Investments in Community Health: Community Transformation Grant Program
The Centers for Disease Control and Prevention (CDC) continues its long-standing dedication to improving the health and wellness of all Americans through the Community Transformation Grant (CTG) Program. CTG is funded by the Affordable Care Act’s Prevention and Public Health Fund. CDC supports and enables awardees to design and implement community-level programs that prevent chronic diseases such as cancer, diabetes, and heart disease.
The CTG program is expected to improve the health of more than 4 out of 10 U.S. citizens—about 130 million Americans.
Chronic Disease in the United States
The chronic disease burden in the United States is substantial and growing at a significant pace. More than half of American adults have at least one chronic disease. These diseases lead to lost productivity, reduced quality of life, and premature death.
In the United States, 7 out of 10 deaths are caused by chronic diseases each year, which contribute to roughly three quarters of the $2.5 trillion spent annually on health care. Seventy-five cents of every dollar spent on medical costs in this country is being used to treat chronic diseases and associated risk factors.
Focusing on Priorities for Healthier Living
CTG is working to create healthier communities by making healthy living easier and more affordable where people work, live, learn, and play. Awardees are improving health and wellness with strategies that focus on areas such as—
- Tobacco-free living.
- Active living and healthy eating.
- Clinical and community preventive services to prevent and control high blood pressure and high cholesterol.
Awardees may also focus on disease prevention and health promotion, including social and emotional wellness (i.e., facilitating the early identification of mental health needs and access to quality services) and healthy and safe physical environments.
Examples of community interventions include—
- Increasing access to physical activity through quality physical education instruction in schools.
- Increasing access to healthy foods by supporting local farmers and developing neighborhood grocery stores.
- Protecting people from secondhand smoke exposure.
- Promoting improvements in sidewalks and street lighting to make it safe and easy for people to walk and ride bikes.
Twenty percent of all CTG program funding is directed at programs and policies in rural or frontier areas.
Investing in Healthier Communities
CTG supports state and local government agencies, tribes , and territories, nonprofit organizations, and communities across the country.
In 2011, CDC awarded $103 million to 61 state and local government agencies, tribes, territories, and nonprofit organizations in 36 states, along with nearly $4 million to 6 national networks of community-based organizations. Awardees are engaging partners from multiple sectors, such as education, transportation, business, and faith-based organizations to improve the health of their communities’ approximately 120 million residents. Awardees also provide funding to community-based organizations to ensure broad participation in creating community change. Additionally, $25 million is being used to support awardees with evaluation, communication, technical assistance, and training.
- Implementation awards were made to 35 communities to use proven programs and strategies to improve their community’s health and wellness.
- Capacity-building awards were made to 26 communities to build a solid foundation for community prevention efforts to ensure long-term success.
- National network awardees engage community members to support, disseminate, and amplify the evidence-based strategies of CTG nationally, particularly in rural and frontier areas and communities that face significant health disparities.
Reaching More Americans in Smaller Communities
In 2012, CTG was expanded to support areas with less than 500,000 people in neighborhoods, school districts, villages, towns, cities, and counties to increase opportunities to prevent chronic diseases and promote health. In an effort to reach more people, approximately $70 million was awarded to 40 communities to implement broad, sustainable strategies that will reduce health disparities and expand preventive and other health care services that will directly impact about 9.2 million Americans. The expansion of CTG ensures that more Americans will benefit from healthier environments and have access to healthier options.
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|State||Implementation States and Communities||Award Amount|
|California||Public Health Institute||$5,926,365||$5,926,365|
|San Francisco Department of Public Health||$815,358||$815,358|
|County of San Diego Health and Human Services Agency||$3,053,793||$3,053,793|
|Los Angeles County Department of Public Health||$9,848,011||$9,848,011|
|Colorado||Denver Health and Hospital Authority||$610,345||$610,345|
|Florida||Broward Regional Health Planning Council||$1,766,476||$1,766,476|
|Illinois||Illinois Department of Public Health||$4,781,121||$4,781,121|
|Iowa||Iowa Department of Public Health||$3,007,856||$3,007,856|
|Kentucky||Louisville Metro Department of Public Health and Wellness||$721,594||$721,594|
|Maine||Maine Department of Health and Human Services/Maine CDC||$1,318,301||$1,318,301|
|Maryland||Maryland Department of Health and Mental Hygiene||$1,945,289||$1,945,289|
|Massachusetts||Massachusetts Department of Public Health||$1,505,006||$1,505,006|
|Massachusetts Department of Public Health (Middlesex County)||$1,574,982||$1,574,982|
|Minnesota||Minnesota Department of Health||$3,603,724||$3,603,724|
|Hennepin County Human Services and Public Health Department||$1,156,212||$1,156,212|
|Missouri||Mid-America Regional Council Community Services Corporation||$705,708||$705,708|
