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Strategies to address anti-Black racism in primary care

A young Black woman visits her doctor and receives a Band-Aid on her arm.

Anti-Black racism has deeply affected the quality of care for Black populations in Canada, particularly in primary care. Stereotyping, unequal treatment and lack of appropriate support can lead to poorer health outcomes and Black healthcare professionals face workplace discrimination. 

This research, conducted in partnership with Black Health Alliance, identifies promising strategies to combat anti-Black racism in primary care and promote equitable healthcare for Black populations. Broadly, they fall into eight pillars: equity lens, patient-driven care, organizational readiness, community trust, inclusive workforce strategies, equitable services, monitoring and evaluation, and health policies. Most strategies focus on improving practice by engaging Black communities, using race-based data, and offering culturally specific health services. 

Addressing anti-Black racism in primary care is essential for equitable health services and better outcomes. A systems-wide approach with measurable targets can bridge healthcare gaps and support impactful, lasting changes. The interventions presented in this report could form the basis of a strategy for those in primary care aiming to decrease health inequities linked to anti-Black racism.  

We are grateful for funding from the Ministry of Health of the Province of Ontario, which enabled this environmental scan.

Strategies to address anti-Black racismDownload the report
Jemal Demeke

Jemal Demeke

Jemal Demeke is a researcher at Wellesley Institute. He has consistently uses his community organizing experience to inform his public health research approaches. His research spans infectious disease epidemiology, implementation science, and equitable health interventions. African, Caribbean and Black communities have a continued presence in his professional focus. He has founded equity initiatives in large organizations, led workshops for healthcare providers, and built relationships between community stakeholders and health agencies. His work at Wellesley Institute leverages these experiences to inform policy change for racialized communities across Canada.