The Future of Diversity, Equity, and Inclusion in Public Health

Inclusive teamwork: A group of professionals collaborates over a computer screen. One person sitting in a wheelchair, the other two people are standing.

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As we move into 2025, public health professionals find themselves navigating an increasingly complex and politically charged environment regarding diversity, equity, inclusion, belonging, and accessibility (DEIBA). New executive orders from the administration pose significant challenges, threatening to dismantle policies designed to protect historically marginalized and under-served communities and advance health equity. These changes will not only impact employment across the federal government and other sectors but will also have grave implications for the health and safety of everyone who lives in America. These changes could widen the health disparities gap, limit access to healthcare, and weaken progress in achieving equitable public health outcomes.

Despite these challenges, public health professionals must remain steadfast in advancing our core principles and advocating for systemic change at all levels. We must not move in haste or fear–rather we should move from a place of strategy and connection. 

The role of DEI in public health cannot be overstated.

Let’s be clear, despite what you may hear on the news, DEI is not a code word for being Black—it is a comprehensive framework that ensures fair treatment, opportunities, and accessibility for all people, including people of varying race, ethnicity, ability, gender, socioeconomic status, or other demographic factors that influence health and well-being (American Psychological Association).

Public health practitioners are uniquely positioned to address systemic inequities and foster inclusive practices that create healthier, more just communities, making our jobs much more critical during these polarizing times. 

While the perception may be that health equity and DEIBA are designed to benefit only certain groups to the detriment of others, the truth is that these efforts improve health outcomes for everyone.This is exemplified by the curb cut effect (UCLA Health). Curb cuts in sidewalks not only made it safer and easier for people with disabilities to navigate their communities but also for parents pushing strollers, children learning to walk, workers transporting equipment, and people with injuries. Another example is telehealth, which was intended for patients who live in rural areas. It became incredibly useful during the COVID-19 pandemic when elective surgeries, in-person procedures and treatments were canceled or inaccessible. 

DEIBA initiatives help reduce health disparities, build trust with communities, drive innovation, and ensure workforce representation. Without a commitment to these principles, we risk exacerbating health inequities and undermining the progress we have made in advancing health equity.

Embedding DEI in Public Health

To sustain DEIBA principles amid political resistance, public health organizations must embed them within their core operations. This means integrating equity at every level, from internal policies to external partnerships. Organizations can take several steps to ensure that DEIBA remains at the forefront of their mission:

• Conduct DEI audits to align existing policies and programs with equity-focused goals.

• Develop inclusive policies that formally integrate DEIBA into strategic planning.

• Utilize data-driven approaches to measure and assess progress.

• Build partnerships and engage with diverse communities to ensure culturally responsive initiatives.

• Prioritize supplier and contractor diversity to support minority, women, and veteran-owned businesses, for example.

Embedding DEI is not a one-time effort but a continuous process requiring intentionality, commitment, and accountability. Rolling back efforts now will disrupt years of progress. Organizations that genuinely integrate equity into their work will be better equipped to weather political shifts and sustain meaningful impact.

Advocating for Systemic Change

Even in the face of resistance, public health professionals must persist in advocating for equity-centered policies. Advocacy can take many forms, from community engagement to policy reform.

Most importantly, advocacy can start with one person, but we have to brave to support others doing the work so they don't have to stand alone.

One of the most effective ways to sustain DEIBA initiatives is to recognize resistance as an opportunity for dialogue. Some effective strategies include:

• Elevating the voices of historically marginalized communities.

• Committing to improved data collection and using data and evidence to highlight health inequities.

• Strengthening coalitions and partnerships with community leaders.

• Developing internal leadership that prioritizes DEIBA in decision-making and accountability.

• Engaging with policymakers to push for reforms that protect and advance health equity.

If history has taught us anything, it is that we cannot afford to be silent. We must move strategically and thoughtfully. By remaining vocal and proactive, public health advocates can continue pushing for systemic changes that benefit all communities, even in challenging political climates.

Call to Action: Protect and Advance Health Equity

Now is the time to reaffirm our commitment to DEIBA in public health. Here’s how you can take action:

• Educate Yourself and Others: Stay informed about emerging policies and their impact on public health.

• Advocate for Equitable Policies: Use your voice to influence change at local and national levels.

• Engage in Community Partnerships: Work alongside diverse organizations to co-create solutions.

• Support Inclusive Public Health Initiatives: Amplify and contribute to programs that prioritize equity. Join networks or organizations that advocate for inclusion and closing the health disparities gap. 

• Hold Organizations Accountable: When safe, encourage workplaces and institutions to uphold DEIBA principles in their operations. Voice your concerns and advocate for a commitment to a culture of inclusion and belonging. 

Despite the roadblocks ahead, public health professionals must remain resolute in their efforts to create a more just and equitable future. By embedding DEIBA principles into everyday practice, advocating for systemic change, and uplifting historically marginalized communities, we can ensure that public health remains a force for justice, inclusion, and collective well-being. If you need support in doing the work, schedule a consult with our team https://www.beaconpublichealth.com/contact.

Each of has a role of addressing health equity. Intentional actions can drive significant change. Check out our educational resources on our website at www.beaconpublichealth.com to help educate and inspire positive behavior change.

Let’s continue the conversation on social media. 

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About the author: Dr. Jovonni Spinner CEO and Founder of  Beacon Public Health and Maryland Healthcare Commissioner is an award-winning health equity strategist, thought leader, and TEDx speaker dedicated to advancing health equity across all stages of life through research, education, and community building.