Healthy Communities

Communities of Excellence in Nutrition, Physical Activity and Obesity Prevention (CX3)

Communities of Excellence in Nutrition, Physical Activity and Obesity Prevention (CX3) was a program planning framework developed by the California Department of Public Health (CDPH). It involved developing and building the capacity of a team of community agencies and residents to take an in-depth look at their communities to identify areas that can be improved to support health. CX3 examined communities at the neighborhood level, and its framework addressed a variety of obesity prevention benchmarks, referred to as community indicators and assets. These CX3 indicators and assets set standards of "excellence" for healthy communities by looking at community environments and norms to determine how well they fostered health. Some example indicators included:
  • Is the community designed to promote walking?
  • Is fresh food accessible in food stores and restaurants? 
The local data compiled in evaluating the indicators and assets made CX3 a powerful tool for local groups. It showed how a community measured up and where it needed to improve to become a community of excellence for its residents.            
San Diego had six CX3 communities located in five cities throughout the county. All six programs began in 2012 when teams of neighborhood residents, community-based organizations and County of San Diego Health and Human Services Agency staff surveyed stores, restaurants and walkability in the communities, and measured their CX3 indicators and assets. Once the teams received their scores, they developed work plans and strategies that improved the community environments. 
Below is more information about each of the neighborhoods in the CX3 project regions. To learn more about CX3, contact Adrienne Gilleran.