The BUILD Health Challenge® supports innovative partnerships that bring together public health departments, hospitals and health systems, and community organizations to drive sustainable improvements in community health.

The BUILD Health Challenge recognizes that the greatest influence on a community’s health and well-being can be attributed to social, environmental, and economic factors like early childhood development, employment opportunities, food availability, air and water quality, transportation, education, safety and housing. Yet all too often there are not enough resources available to address important health issues within a community.

BUILD was created in 2014 by the de Beaumont Foundation in partnership with several others to improve public health outcomes. BUILD — which stands for bold, upstream, integrated, local, and data-driven approaches to change – set out to fund innovative community-led partnerships that bridge the gaps between public health departments, health systems, and communities. BUILD-recognized programs serve as models that highlight best practices for communities looking to move resources, action, and attention upstream.

Applications for the fourth cohort are new open until June 30, 2022.

For its new fourth cohort, The BUILD Health ChallengeⓇ (BUILD) is looking to support up to 19 innovative community collaboratives from across the United States that are ready to put Bold, Upstream, Integrated, Local, Data-Driven plans into action. With a specific focus on strengthening partnerships between community-based organizations, hospitals and health systems, health plans, local health departments, and residents, BUILD awards are designed to support collaborations working to address upstream challenges and drive sustainable improvements in community health. Each award will include:

  • Up to $300,000 in funding over three years
  • A robust array of coaching and support services
  • Specialized trainings and capacity building opportunities
  • Participation in a national network of peers engaged in similar work
  • Opportunity to spotlight your local work on a national level

Be a part of the shared journey to health equity. Apply to join BUILD today.

Stakeholders from the third cohort of the BUILD Health Challenge.

Current BUILD awardees:

  • The Roots to Prevention Collaboration | Camden, NJ | Food
  • Advancing Community Partnerships to Increase Food Access in Southern Dallas | Dallas, TX | Food
  • Healthy Highland | Gastonia, NC | Community Revitalization
  • Collaborative Cottage Grove | Greensboro, NC | Healthy Housing
  • Build Trust, Build Health/Fomentar la Confianza y Salud | Greenville, SC | Children’s Health
  • Maternal Upstream Management (MUM) | Houston, TX | Maternal and Child Health
  • The Hope for Health Collaborative | Kerrville, TX | Community Revitalization
  • Marion County CHFE (Creating Healthy Food Environments) Project | Marion, SC | Food
  • BUILD Sherman Park | Milwaukee, WI | Safe Communities
  • New Brunswick Healthy Housing Collaborative | New Brunswick, NJ | Healthy Housing
  • Maternal and Child Health at Columbia Parc | New Orleans, LA | Maternal and Child Health
  • Healthy Havenscourt Collaborative | Oakland, CA | Safe Communities
  • Empowering a Self-Healing Community: Safety, Sufficiency, and Well-Being in North Omaha | Omaha, NE| Community Revitalization
  • Caring for Reno’s Elders (CARE) | Reno, NV | Elderly Care
  • Healthy Babies, Empowered Moms, Flourishing Families | Sunflower County, MS | Maternal and Child Health
  • Strong Immigrant Communities Through Collective Action for Housing Affordability and Ownership | Vallejo, CA | Community Revitalization
  • BUILD Fourth Plain | Vancouver, WA | Healthy Housing
  • Healthy Together Medical-Legal Partnership to Improve Health in DC by Enhancing Community Resilience | Washington, DC | Children’s Health

Previous BUILD Cohorts

Since its inception, BUILD-supported initiatives have addressed a diverse set of community priorities, from healthy housing and safety to food access and addiction. You can learn more about the projects of each BUILD partnership on the BUILD Communities page.

Want to dig deeper? BUILD followed the work of the 19 communities that participated in the second cohort and documented their successes, challenge, and outcomes in short narratives. Read more.


Since 2015, BUILD’s 55 communities have delivered more than 48 systems level changes that sustain cross-sector, upstream health interventions. The impact of these projects has helped to drive sustainable improvements in community health, contain downstream health care costs, and promote health equity. Visit the BUILD impact page for reflections on the BUILD Health Challenge impact and the road ahead.

  • In Washington, DC, the Healthy Together Medical-Legal Partnership focused on the intersection of pediatric health and housing conditions by targeting substandard housing conditions at the heart of asthma health disparities among children in the lowest-income neighborhoods. They built connections with the Housing authority, developed a cadre of trained parent, resident, and professional advocates, and developed protocols to better track chronic reports of health-harming housing conditions, laying the foundation for long-term shifts in addressing housing issues including an innovative payer pilot for legal services.
  • In Lafayette, CO, the Raising of America Partnership upended existing power dynamics by developing a community-led practice to identify concerns affecting the health of residents. Parent advocates highlighted their concerns over the lack of culturally-sensitive foods in schools, and with training and organizing support, elevated the link between this concern and health and education gaps to the attention of the school system. The parent coalition and schools worked together to develop culturally-sensitive menus and trainings for the school system. Neighboring communities have implemented new practices based on Boulder County’s model.
  • In St. Louis, MO, the FLOURISH partnership aimed to address disparities in infant mortality and maternal health by focusing on changing entrenched systems that impacted the health of mothers and babies. Using a mixed methods approach, they developed a case for the importance of transportation to infant and maternal health outcomes. Involving new parents and families enabled new considerations for community engagement, problem identification, and policy solutions. The work has attracted new resources, improved the capacity of partners to advance toward systems change, and achieved policy changes that move families closer to health and equity.

To learn more about the ways that the second BUILD cohort approached and achieved systems change through their BUILD partnerships, read Community Approaches to Systems Change: A Compendium of Practices, Reflections, and Findings.


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