The Reconstruct Challenge is led by the��,��in partnership with��, an innovation studio, with funding from the Kentucky Department for Public Health’s Office of Health Equity and the private operating foundation,��

Each of the 15 winners will be awarded $100,000 grants to further their ideas and will participate in a 12- to 18-month proof-of-concept phase where they will work with community partners and UofL researchers to pilot their innovations in the Louisville region. After this period, innovators will have the opportunity to receive additional follow-on funding to scale their innovations, maximizing their impact.��

The winners, listed below, also will present their solutions and projected impact at showcase events open to the public during three consecutive evenings at����

Reconstruct Challenge:��

• Feed Louisville
• Change Today, Change Tomorrow
• Journey Foods
• The Nori Project
• Free from Market��

Reconstruct Challenge:��

• Cook’s Nook
• Melanated Healthcare
• Every Mother’s Advocate
• Granny’s Birth Initiative
• Navigate Maternity��

Reconstruct Challenge:��

• Malama Health
• Kare Mobile
• Maro
• Kyndly
• Zenyor��Healthcare��

More than 100 organizations submitted proposals for this iteration of the Reconstruct Challenge focused on health equity, with applications from across the country. Proposals were evaluated by a panel of experts from the Louisville community, industry experts, and academic researchers. Of those receiving grants, 80 percent are women-led, and 67 percent are led by Black or brown founders. Eight of the 15 winners are from the Louisville area with the remaining seven originating from across the US.

In addressing challenges marginalized and low-income individuals and families face surrounding health equity, these innovative solutions include autonomous grocery stores, care communication platforms, fresh food vending machines, and mobile dental clinics.

“We’re��calling on our city to embrace these innovators,” said Stacy Brooks from��, an expert in corporate diversity, equity, and inclusion initiatives who is working with winners to facilitate deployment of solutions in Louisville at industry partner pilot sites. “The Louisville business community has a unique opportunity here. By collaborating with the Reconstruct winners, they can contribute to the development and implementation of cutting-edge solutions that directly address health disparities. This is about forming meaningful partnerships that yield tangible and sustainable impact for the foreseeable future.”��

This Reconstruct Challenge builds on the work of UofL’s Health Equity Innovation Hub, an innovative partnership including UofL,��.��and the��. The Hub aims to remove the structural barriers to health for the populations it serves and focuses on solving important health equity challenges through research, innovation, and talent pipeline development. The challenge follows the prior successes of the two previous Reconstruct Challenges launched by Access Ventures in 2019 and 2022 addressing housing and barriers to employment, respectively. This Reconstruct Challenge series, executed by Render, is funded by the Kentucky Cabinet for Health and Family Services and Access Ventures.

For more information about the Reconstruct Challenge, please visit��

UofL News: How was the idea for the Health Equity Innovation Hub developed?��

Monica Wendel: The Hub is a collaboration between UofL, The Humana Foundation, and Humana Inc. aimed at closing health equity gaps. It became clear that health equity was a shared goal between the organizations. Realizing this shared goal, UofL Executive Vice President of Research & Innovation Kevin Gardner invited me to lead the development of the collaboration. Not long after, Humana’s inaugural Chief Health Equity Officer, Nwando Olayiwola, was named and both Humana and The Humana Foundation deepened their existing commitment to working towards equitable health systems for each person and community.

UofL News: Break down for us, please, the main mission of the Hub.��

Wendel: The mission of the Hub is to advance social and health equity for structurally marginalized communities. In recognizing that health outcomes and inequities are driven by social determinants, which in turn are shaped by structural determinants, the Hub is committed to working across multiple levels of social ecology in ways that provide communities made vulnerable equitable access to the resources they need to be healthy and whole. We are doing this by integrating the research power of the university, the resources of industry, the expertise of the community in these issues, and the ingenuity and creativity of innovators and entrepreneurs — especially those who hold minoritized identities — in solving health equity issues.

UofL News: Why is this work so important at this time?��

Wendel: Everyone wants to be healthy, but the choices people make are the choices people have. And we don’t all have the same choices – our health care, housing, food and other systems offer more choice and accessibility to some people than others. For Black and brown populations, LGBTQ+ populations, foreign-born populations, rural populations and populations living in poverty, the structures and systems enact and reinforce marginalization that produces health inequities.

It’s important here to differentiate between ‘disparities’ and ‘inequities.’ Health disparities refer to differences in risk, incidence, morbidity, disability and mortality in various conditions between different groups. Health inequities more specifically identify differences between groups that are unjust, unnecessary and preventable. The structures and systems we create and maintain produce inequities — we as a society are responsible for that. But that also means it can be changed. If it’s going to change, we have to change it.��Equity will not happen organically.

UofL News: Please describe the research aspect of the Hub.��

Wendel: A key aspect of the Hub is the integration of research, community engagement, innovation, entrepreneurship, strategic relationships and talent development to achieve specific outcomes toward advancing health equity. This integration is both the most innovative and the most challenging facet of the work; because of it, people in Louisville and beyond will thrive.

I have had the privilege of assembling a team of individuals who are rock stars in their respective areas of expertise. But doing things the way they’ve been done is going to continue to get us what we’ve got – which is inequity. So, our team is intentionally doing the hard work of not operating in silos of individual areas of expertise, and bringing all areas of expertise to the strategies and activities in each of our workstreams. In that way, we are advancing health equity at multiple levels of social ecology and interconnecting community sectors that likely would not otherwise be connected. Those cross-sector network relationships will transform systems to advance health equity and will endure long past all of us.��

Thanks to the Humana Foundation’s gift, the Hub is able to support minoritized researchers and novel health equity research. We put out our first call for research proposals in March, and through a rigorous review process, awarded over $1 million to fund 10 health equity research projects.

