Congregations and Communities

Chapter 4 tells the story of how congregational health promotion and disease prevention programs evolved decades ago. Pioneered by the work of Granger Westberg in the 1970s and earlier efforts in community medicine in apartheid-era South Africa, later programs included collaborations with academic public health professionals, such as work in North Carolina churches focused on eliminating health disparities among African Americans. These programs, targeting underserved populations, have grown into a major feature of public health outreach in the United States, involving partnerships between faith-based and healthcare organizations. This chapter also outlines faith-based community programs involving healthcare and human services professionals that provide outreach to specialized populations. These include primary care clinics, faith community nursing, patient education, hospices, and other programs targeting older adults, mothers and children, the homeless and hungry, the unemployed, substance abusers and the physically and cognitively challenged, and others. Interfaith efforts are highlighted, as well as projects involving community organizing for social change.