Turning great ideas into healthier communities



CA4Health is a 5-year Community Transformation Grant from the CDC focused on reducing the burden of chronic disease in rural communities throughout California. A collaboration between PHI and the California Department of Public Health, CA4Health provides local county partners with tools, training and guidance to make their communities healthier.  CA4Health’s 4 strategic directions are reducing consumption of sugary beverages, increasing availability of smoke-free housing, creating safe routes to schools, and providing people with chronic disease with skills and resources to manage their illness.

Program Director(s)

Robert Berger

Program Site




CA4Health covers CTG implementation in 42 California counties with populations under 500,000, of which 12 receive direct funding through sub-awards. PHI and CDPH coordinate technical assistance contractors to work with counties on implementing strategic directions at the local level. CA4Health utilizes PHI's Public Health Data Solutions as a customized online tool for its partners to stay connected, store and share materials, and visualize data.

CA4Health Community of Practice

CA4Health will create a community of practice (CoP) that will be created to leverage the significant investments in California for systemic changes towards achieving health and equity. CA4Health will provide the infrastructure to reduce fragmentation by bringing together diverse stakeholders in California to share lessons learned, best practices, and innovative new paths forward as we build towards a system of prevention.

Support for Coordination of a Statewide Community Transformation Learning Community

This project will facilitate policy advocacy and collaboration among California's Community Transformation Grant (CTG) awardees and statewide sharing of CTG lessons learned and resources developed. It will reach all health jurisdictions in the state, including CTG grantees and non-grantees as well as large and small counties, and support The California Endowment's efforts to reverse California's obesity epidemic and support healthy communities.

Here's How We're Making a Difference

From Grant Award to Implementation

In 2011, California was awarded a multi-year, $30 million dollar Community Transformation Grant from the Centers for Disease Control and Prevention. PHI received the funds and was able to quickly hire leadership and staff, convene partners, execute contracts and MOUs, and get funds flowing so that work on the ground could begin. PHI managed CA4Health (as the grant came to be known) for 4 years, during which time the program implemented policy and environmental changes in rural communities across California to reduce risk factors for chronic disease. This work lives on in the CA4Health Community of Practice.

Increasing Access to Chronic Disease Self-Management Programs

Working in small and rural California communities, CA4Health trained lay leaders to deliver evidence-based chronic disease self-management, education and support. Over three years, CA4Health increased the number of community members with access to these services by 263,272.



PHI's CA4Health Changes Beverage Policies at Central Valley Head Start Centers

Photo credit: Tim WagnerCA4Health, PHI’s statewide Community Transformation Grant covering rural and small California counties, worked with Head Start Centers across four Central Valley counties to adopt strong new healthy beverage standards to help give these children a head start to a healthier life. 1,500 children through age five now drink water and unflavored milk (and breast milk for those up to 12 months) instead of soda, sports drinks, juice and juice drinks, and flavored milk.


PHI's CA4Health Spreads Safe Routes to School

CA4Health, PHI’s statewide Community Transformation Grant covering rural and small California counties, worked with 100 schools to implement Safe Routes to School (SRTS). The program is locally driven and built around activities such as critical infrastructure repairs, parent-organized “walking school buses,” regular “walk to school” days and events, safety education, school zone traffic enforcement, and more. As a result, nearly 5,000 more California kids were able to walk and bike to school safely.