UofL News:��As a public health researcher, you’ve worked over 20 years addressing aspects of health inequity and factors related to social determinants of health. How does the Hub build upon what you’ve learned through your own research?

Wendel:��My vision and design for the Hub is grounded in several things I’ve learned over the course of my career. First, people have a right to self-determination. For minoritized populations, our systems have historically stripped away this right.��The people most impacted by health inequities of any kind are the most expert in those inequities, and often have valuable insights and innovative ideas for how to solve them. We must listen and engage the communities affected. Solutions brought in from outside those communities rarely have the intended magnitude of effects.

Second, we must work upstream and downstream at the same time and across sectors — advancing health equity requires organization and strategy. Although the United States has made some gains in health equity efforts, there is still much work to be done in addressing inequities and ensuring everyone has access to resources that support good health. Our downstream interventions must address immediate needs and advance health equity at that level.

But we cannot achieve sustainable gains in health equity unless we also work upstream, with communities that have historically experienced these inequities. For example, inequities in maternal health outcomes for people of color may result from lower quality of care, but they may also result from experience of racism within the health care system. Improving quality of care downstream only addresses part of the problem; if people do not seek care because of distrust of the health care system, they will not benefit from improved quality of care. There must be simultaneous work addressing systemic racism in the health care system. Thus, our upstream interventions must transform systems to reduce health inequities, while downstream, we work to ensure equitable access to health resources. Both of these efforts are necessary, and neither on its own is sufficient.

Third, our interventions must be planned for way beyond the term of a grant. Initiatives intended to advance health equity must not bring needed resources to a marginalized community that then disappear at the end of the grant; this results in real harm to real humans. Any kind of equity work requires intellectual and cultural humility and a conscious intent on doing no harm. There is no substitute.

The Hub was launched earlier this year as a collaboration between UofL, The Humana Foundation, and Humana Inc. aimed at closing health equity gaps facing vulnerable populations. The 10 projects awarded in this initial round of funding furthers this goal by tackling inequities in areas such as access to mental and physical health care and healthy food. Projects were eligible for up to $100,000 per year for up to three years.

Monica Wendel, who leads the Hub, said finding solutions for these challenges will create more choices for people in making decisions that affect their health.��

“These factors play a huge role in our health outcomes,” said Wendel,��a professor��in the UofL School of Public Health��and��Information Sciences.��“We all want to be healthy and whole. But��the choices people make are the choices people have. For communities that have been marginalized, their choices are greatly limited by structural and social barriers. Our goal with the Hub and with this research is to dismantle these barriers, create more choices and thus empower people and communities.”

The funded projects include:��

• • The Pharmacy Accessibility Index (PAI) Project (Lihui Bai, J.B. Speed School of Engineering);
  • Healing-Centered Capacity Building: Social Justice Youth Development Certificate (Aishia Brown, School of Public Health and Information Sciences);
  • An Examination of the Feasibility and Acceptability of a Racial Trauma Processing for Family Health Intervention (Emma Sterrett‐Hong, Kent School of Social Work);
  • Exploring Workforce Development, Well‐Being, and Organizational Readiness to Recruit, Retain Black American Adults Living in Low Resource Communities (Meera Alagaraja, College of ����ֱ�� and Human Development);
  • A Community-Engaged Feasibility Study of hrHPV Self‐Sampling for Primary Cervical Cancer Screening in Sexual and Gender Minorities (Mollie Aleshire, School of Nursing);
  • A Community‐based, Knowledge Translation Approach to Address Neighborhood Factors that Impact HIV Care Continuum Participation (Jelani Kerr, School of Public Health and Information Sciences);
  • Assessing risk factors associated with childhood lead poisoning in Jefferson County: Structural racism and a legacy of lead (Brian Guinn, School of Public Health and Information Sciences);
  • “Getting the Listening” in Louisville: Environmental Health Literacy and Justice in and around Rubbertown (Megan Poole, College of Arts and Sciences);
  • Empowered by the Sun: Exploring the Intersections of Housing Justice and Green Technologies in Louisville (David Johnson, School of Public Health and Information Sciences); and
  • Equity‐Centered, Trauma‐informed Teacher Preparation: Development and Study of a Teacher Residency Curriculum (Shelley Thomas, College of ����ֱ�� and Human Development).

Wendel said the Hub will work closely with researchers and their community partners throughout the projects and plans to open a new round of research funding in 2023. Many projects will be conducted in collaboration with Louisville-based Humana Inc., which will share anonymized data for research purposes.��

“We’re proud to back both research and underrepresented minority researchers to help communities achieve greater health equity and improved outcomes,” said Keni Winchester, director, strategy & community engagement at The Humana Foundation.��“Through the collective efforts of researchers, community partners and the University of Louisville’s Health Equity Innovation Hub, people in Louisville and beyond will thrive.”��

The Hub launched with a potential total investment of $25 million from the Humana Foundation, Humana Inc., and UofL, representing one of the largest single donations in the history of the university. Humana also recently announced it would donate a fully furnished eight-story building, located at 515 W. Market St., to house the Hub’s administrative team and programming.��

“This research is an important facet of the great collaboration we have with The Humana Foundation and Humana Inc.,” Wendel said. “These projects are designed to lead to scalable solutions to health equity issues here in Louisville and beyond.”��