Nevada Health Equity - PROJECT ABSTRACT Sexual violence (SV) in Nevada is a public health emergency. According to the US Department of Justice 2019 Crime in the US report, Nevada ranks fifth in the country for most rapes per capita at 67 rapes per 100,000 residents. Nevada’s Unified Crime Reporting system found that in 2022 rape accounted for 12.8% of all violent crimes reported by law enforcement. Despite this high incidence of rape, there continues to be only one rape crisis center in the state and a lack of SV prevention and education services. Currently nine members of the Nevada Coalition to END Domestic and Sexual Violence (NCEDSV) provide prevention services and education in their communities. While four of Nevada’s 17 counties have no agencies currently providing rape prevention and education services. Nevada is no different from the larger United States in that SV is closely aligned with inequity. In this project we will employ community and societal level interventions to increase health equity as a violence prevention strategy. In this work we will leverage our current partnership with the Nevada State Health Department (SHD) as well as our long-standing expertise in convening diverse, multi-sectoral groups together to work on the shared goal of increased community safety through sexual assault prevention. Our project focuses on increasing equity for the most vulnerable populations: racial and ethnic minorities, including Nevada’s tribal populations; rural communities; and those facing persistent poverty. To implement this project we will be hiring a Health Equity Coordinator to lead the work. The work will include four specific strategies. First, we will build our internal capacity through the hiring of the new coordinator who will develop an action plan to meet our current gaps. Then, we will continue our close partnership with the SHD to ensure that the State Action Plan is based on the public health approach through an equity lens. The third strategy is two pronged and involves increasing economic supports and increasing protective environments. Specifically, we will move our economic justice work beyond our traditional legislative focus and into more direct program development. We will similarly deepen the work we have been doing with the statewide Committee on Responses to Power-Based Violence in the Schools by analyzing the risk and protective factors of our school environments, developing a Nevada-specific menu of evidence-based prevention strategies and providing support to schools to select and implement their unique, best-fit program. Finally, we will ground all our work in data. We will create a comprehensive Nevada Data Dashboard focusing on rates of violence, SDOH, health inequities, and community specific economic data as it is available. This will enable everyone working on SV prevention programs to ensure they are developing programs based on the needs of their community. We will also train programs on continual quality improvement so that programming keeps up with community changes and changes in the field.