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Addressing Conditions to Improve Population Health (ACTion)

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The National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP) DP-23-0058 notice of funding opportunity announced the availability of funds to state, local, territorial, and tribal jurisdictions that were ready to take ACTion in communities to implement policy, systems, and environmental change (PSE) interventions that address social determinants of health (SDOH).

Specific outcomes to be achieved through this award include:

  • Changes in group and organizational behavior and norms.
  • Adoption of new policies and practices.
  • Changes in availability and accessibility of health care and community services.
ACTion SDOHs- Community-Clinical Linkages, Built Environment, Social Connectedness, and Food Nutrition Security

There are four NCCDPHP SDOH domains prioritized for these projects.

Five (5) recipients will complete 3-year (2023-2026) ACTion projects focused on implementing established plans that include PSE interventions in at least 1 of 4 NCCDPHP SDOH domains.

Funded Recipient Recipient Type City State Year 1 Budget SDOH Domains Policy, System, Environmental Interventions
ACTion awardees
City of Savannah City Savannah GA $497,123 Built Environment; Social Connectedness
  • Increasing community food markets, cultural education spaces, and community events (screenings and health education)
  • Improving greenspaces, recreational areas, and infrastructure
Fund for Public Health in New York, Inc. Nonprofit New York NY $499,984 Community-clinical Linkages
  • Increasing referrals between clinical and community services
  • Increasing access and use of educational and lifestyle management sessions in non-clinical settings
  • Increasing use of clinical services and adherence to care among Medicaid recipients
Multnomah County Health Department



County Portland OR $495,000 Food Nutrition and Security
  • Using food procurement policy as a means of harnessing government institutional power to directly shape food accessibility while simultaneously advancing wider objectives related to climate goals, economics and societal change.
  • Leveraging systems change opportunities in Medicaid policy to scale and sustain evidence-based healthy food access programs to reach Medicaid recipients, people living on low incomes, and BIPOC.
Ogle County Health Department County Oregon IL $500,000 Food Nutrition and Security
  • Increasing access and availability to healthy and nutritious foods, education for home-based food production, food pantries, and mini food centers (refrigerated and dry food)
Wisconsin Department of Health Services State Madison WI $500,000 Community-clinical Linkages; Social Connectedness
  • Establishing local health action teams to promote health awareness and opportunities to improve connections throughout the community
  • Increasing partners using a robust electronic resource network
  • Improving access to and assistance with social services to individuals who need them
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