Monday, June 30, 2025 6/30/2025

Within Our REACH

Award Number: NU58DP006599
ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES
PERIOD OF PERFORMANCE START DATE: 09/30/2018
PERIOD OF PERFORMANCE END DATE: 12/29/2023

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Within Our REACH - Stockton is the San Joaquin County, California, county seat and its most populous city. The city is home to approximately 33,000 African Americans: 11% of the population yet 37% of those living in poverty. Here as elsewhere, African Americans create fellowship after church with Sunday dinners of sweet tea, fried chicken, and peach cobbler. Passed down through generations, these habits compound poor health outcomes that come from limited access to nutritious foods, beverages, and physical activity, contributing to disproportionate rates of chronic illnesses. Diabetes and obesity are the top health concerns in the county’s 2016 Community Health Needs Assessment. In Stockton, 45% of African American adults are obese compared with 40% of white Stockton adults and 26% of white adults statewide. More than half (54%) of Stockton adults have either diabetes (9%) or prediabetes (45%); diabetes rates for African Americans are estimated to be 50% higher. Key to rectifying these disparities is removing barriers to healthy eating and physical activity in low-income African American neighborhoods and addressing their underlying causes, including adverse childhood experiences (ACEs) and trauma. With a 2014 four-year CDC-REACH grant, Public Health Advocates’ Within Our Reach (WOR) project began to work with African American faith- and community-based organizations (F/CBOs) to cultivate environments that promote healthy food and activity choices. WOR’s overarching goal is to reverse health disparities by reducing the incidence of obesity, diabetes, and related chronic illnesses in Stockton’s African American community. Implementing guidelines promoting nutritious food, water as the default beverage, and the integration of physical activity into daily life—augmented by pulpit messaging and educational campaigns—the project began to shift the culture to make healthy behaviors the norm where people work, play, and worship. Using a policy, systems, and environmental strategy, WOR assessed the health climate of F/CBOs, then worked with leadership and members to adopt and implement the healthy guidelines. Through incremental changes, WOR supported a transformation of churches and CBOs into environments that are “healthy by default.” WOR proved remarkably successful, with organizational policy change and education together prompting measurable behavior change: the proportion of congregants touched by WOR who reporting drinking water daily increased from 86% to 96%; and daily fruit consumption increased from 41% to 58% over three years. To reinforce these changes, WOR worked with African American residents and city officials and staff to include substantive health policies in the City of Stockton’s 2040 General Plan Update. As a result, community health was named a priority and the city included a health element with policies consistent with community priorities. Building on PHAdvocates’ success and the deep community relationships we have cultivated, we are poised to increase WOR’s impact in four important ways: (1) support additional congregations to implement previously adopted physical activity, nutrition, and breastfeeding guidelines; (2) work with new F/CBOs to adopt and implement guidelines addressing trauma and ACEs; (3) train residents to advocate for implementation of health policies in Stockton’s General Plan Update and for using CA Prop 68 Park Bond funding in park poor neighborhoods; (4) train resource liaisons to link residents to evidence-based tools and resources and create resource hubs to build resilience. The proposed project will expand and spread our successful model by continuing our work with F/CBOs serving Stockton’s low-income African American residents to create environments that are healthy by default.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$59,206 )
2024	2022	PUBLIC HEALTH ADVOCATES	6702 INGLEWOOD AVE	STOCKTON	CA	95207	SAN JOAQUIN	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	02	5	10/11/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	PUBLIC HEALTH ADVOCATES	6702 INGLEWOOD AVE	STOCKTON	CA	95207	SAN JOAQUIN	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	03	5	8/6/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$59,206
2024	2021	PUBLIC HEALTH ADVOCATES	6702 INGLEWOOD AVE	STOCKTON	CA	95207	SAN JOAQUIN	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	03	5	8/6/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2020	PUBLIC HEALTH ADVOCATES	6702 INGLEWOOD AVE	STOCKTON	CA	95207	SAN JOAQUIN	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	03	5	8/6/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2019	PUBLIC HEALTH ADVOCATES	6702 INGLEWOOD AVE	STOCKTON	CA	95207	SAN JOAQUIN	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	03	5	8/6/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2018	PUBLIC HEALTH ADVOCATES	6702 INGLEWOOD AVE	STOCKTON	CA	95207	SAN JOAQUIN	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	03	5	8/6/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = -$59,206

