Taking the Risk to Shift Our Focus Upstream
For nearly three decades, we at the New Hampshire Children’s Health Foundation have operated with a clear and compassionate mission: to improve the health and well-being of vulnerable children from birth to five years old and their families throughout New Hampshire. Yet after 28 years, we have made a deliberate and strategic decision to evolve our approach—shifting our focus “upstream” to address poverty as a root cause of the challenges we have long sought to mitigate.
Surplus-to-Care: A Systems Approach to Expanding Insulin and Diabetes Supplies Access
Grantmakers In Health’s Maya Schane spoke with Svetlana Hutfles of Insulin for Life USA (IFL USA) about the organization’s model to improve diabetes supplies access across the country, and how philanthropy can engage on this issue. The interview has been edited for length and clarity.
Cultivating Health Through Shared Prosperity and Street Food
A native of Fresno, I was raised in California’s Central Valley where I have now worked for a few decades. As a first-generation college student, my lived experience is very common for the children of farmworkers. My extended Mexican family was big, poor, uninsured, and suffered many losses from violence and preventable illnesses.
Bridging the Gap: How the Collaborative Care Model is Transforming Maternal Mental Health in Los Angeles
In California, as in the rest of the United States, the statistics regarding maternal mental health are alarming. Approximately one in five mothers suffers from mood and anxiety disorders during the perinatal period, which extends from pregnancy through one year postpartum. Yet, despite this high prevalence, the overwhelming majority of these women do not receive treatment. The barriers are systemic and multifaceted, including but not limited to behavioral health workforce shortages; a lack of integration between primary, perinatal, and behavioral health care; inadequate training for maternity care providers; and stigma.
Funding Without Alignment Is Just Spending: Colorado’s Model for Alignment to Maximize Impacts on Youth Well-being
Public funding for youth well-being isn’t lacking in effort or investment. But when dollars move through disconnected systems, even the best intentions can fail to translate into meaningful outcomes. What if the challenge isn’t how much we fund, but how those investments work together? Colorado is testing a different approach: aligning funding, data, and strategy across agencies so that public dollars can operate as a more coordinated system rather than a collection of parallel but sometimes siloed efforts.
Healthier Information Ecosystems: Strategies for Health Philanthropy
Our information environment is transforming—including the places and people who help us make decisions about our health. Those health information ecosystems are fragmented; filled with information from a wide range of expertise and sources; and platform algorithms exert tremendous and unseen control over what messages are seen, shared, and amplified. These changes have many of our traditional health information sources racing to learn new skills to ensure they remain trusted and relevant.
Beyond Innovation: How Philanthropy Can Strengthen Systems to Improve Rural Health Outcomes
Sometimes innovation in philanthropy is associated with breakthrough technologies or new medical discoveries. But some of the most impactful investments fund something less visible: the coordination of people, protocols, and institutions already in place so they work together seamlessly to save lives.
A Philanthropic Tree of Life: Seeding Health Equity through Influence and Innovation
Philanthropy can function as a living ecosystem for change rooted in equity, nourished by trust, and bearing the fruits of community well-being. The Direct Relief Fund for Health Equity (DRFHE), launched with $50 million in initial investments, exemplifies a transformative philanthropic model supporting nearly 200 community-based organizations across the United States. Acknowledging DRFHE as a “Tree of Life” offers a framework grounded in community-led, trust-based, and unrestricted giving that challenges traditional philanthropic paradigms. Therefore, this article describes the fund’s origins, strategic priorities, and outcomes, and introduces the DRFHE Tree of Life framework as a replicable model for equity-driven philanthropy.
Responsible Exits: Insights from Three Funders
Grantmakers In Health’s Maya Schane spoke with Stephanie Teleki of The California Health Care Foundation, Laila Bell of The Skillman Foundation, and Jaime Vazquez of The Pew Charitable Trusts about their recently published article in The Foundation Review, “When Shift Happens: Navigating Toward a Framework for Responsible Philanthropic Exits.”
The Keys to Successful Collaboration Between a State-based Health Foundation and a National Funder Collaborative
Discussions about firearms in the US are often focused on urban gun violence and mass shootings. But firearm injury and death is a public health crisis that touches every community—urban and rural, red states and blue—and it intersects with issues many health funders care about: mental health, suicide prevention, and health equity.