Getting Further Faster
Since 2020, CDC has partnered with the Association of State and Territorial Health Officials (ASTHO) and the National Association of City and County Health Officials (NACCHO) to award funds to community health coalitions across the country as part of the Improving Social Determinants of Health–Getting Further Faster (GFF) initiative. This funding was made possible through the Strengthening Public Health Systems and Services Through National Partnerships (CDC-RFA-OT18-1802) cooperative agreement.
Selected community coalitions have demonstrated impact in advancing health equity by addressing social determinants of health (SDOH), the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping daily life. Recipients participate in a retrospective evaluation to build the evidence base on successful coalition-led strategies. These strategies advance health equity by addressing SDOH in five domains directly linked to chronic diseases:
- Built Environment
- Community-Clinical Linkages
- Food and Nutrition Security
- Social Connectedness
- Tobacco-Free Policies
What We’ve Learned So Far
Forty-two community multi-sector partnerships participated in the first year of the initiative. Highlights of the key findings are summarized below:
- All 42 GFF partnerships built community capacity for addressing SDOH through new or strengthened partnerships, data and data systems, or strategic plans; leveraged resources; or engaged residents. Forty-one partnerships involved state or local health departments.
- Ninety percent of GFF partnerships contributed to community changes that promote healthy living, such as building new walking trails, bike lanes, and playgrounds; creating new community and school gardens; and adopting tobacco-free policies.
- More than half of GFF partnerships reported positive health outcomes data for their SDOH initiatives, including improved health behaviors, clinical outcomes, and overall health and wellness, and decreased health care use and costs.
- A modeling analysis of 29 partnerships’ SDOH initiatives suggested promising long-term impacts over a 5-, 10-, and 20-year time frame.
See the evaluation report [PDF – 1.53 MB] for year 1.
Fourteen community multi-sector coalitions, most of which include local or state health department partners, have been selected to continue to participate in the retrospective evaluation for a second year. The coalitions will focus on the cost and sustainability SDOH initiatives, the role of health departments in supporting partnerships’ SDOH work, collaboration with clinical delivery systems, and the role of community coalitions in building community resilience. ASTHO/NACCHO will provide technical assistance to the coalitions to support their program evaluation, communications, partnership development, health equity, and sustainability efforts related to SDOH and chronic diseases.
|Site Name||Location||SDOH Domain Addressed|
|BPSOS Center for Community Advancement||Westminster, CA||Community-Clinical Linkages, Tobacco-Free Policy|
|The Diabetes Research, Education, and Action for Minorities (DREAM) Coalition / Council of Peoples Organization||Brooklyn, NY||Community-Clinical Linkages, Food and Nutrition Security, Social Connectedness|
|Food as Medicine Collaborative / San Francisco Dept. Public Health||San Francisco, CA||Food and Nutrition Security|
|Community Resource Hubs / Atlanta Regional Collaborative for Health Improvement (ARCHI)||Atlanta, GA||Community-Clinical Linkages|
|Health Promotion Council of Southeast PA||Philadelphia, PA||Tobacco-Free Policy|
|Maryland Living Well Center of Excellence||Salisbury, MD||Community-Clinical Linkages, Food and Nutrition Security, Social Connectedness|
|Community Connections / Reading Hospital||West Reading, PA||Community-Clinical Linkages|
|Proviso Partners for Health||Maywood, IL||Built Environment, Food and Nutrition Security, Tobacco-Free Policy|
|Healthy Here Coalition / Presbyterian Healthcare Services||Albuquerque, NM||Built Environment, Community-Clinical Linkages, Food and Nutrition Security|
|Access Health Stark County||Canton, OH||Community-Clinical Linkages, Social Connectedness|
|Live Well Allegheny REACH Coalition / Allegheny County Health Department||Allegheny County, PA||Built Environment, Community-Clinical Linkages, Food and Nutrition Security|
|Avondale Children Thrive Collaborative/ The Community Builders||Cincinnati, OH||Community-Clinical Linkages, Food and Nutrition Security, Tobacco-Free Policy|
|Lancaster County Health and Wellness Commission / Upper Midlands Rural Health Network||Lancaster, SC||Tobacco-Free Policy|
|West Louisville Outdoor Recreation Initiative / Wilderness Louisville, Inc||Louisville, KY||Built Environment, Social Connectedness|