Social Determinants of Health Community Pilots

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The Centers for Disease Control and Prevention (CDC) has awarded funds to the Association of State and Territorial Health Officials (ASTHO) and National Association of City and County Health Officials (NACCHO) to assess the work of multi-sector coalitions to advance health equity by addressing social determinants of health (SDoH).

These community health pilots seek to identify and learn from multi-sector coalitions with demonstrated success addressing the SDoH in one or more of five domains directly linked to chronic disease:

  • Built environment
  • Community-clinical linkages
  • Food and Nutrition Security
  • Social connectedness
  • Tobacco-free policies

In order to build the evidence base for collaborative approaches to SDoH, the project will evaluate the impact of the coalitions’ recent SDoH experience and highlight successful strategies.

CDC awarded funds to ASTHO and the NACCHO to lead this project through the Strengthening Public Health Systems and Services Through National Partnerships (CDC-RFA-OT18-1802) cooperative agreement.

ASTHO and NACCHO have selected 42 community multi-sector partnerships and coalitions to participate in a national retrospective evaluation.

SDoH Community Pilots Recipient Map
US map with SDoH community pilots recipients as shown in table below
SDoH Area Key

map key

SDoH Area Key
BE

BUILT ENVIRONMENT (BE)

SC

SOCIAL CONNECTEDNESS (SC)

CCL

COMMUNITY-CLINICAL LINKAGES (CCL)

TFP

TOBACCO-FREE POLICY (TFP)

FI

FOOD AND NUTRITION SECURITY (FNS)

M

MULTIPLE SDOH AREAS

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Name
SDoH Focus Area
Location
BE
Built Environment
BE
Health by Designexternal icon Indianapolis IN
Active Knox / Knox County Health Departmentexternal icon Knoxville TN
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CCL
Community-Clinical Linkages
CCL
Westside Connect / CHRIS 180external icon Atlanta GA
Community Resource Hubs / Atlanta Regional Collaborative for Health Improvement (ARCHI)external icon Atlanta GA
IMPACT / AllianceChicagoexternal icon Chicago IL
Asian American Center of Frederick Countyexternal icon Frederick MD
Trenton Health Teamexternal icon Trenton NJ
Community Connections / Reading Hospitalexternal icon Reading PA
Lead Prevention Team / Afghan Health Initiativeexternal icon South King County WA
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FI
Food and Nutrition Security
FNS
Food as Medicine Collaborative / San Francisco Dept. Public Healthexternal icon San Francisco CA
Centura Health Food Security Coalition / Centura Health and Jefferson County Public Health Jefferson County CO
Massachusetts Municipal Wellness and Leadership Initiative / Metropolitan Area Planning Councilexternal icon Boston MA
Adirondack Food System Alliance / Adirondack Health Institute (AHI)external icon Glens Fall NY
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SC
Social Connectedness
SC
Allies In Caring, Inc. / Hammonton Health Coalition (HHC)external icon Hammonton NJ
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TFP
Tobacco Free Policy
TFP
Tobacco Free Volusia / FDOH in Volusia Countyexternal icon Daytona Beach FL
Nevada Tobacco Prevention Coalition / Smoke-Free Truckee Meadowsexternal icon Reno NV
Buffalo Tobacco Action / Cicatelli Associates (CAI)external icon Buffalo NY
Health Promotion Council / Southeastern PA Tobacco Controlexternal icon Philadelphia PA
Lancaster County Health and Wellness Commission / Upper Midlands Rural Health Networkexternal icon Lancaster SC
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M
Multiple
As shown
Invest Health Rosevilleexternal icon BE, FNS, SC, TFP Roseville CA
BPSOS Center for Community Advancementexternal icon CCL, TFP Westminster CA
Sussex County Health Coalitionexternal icon CCL, FNS, SC Georgetown DE
Healthy Little Havanaexternal icon BE, SC Miami FL
Proviso Partners for Healthexternal icon BE, FNS, TFP Maywood IL
West Louisville Outdoor Recreation Initiative / Wilderness Louisville, Inc.external icon BE, SC Louisville KY
Louisiana Healthy Communities Coalition (LHCC)/ Louisiana Cancer Prevention and Control Programs (LCP)external icon BE, FNS New Orleans LA
Maryland Living Well Center of Excellenceexternal icon CCL, FNS, SC Salisbury MD
Central Lincoln County YMCA / Lincoln Health CLC YMCAexternal icon CCL, FNS, SC Damariscotta ME
National Urban American Indian and Alaska Native Cancer Coalition / American Indian Cancer Foundationexternal icon BE, CCL, FNS, SC, TFP Minneapolis MN
Acenda Integrated Healthexternal icon BE, CCL, FNS, SC Glassboro NJ
Healthy Here Coalition / Presbyterian Healthcare Servicesexternal icon BE, CCL, FNS Albuquerque NM
Supports for Healthy Aging in Rural New York / Rural Health Network of SCNYexternal icon CCL, SC Broome County NY
The Diabetes Research, Education, and Action for Minorities (DREAM) Coalition / Council of Peoples Organizationexternal icon CCL, FNS, SC New York NY
Staten Island Child Wellness Initiative / Staten Island Partnership for Community Wellnessexternal icon BE, CCL, FNS Staten Island NY
Access Health Stark Countyexternal icon CCL, SC Canton OH
Avondale Children Thrive Collaborative/ The Community Buildersexternal icon CCL, FNS, TFP Cincinnati OH
Healthy Klamath Coalition / Blue Zones Projectexternal icon BE, FNS, TFP Klamath Falls OR
ACHIEVE Coalition / Multnomah County Health Departmentexternal icon FNS, SC Portland OR
Live Well Allegheny REACH Coalition / Allegheny County Health Department external icon BE, CCL, FNS Allegheny County PA
Newport Health Equity Zone / Women’s Resource Centerexternal icon BE, CCL, FNS, SC Newport RI
Be Well™ Baytown / The University of Texas MD Anderson Cancer Centerexternal icon BE, FNS, SC Houston TX
Ogden Civic Action Network (OgdenCAN) / Weber State Universityexternal icon BE, CCL, FNS, SC, TFP Ogden UT
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SDoH Area Key
SDoH key areas
BE Built Environment
CCL Community-Clinical Linkages
FNS Food and Nutrition Security
SC Social Connectedness
TFP Tobacco-Free Policy
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Page last reviewed: March 17, 2021
Content source: National Center for Chronic Disease Prevention and Health Promotion