This report aims to provide a framework focusing on protecting and promoting the well-being of the nation’s big cities by building healthier, more equitable communities. The key principles include health and prosperity in big cities are directly linked, equity and justice must drive every aspect of urban health, intentional, equitable, and just use of structural tools and interventions can tangibly improve the health and wellness of communities, and health departments are uniquely positioned to not just highlight injustices but address equity and justice in the pursuit of good health – but they can’t do it alone.
Community Assessment and Engagement
Community assessment is a systematic process by which a community’s health status and related factors are examined; it is used to identify problems and assets in a community. Through community engagement, stakeholders work together to address health-related issues and promote well-being with the goal of improving health outcomes. These two processes work hand-in-hand to facilitate health improvements. COVID-19 has changed the assessment landscape in many ways–introducing new challenges for engagement, upending pre-pandemic implementation plans, and necessitating new and updated data to understand emerging health impacts and needs.