Braiding and Layering Funding to Address the Social Determinants of Health

The social determinants of health (SDOH)—the social, economic, and built environments in which people live, learn, work, and play—have significant impacts on health outcomes. Despite their demonstrable impact, it remains challenging to sustainably fund initiatives that address SDOH—such as access to food, housing, and transportation. Braiding and layering funding, the practice of using multiple funding streams to support a common initiative, is one approach to address these complex issues. These white papers highlight case examples and provide best practices for sustainably funding initiatives focused on SDOH.

Resources

Three-quarter front view of a red city bus with another bus visible in the background.

Connecting Health and Transportation to Improve Access to Care

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Interior of a subway partially populated with the backs of people visible

Cross Sector Collaborations: Addressing Health Inequities in Access to Care Through Public Health and Transportation Partnerships

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A worker serving food from behind full lunch service station in a cafeteria.

Braiding and Layering Funding to Address Food Insecurity: Proximity to Food Retailers

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Flay lay photograph of non-perishable foods in bags, bottles, and cans

Braiding and Layering Funding to Address Food Insecurity: Access to Food

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Small model home on green grass in late afternoon sunlight

Braiding and Layering Funding to Address Housing: Overview and Executive Summary

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Outdoor drain pipe on a faded blue wall with a rusty trail stain from the water

Braiding and Layering Funding to Address Housing: Environmental Health and Safety

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Depressed man sitting on the floor in a dark, concrete room.

Braiding and Layering Funding to Address Housing: Individuals with Substance Use Disorders

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Hand completing wooden blocks with the design of a house containing symbols for a nurse, and two disabled people inside.

Braiding and Layering Funding to Address Housing: Older Adults and Persons with Disabilities

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ASTHO created these white papers in collaboration with experts from the O’Neill Institute for National and Global Health Law, with input from state and territorial health agency leaders, federal partners, and internal subject matter experts. The development of this document was supported by the Center for State, for State, Tribal, Local, and Territorial Support (CSTLTS) at the Centers for Disease Control and Prevention (CDC) of the U.S. Department of Health and Human Services (HHS) through the cooperative agreement CDC-RFA-OT18-1802.