From Our Perspective: Building Better Partnerships Way, Way Upstream

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By Douglas Jutte, M.D., Executive Director, Build Healthy Places Network, and Carol R. Naughton, President, Purpose Built Communities

We recently had a chance to spend the morning with Dr. Jerome Adams, the 20th Surgeon General of the United States, to show him what real, live community development looks like on the ground at the Villages at East Lake. Our interest grew out of the Build Healthy Places Network’s work at the intersection of community development and community health to address the root causes of poverty.

Dr. Douglas Jutte M.D., Executive Director, Build Healthy Places Network

An anesthesiologist by training, Dr. Adams has a long history in public health. He served as Indiana State Health Commissioner and taught public health at the University of Indiana. The focus of his MPH (Master’s in Public Health) from UC Berkeley was in chronic disease prevention, which may have inspired his interest in health at the neighborhood level and how transformative community development can lead to healthy communities.

On our tour of East Lake with Dr. Adams, we were joined by leaders from Purpose Built Communities, the East Lake Foundation, and Drew Charter School, along with representatives from the Build Healthy Places Network, the CDC and the Federal Reserve Bank of Atlanta. All of us recognized the remarkable achievements of Drew’s first senior class – all 82 students graduated and were accepted into college. We saw the results of the STEAM curriculum, toured the East Lake YMCA and the early learning program.

Dr. Adams spoke to Drew Charter School students about his upbringing, going from a farm in a poor rural part of Maryland to becoming a doctor to his appointment as Surgeon General of the United States. All too often, he remarked, poverty is seen as the fault of the individual, something deserved. Thus, solving poverty too frequently

Carol Naughton, President of Purpose Built Communities

means getting people just above the poverty line, rather than helping them and their children prosper. He said he believes that health and prosperity are linked. Health creates more prosperous and productive people, which is good for the economy. Good health means lower healthcare costs, which are a drag on families, businesses and the entire community.

We agree. Research indicates community investments that create health also reduce crime and improve safety of economically disadvantaged neighborhoods and surrounding areas. It’s not enough, however, to fund local programs, no matter how successful they are. To be most effective, investments must take place “way, way upstream,” in the words of Dr. Ursula Bauer, director of the CDC’s National Center for Chronic Disease Prevention and Health Promotion. Innovative partnerships and funding models can address social determinants of health in a holistic approach. Partnerships and investments like those occurring in East Lake and other Purpose Built Communities represent part of the link between the economy and health and offer exciting possibilities for addressing long-term, intergenerational poverty.


The Build Healthy Places Network grew out of the realization that many of the root causes of poverty and poor health are the same and that the community development and health sectors have worked for decades to address these challenges. However, these two sectors have often worked separately, even when serving the same places and people. The Build Healthy Places Network is designed to foster cross-sector collaboration to ensure that all people can live healthy and rewarding lives.