Pilot Communities:

Over the next 18 months, AHEAD will work with five pilot communities including Portland, OR, Boston, MA, Atlanta, GA, Dallas, TX, and Detroit, MI.

An Initiative by the Public Health Institute and The Reinvestment Fund






The Alignment for Health Equity and Development (AHEAD) initiative aims to:

  • Align the resources of health and community development stakeholders into balanced portfolios of investment in comprehensive health improvement strategies with a shared measurement system;
  • Focus resources in neighborhoods where health inequities are concentrated; and
  • Build a field of practice that provides the tools, evidence, and models to support local scaling and replication across the country.


The AHEAD initiative was launched in November 2014 with an 18 month planning process in five pilot communities, including Atlanta, GA, Boston, MA, Dallas, TX, Detroit, MI, and Portland, OR.  AHEAD activities at each site are managed by regional or statewide organizations that serve as Core Intermediaries to support a local planning process.  This includes the selection of a neighborhood of focus, engagement of organizational and local community stakeholders, formation of a Convergence Working Group, providing analytic support, meeting facilitation for the collaborative development of a model strategy with common metrics and a monitoring process, and the designation of a local entity to serve as a backbone infrastructure to support the implementation of the model strategy.  PHI and TRF are providing technical assistance to local stakeholders during the 18 month local planning process for the selection of neighborhoods of focus, the analysis of local data, the development of model strategies, metrics, and monitoring strategies, and the development of sustainable funding strategies. 

A core theme in the AHEAD initiative is alignment and leverage of existing funding and assets from a variety of sources, but attention will also be given to the identification of new sources of funding and investment to support the implementation and scaling of efforts.  The core objective for AHEAD is to secure commitments to the implementation of a defined convergence strategy in all five sites.  PHI and TRF will build a funders consortium during the pilot phase to secure support for the implementation phase.  We look forward to working with our partner communities to build a sustainable infrastructure that optimally leverages available resources and directly addresses the social determinants of health.

Alignment for Health Equity and Development