Becoming Better Ancestors: Learning from the History of Global Health and CDC

The Becoming Better Ancestors™ Fund was inspired by the writings of Dr. William “Bill” Foege, a renowned American physician and epidemiologist. During his expansive career, Dr. Foege was one of the key architects of the successful smallpox eradication effort in the 1970s. He also guided Bill Gates and Melinda French Gates to make global public health impact their top priority, championed the science and management behind vaccines and vaccination and co-founded the Task Force for Child Survival, now the Task Force for Global Health. From May 1977 to 1983, Dr. Foege served as the Director of the Centers for Disease Control and Prevention (CDC) where his legacy continues to inspire multiple generations working to protect the public’s health.

The fund was created to support best in class, future-forward thinking and strategic opportunities for improving public health. The fund was inspired by lessons learned from transformational public health impact throughout the history of CDC—including Smallpox eradication, the HIV epidemic, SARS, Ebola, Zika virus and the COVID-19 pandemic, in addition to non-communicable disease work such as reducing tobacco use and pioneering a public health approach to violence and injury prevention. The fund aims to explore how we might apply these lessons to address evolving and complex public health issues, like inequity, climate change and its impact on health and the preparedness of our communities. Learning from our public health history can empower us to become better ancestors—to leave the world better than we found it. Inaugural support for the fund was provided by Dr. Craig White (EIS, Class of '83), a long-time friend of Dr. Foege.

Photo credit: Billy Howard for The Task Force for Global Health

Becoming Better Ancestors
United States of America
To support best in class, future-forward thinking and strategic opportunities for improving public health, inspired by lessons learned from transformational public health events throughout the history of the Centers for Disease Control and Prevention’s (CDC).
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Strategies to Repair Equity and Transform Community Health (STRETCH) Initiative

We all want to live in a community where everyone has the opportunity to reach their best health and wellbeing, no matter their race, ethnicity or class. Communities, including state health agencies and community-based organizations, have been working toward everyone having opportunities to access health care, clean air, parks, childcare, transportation options and the many other aspects of our lives that impact our overall health. The Strategies to Repair Equity and Transform Community Health (STRETCH) Initiative works to strengthen the foundational relationships imperative to ensuring all members of the community can thrive and improve the structures and processes needed to consistently move this work forward.


Join the STRETCH Network 

STRETCH Network of Health Equity Practitioners Online Community

The online community creates connections among those working in cultivating a culture of equity and creating systems-level change. Members can share best practices, tools and methods for operationalizing equity, common pain points while navigating this often-challenging work and foster peer-to-peer connections with health equity practitioners.

Participants who register for a STRETCH National Convening will be automatically added to the community. Anyone interested is free to join at any time! Participants will need to create a my.astho account if they do not already have one.

Join the STRETCH Peer Learning Community

The STRETCH Framework

The STRETCH initiative champions a systems change approach by analyzing the underlying policies, practices, resource allocations, power dynamics, relationships and mental models—our beliefs or assumptions that influence our perceptions—that have created barriers to everyone having the opportunity to live their healthiest life. The initiative synthesized different perspectives into an action-oriented framework that emphasizes addressing root causes to achieve health equity.

The STRETCH Framework is a tool for public health practitioners—including state public health agencies, local health departments and community-based organizations—to understand the shifts needed to achieve true systems change. 

Learn More about the STRETCH Framework

STRETCH Partners

The STRETCH initiative, a partnership between the CDC Foundation, Association of State and Territorial Health Officials (ASTHO) and Michigan Public Health Institute (MPHI) supported by the Robert Wood Johnson Foundation, offers capacity-building activities to build and strengthen trust and accountability among state public health agencies and community organizations, develop approaches to power sharing, identify community priorities and build a shared set of actions to achieve common goals of advancing opportunities for all community members to live their healthiest lives.

 

STRETCH 2.0

Building upon the experiences in the first round of the STRETCH initiative, STRETCH 2.0 aims to promote necessary skills, core competencies, power sharing and authentic relationships among state team members and community partners to advance and sustain health equity through systems change.

Governmental public health is currently receiving an influx of funding to strengthen the public health workforce and infrastructure. STRETCH is helping to ensure that the community is at the forefront of these decisions and that state public health agencies are investing in their community partnerships.

STRETCH 2.0 will have three levels of engagement:

  1. National: The national tier provides technical assistance resources pertinent to challenges and needs across public health and is open for all public health practitioners to participate, regardless of their participation in STRETCH
  2. Cohort: A peer learning network for the seven participating teams accepted through the RFA.
  3. Collaborative: The individual teams accepted through the RFA.

