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In line with this strategic pillar, we developed this structural measure to assess facility commitment to health equity across five domains (see Table IX.D-01) using a suite of organizational competencies aimed at achieving health equity for racial and ethnic minority groups, people with disabilities, members of the LGBTQ+ community, individuals with limited English proficiency, rural populations, religious minorities, and people facing socioeconomic challenges

In contrast, HDI can also lead to negative outcomes