Research & Program Areas

Safety-Net Enhancement Initiative Cross-Site Evaluation

The Safety-Net Enhancement Initiative (SNEI) is a national funding strategy developed by the Kresge Foundation to support community-based efforts to plan and design projects that demonstrate multi-sector approaches to addressing health disparities and social determinants of health. Eight sites across the country were funded by the Kresge Foundation to develop partnerships between community health centers (CHCs), public health departments, anchor institutions (e.g., health systems, hospitals, universities), and community-based organizations. Now in the dissemination phase, each site developed a demonstration model to address the local social and environmental contexts, in hopes of improving health behavior and moving toward the reduction of health disparities.

CMCD worked in partnership with the Kresge Foundation Health Team and the SNEI sites to develop and implement a cross-site evaluation of the initiative. Findings from the cross-site evaluation show that SNEI has: (1) changed the way partners work together in these communities; (2) increased the capacity of individuals to address social determinants of health; (3) broadened the clinical approach in these communities to include preventative services and services addressing social determinants of health; and (6) led to the development of new social networks around health.

SNEI Sites

Flagstaff, AZ

Hermosa Vida focuses on reducing childhood obesity and related chronic diseases among primarily Hispanic and Native American children and their families by increasing access to physical activity, recreation, and nutrition.

Oakland, CA

The Food to Families (F2F) initiative’s efforts center on decreasing obesity among pregnant women and their families through health education and improved access to and intake of fresh fruits and vegetables. The program also seeks to increase the local economy and provide employment opportunities for youth in the community.

Honolulu, HI

Returning to Our Roots aims to reduce social isolation and improve health and well-being for community residents, particularly among Asian/Pacific Islander and immigrant populations, through community farming and sharing of cultural traditions.

Boston, MA

Building Vibrant Communities focuses on reducing hypertension, obesity, and depression, among residents within five public housing developments.

Detroit, MI

The IMPACT program aims to reduce diabetes and hypertension in a Detroit neighborhood by establishing the Conner Creek Campus, a safe, central location for providing services and activities.

Peñasco, NM

Kids First focuses on the prevention of childhood injury and trauma within rural families by increasing parents’ social support and parenting skills.

East Cleveland, OH

Using a youth empowerment approach that incorporates health education, the East Cleveland Teen Collaborative works to prevent violence and improve the quality of life for adolescents in East Cleveland.

Sheldon Township, SC

Pathways in STEP (Sheldon Township Empowerment Program) seeks to reduce hypertension and obesity in a rural, predominately African American community through increased access to preventive and primary care and community empowerment.

Final Report thumbnail for website


To learn more about the SNEI cross-site evaluation findings, view the final report.

For more information about CMCD’s SNEI evaluation, contact Dr. Laurie Lachance at



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