Building communities that create health

Public Health Rep. Mar-Jun 2000;115(2-3):139-43. doi: 10.1093/phr/115.2.139.


Typically, public health policy, program design, and resource allocation are based on issue-specific, targeted interventions directed at specific populations or sub-populations. The authors argue that this approach fails to meet the goal of public health-to improve health for all--and that the key to health improvement is to create a social context in which healthy choices are the norm. The authors present as case studies two Pennsylvania cities that used multisectoral approaches to achieve community health improvements.

MeSH terms

  • Adolescent
  • Child
  • Child Day Care Centers
  • Community Health Planning / organization & administration*
  • Employment
  • Health Promotion / methods
  • Health Promotion / organization & administration*
  • Humans
  • Organizational Case Studies
  • Pennsylvania / epidemiology
  • Social Environment
  • Social Support