had confidence in senior management. Themes that arose frequently in surveys included the need for increased communication around equity action steps, greater accountability, and work environment issues. Qualitative interviews indicated acknowledgment of diversity, equity, and inclusion (DEI) efforts but feeling that they were not as legitimate as they could be and vocalized a need for more equitable hiring. Recommendations for improvements included tracking feedback around social movements; conducting equity impact assessments; supporting staff through salary, opportunities for advancement, and better supervision; requiring management to attend equity initiatives, and creating equity resources for staff.

Conclusion: This study provides a template for other evaluations of equity. Similar to other organizations in the field, this equity analysis suggests that PPLM had a stronger commitment to certain aspects of DEI than others, and that there was a need for improvement in several areas, particularly hiring and management.

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生殖健康协会的公平分析:案例研究。
目的:展示对生殖健康协会进行公平分析的过程和结果。描述:对马萨诸塞州计划生育联盟(PPLM)的员工进行了一系列定量调查和定性访谈,评估了公平的不同方面。外部咨询机构Amaka咨询和评估服务有限责任公司分析了结果并提供了改进建议。评估:25%到33%的员工被认定为黑人、原住民和有色人种(BIPOC)。员工对组织对其使命和公平承诺的一致性表示高度满意。BIPOC员工的流动率更高,有色人种员工不太可能表示他们对高级管理层有信心。调查中经常出现的主题包括需要就公平行动步骤、更大的问责制和工作环境问题加强沟通。定性访谈表明了对多样性、公平和包容(DEI)努力的认可,但感觉这些努力不够合法,并呼吁更公平的招聘。改进建议包括跟踪有关社会运动的反馈;进行公平影响评估;通过薪酬、晋升机会和更好的监督来支持员工;要求管理层参与公平倡议,并为员工创造公平资源。结论:本研究为其他公平评估提供了模板。与该领域的其他组织类似,这种公平性分析表明,PPLM比其他组织更注重DEI的某些方面,并且需要在几个领域进行改进,特别是招聘和管理。
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来源期刊
Maternal and Child Health Journal
Maternal and Child Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.20
自引率
4.30%
发文量
271
期刊介绍: Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment Innovative MCH service initiatives Implementation of MCH programs MCH policy analysis and advocacy MCH professional development. Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology. Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.
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