A strong community health proposal names a precise issue, shows it with local data and promises a change the program can really observe. Here is a section-by-section sample approach with the public data, indicators and compliance points health funders recognize.
How community health funding works
Small community health programs are funded mostly by health-focused foundations, community foundations, corporate giving and individual donors, often alongside clinics, health departments or hospitals that refer people or host programs.
Two national references give you a shared language with these funders. Healthy People 2030, from the Office of Disease Prevention and Health Promotion at the U.S. Department of Health and Human Services (HHS), sets national objectives, with a small subset called Leading Health Indicators. County Health Rankings & Roadmaps, run by the University of Wisconsin Population Health Institute, compiles county measures. Since its 2025 model, it groups them as Population Health and Well-being (formerly Health Outcomes) and Community Conditions (formerly Health Factors).
A sample need statement built on public data
Name the issue, compare your area with the county or state, and explain why the people you serve face it more. These CDC, Census and county sources are online:
- CDC PLACES: local estimates for counties, places, census tracts and ZIP code tabulation areas. They are model-based estimates, not measured local rates: say so.
- County Health Rankings & Roadmaps: county measures compiled from many sources. Cite the release year.
- Behavioral Risk Factor Surveillance System (BRFSS): state telephone surveys of adults on risk behaviors, chronic conditions and preventive services, with SMART data for selected cities and counties.
- Youth Risk Behavior Survey (YRBS): health-risk behaviors of high school students, with the YRBS Explorer tool.
- American Community Survey (U.S. Census Bureau): health insurance coverage, disability, income, age and language.
A sample you can adapt:
CDC PLACES model-based estimates ([release year]) indicate [measure and estimate] for adults in [census tract], compared with [county estimate]. Among the [number] people we served last year, [number] had no regular source of care (intake records).
Healthy People 2030 carries a court-order notice saying its content may be modified or removed, so cite each source with the date you accessed it.
Outputs vs outcomes in health programs
Outputs count what you deliver; outcomes describe what changes for participants. A short program will not move a county statistic, so show a clear chain from people reached to people reporting changed behavior.
| Outputs (counted) | Outcomes (what changes) |
|---|---|
| Health education sessions held | Better knowledge of risks and of how to reduce them |
| People reached or enrolled; completion rate | More confidence or readiness to change |
| Screenings performed with clinical partners | Reported behavior change (physical activity, tobacco use, nutrition) |
| Referrals made; community health worker visits | Referrals completed; follow-up care received |
| Materials distributed; partner sites | Self-reported better health at 6 or 12 months; satisfaction |
Example indicators funders recognize
The Urban Institute's Outcome Indicators Project has a Health Risk Reduction table, but no general community health table. Example indicators in that form:
- Number and percent of clients who dropped out before completing the service
- Number and percent of clients with improved attitudes or confidence toward changing their behavior
- Number and percent of clients reporting substantial improvement in their behavior after the end of service
- Number and percent of clients reporting feeling healthier 6 or 12 months after the end of service
Two more options: ask a question that mirrors a PLACES or BRFSS measure, with the same wording, and link your outcome to a named Healthy People 2030 objective by its title and ID, without quoting national baselines. Your baselines and targets come from your own data.
Compliance points to mention
- HIPAA scope. Per HHS, HIPAA applies to covered entities (health plans, health care clearinghouses and health care providers that transmit health information electronically in standard transactions) and to their business associates (organizations performing services for a covered entity involving protected health information, under a written business associate agreement the covered entity must have). If you are neither, describe your confidentiality practices instead of claiming to be "HIPAA compliant".
- Partners. When a clinic shares information with you, follow its data-sharing agreement.
- State rules. Privacy, consent and licensing rules for clinical services and services to minors vary by state.
- Consent and stories. Collect only what you need, with informed consent, report totals to funders, and share a story only with written consent.
Writing tips
- Name the issue precisely, such as uncontrolled blood pressure among older adults in two ZIP code areas.
- Describe the referral pathway and how you know a referral was completed.
- Use measure names exactly as the source writes them.
- Promise a contribution "for the people we serve", not a population result.
The Community Health Grant Kit lists these example indicators on the Examples tab of Sector_CommunityHealth_Logic_Model_TRACKER.xlsx.
General information: this article is general information, not legal, tax or fundraising advice. No template can guarantee funding. Always follow each funder's own guidelines.
The Funder File is not affiliated with, endorsed by or connected to the U.S. Department of Health and Human Services, the Centers for Disease Control and Prevention, the University of Wisconsin Population Health Institute, the U.S. Census Bureau or the Urban Institute.
Sources
- Healthy People 2030
- County Health Rankings & Roadmaps: The Evolution of the Model
- CDC: PLACES
- CDC: BRFSS
- CDC: YRBS
- U.S. Census Bureau: American Community Survey
- Urban Institute: Health Risk Reduction outcome indicators
- BetterEvaluation: Outcome Indicators Project
- HHS: Covered Entities and Business Associates
The Funder File is not affiliated with, endorsed by or connected to any funder or government agency named on this site. All trademarks belong to their owners.