The Flint & Genesee REACH Project is an implementation-ready project that leverages existing and emerging efforts to build economy of scale to maximize REACH funding to close the gap to improve African American and Hispanic health in Flint and Genesee County (Michigan). The extensive capacity and leadership of the Greater Flint Health Coalition (Community Coalition and Lead Applicant), a 501(c)3 organization with a more than 20-year history as the community?s neutral convener and backbone support organization, will allow for successful program implementation. The Greater Flint Health Coalition will collaborate with a broad collection of multi-sector partners, including Michigan State University and the Genesee County Health Department, to achieve collective impact by establishing a common health agenda. By implementing a population-wide solution strategy with an informed social determinants of health focus, the Flint & Genesee County REACH Project will improve health, prevent chronic disease, and reduce health disparities among the priority populations of African Americans and Hispanic Americans with the highest risk or burden of chronic disease related to health behaviors and health equity.Genesee County, and specifically the City of Flint, has experienced major economic hardships in the last several years which have played a role in the overall health of the population. To address existing health disparities, Flint & Genesee REACH Project partners have agreed to a shared vision to implement the following strategies: ?Community-Clinical Linkages, via rapid expansion of an established Community Referral Platform, increasing the use of Community Health Workers, and leveraging existing programs such as WISEWOMAN and the Diabetes Prevention Program; ?Physical Activity, by developing a comprehensive biking and walking condition map, Safe Routes to School planning, assessment and implementation, and the leveraging of land use improvements
via the Genesee County Parks, Genesee County Planning Commission, and City of Flint Planning Division; ?Nutrition, by expanding local resources such as the "Food FARMacy", Flint Fresh Mobile Market, culturally-competent breastfeeding support, ReFresh MI Healthy Corner Store Project, nutrition improvement in schools, and an evidence-based ?Nutrition in Communities? family-based cooking program. Furthermore, to address racial disparities, health equity, and systemic and institutional racism, REACH Project partners have committed to participate in the promising practice of Truth, Racial Healing, and Reconciliation. The identified strategies are reinforced by data from the recent Flint & Genesee County Community Health Needs Assessment (CHNA). The Flint & Genesee REACH Project will include an evaluation led by Michigan State University consisting of three components: evaluation of implementation and performance; process evaluation; and overall outcomes evaluation. The successful implementation of the Flint & Genesee REACH Project will lead to improved health outcomes, reduced health disparities in chronic conditions (in African American and Hispanic populations), and increased capacity among healthcare organizations to provide culturally competent care. We expect more than 90,000 of the community's most underserved residents will be reached by the work proposed by the Flint & Genesee County REACH Project partners.