|Montana||Montana Department of Public Health and Human Services||$769,195||$769,195|
|Nebraska||Douglas County Health Department||$510,199||$510,199|
|New Mexico||New Mexico Department of Health||$1,500,000||$1,500,000|
|New York||The Fund for Public Health in New York||$8,391,881||$8,391,881|
|University of Rochester Medical Center||$733,703||$733,703|
|North Carolina||North Carolina Division of Public Health||$7,466,092||$7,466,092|
|Oklahoma||Oklahoma City-County Health Department||$716,704||$716,704|
|Pennsylvania||Philadelphia Department of Public Health||$1,547,297||$1,547,297|
|South Carolina||South Carolina Department of Health and Environmental Control||$4,624,724||$4,624,724|
|South Dakota||South Dakota Department of Health||$812,383||$812,383|
|Texas||Texas Department of State Health Services||$10,000,000||$10,000,000|
|City of Austin Health and Human Services Department||$1,026,158||$1,026,158|
|Vermont||Vermont Department of Health||$621,760||$621,760|
|Washington||Washington State Department of Health||$3,256,347||$3,256,347|
|Tacoma-Pierce County Health Department||$796,836||$796,836|
|West Virginia||West Virginia Bureau for Public Health||$1,883,603||$1,883,603|
|Wisconsin||University Health Services, University of Wisconsin-Madison||$4,695,253||$4,695,253|
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|Tribes and Territories||Award Amount|
|Sault Ste. Marie Tribe of Chippewa Indians (Michigan)||$500,000||$500,000|
|Southeast Alaska Regional Health Consortium||$499,588||$499,588|
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|State||Capacity-Building States and Communities|
|California||County of Kern, Public Health Services Department||$416,577||$416,577|
|Fresno County Department of Public Health||$499,695||$499,695|
|Sierra Health Foundation||$499,229||$499,229|
|Stanislaus County Health Services Agency||$239,889||$239,889|
|Ventura County Public Health||$481,036||$481,036|
|Connecticut||Connecticut Department of Public Health||$493,891||$493,891|
|Georgia||Cobb Public Health||$499,000||$499,000|
|Kentucky||Unlawful Narcotics Investigation Treatment Education, Inc. (UNITE)||$500,000||$500,000|
|Louisiana||Louisiana Department of Health and Hospitals||$500,000||$500,000|
|Michigan||Spectrum Health Hospitals||$333,321||$333,321|
|Mississippi||My Brother’s Keeper, Inc.||$500,000||$500,000|
|New Jersey||New Jersey Prevention Network||$500,000||$500,000|
|New Mexico||Bernalillo County Office of Environmental Health||$497,353||$497,353|
|North Dakota||North Dakota Department of Health||$370,684||$370,684|
|Ohio||Austen BioInnovation Institute||$500,000||$500,000|
|Public Health-Dayton and Montgomery County||$180,246||$180,246|
|Pennsylvania||Lancaster General Health||$233,577||$233,577|
|Texas||Houston Department of Health and Human Services||$500,000||$500,000|
|Utah||Utah Department of Health||$499,366||$499,366|
|Virginia||Fairfax County Department of Neighborhood and Community Services||$499,559||$499,559|
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|Tribes and Territories||Award Amount|
|Confederated Tribes of The Chehalis Reservation (Washington)||$498,663||$498,663|
|Great Lakes Inter-Tribal Council, Inc. (Wisconsin)||$499,982||$499,982|
|Sophie Trettevick Indian Health Center (Washington)||$218,929||$218,929|
|Toiyabe Indian Health Project (California)||$500,000||$500,000|
|Ulkerreuil A Klengar (Republic of Palau)||$147,106||$147,106|
|Yukon-Kuskokwim Health Corporation (Alaska)||$193,340||$193,340|
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|National Networks||Award Amount|
|American Lung Association||$800,000||$800,000|
|American Public Health Association||$300,000||$300,000|
|Asian Pacific Partners for Empowerment, Advocacy and Leadership||$300,000||$300,000|
|Community Anti-Drug Coalitions of America||$300,000||$300,000|
|National REACH Coalition||$900,000||$900,000|
|YMCA of the USA||$1,300,000||$1,300,000|
|State||CTG Small Communities||FY12 Award Amount|
|Community Health Councils, Inc.||$7,883,885|
|County of Sonoma||$3,517,360|
|St. Helena Hospital Clear Lake||$497,076|
|County of Santa Clara||$1,027,931|
|Nemours/Alfred I. duPont Hospital for Children||$1,692,291|
District of Columbia
|District of Columbia Department of Health||$1,759,249|
|School Board of Miami-Dade County||$3,133,055|
|Tanner Medical Center, Inc.||$1,219,468|
|Chicago Public Schools, District 299||$4,398,118|
|Quality Quest for Health of Illinois, Inc.||$2,404,708|
|Welborn Baptist Foundation, Inc.||$3,021,957|
|YMCA of Wichita||$2,461,198|
|Linking the Parish, Inc.||$366,075|
|MaineGeneral Medical Center||$200,000|
|Maine Development Foundation||$1,641,120|
|Institute for Public Health Innovation||$2,068,444|
|Prince George’s County||$2,639,382|
|Pioneer Valley Planning Commission||$1,993,443|
|Central Michigan District Health Department||$1,643,798|
|Minneapolis Heart Institute Foundation||$204,275|
|Ozarks Regional YMCA||$1,319,403|
|Clark County School District||$2,433,159|
|Health Research, Inc./New York State Department of Health||$2,568,597|
|The Lima Family YMCA||$1,213,363|
|Little Dixie Community Action Agency, Inc.||$512,520|
|Indian Nation Council of Governments Area Agency on Aging||$244,289|
|Northeast Oregon Network||$572,776|
|City of Beaverton||$1,583,458|
|YMCA of Greenville||$1,954,323|
|Seattle Children’s Hospital||$3,658,205|
|Inland Northwest Health Services||$931,815|
|West Virginia University Research Corporation||$377,796|
|Benewah Medical Center (Idaho)||$415,987|
|Cherokee Nation (Oklahoma)||$1,319,437|
|Tohono O’odham Community Action (Arizona)||$200,000|
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For more information about CDC’s Investments in Community Health, visit http://www.cdc.gov/nccdphp/dch/, or call 800-CDC-INFO (800-232-4636).