Community Health Assessment and Community Health Improvement Plan

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A primary component of creating a healthy community is assessing the needs and prioritizing those needs for impact. In 2022 and 2023, Fresno County Department of Public Health (FCDPH) worked on a Community Health Assessment (CHA) to learn about the main health issues, current health status, and other needs in the community. The results from the CHA help us understand how to make a positive change in the health of Fresno County residents. It also helps FCDPH set goals, create plans to fix issues, and use available resources. The CHA information is used to help guide decisions in the community, focus on the most important health needs, and create a Community Health Improvement Plan (CHIP).

The CHA is important for developing the CHIP because it allows the community to share their experiences and opinions about health issues that need attention. It also shows how different groups can work together to solve these health issues. To find out what’s most important, FCDPH used reliable information and added data from interviews, focus groups, and surveys with local residents and leaders. Below is the link to the full 2023 Community Health Assessment from the Fresno County Department of Public Health.

The Community Health Improvement Plan (CHIP) uses the CHA results to address health problems. It brings together local organizations and community members to create strategies and take action to improve the health and well-being of the community. Below is the link to the full 2024-2028 Community Health Improvement Plan from the Fresno County Department of Public Health.

More information about the CHIP's main goals and related data is available on the Healthy Fresno County Data Dashboard.

                     CHA-Cover-Page.png(PDF, 24MB)                          

2023 Community Health Assessment(PDF, 24MB)

              This document was revised and updated on August 15, 2024.

              For questions, please email: dphcha-chip@fresnocountyca.gov.

 

               Fresno-County-CHIP-2024-2028-9.23.24.png(PDF, 2MB)      

        2024-2028 Community Health Improvement Plan(PDF, 2MB)

 

 

 

 Health Needs Identified by the Community
  1. Environmental Conditions (air and water quality) 
  2. Mental Health (psychological distress, mental distress)
  3. Access to Care (vision, dental/oral, primary and specialty care)
  4. Food Insecurity (trouble paying for the cost of food)
  5. Adverse Childhood Experiences (abuse, neglect, mental illness, substance abuse, divorce, violence)
  6. Preventative Care and Practices (vaccines/immunizations, screenings, etc.)
  7. Substance Use (drug abuse and alcohol abuse)
  8. Nutrition and Physical Health (access to healthy foods and safe spaces)

  1. Chronic Diseases (heart disease, hypertension, diabetes, asthma, COPD)
  2. Maternal and Child Health
  3. Crime and Violence (violent crime, domestic violence)
  4. Economic Stability (income, employment, housing, transportation, etc.)
  5. HIV/AIDS and STIs (Chlamydia, Gonorrhea, etc.)
  6. Childcare (cost for childcare)
  7. Tobacco and Nicotine Use (smoking and vaping)
  8. Education (access to education)
  9. Internet Access (access to cellular data, broadband, etc.)