Evaluation of Healthy Kids, Healthy Communities Cross-Site Report

Faces of three smiling girls.

This evaluation highlights successful plans, processes, and strategies from Healthy Kids, Healthy Communities for system, policy, and environmental changes aimed to increase active living and healthy eating.

The Issue:

With the goal of preventing childhood obesity, the Healthy Kids, Healthy Communities (HKHC) national program provided grants to 49 community partnerships across the United States. Transtria LLC and Washington University Institute for Public Health conducted an evaluation of HKHC, examining its community initiatives as well as providing coordinated technical assistance to the 49 community partnership sites.  directed toward healthy eating.

Key Findings

  • Community partnerships generated an additional $137,390,495.77 in matching funds to the $17,948,003.53 provided by the RWJF grant.

  • A total of 616 assessments were completed across all HKHC sites, with about half (320) conducted to benefit active living and the other half (296) directed toward healthy eating.

  • Policy, practice, or environmental changes were most prevalent in nutrition-related (530) and physical activity-related (419) changes in childcare settings.


This evaluation intended to highlight successful plans, processes, and strategies for system, policy, and environmental changes to increase active living and healthy eating and identify challenges encountered or failed approaches, with a focus on children and their families in racial/ethnic and lower income populations with disproportionately high rates of childhood obesity.

About the Study:

Beginning in March 2009, multiple evaluation methods were designed to assess policy, system, and environmental changes as a result of the community partnerships’ efforts, including the HKHC Community Dashboard website, a partnership and community capacity survey, and group model building.