STRETCH 1.0

STRETCH 1.0 Teams

The participating state public health agencies in STRETCH 1.0 created teams composed of cross-sector members bringing together key players such as their health equity officer, finance team members, local and county health departments health director or deputy, intermediaries and community members.

 

The views expressed here do not necessarily reflect the views of the Robert Wood Johnson Foundation.

STRETCH Convenings

Lauren Smith

"With a coordinated, multisector approach, we can transform our public health system into one that has the resources, capacity and networks to create communities where all people have a just and fair opportunity to be healthy."

Lauren Smith, MD, MPH, Former Chief Health Equity and Strategy Officer, CDC Foundation


Hilary Heishman

“Now is the time to be bold. It is an important time to make changes that create opportunities for everyone in our society to thrive. Strengthening public health with an eye to the future is fundamental to this vision.”

Hilary Heishman, Senior Program Officer, Robert Wood Johnson Foundation


Project Partners


State Partners

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STRETCH Initiative
United States of America
To help state health agencies create effective cross-sector and cross-agency coordination to build a culture of health equity.
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New Podcast: Prioritizing Prevention and Preparedness in America

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Looking to the Future: Building a Robust Public Health Workforce

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Transforming Public Health Data Systems to Advance Health Equity

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community health
Transforming Public Health Data Systems to Advance Health Equity
United States of America
To provide integrated stewardship, governance and communication in order to transform and modernize public health data systems to better prevent, detect and respond to public health threats and promote equitable community wellbeing.
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PLACES Project

PLACES Project

The PLACES Project is a collaboration between the Centers for Disease Control and Prevention, the Robert Wood Johnson Foundation and the CDC Foundation. PLACES will allow counties, places, and local health departments regardless of population size and urban-rural status to better understand the burden and geographic distribution of health-related outcomes in their jurisdictions and assist them in planning public health interventions.

PLACES is an extension of the original 500 Cities Project that provided city and census tract estimates for chronic disease risk factors, health outcomes, and clinical preventive services use for the 500 largest US cities. The PLACES Project provides model-based population-level analysis and community estimates to all counties, places (incorporated and census designated places), census tracts, and ZIP Code Tabulation Areas (ZCTAs) across the United States. Learn more about the PLACES Project.

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America
PLACES Project
United States of America
To expand the 500 Cities Project to provide high-quality, small-area health data to other geographies in the United States.
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Lehigh Valley Public Health Informatics Fellowship

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Lehigh Valley Public Health Informatics Fellowship
United States of America
To embed a CDC Public Health Informatics Fellow within the Lehigh Valley healthcare system to solve complex public health informatics challenges by linking informatics, population health science and data on social determinants of health.
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Chris Kochtitzky Memorial Fund

Chris KochtitskyA Memorial Fund honoring Chris Kochtitzky who died May 3, 2020, will focus on building the bridge between urban planning and public health. Chris lived and breathed urban planning and public health—it was his life. This fund will celebrate and continue his tireless work and commitment to this field. Chris knew just how important the built environment was in terms of limiting or enabling a person and a community to lead their collective most healthy life. Chris started at CDC as a presidential management intern in 1992. Over the next 28 years, he worked in a variety of policy and programmatic positions at ATSDR, NCEH, and NCBDDD and NCCDPHP. 

In 2006, he was appointed by former CDC Director Julie Gerberding, MD, to lead the healthy community goal team, where he served until 2009. Chris was also one of the founders of the field of built environment and health at CDC. He published an influential MMWR on the subject in 2006, helped organize CDC’s Built Environment and Health Group in 2008, and was a key contributor to the Surgeon General’s Call to Action to Promote Walking and Walkable Communities in 2015. Most recently, he was a driving force in organizing the Transportation Research Board (TRB), Conference on Active Transportation and Health. His work in this area supported TRB’s decision to create a Committee on Transportation and Health in February, a seminal moment in the field.

Posthumously in June 2020, Chris received the Jonathan E. Fielding Community Guide Champion Award. He was a tireless advocate for The Community Guide and evidence-based decision making. He served as a member of the systematic review team for combined built environment approaches to increase physical activity, also helped disseminate the recommendations to varied audiences, including nontraditional public health partners.

Most importantly, Chris befriended and maintained relationships with so many people inside and outside the agency. He was a generous, caring friend and a tenacious public health professional pursuing his life and work with vigor, charm, wisdom, and intelligence. His death is a major loss for his friends, his field, and for the CDC’s public health work.  

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Chris Kochtitzky Memorial Fund
United States of America
To provide a memorial fund in honor of Chris Kochtitzky’s service to CDC and provide funding for programs that bridge the gap between urban planning and public health.
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Improving Health Outcomes Through Earned Income Tax Credits

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