Healthier
Communities
Start Here.

Healthy communities don't happen by accident. They're built by people who show up, speak up, and get involved. So step up. It's in our hands!

Strong, healthy communities start with engaged citizens. Getting involved creates the opportunity to live healthy lives, including access to fresh, affordable food, nice parks, safe streets, good jobs and transportation to get there. Healthy choices may seem like easy choices, but they aren’t a given in every community. Decisions about investing in our communities are made by board members and elected officials on the school board and city council and in the state legislature. Do you know them? Do they know you? They should! After all, YOU know what your community needs!

Get Involved

Your community needs you.

Decisions about parks, safe streets, food access, and healthcare are made by elected officials. Do they know what your community needs? They should — and you can make sure they do.

Vote

Register and show up every election

Run for Office

Your community needs voices like yours

Attend Meetings

City council, school board, town halls

Write Letters

Letters to reps and newspapers matter

Advocate

Health equity starts in your backyard

Serve on Boards

Committees, commissions, task forces

Get Involved Locally

Local government shapes daily life

Share on Social

Spread awareness with #RaiseOurHands

Social Determinants of Health

Civic engagement shapes health in 9 ways.

Every vote cast and every meeting attended ripples out into the systems that shape our daily health.

01

Economic Stability

Policies improve jobs and community resources

02

Public Education

Better education systems lead to better health

03

Secure Housing

Safe, affordable neighborhoods for everyone

04

Social Ties

Connection gives purpose and improves wellbeing

05

Food Access

Policies that bring fresh food to every zip code

06

Health Behaviors

Making the healthy choice the easy choice

07

Access to Care

Decisions about insurance happen at the ballot

08

Environment & Climate

Clean air, safe water, and public green space

09

Transit Options

Roads, sidewalks, and bus routes that connect us

What You Can Do

Three ways to make your voice count.

Pick your path — or do all three.

Action 01

Vote

  • Vote for candidates who support community health
  • Help family and neighbors make a voting plan
  • Consider running for office yourself
Action 02

Voice

  • Write letters to local officials and newspapers
  • Advocate for health equity policies
  • Share accurate health info in your network
  • Respond to local health surveys
Action 03

Volunteer

  • Serve on civic boards and commissions
  • Join local health events and campaigns
  • Start neighborhood health improvement efforts
Barriers to Engagement

Not everyone starts from the same place.

Historical disenfranchisement still shapes who gets to participate in civic life — and who gets left out of the decisions that affect their health.

01

Felony limitations

Iowa only recently restored voting rights for most people with felony convictions — many still don't know their rights have been restored.

02

Voter ID laws

Iowa's voter ID requirements create barriers that disproportionately affect communities of color, low-income, and young voters.

03

Reduced voting access

2024 legislation cut absentee deadlines and banned dropboxes, hitting rural voters and those without transportation hardest.

04

Civic education gaps

Weaker civic education leaves students less informed about their rights and less likely to vote or advocate.

05

Systemic racism

Communities of color have faced unfair treatment that erodes trust in government and reduces civic participation.

06

Economic barriers

Low wages and multiple jobs leave little time for voting or civic activities — and Iowa recently cut polling hours by one hour.

Solutions

Building a more inclusive civic life.

Real civic engagement means dismantling barriers, not just working around them.

Embrace diversity

Everyone's strengths matter. Inclusive communities get better outcomes.

Reckon with race & power

Honest conversations about racism and power are foundational, not optional.

Invite & listen

Especially those who've been left out. Their voices change the outcome.

Build real trust

Keep promises, follow through, and make sure everyone has a genuine voice.

Honor dissent

Disagreement and protest are how communities learn and grow.

Adapt with your community

Stay open to change and navigate transitions together, fairly.

Community Health Workers

CHWs are civic engagement multipliers.

Community health workers are uniquely positioned to connect patients to their power as civic actors.

Educate patients

Explain how civic participation improves healthcare access, living conditions, and neighborhood safety. Offer voter registration resources and info on local opportunities.

Empower & support

Help patients navigate voting and volunteering. Provide materials on contacting representatives and getting involved in community decisions and advocacy.

Encourage participation

Lead sessions connecting civic engagement to health outcomes. Form peer groups that support involvement and build accountability in the community.