Strategies: Civic Health

Evidence-informed strategies to strengthen opportunities for people to participate in their community. These solutions focus on civic infrastructure, or the spaces and policies that facilitate connection and make civic participation possible. 

44 Strategies

Community health workers

Engage professional or lay health workers to provide education, referral and follow-up, case management, home visiting, etc. for those who experience barriers in accessing health care; also called promotoras(es) de salud or community health representatives
Evidence Rating:
Some Evidence

Community Conditions

  • Clinical care

Transitional and subsidized jobs

Establish time-limited, subsidized, paid jobs to help individuals with barriers to employment transition to unsubsidized employment
Evidence Rating:
Scientifically Supported

Community Conditions

  • Income, employment and wealth

Mentoring programs for high school graduation

Establish programs that connect students at risk of dropping out with trained adult mentors who provide ongoing guidance for academic and personal challenges
Evidence Rating:
Scientifically Supported

Community Conditions

  • Education

Bicycle & pedestrian master plans

Establish a framework to increase walking and biking trails and improve connectivity of non-auto paths and trails in a particular area
Evidence Rating:
Some Evidence

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Climate

Societal Rules

  • Institutional practices
  • Governance

Zoning regulation and land use policy reforms

Reform zoning regulations to remove exclusionary zoning codes, address physical environment aesthetics and safety, street continuity and connectivity, residential density, and mixed-use development, etc.
Evidence Rating:
Scientifically Supported

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Air, water and land
  • Climate

Societal Rules

  • Laws and policies

Complete Streets & streetscape design initiatives

Enhance streetscapes with greater sidewalk coverage and walkway connectivity, street crossing safety features, traffic calming measures, and other design elements
Evidence Rating:
Scientifically Supported

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Civic and community resources
  • Climate

Societal Rules

  • Institutional practices

Mixed-use development

Support a combination of land uses (e.g., residential, commercial, recreational) in development initiatives, often through zoning regulations or Smart Growth initiatives
Evidence Rating:
Scientifically Supported

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Air, water and land
  • Civic and community resources
  • Climate

Societal Rules

  • Laws and policies

Public transportation systems

Introduce or expand transportation options that are available to the public and run on a scheduled timetable (e.g., buses, trains, ferries, rapid transit, etc.)
Evidence Rating:
Scientifically Supported

Community Conditions

  • Housing and transportation
  • Civic and community resources
  • Climate

Societal Rules

  • Budgets
  • Worldviews, culture and norms

Green space & parks

Increase green space through new parks or open spaces, renovation or enhancement of under-used recreation areas, rehabilitation of vacant lots, brownfields, etc.
Evidence Rating:
Some Evidence

Community Conditions

  • Diet and exercise
  • Civic and community resources
  • Climate

Community gardens

Establish and support land that is gardened or cultivated by community members via community land trusts, gardening education, zoning regulation changes, or service provision (e.g., water or waste disposal)
Evidence Rating:
Some Evidence

Community Conditions

  • Diet and exercise
  • Climate
  • Civic and community resources