How do Cities Build Lasting Systems that Improve Health and Wellbeing?
This report explores what worked through the National League of Cities’ Cities of Opportunity initiative and how its framework helped participating communities strengthen cross-department collaboration, embed equity into decision-making, engage residents more effectively and build the long-term capacity needed to advance health and wellbeing. Drawing on an independent 2024 evaluation of participating cities, the report highlights the strategies, structures and supports that helped communities move from intention to action.
Through evaluation findings, practical insights and city snapshots from communities across the country, readers will see how the Cities of Opportunity framework has helped local governments create more coordinated, equitable approaches to addressing the social determinants of health. Whether you’re looking to strengthen cross-sector partnerships, improve community engagement or build healthier communities through local leadership, this report offers a practical blueprint for advancing lasting change.
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