About Healthy Durham 20/20

The mission of Healthy Durham 20/20 is to ensure sustained improvement in the health and quality of life of the entire Durham community, with the ultimate vision of establishing Durham as one of the healthiest counties in the nation.

healthy meal
people playing soccer
family with adult son
people holding hands

What We Do

Healthy Durham 20/20 is convening a multi-sector coalition of public and private entities to:

  • Address the social determinants of health.
  • Promote existing and new systems and policies to reduce health disparities and improve Durham’s health.

We believe that the most important strategy for improving health is continuing to build upon current health programs and initiatives in our local community.

Healthy Durham 20/20 will not replace any existing health programs or partnerships—rather, the Healthy Durham 20/20 movement will serve as a catalyst and amplifier for a thriving and coordinated culture of health throughout Durham County. We bring together a broad coalition of government, education, faith, healthcare, community, philanthropy, and business organizations.

Healthy Durham 20/20 will focus on strengthening and increasing awareness of existing health initiatives as well as advocating for system health policy improvements and creating programs to fill community health gaps.

Health Equity

What is health?

“Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. The enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition.”

—From the Constitution of the World Health Organization, 45th Edition. October, 2004.

What is health equity?

In Durham, as in many other counties across the nation, there are large disparities in life expectancy, chronic disease rates, and other health indicators across the population. These disparities often correlate to differences in age, race, income, gender, gender identity, sexual identity, disability status, and geographic location.

Health equity is the idea that, by engaging with the social factors that contribute to these disparities, we can improve health indicators and outcomes for all.

While there are many factors, institutionalized racism and generational poverty are the primary drivers of health inequality. These issues exist in every public and private sector of our society and shape the opportunities each of us have every day.

Institutionalized racism and generational poverty don’t just affect the lives of people of color, but all of us. By limiting opportunities for people of color, we limit opportunities for all of us to thrive in a safe, equitable, and healthy community. If, instead, we work collectively and intentionally to break down the barriers and open up opportunities that allow us to thrive, then we can begin to achieve health equity as a community.

What are social determinants of health?

Your health is about more than your family history and personal choices. All of us are affected by the social structures in which we grow up, live, work, and play. These structures are known as the social determinants of health.

Examples of social determinants include education, income, employment, housing, food, transportation, social support systems, and access to health care services.

Improving the overall health of our community requires us to go beyond disease treatment and health care delivery. To achieve sustainable, long-term positive change, Healthy Durham 20/20 is bringing together partners from across many sectors.

Together, we will work toward health equity in Durham County through a coordinated effort to address the social factors that contribute to health disparities.


Cross-sector collaboration

Healthy Durham 20/20 is leveraging the strengths of the Durham community to improve health equity.

By bringing together leaders, experts, and community members for collaboration across a wide spectrum of areas, we are seeking to go beyond healthcare treatment and address the social factors that determine individual and community health.


Community Members

Our first and most important partner is our community.


We work closely with leaders in both the City of Durham and County of Durham governments to advance policies that will improve health equity.



Duke Health, one of the largest healthcare providers in the region, is a major partner in the Healthy Durham 20/20 movement.


The Durham County Chamber of Commerce and the Institute of Minority Economic Empowerment represent businesses invested in our community.



Education and health are closely linked, from childhood to adulthood. Healthy Durham 20/20 has partnered with Durham Public Schools, North Carolina Central University, Durham Tech, and Duke University to reach students, teachers, and parents at all levels.


Healthy Durham 20/20 counts faith leaders from across the county as partners in catalyzing community action on health equity issues.



Foundations and donors provide critical resources for programs and initiatives that make Durham healthier.

Community Organizations and Nonprofits

Healthy Durham 20/20 partners with a number of non-profits with deep roots in the Durham community to amplify and support their work.



Sector Leaders Joined the movement
Community Voices
Community Engagement Events

Phases of Development

The formative process of the Healthy Durham 20/20 movement consists of three phases, each of which involve responding to feedback from community members, sector leaders, and partner organizations.

Phase 1: Developmental

In this phase, we are identifying sector engagement and health program linkage opportunities, creating a strategic organizational platform, and building the architecture that will support ongoing growth.

Phase 2: Amplification

Healthy Durham 20/20 will enhance the effectiveness of current community-based health initiatives through coordinated, integrated promotion and communication. We will begin advocating for public policy change that promotes health equity.

Phase 3: Expansion

In phase three we will identify gaps in health promotion and assist in the creation of systems and policy interventions to effectively fill those gaps. Further, we will forecast emerging health promotion needs and mobilize different sectors to address them.

Get Involved

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