The Phase Three report highlights what has been learned about systems change, particularly as it relates to dismantling structural racism and building health equity.
Systems work is hard, takes time to do right, and needs the participation and perspectives from many parties, especially the communities most affected by the systems. It also needs clarity in a vision that is shared and understood by all.
Among the findings is an increasing number of grants are focused on equity and breaking down structural racism. Deeper analysis is needed to understand the overall efficacy, gaps, and points of leverage among grantee work, taken as a whole.
Incorporating equitable evaluation practices into RWJF evaluations has been a work in progress with increasing attention over recent years particularly in selecting evaluators with specific expertise in equitable evaluation.