This resource was put together by OMNI to explore the challenges of promoting health equity in politically and socially sensitive rural settings. The resource highlights seven actionable strategies, including assessing local environments, aligning with shared values, fostering partnerships, and making equity efforts more accessible through adaptive language and messaging. The resource, developed through collaboration with rural health departments and grounded in real-world insights, emphasizes persistence, adaptability, and community care to sustain impactful equity initiatives. It serves as a guide for navigating resistance and ensuring health equity thrives even in challenging contexts.