A New Public Health Practice Targeting the Root Causes of Health Inequity

This presentation will address the WHY, WHAT, and HOW of place-based work. WHY addresses how when it comes to your health your zip code is more important than your genetic code. It explores the strength of the relationship between life expectancy and neighborhood. The WHAT focuses on how place gets under the skin and changes our physiology. The presentation also examines the components of the environment that shape health opportunity. Finally, the HOW talks about the Bay Area Regional Health Inequities Initiative (BARHII) framework and how that translates into the investment strategies and policy and systems change approach to place-based work. Examples from the California Endowment’s Building Healthy Communities will illustrate the approach.


  1. Understand the BARHII Framework
  2. Understand the geographical distribution of life expectancy 
  3. Understand policy and community organizing approaches to tackling the root causes of health inequity