In partnership with others, we work to develop a Culture of Health rooted in equity that provides every individual with a fair and just opportunity to thrive.
About the Assessment
Westat, in collaboration with The Mirror Group and Dr. Shiriki Kumanyika, made a detailed evaluation on the Foundation’s work from 2018–2022. RWJF refined its strategic direction in 2020 to address structural racism and other barriers to achieving health equity. The Phase Three evaluation report examined these questions:
What has been learned about systems change?
What have we learned about the Foundation’s progress in addressing health equity and removing barriers to structural racism?
How can equitable evaluation practices be incorporated?
What have we learned through evaluation synthesis?
To inform the report, the evaluators conducted:
An analysis of $1M+ grants since 2018
An analysis of research grants
A review of Foundation documents
A synthesis of outcomes of recent evaluations
An analysis of the extent to which evaluations are conducted in an equitable manner
The report includes a deep analysis of how grantee work maps to the Foundation’s strategic direction.
Among the findings, Westat reported that RWJF’s health equity grants grew from 7% to 63% between 2018 and 2022, and that two-thirds of all grants aligned with at least one generation goal.
Deeper analysis is needed to understand the efficacy, gaps, and points of leverage among grantee work when considered in whole.
While systems change is hard, the report acknowledged that RWJF has acted swiftly in its work to create systems change to promote greater health equity. Long-term impact takes time, and requires the participation and perspectives of many people, most of all the communities most affected by the systems.
The report concludes with systems-change advice to:
Clearly articulate the Foundation’s vision for change
Provide sufficient capacity-building resources and expertise to move levers
Identify and involve champions of health equity effortsReach agreement with stakeholders on clearly articulated measures of success.
Building a Culture of Health
A Culture of Health is when everyone has an equitable opportunity to wellbeing and health. Learn how we're working to help all have a fair chance to thrive.
Building a Culture of Health Progress Report: Year One
This assessment focuses on the broader concepts of a Culture of Health—the principle, Action Areas, and health equity—and whether the Framework is understood by and incorporated into the work of staff, grantees, partners, and other stakeholders.
Phase Two Findings and Conclusions
This report sheds light on what it means to advance a Culture of Health. It offers examples of what the work looks like in practice.