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Health Evaluation TIG Week: The Health Equity Indicators for Cardiovascular Disease (CVD) Toolkit by Lauren Toledo

Hello! My name is Lauren Toledo, an evaluator with Deloitte Consulting LLP. I work with U.S federal health agencies to plan, design, and implement program evaluations. 

Rad Resource

Today, I would like to highlight a new resource published by the Centers for Disease Control and Prevention’s Division for Heart Disease and Stroke Prevention: The Health Equity Indicators for Cardiovascular Disease (CVD) Toolkit.

Grounded in the Socio-Ecological Model, the toolkit is a key resource for evaluators who wish to consider the social, economic, and environmental factors that contribute to cardiovascular health outcomes and disparities.

The toolkit provides resources for health care and public health professionals including:

  • Indicators and measures to assess health equity in the focus areas of Genderism, Sexism, and Hetero-sexism; Health Care Access; Neighborhood Characteristics; Policy; Psychosocial Pathways; Racism; and Socioeconomic Factors
  • Survey tools and links to existing datasets
  • Guidance on how to use data to inform decision-making
  • Examples of how elements of the toolkit have been used in public health practice

The focus area sections of the toolkit provide indicators and measures of health equity. For instance, under Neighborhood Characteristics, the toolkit provides evidence on how the neighborhoods in which we live impact our cardiovascular health along with a list of indicators of neighborhood quality, such as air and water quality, green space, and community safety. For each indicator, the toolkit outlines evidence for how the indicator influences cardiovascular health and methods for measuring the indicator using primary or secondary data. For example, the toolkit includes survey items to measure perceived community safety, like the Neighborhood Safety Scale, and also points to existing data sources, such as where to find information about the number of homicides per 100,000 population.

The toolkit website also provides an overview on how the Centers for Disease Control and Prevention developed the toolkit. While this toolkit is a foundational resource for evaluators interested in monitoring and evaluating from a health equity perspective, it will continue to grow and be refined.

Once you have a chance to check out the toolkit, I would love to hear in the comments how you are thinking about using this resource to enhance your evaluation practice, especially if you’ve found applications for the toolkit beyond cardiovascular health. I’d also love to start a conversation about additional indicators or measures that should be included in the toolkit in the future!


The American Evaluation Association is hosting Health Evaluation TIG Week with our colleagues in the Health Evaluation Topical Interest Group. The contributions all this week to AEA365 come from our Health Evaluation TIG members. Do you have questions, concerns, kudos, or content to extend this AEA365 contribution? Please add them in the comments section for this post on the AEA365 webpage so that we may enrich our community of practice. Would you like to submit an AEA365 Tip? Please send a note of interest to AEA365@eval.org. AEA365 is sponsored by the American Evaluation Association and provides a Tip-a-Day by and for evaluators. The views and opinions expressed on the AEA365 blog are solely those of the original authors and other contributors. These views and opinions do not necessarily represent those of the American Evaluation Association, and/or any/all contributors to this site.

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