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The Collective for Health Equity and Well-Being

Cooperative Extension’s Collective for Health Equity and Well-Being is a community of Extension personnel and their partners united by their shared commitment to advancing health equity and well-being. Members work together to support the implementation of Cooperative Extension’s National Framework for Health Equity and Well-Being (2021) to ensure that all people can be as healthy as they can be.

Initiating Cross-Sector Partnerships to Advance Population Health


Social determinants of health are the factors beyond individual behavior   that impact the health status of individuals and communities.  When these determinants disproportionately affect some groups in ways that are unjust or unfair, health inequities exist.

One way to address the negative influences of these determinants  is through collaborative partnerships. Community leaders like Extension professionals can initiate and develop cross-sector partnerships to collaborate with other governmental agencies on common goals and priorities.  "While negotiating multiple operational realities and terminology across sectors is challenging, alignment and coordination may help create the community conditions that make it easier for people to make healthy choices." (ASTHO, 2021)

A report by the Association State and Territorial Health Officials (ASTHO) provides action steps that communities can follow built effective partnerships and community coalitions.

Access the report at

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Social determinants of health (SDOH) are the social-environmental factors that set the context for human behaviors and behavioral disparities that impact the health and well-being of individuals and populations.  When socio-environmental resources (and risks) are disproportionately distributed among groups of people in ways that are persistently unjust or unfair, health inequities exist and disparities measurable.

One way for Extension (a public sector, cross-disciplinary, multi-level system) public sector system) to address social injustices and health inequities resulting from disproportionate distribution of SDOH resources and risks in the communities we serve is through collaborative partnerships that center health, equity, and sustainability in all Extension policies and programs, at every level, across all fields, and inclusive of all populations, programs, and impact areas. Extension leaders and professionals can and should initiate and develop cross-sector partnerships within Extension systems, including national, state, and local levels, to effective collaborate with public and private sector partners to meet shared goals and priorities for collective health equity and community well-being impacts for the people, populations, and places, the public we are positioned to serve.

Extension Health in All Policies (HiAP) is a collaborative learning approach to improving the health of all people by incorporating health, equity, and sustainability considerations into decision-making across Extension programs and polices, available:


About the Extension Foundation

The Extension Foundation was formed in 2006 by Extension Directors and Administrators. Today, the Foundation partners with Cooperative Extension through liaison roles and a formal plan of work with the Extension Committee on Organization and Policy (ECOP) to increase system capacity while providing programmatic services, and helping Extension programs scale and investigate new methods and models for implementing programs. The Foundation provides professional development to Cooperative Extension professionals and offers exclusive services to its members. In 2020 and 2021, the Extension Foundation has awarded 85% of its direct funding back to the Cooperative Extension System, 100% of funds are used to support Cooperative Extension initiatives. 

This technology is supported in part by New Technologies for Ag Extension (funding opportunity no. USDA-NIFA-OP-010186), grant no. 2023-41595-41325 from the USDA National Institute of Food and Agriculture. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the U.S. Department of Agriculture or the Extension Foundation. For more information, please visit You can view the terms of useat

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