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Individuals who face the daily impact of health inequities and their social drivers have knowledge and invaluable insights about solutions that are feasible at the local level. Community organizing is a dynamic and proven approach for building power among residents to identify community priorities, advocate for change, and co-create solutions to community issues, which has been applied to advance community priorities in the public health field. To build on evidence and further cultivate a pathway to strengthen community power and capacity within a public health framework, the Community Alliance for Research and Engagement (CARE), a health equity-focused partnership among Southern Connecticut State University, Yale School of Public Health, and the New Haven community, developed and implemented a new initiative, the Community Health Leaders (CHL) Program. The CHL program provides a model for community-centered leadership development as a strategy for advancing health equity. By equipping residents with the skills and support needed to advocate for change, CHL contributes to strengthening community power. Ultimately, continued investment in programs like CHL has the potential to create responsive public health programs and policies, reduce health inequities, and improve health outcomes. © 2026 Society for Public Health Education
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Background. Food insecurity, affecting approximately 10% of the U.S. population, with up to 40% or higher in some communities, is associated with higher rates of chronic conditions and inversely associated with diet quality. Nutrition interventions implemented at food pantries are an effective strategy to increase healthy food choices and improve health outcomes for people experiencing food and nutrition insecurity. Supporting Wellness at Pantries (SWAP), a stoplight nutrition ranking system, can facilitate healthy food procurement and distribution at pantries. Purpose. Guided by the RE-AIM Framework, this study assesses the implementation and outcomes of SWAP as nutritional guidance and institutional policy intervention, to increase procurement and distribution of healthy foods in pantries. Method. Mixed-methods evaluation included observations, process forms, and in-depth interviews. Food inventory assessments were conducted at baseline and 2-year follow-up. Results. Two large pantries in New Haven, Connecticut, collectively reaching more than 12,200 individuals yearly, implemented SWAP in 2019. Implementation was consistent prepandemic at both pantries. Due to COVID-mandated distribution changes, pantries adapted SWAP implementation during the pandemic while still maintaining the ?spirit of SWAP.? One pantry increased the percentage of Green foods offered. Challenges to healthy food distribution are considered. Discussion. This study has implications for policy, systems, and environmental changes. It shows the potential for SWAP adoption at pantries, which can serve as a guide for continued healthy food procurement and advocacy. Maintaining the ?spirit of SWAP? shows promising results for food pantries looking to implement nutrition interventions when standard practice may not be possible.
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