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8 ORGS · 64 ACTIVITIES ← all strategies ·
approach

Systems Change Through Structural Leverage

By changing policies, systems, and environments, the organization produces sustainable population-level health improvements, because structural conditions shape behavior more powerfully than individual choice alone. This strategy prioritizes altering the underlying systems—such as institutional policies, physical environments, and cross-sector practices—that influence health and well-being at scale. It moves beyond individual interventions by leveraging multi-sector collaboration, data-driven prioritization, and policy advocacy to make healthy choices easier, more accessible, and normative. What distinguishes it from behavior-change or service-delivery models is its focus on root causes and long-term equity through institutional transformation.

8
orgs running it
64
activities of those orgs
12
activity groups touched
who runs it

Organizations running this strategy · 8

what it looks like in practice

Activities of orgs running this strategy

A sample of programmatic activities from the orgs above — what the strategy looks like on the ground.

  • Building regional coalitions for health and wellness NORTH COUNTRY HEALTHY HEART NETWORK INC
    capacity building
    Operates a coalition of nearly 30 member organizations across nine counties to coordinate and deliver health and wellness support programs in northern New York.
  • Delivering capacity-building support for tobacco treatment providers NORTH COUNTRY HEALTHY HEART NETWORK INC
    capacity building
    Offers performance improvement planning, customized training, and support for healthcare staff and tobacco treatment champions to improve the quality and delivery of tobacco cessation services.
  • Expanding physical activity opportunities in schools and communities NORTH COUNTRY HEALTHY HEART NETWORK INC
    direct service
    Empowers schools and communities to enhance physical activity through initiatives like Walk & Roll to School Day, pedestrian infrastructure improvements, and bike helmet distribution programs, particularly in Franklin County.
  • Facilitating school and municipal wellness policy implementation NORTH COUNTRY HEALTHY HEART NETWORK INC
    advocacy
    Advocates for and facilitates updates and implementation of school wellness policies related to nutrition and physical activity, and supports municipal-level policies and projects that promote active transportation and safe physical activity environments.
  • Funding regional health promotion projects NORTH COUNTRY HEALTHY HEART NETWORK INC
    grantmaking
    Awards grants totaling nearly $20,000 to support local health promotion initiatives across the North Country region.
  • Implementing chronic disease prevention strategies NORTH COUNTRY HEALTHY HEART NETWORK INC
    direct service
    Designs, develops, and implements evidence-based strategies to reduce the incidence of cardiac disease, stroke, and related chronic illnesses across a seven-county region in northern New York State, focusing on tobacco use, nutrition, and physical activity.
  • Offering evidence-based chronic disease self-management programs NORTH COUNTRY HEALTHY HEART NETWORK INC
    direct service
    Coordinates and delivers free lifestyle change and health self-management programs targeting chronic conditions such as diabetes, high blood pressure, anxiety, depression, arthritis, and chronic pain through the Get Healthy North Country Network.
  • Operating the Creating Healthy Schools & Communities (CHSC) program NORTH COUNTRY HEALTHY HEART NETWORK INC
    direct service
    Implements the CHSC program across seven communities in northern New York to increase access to healthy food and physical activity opportunities, including policy and environmental changes in schools, childcare settings, and communities.
  • Promoting children's health through early childhood initiatives NORTH COUNTRY HEALTHY HEART NETWORK INC
    direct service
    Launched the Eat Well Play Hard North Country Coalition and works with childcare providers and communities to implement sustainable policy and environmental changes that promote nutrition and physical activity among young children.
  • Providing tobacco cessation services and support NORTH COUNTRY HEALTHY HEART NETWORK INC
    direct service
    Offers mobile, one-on-one, evidence-based tobacco cessation services to individuals, distributes cessation resources, and connects smokers with the NYS Quitline while delivering direct support to tobacco users across multiple counties.
  • Strengthening healthcare systems for tobacco treatment NORTH COUNTRY HEALTHY HEART NETWORK INC
    capacity building
    Provides resources, consultation, policy review, and implementation assistance to healthcare providers and systems to integrate and sustain evidence-based tobacco dependence treatment services into clinical workflows.
  • Supporting healthy food access through food pantry partnerships NORTH COUNTRY HEALTHY HEART NETWORK INC
    direct service
    Partners with community food pantries, such as the Tupper Lake Community Food Pantry, to improve access to healthy food through operational assessments, policy implementation, infrastructure improvements, and ongoing collaboration to expand nutritious offerings.
  • Advances trauma-informed community practices to support child and family well-being GENESEE VALLEY HEALTH PARTNERSHIP INC
    direct service
    Implements trauma-informed community initiatives through structured programming and convenes the Trauma-Informed Communities committee every other month to promote awareness and systemic change in Livingston County.
  • Convenes collaborative health network meetings and governance activities GENESEE VALLEY HEALTH PARTNERSHIP INC
    direct service
    Operates an integrated rural health network with participation from approximately forty multi-sector organizations, hosting quarterly general membership meetings (in person and via Zoom), annual membership meetings with Board elections each November, and monthly community meetings in Lima Town Hall to advance collective health goals in Livingston County.
  • Coordinates suicide prevention education, outreach, and support services GENESEE VALLEY HEALTH PARTNERSHIP INC
    direct service
    Provides suicide prevention education and support through initiatives such as Lock and Talk Livingston, Safe Talk, and the Out of the Darkness Walk; offers presentations, outreach materials, and access to the 988 Suicide & Crisis Lifeline. Convenes the Suicide Prevention Task Force monthly and operates Step by Step, a monthly peer support group for those affected by suicide or sudden loss.
  • Facilitates community health improvement through the Be Well in Livingston initiative GENESEE VALLEY HEALTH PARTNERSHIP INC
    direct service
    Implements the Be Well in Livingston program across communities such as Nunda and Mount Morris, promoting improved nutrition, physical activity, and stress reduction through community-wide engagement and healthier practices in worksites. Includes hosting quarterly committee meetings and providing access to a calendar of health events.
  • Produces annual reports for community health monitoring and evaluation GENESEE VALLEY HEALTH PARTNERSHIP INC
    research
    Conducts and publishes annual reports in 2023, 2024, and 2025 to document progress, outcomes, and activities related to community health initiatives in Livingston County.
  • Advocacy for health policy and systems change Sullivan 180 Inc
    advocacy
    Works to improve health and well-being in Sullivan County by facilitating policy change, strengthening systems, and supporting new programs that advance health equity and outcomes. Engages in countywide collaborations to drive structural improvements in public health.