Evidence map›Paper›PMID 42571198›Full record

ArticleHealth equity

Implementing Racial and Social Justice Policies: A Qualitative Study of Three Local U.S. Jurisdictions.

Kellee White Whilby, Makeda Walelo, Alana J Gunn

Abstract read
In one paragraph

Article in Health equity. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kellee White WhilbyDepartment of Health Policy and Management, School of Public Health, University of Maryland College Park, College Park, Maryland, USA.ORCID https://orcid.org/0000-0002-0939-8073
Makeda WaleloDepartment of Health Policy and Management, School of Public Health, University of Maryland College Park, College Park, Maryland, USA.
Alana J GunnDepartment of Criminology, Law and Justice University of Illinois Chicago, Chicago, Illinois, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Processes for implementing racial equity and social justice (RESJ) policies are not well understood, despite their growing adoption across local governments. To address this gap, this qualitative study examines how practitioners navigate the day-to-day work of translating RESJ policy mandates into practice and the institutional, political, and organizational conditions shaping implementation across three jurisdictions in a large U.S. metropolitan area. Methods: We conducted in-depth, semi-structured interviews with 10 practitioners involved in RESJ policy implementation and identified through purposive sampling between June and November 2023. Interviews explored participants' experiences with policy interpretation, community and stakeholder engagement, organizational capacity, accountability, and perceived policy impact. Data were analyzed using a reflexive thematic analysis. Results: Six themes and 14 subthemes were identified. The themes characterized participants' experiences with interpreting and operationalizing policy mandates; organizational capacity and resource constraints; data infrastructure and practices; formal and relational accountability and oversight; emotional and ethical challenges; and political durability and risk. The findings illuminated key barriers and facilitators shaping policy adoption, acceptability, feasibility, fidelity, and sustainment, highlighting critical leverage points within RESJ policy implementation processes. Discussion: These insights underscore the need for greater institutional capacity, explicit and transparent accountability mechanisms, and sustained political and material support to strengthen RESJ policy implementation. Amid recent retrenchment of equity-focused policies, these findings provide guidance for policymakers and administrators seeking to design, implement, and sustain equity policies within local government systems.

Indexed as

policy evaluationqualitative researchracial equity and social justice policy

Identifiers

PMID42571198
PMCPMC13451699

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.