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Racial and Ethnic Approaches to Community Health (REACH)

Despite great improvements in the overall health of the nation, a disproportionate number of Americans who are members of racial and ethnic minority groups lack access to preventive health services. As a result, African Americans, Alaska Natives, American Indians, Asian Americans, Hispanic Americans, and Pacific Islanders are more likely than whites to have poor health and to die prematurely. Culturally appropriate, community-driven programs are critical for eliminating racial and ethnic disparities in health. In FY 2000, Congress appropriated $30 million to support REACH 2010, a 5-year demonstration project that supports community coalitions in designing, implementing, and evaluating community-driven strategies to eliminate health disparities. In FY 2001, Congress appropriated $35 million to continue REACH 2010 projects and add a new emphasis on the American Indian and Alaska Native communities. Currently, there are 33 community projects, which includes two projects funded by the California Endowment. These 33 projects address each of the four areas of disparity mentioned in the Burden of Chronic Disease on Minority Racial Populations.

REACH 2010 Project Sites, FY 2001

Map Showing REACH 2010 Project Sites in the United States, FY 2001 (Site listing below)

Icon that indicates a site is receiving funding for American Indian/Alaska Native Core Capacity Building Funding for American Indian/Alaska Native Core Capacity Building (5 sites)
Icon representing a site is receiving funding for program implementation. Funding for Program Implementation (31 sites)

Funding for program implementation 1. Seattle-King County Department of Public Health (WA)
Funding for program implementation 2. African-American Health Coalition (OR)
Funding for program implementation 3. University of Nevada, Reno
Funding for program implementation 4. University of California, San Francisco
Funding for program implementation 5. San Francisco Department of Health (CA)
Funding for program implementation 6. Harbor-UCLA Research & Education (CA)
Funding for program implementation 7. Community Health Councils of Los Angeles (CA)
Icon that indicates a site is receiving funding for American Indian/Alaska Native Core Capacity Building 8. Chugachmiut, Inc.(AK)
Funding for program implementation 9. Hidalgo Medical Services (NM)
Icon that indicates a site is receiving funding for American Indian/Alaska Native Core Capacity Building 10. Albuquerque Area Indian Health Board, Inc. (NM)
Funding for program implementation 11. Migrant Health Promotion (TX)
Icon that indicates a site is receiving funding for American Indian/Alaska Native Core Capacity Building 12. Association of American Indian Physicians (OK)
Funding for program implementation 13. Oklahoma State Department of Health (OK)
Icon that indicates a site is receiving funding for American Indian/Alaska Native Core Capacity Building 14. Choctaw Nation of Oklahoma (OK)
Funding for program implementation 15. National Black Women's Health Project (LA)
Funding for program implementation 16. University of Alabama at Birmingham (AL)
Funding for program implementation 17. Matthew Walker Comprehensive Health (TN)
Icon that indicates a site is receiving funding for American Indian/Alaska Native Core Capacity Building 18. United South and Eastern Tribes, Inc. (TN)
Funding for program implementation 19. Fulton County Department of Health & Welfare (GA)
Funding for program implementation 20. Florida International University (FL)
Funding for program implementation 21. Medical University of South Carolina
Funding for program implementation 22. Carolinas Health Care System (NC)
Funding for program implementation 23. Eastern Band of Cherokee Indians (NC)
Funding for program implementation 24. Boston Public Health Commission (MA)
Funding for program implementation 25. New Hampshire Minority Health Coalition (NH)
Funding for program implementation 26. Lowell Community Health Center (MA)
Funding for program implementation 27. Greater Lawrence Family Health (MA)
Funding for program implementation 28. Center for Community Health Education (MA)
Funding for program implementation 29. Trustees of Columbia University (NY)
Funding for program implementation 30. Institute for Urban Family Health (NY)
Funding for program implementation 31. Genesee County Health Department (MI)
Funding for program implementation 32. Community Health and Social Services (MI)
Funding for program implementation 33. University of Illinois, Chicago (IL)
Funding for program implementation 34. Chicago Department of Health (IL)
Funding for program implementation 35. Access Community Health Network (IL)
Funding for program implementation 36. Missouri Coalition of Primary Health Care

Reach Out is a Chicago-area collaboration that draws on leadership within African American and Hispanic/Latino churches to encourage low-income African American and Hispanic/Latina women to seek breast and cervical cancer screening. Focus groups of women members of local African American and Hispanic/Latino churches clearly establish that these women want information about how breast and cervical cancer could affect them. Using these results, the coalition began three pilot educational forums in churches to encourage women to seek breast and cervical cancer screening. 

Cambodian Community Health 2010, in Lowell Massachusetts, is targeting cardiovascular disease and diabetes among Cambodian refugees. During the planning phase, the project held Community Conversations in seven locations throughout the Cambodian community to involve all community members in developing an action plan. A Cambodian Elders’ Council was also formed to give a voice to older Cambodian refugees, who are often homebound and isolated by the language barrier.

 
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This page last reviewed August 10, 2004

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Centers for Disease Control and Prevention
National Center for Chronic Disease Prevention and Health Promotion