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2022	PUBLIC HEALTH ADVOCATES	6702 INGLEWOOD AVE	STOCKTON	CA	95207	SAN JOAQUIN	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	01	5	9/29/2023	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $1,232,041 )
2022	2022	Public Health Advocates	2201 Broadway Ste 604	Oakland	CA	94612	ALAMEDA	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	00	5	8/2/2022	NON-COMPETING CONTINUATION	$1,232,041
2022	2021	Public Health Advocates	6702 INGLEWOOD AVE STE A	STOCKTON	CA	95207	SAN JOAQUIN	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	01	4	4/6/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2022	2021	Public Health Advocates	6702 INGLEWOOD AVE STE A	STOCKTON	CA	95207	SAN JOAQUIN	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	02	4	4/28/2022	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,232,041

Issue Date FY: 2021 ( Subtotal = $1,421,639 )
2021	2021	Public Health Advocates	6702 INGLEWOOD AVE STE A	STOCKTON	CA	95207	SAN JOAQUIN	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	00	4	6/24/2021	NON-COMPETING CONTINUATION	$791,999
2021	2021	Public Health Advocates	6702 INGLEWOOD AVE STE A	STOCKTON	CA	95207	SAN JOAQUIN	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	01	3	3/27/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$629,640
2021	2021	Public Health Advocates	6702 INGLEWOOD AVE STE A	STOCKTON	CA	95207	SAN JOAQUIN	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	02	3	5/26/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2021	Public Health Advocates	6702 INGLEWOOD AVE STE A	STOCKTON	CA	95207	SAN JOAQUIN	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	03	3	9/20/2021	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $1,421,639

Issue Date FY: 2020 ( Subtotal = $791,999 )
2020	2020	Public Health Advocates	6702 INGLEWOOD AVE STE A	STOCKTON	CA	95207	SAN JOAQUIN	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	00	3	6/29/2020	NON-COMPETING CONTINUATION	$791,999
2020	2019	Public Health Advocates	6702 INGLEWOOD AVE STE A	STOCKTON	CA	95207	SAN JOAQUIN	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	02	2	6/5/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2020	2019	Public Health Advocates	6702 INGLEWOOD AVE STE A	STOCKTON	CA	95207	SAN JOAQUIN	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	01	2	12/19/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $791,999

Issue Date FY: 2019 ( Subtotal = $791,999 )
2019	2019	Public Health Advocates	6702 INGLEWOOD AVE STE A	STOCKTON	CA	95207	SAN JOAQUIN	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	00	2	7/6/2019	NON-COMPETING CONTINUATION	$791,999
2019	2018	Public Health Advocates	6702 INGLEWOOD AVE STE A	STOCKTON	CA	95207	SAN JOAQUIN	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	02	1	6/19/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2018	Public Health Advocates	6702 INGLEWOOD AVE STE A	STOCKTON	CA	95207	SAN JOAQUIN	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	01	1	12/14/2018	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $791,999

Issue Date FY: 2018 ( Subtotal = $791,999 )
2018	2018	Public Health Advocates	6702 INGLEWOOD AVE STE A	Oakland	CA	94612	ALAMEDA	USA	PPHF: Racial and Ethnic Approaches to Community Health Program financed solely by Public Prevention and Health Funds	00	1	9/17/2018	NEW	$791,999
														Subtotal = $791,999

Grand Total All Awards = $4,970,471

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Within Our REACH

Award Number: NU58DP006599

ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

PERIOD OF PERFORMANCE START DATE: 09/30/2018

PERIOD OF PERFORMANCE END DATE: 12/29/2023

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