The disintegration of communities places stress on the well-being of residents. This paper presents four case studies of efforts to strengthen community in four distinct US cities. They are based on interviews and observations made by the author, as well as on published accounts and reports in scientific and lay media. The case studies suggest that each community has a unique set of problems that require targeted interventions. The case studies suggest that interventions can promote social cohesion, thereby recreating the social foundation for good health. The implications for women's health are discussed.