The BUILD Health Challenge (BUILD) worked with 19 communities across the country over the last two years with the goal of fostering sustainable improvements in health. Together, BUILD sites were able to achieve nearly 60 new systems level changes that resulted in policy shifts, new funding streams, stronger community leadership, and ultimately improved health outcomes. The results from their work is captured and assessed in this new report, Community Approaches to System Change: A Compendium of Practices, Reflections, and Findings.

 

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Interviewing the teams that made these changes happen, Community Approaches to Systems Change dives into how the changes happened, what was required for the changes to occur, and what the lessons learned are that other communities and leaders can use and/or apply themselves.

This Compendium contains four sections:

  • Systems Change Brief—an overview of our findings about how implementation of the BUILD model leads to the precursors to systems change and sustainable, systems change outcomes.
  • Spotlight on Health Equity—a deeper dive into the common challenges and successes BUILD sites experienced in integrating a health equity framework
    into their BUILD initiatives.
  • Spotlight on Partnership Health— a deeper dive into the common challenges and successes BUILD sites experienced in building broad, multi-sector, nontraditional partnerships.
  • Spotlight on Community Engagement—a deeper dive into the common challenges and successes BUILD sites experienced in building authentic and sustainable community engagement and ownership.

This Compendium shares with the field what we have learned about community-level progress from four years of implementing, testing, and observing the BUILD principles in action in communities across the US. It is critical reading for practitioners and leaders looking to move resources, attention, and action upstream—to make meaningful change in the complex systems that affect health in our communities. We continue to learn about how BUILD is catalyzing change and plan to share more with the field as our evidence base for systems change using this framework grows.

 

Be sure to read Community Approaches to System Change alongside the “19 Community Stories” that bring all of the systems level changes described in the report to life by highlighting the experiences and learnings of each awardee community.