Support Community Power-Building
How public health departments can leverage governmental power to provide tangible support for community power-building organizations and campaigns
Community power is fundamental and essential for health equity and racial justice. A growing body of research illustrates that differences in power are a root cause of health inequities and that community power-building is an instrumental strategy for creating change in policies, systems, and community conditions. In other words, it takes community power to change the social determinants of health.
It’s not the role of governmental agencies to directly build community power, but they can be strategic allies to community power-building organizations (CPBOs, also known as grassroots organizing groups, social movement groups, movement-building organizations, community organizing or base-building groups). Public health departments have access to unique forms of governmental power that should be leveraged to support the campaigns and goals of CPBOs.
Working with and supporting CPBOs requires navigating and managing risk in an inherently political context. However, this support can also be mutually beneficial – CPBOs can help safeguard the role of governmental public health when it comes under attack and can be a voice to advocate for policy and systems change goals in ways that those within government can be limited and restricted.
Check out HIP’s Power Building Resources
Action Steps health departments can take to leverage governmental power and support CPBOs:
The following action steps are drawn from HIP’s Resources for Collaboration and Power Sharing Between Government Agencies and Community Power-Building Organizations. For more details, visit the resource guide, which walks health departments through the why and how of partnering with CPBOs to advance health equity, via four short chapters with activities to build capacity and lay the groundwork for supporting community power-building.
- Build an internal foundation for partnerships with CPBOs by learning about the goals and campaigns of CPBOs; building internal buy-in and risk tolerance; and identifying resources to support partnerships
- Give CPBO partners access to health data and evidence to support their campaigns
- Create accountability mechanisms within the health department that share power with community organizers, e.g., establishing a community advisory board; hiring community organizers; and including community members in grant oversight
- Use regulatory authority to advance goals that are relevant to CPBO campaigns
- Leverage relationships across government and the wider nonprofit and funder ecosystem to support the work of CPBOs
- Leading Locally: A Community Power-Building Approach to Structural Change, USC Dornsife Equity Research Institute for Lead Local (2020)
- Roots of Health Inequity online course on Building Community Power, National Association of County and City Health Officials (2024)
- Key Power Readings & Resources to Achieve Health Equity & Racial Justice, Human Impact Partners (2023)
- Building Community Power to Dismantle Policy-Based Structural Inequity in Population Health, Iton et al, Health Affairs (2022)
Strategic Practices
Build Narrative Power
Create and advance transformative narratives that shape a more equitable vision of what is possible.
Mobilize Data and Research
Mobilize data and research in partnership with communities to build community power and advance equitable policies.
Change Internal Policies and Practices
Change internal policies and practices, and align processes to center and embed health equity and racial justice across the organization.
Pursue Policy Changes that Transform the Root Causes
Actively pursue policy changes that address the root cause of health inequities.
Build Strategic Partnerships
Leverage relationships across government and foster accountable relationships with the community.
Support Community Power-Building
Leverage governmental power to provide tangible support for community power-building organizations and campaigns.