What Guides Our Work in the Community?

What Guides Our Work in the Community?2018-05-24T11:39:27+00:00

Community Health Assessment & Community Health Improvement Plan

The Mobilizing for Action through Planning and Partnerships (MAPP) framework has provided a way for Cobb2020 to systematically implement policies and develop community health improvement plans for the future.

In 2016, Cobb & Douglas Public Health (CDPH) partnered with Kennesaw State University, Cobb2020 – A Partnership for a Healthier Cobb County (Cobb2020) and Live Healthy Douglas to complete the 2016 Cobb and Douglas Community Health Assessment (CHA). The CHA is a collection of data that provides a comprehensive picture of what is happening related to health in a community. Such an assessment is typically conducted every three to five years.

The Cobb and Douglas Community Health Improvement Plan II (2017-2021) outlines a 5-year action plan to improve the health of residents based on the needs identified in the CHA. In collaboration with Cobb2020 and Live Healthy Douglas, CDPH developed county-specific goals and strategies to address the identified priority issues. The CHIP will be used to implement community-based changes to improve long-term health and wellness, monitor progress toward goals, and establish new goals in the future. The success of the plan’s implementation will depend on continued partnerships as well as community support and engagement.

Policy, Systems and Environmental (PSE) Changes

The Health Impact Pyramid, developed by previous CDC Director, Dr. Thomas Frieden, displays the smallest to largest impact of factors affecting health. The CHIP strategies and objectives reflect all tiers of this pyramid but will prioritize PSE changes as interventions with the potential for high impact for the total population. In addition, by committing to the Health in All Policies approach (HiAP), we can proactively account for potential health impacts during all stages of the policymaking process. This ensures the avoidance of harmful health impacts and supports positive health outcomes.

Source: Frieden T. Am J Public Health; 2010; 100(4)

Learn more about the Health Impact Pyramid.

Health Equity

We recognize that all Americans should have the opportunity to make the choices that allow them to live a long, healthy life, regardless of their income, education or background. We seek to raise the bar for everyone, especially those who face significant barriers to better health. Healthy People 2020 defines health equity as attaining the highest level of health for all people. For each strategic priority being addressed, our goal is to focus on the related social and economic conditions affecting health risks and outcomes. These are referred to as the social determinants of health, and they have the power to positively or negatively affect an individual or family’s ability to achieve health.

According to the Healthy People 2020 framework, the 5 key areas for the social determinants of health are:

Economic Stability

  • Employment
  • Food Insecurity
  • Housing Instability
  • Poverty


  • Early Childhood Education and Development
  • Enrollment in Higher Education
  • High School Graduation
  • Language and Literacy

Social and Community Context

  • Civic Participation
  • Discrimination
  • Incarceration
  • Social Cohesion

Health and Health Care

  • Access to Health Care
  • Access to Primary Care
  • Health Literacy

Neighborhood and Built Environment

  • Access to Foods that Support Healthy Eating Patterns
  • Crime and Violence
  • Environmental Conditions
  • Quality of Housing

Learn more about the social determinants of health.