Prevention: A Blueprint for Action. Appendix B - Steps Community Grants


In 2003, HHS awarded 12 communities with five-year grants to implement effective community-based chronic disease prevention and control programs.  Twelve communities were selected for their innovative proposals to improve the health of their target populations. (For more information, visit:

The ultimate goal of these Steps Community grants is to improve the health of individuals in the communities.  They do this by working to decrease risk factors for chronic diseases, to prevent the occurrence of these diseases, and to decrease their consequences in people’s lives.  Each community focuses on three areas--asthma, diabetes and obesity—and, given the emphasis on prevention, each community also works to address the factors that put individuals at risk for these diseases, such as nutrition, physical activity, and preventive health screenings. 

Each grantee has assembled a community partnership that is charged with improving both the broader public’s health, as well as the health of specific target groups.  These partnerships pursue interventions that address the community and the environment by:

  • Using media and information technology to educate and foster healthy behaviors;
  • Influencing the environment in ways that support and promote health and healthy lifestyles;
  • Fostering social support healthy behaviors and choices; and
  • Improving access to and quality of health care services.

They also address the school environment by:

  • Establishing full-time health coordinators or councils;
  • Providing physical education for students;
  • Implementing staff wellness programs;
  • Ensuring the availability of healthy food choices in the schools; and
  • Establishing tobacco-free environments. 

Intertribal Council of Michigan

Large Cities/Urban Communities
Seattle-King County, Wash.
Salinas-Monterey County, Calif.
Austin-Travis County, Texas
New Orleans, La.
Philadelphia, Pa.
Boston, Mass.
Pinellas County, Fla.

State-Coordinated Small Cities/Rural Communities
New York


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