Strategies

Engage professional or lay health workers to provide education, referral and follow-up, case management, home visiting, etc. for those who experience barriers in accessing health care; also called promotoras(es) de salud or community health representatives

Purchase the land a home is on to lease to homeowners with low and middle incomes and require homeowners to sell the home back to the trust or to another resident with low income upon moving

Adjust and monitor fluoride levels in public water supplies to reach and retain optimal fluoride concentrations

Provide culturally appropriate non-medical care and support throughout pregnancy, birth, and postpartum to birthing people at higher risk of poor outcomes and underserved by the medical community

Enhance streetscapes with greater sidewalk coverage and walkway connectivity, street crossing safety features, traffic calming measures, and other design elements

Address the needs of teenage parents via clinic-based programs that provide health care and family planning services as well as case management, counseling, and other supports

Involve consumers in health care governance via roles on governing boards, advisory committees, or shorter-term special projects

Establish high deductible health plans paired with pre-tax medical expense accounts such as Health Reimbursement Arrangements (HRAs) or Health Savings Accounts (HSAs) and information tools

Increase health care providers’ skills and knowledge to understand and respond to cultural differences, value diversity, etc. via factual information, skills training, and other efforts

Tailor health care to patients’ norms, beliefs, and values, as well as their language and literacy skills