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The lack of discussion on SDOH as it relates to equity and SHIP was a missed opportunity. For LPH staff on the ground, it is impossible to ignore SDOH and other needs when doing any level of engagement. We need our grant to be more flexible or clear on how we meet the needs of the community and advance equity in realistic ways.

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I understand the consistency of the process among all the groups, but I felt like the conversations were not as robust as they could have been on the topic. It felt like we were wordsmithing or documenting already well established concepts (like relationship building, compensation, etc.) and not discussing new topics. I would love to see OSHII be a leader on this topic and provide more of a unifying vision and voice on what equity means to our work and how we can advance it with our current guidelines and how to advocate for adjusting those guidelines when they don't fit our vision of equity. The other comments previously left on this section capture some of these thoughts well.

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Focused on connections made versus processes or results.

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While I know that this was somewhat discussed in these sessions and that there has been other decisions made around what will be "allowable"... I do continue to reflect on how central uplifting SDOH is to equity and SHIP work... Perhaps this could be an ongoing conversation and learning opportunity for OSHI and LPH to be engaged in throughout SHIP 6, perhaps a consultation space, or learning around connections between SDOH, protective factors, and SHIP strategies...how we can all be using shared language and approach around this?

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When we think about equity, it is so important that we reflect on how we see ourselves in relationship to the SHIP grant. Are we funders or are we change agents who happen to be connected to funding? I believe that everyone needs to consider this for themself, but a collective voice led by OSHII is also important.

One step that OSHII can take is to create a Vision for SHIP (not linked to contexts). Example: Equitable communities.

This could be in tandem with a mission that is linked to the legislation. Example: Reduce the health burden of chronic disease.

Thank you!

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This group focused very heavily on processes related to community engagement and equity work from a LPH perspective. This foundation is very important AND we need to acknowledge that isn't enough. This work requires a willingness to push beyond our normal limits of comfort, as individuals and as a collective. During these discussions, I kept thinking back to the SHIP Statewide Keynote speaker from 2022, William Moore. He is a well-spoken advocate for LPH getting into the community and pushing boundaries to advance health equity. I couldn't help but think how we collectively shy away from this passion and the barriers that that creates.

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Making clear the intention and purpose of the steps and questions being asked. These were some huge, complex questions and ideas being proposed, and I didn't feel like I always understood why that was being asked or what the answer would be informing. Yes/No/Unsure doesn't fully capture what we want to say, and I would be hesitant to use those answers to inform big decisions. I can appreciate trying to streamline/simplify/quantify, but there is so much nuance to capture

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Equity can feel like a buzzword. Stopping to ask "is [blank] equitable?" Is the format of this work group and the people involved allowing for true collaboration? Whose input is most important and who is making the final decisions? Who haven't we heard from?

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It takes me a bit to digest information, it would have been helpful to have the agenda earlier than day-of to feel more prepared to give feedback. I think there's more to do to tweak the language on some of the success metrics, as we discussed. But I also know this is a time consuming effort!

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Knowing the right questions to ask in order to have data that meets our needs, being able to communicate data and findings in a way that anyone could understand

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I have appreciated that we have been able to co-create documents and provide input at meetings

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The phrasing and discussion around theory-based practices were confusing to me. If there is a specific population of focus and there isn't sufficient evidence yet to support a program in that group, it is important to adapt and integrate culturally-specific practices and ways of knowing in order to be successful. Culturally-responsive practices, even if not officially evidence-based (yet), should be uplifted, as opposed to using a program that was evidence-based with a different population. Cultural and ethnic focuses should always be considerations

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Knowing what data resources are available to help tell the SHIP equity story and how to access

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Knowing what data resources are available to help tell the SHIP equity story and how to access