{"doi":"10.3390/ijerph22040550","title":"Bridging Gaps: Provider Perspectives on Integrating Systems for Health Equity","abstract":"Health equity is shaped by multiple factors intersecting with service delivery in community-based organizations (CBOs). Providers in under-resourced areas are often the first point of contact for families seeking child development, mental health, and behavioral support. However, system-level barriers hinder service delivery and access. This study explores provider perspectives to identify barriers and inform system-level changes that promote equity in child and family health. Using a narrative qualitative design, in-depth interviews were conducted with 21 health and mental health professionals from child- and family-serving CBOs. Guided by ecological and strengths-based frameworks, interviews examined provider insights on challenges, strengths, and supports affecting service delivery. Key themes emerged across macro (rights-based policies, racism/oppression), community (environmental impacts, social cohesion), organizational (secondary stress, system fragmentation, provider supports), and family levels (basic needs, parenting support, service access). Findings highlight the need for a multilevel approach that prioritizes rights-based policies, strengthens community cohesion, and improves system integration. Enhancing CBO capacity to address these determinants could advance equity-oriented service delivery and mitigate structural barriers that perpetuate health disparities.","journal":"International Journal of Environmental Research and Public Health","year":2025,"id":563614,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.953,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":780773,"name":"Stacey L. Shipe","orcid":"0000-0002-8145-4674","position":1,"is_corresponding":false},{"id":1250415,"name":"Astrid Uhl","orcid":null,"position":2,"is_corresponding":false},{"id":277888,"name":"Samantha G. Smith","orcid":"0009-0003-1185-4642","position":3,"is_corresponding":false},{"id":1466876,"name":"LaShanta Majeed","orcid":null,"position":4,"is_corresponding":false},{"id":971236,"name":"Nicole O’Reilly","orcid":"0000-0002-0166-6299","position":5,"is_corresponding":false},{"id":1466877,"name":"C Carter","orcid":null,"position":6,"is_corresponding":false},{"id":441401,"name":"Bradley N. Collins","orcid":"0000-0003-3703-9630","position":7,"is_corresponding":false},{"id":702039,"name":"Brittany R. Schuler","orcid":"0000-0002-2869-6260","position":0,"is_corresponding":true}],"reference_count":60,"raw_metadata":null,"created_at":"2026-07-19T02:56:17.117043Z","pmid":"40283775","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}