![A Navajo woman standing by the gate of her yard. A Navajo woman standing by the gate of her yard.](/en/about-rwjf/how-we-work/learning-and-evaluation/sentinel-communities/_jcr_content/root/container/copy_of_hero_5381126/inserted-image-mobile.coreimg.jpeg/1689619547410/gettyimages-1223456316.jpeg)
![A Navajo woman standing by the gate of her yard. A Navajo woman standing by the gate of her yard.](/en/about-rwjf/how-we-work/learning-and-evaluation/sentinel-communities/_jcr_content/root/container/copy_of_hero_5381126/inserted-image-desktop.coreimg.jpeg/1689619547410/gettyimages-1223456316.jpeg)
Strengthening Integration of Health Services and Systems
What are Sentinel Communities?
Since 2016, we have monitored activities related to how a Culture of Health is developing in 30 diverse communities around the country. We have analyzed these communities’ efforts to promote health and well-being through the lens of our Action Framework.
Explore Our Sentinel Communities
What We Are Learning from Sentinel Communities?
Over time, we’ve gained insights about key themes around Building a Culture of Health.
See how these themes and insights have emerged across many of our Sentinel Communities.
![A woman watering a community garden. A woman watering a community garden.](/en/about-rwjf/how-we-work/learning-and-evaluation/sentinel-communities/_jcr_content/root/container/card_column_control/col-6-6-1/card.coreimg.jpeg/1689620019060/gettyimages-1265067519.jpeg)
Health Equity Report
The Health Equity Report provides insight into how 11 communities conceptualize health equity and how those perspectives influence strategies and approaches to promote health equity.
![Doctors and nurses in hospital Doctors and nurses in hospital](/en/about-rwjf/how-we-work/learning-and-evaluation/sentinel-communities/_jcr_content/root/container/card_column_control/col-6-6-2/card_copy.coreimg.jpeg/1669846453902/gettyimages-906016944.jpeg)
Anchor Institutions Report
The Anchor Institutions report provides insight into how anchor institutions in 8 communities are having an impact on community narrative, investment, and measurement around health and well-being, as well as developing innovative solutions to address health equity.
![Portrait of tired farmers, taking a break Portrait of tired farmers, taking a break](/en/about-rwjf/how-we-work/learning-and-evaluation/sentinel-communities/_jcr_content/root/container/card_column_control/col-6-6-3/card_copy.coreimg.jpeg/1689619835681/gettyimages-1301053969.jpeg)
Rural and Small Communities Report
The Rural and Small Communities report focuses on the unique experiences of these communities in addressing health and well-being issues, as well as communicating a narrative about health.
![A group of community leaders meet outside. A group of community leaders meet outside.](/en/about-rwjf/how-we-work/learning-and-evaluation/sentinel-communities/_jcr_content/root/container/card_column_control_36572156/col-6-6-1/card_copy.coreimg.jpeg/1689619681446/170606-rwjf-healthleaders-1742.jpeg)
Grassroots Organizations and Community Power
This report describes the changing role of grassroots organizations in addressing community health and health equity; and barriers and facilitators to their engagement and influence locally.
![A woman instructing an adult class. A woman instructing an adult class.](/en/about-rwjf/how-we-work/learning-and-evaluation/sentinel-communities/_jcr_content/root/container/card_column_control_36572156/col-6-6-2/card_copy.coreimg.jpeg/1689619777248/rwjf2019-kohanek-dakotas-todd-0746.jpeg)
Health Narratives in Communities
This report explains what frames and influences community narratives related to health, wellbeing, and health equity.
![A homeowner standing on her front porch. A homeowner standing on her front porch.](/en/about-rwjf/how-we-work/learning-and-evaluation/sentinel-communities/_jcr_content/root/container/card_column_control_36572156/col-6-6-3/card_copy.coreimg.jpeg/1688067928243/rwjf2021-coh-rockymount-appleton-0923-0775.jpeg)
Housing Justice
This report discusses how communities are addressing specific housing challenges; and the role of federal and state dollars and policies in shaping housing justice
within Sentinel Communities.
![A doctor examining a patient. A doctor examining a patient.](/en/about-rwjf/how-we-work/learning-and-evaluation/sentinel-communities/_jcr_content/root/container/card_column_control_302260367/col-6-6-1/card.coreimg.png/1689619932273/durham-nc-prize-video-still-2.png)
Medicaid Expansion
This brief report describes the status of Medicaid expansion in the Sentinel Communities; some impacts of expansion; remaining gaps; and barriers and facilitators to implementing expansion.
![A doctor and patient talking. A doctor and patient talking.](/en/about-rwjf/how-we-work/learning-and-evaluation/sentinel-communities/_jcr_content/root/container/card_column_control_302260367/col-6-6-2/card.coreimg.jpeg/1690832106828/doctor-and-patient.jpeg)
Systems Change
This report provides a foundational analysis of what changes are happening in the systems that support health in a community and not simply change at the level of individual organization or within a particular sector.
![Woman wearing protective mask taking groceries from a volunteer. Woman wearing protective mask taking groceries from a volunteer.](/en/about-rwjf/how-we-work/learning-and-evaluation/sentinel-communities/_jcr_content/root/container/card_column_control_302260367/col-6-6-3/card.coreimg.jpeg/1689619909641/istock-1222792166.jpeg)
COVID-19 Response
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