Turning great ideas into healthier communities

Program

CA4Health

CA4Health is a community of practice consisting of people and organizations working to advance chronic disease prevention and health equity in California. CA4Health is forging partnerships, creating opportunities for efforts to be leveraged, building capacity for leadership, providing opportunities and tools to advocate, and facilitating coordinated actions that will enhance, expand, and elevate the participants’ work and efforts statewide. We believe that increased collaboration, fostering non-traditional partnerships, and tackling tough challenges together will create impactful, lasting change in California.

Program Director(s)

Susan Watson

Program Site

CA4Health

Projects

CA4Health

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 is a community of practice consisting of people and organizations working to advance chronic disease prevention and health equity in California. CA4Health is forging partnerships, creating opportunities for efforts to be leveraged, building capacity for leadership, providing opportunities and tools to advocate, and facilitating coordinated actions that will enhance, expand, and elevate the participants’ work and efforts statewide. We believe that increased collaboration, fostering non-traditional partnerships, and tackling tough challenges together will create impactful, lasting change in California.

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

CA4Health as a Community Transformation Grant: From Grant Award to Implementation

In 2011, PHI was awarded a $5.9 million per year Community Transformation Grant from the Centers for Disease Control and Prevention to represent the 42 California counties with populations of less than 500,000. As the program office, PHI 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. Over 3 years, PHI managed a set of topical experts, technical assistance providers, and evaluators to provide guidance, training, and resources to the local health departments to implement policy, systems, and environmental changes in their communities through this initiative, known as CA4Health. 

Despite the Community Transformation Grant awards coming to an end two years earlier than expected, CA4Health counties made significant strides toward achieving the goals in each area of work. As a result of the local efforts, the total number of CA4Health-participating county residents with increased access to healthier beverage environments was 577,017; walkable and bikeable communities was 256,743; smoke-free multi-unit housing was 17,566; and chronic disease self-management programs was 263,272. The activities and efforts of CA4Health counties had an incredible impact on local communities throughout the state, but the story of CA4Health is more than just numbers. These communities were successful because they leveraged pre-existing resources, created non-traditional partnerships, strengthened new and old relationships, and facilitate the involvement of local youth to build healthier communities.

To learn more, see the culminating report.

Facilitating Collaboration and Supporting Local Learning in California Communities

When the federal Community Transformation Grants program ended, the CA4Health brand was repurposed to represent a statewide community of practice. CA4Health is an open, diversified, and inclusive statewide network that helps to leverage the significant investments in California for systemic changes towards achieving health and equity. CA4Health provides the infrastructure to bring together diverse stakeholders in California to share lessons learned, best practices, build relationships, and take collective action. 

Since the summer of 2015, CA4Health has been providing opportunities to convene, build capacity, and advocate. Up to this point, CA4Health has successfully hosted/co-hosted 28 virtual events and 20 opportunities for in-person engagement that has resulted in sharing of tools, resources, identifying areas of collaborative impact on statewide policy, and advocating.

In 2017, CA4Health launched People.Power.Change!, a series of connected sessions to provide a platform for participants to build leadership, increase capacity, and provide opportunities to stand together and speak out on issues related to food justice and poverty reduction.

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.

CA4Health also created this video to further expand the understanding and need for community health workers.

 

 

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

Photo credit: Tim Wagner

CA4Health, 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.

As a result, 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.