From equity commitment to action: Applying the 4C framework and maturity matrix for embedding equity, diversity and inclusion principles in public health policy and practice.
 
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1
Social Welfare, Finnish Institute for Health and Welfare, Helsinki, Finland
 
2
ASL TO3 Epidemiologia, Collegno (TO), Piedmont, Italy
 
3
Istituto Superiore di Sanità, Rome, Italy
 
4
National Institute of Public Health, Ljubljana, Slovenia
 
5
Biosistemak Institute for Health Systems Research, Basque country, Spain
 
6
Network for Research on Chronicity, Primary Care, and Health Promotion (RICAPPS), Basque country, Spain
 
7
Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy
 
8
Universita Cattolica del Sacro Cuore, Rome, Italy
 
9
La Trobe Rural Health School, La Trobe University, La Trobe, Victoria, Australia
 
 
Popul. Med. 2026;8(Supplement Supplement 1):A2722
 
ABSTRACT
INTRODUCTION:
Growing population diversity and widening social inequities require systematic integration of equity, diversity and inclusion principles into public health practice and policy. The 4C conceptual framework (critical reflection, context and data, co design, communication) and the equity and diversity maturity matrix developed and applied within the EU Joint Action on Cardiovascular Diseases and Diabetes (JACARDI) provide practical approaches to embed equity, diversity and inclusion principles in programmes and policy across diverse public health settings (1).

METHODS:
This interactive 60min workshop introduces of the 4C framework and maturity matrix, followed by participatory group work and moderated discussion. Examples from diverse public health contexts will deepen understanding on practical application of the introduced methods and tools. During group work, participants will apply the maturity matrix to public health policy or programmes to assess current practice and identify feasible actions for further strengthening equity and inclusivity. A plenary discussion will synthesize lessons learned and implications for implementation across different contexts.

RESULTS:
Participants will gain practical knowledge and hands-on experience with tools for planning, implementation and assessment of equity, diversity and inclusivity integration in public health practice and policy. Group exercises will foster peer learning and help participants identify concrete and transferable actions applicable in their own institutional and policy environments. Overall, the workshop strengthens participants’ capacity to act as change agents advancing equity informed decision making.

CONCLUSIONS:
Systematic mainstreaming of equity and diversity is necessary to reduce persistent health inequities and strengthen resilient and inclusive public health systems. Practical tools such as the 4C framework and equity and diversity maturity matrix support translation of equity commitments into concrete organizational and policy action across diverse contexts.
eISSN:2654-1459
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