Policy, systems, and environmental change are now widely accepted as critical to sustaining improvements in community health. Evidence suggests that such systems-level change is most effective when driven by community-based partnerships. Yet, after more than three decades of building community-based partnership work, health inequities have…

The 3-year Citizen Leadership Program was designed to develop citizen-directed planning in Wisconsin. The first year focused on citizen involvement in land use planning; the second year, on community goal setting; and the third year, on community development projects. A representative group of 30 citizens participated in the program's workshops…