Our Framework for Change

Addressing the Social Determinants of Health

Caring for Citizens of Alabama, Inc. is more than a food bank. We are a community-based Social Determinants of Health (SDOH) organization — addressing the root causes of poor health outcomes by meeting people where they are and providing the resources they need to thrive.

Economic StabilityEducation AccessHealthcare AccessBuilt EnvironmentCommunity Context

What Are Social Determinants of Health?

According to the U.S. Department of Health and Human Services and the Healthy People 2030 framework, Social Determinants of Health (SDOH) are the conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks.

Research consistently shows that medical care accounts for only 20% of health outcomes. The remaining 80% is determined by social, economic, and environmental factors — the very factors that CCA addresses every single day.

Food insecurity leads to chronic disease and poor mental health

Poverty limits access to healthcare, education, and safe housing

Social isolation increases mortality risk as much as smoking 15 cigarettes a day

Lack of transportation prevents access to jobs, food, and healthcare

The 80/20 Rule of Health

What actually determines your health outcomes?

Social & Economic Factors40%
Health Behaviors30%
Physical Environment10%
Medical Care20%

Source: Robert Wood Johnson Foundation / County Health Rankings

How CCA Addresses All Five SDOH Domains

Every program we operate is intentionally designed to address one or more of the five Social Determinants of Health domains identified by Healthy People 2030.

Domain 1 of 5

Economic Stability

1 in 5 Alabama families
experience food insecurity due to economic hardship

The Challenge

People with steady income are more likely to afford nutritious food, safe housing, and healthcare. Economic instability is one of the most powerful drivers of poor health outcomes.

How CCA Responds

We address economic instability by distributing free groceries and prepared meals, assisting families with SNAP enrollment, and connecting individuals to workforce development and job training resources — reducing the financial burden that prevents access to healthy living.

Monthly Food Box DistributionSNAP & Benefits EnrollmentWorkforce Development ReferralsEssential Supplies Distribution
Domain 2 of 5

Education Access & Quality

34%
of Alabama adults lack a high school diploma or equivalent

The Challenge

Education shapes health literacy, employment opportunities, and the ability to navigate complex systems like healthcare and government benefits. Limited education access perpetuates cycles of poverty and poor health.

How CCA Responds

We empower individuals by providing hands-on benefits enrollment assistance, teaching families how to navigate SNAP, Medicaid, and other government programs, and connecting youth and adults to educational and workforce resources in the community.

Benefits Navigation & EnrollmentSNAP Application AssistanceWorkforce Readiness ReferralsCommunity Resource Education
Domain 3 of 5

Healthcare Access & Quality

13%
of Alabamians are uninsured, among the highest rates in the nation

The Challenge

Access to quality healthcare — including preventive care, mental health services, and chronic disease management — is essential to long-term wellbeing. Uninsured and underinsured individuals often delay care until crises occur.

How CCA Responds

We connect uninsured and underinsured community members to Medicaid enrollment, free clinic referrals, and community health resources. Our Lifeline Phone Program ensures individuals can reach healthcare providers, emergency services, and support lines at any time.

Medicaid & Healthcare EnrollmentLifeline Phone ProgramHealth Resource ReferralsSenior Health Support
Domain 4 of 5

Neighborhood & Built Environment

22%
of Montgomery County residents live in food desert areas

The Challenge

Where people live profoundly affects their health. Access to safe housing, clean water, nutritious food, transportation, and green spaces determines whether communities thrive or struggle.

How CCA Responds

Through our community-based outreach model, we bring resources directly into underserved neighborhoods — eliminating transportation barriers. Our food distribution events are held at accessible community centers, and our essential supplies program addresses basic household needs that create safe, stable living environments.

Community-Based Food DistributionEssential Household SuppliesMobile Outreach EventsSenior Home Support
Domain 5 of 5

Social & Community Context

40%
of seniors in Alabama report feelings of social isolation

The Challenge

Strong social connections, community support, and a sense of belonging are critical to mental and physical health. Social isolation, discrimination, and lack of community resources increase vulnerability to chronic illness and crisis.

How CCA Responds

We build community through our volunteer programs, outreach events, and wrap-around support services. By engaging seniors, families, and at-risk individuals in regular community events, we reduce isolation, foster dignity, and create networks of mutual support that strengthen the entire community.

Senior Food Box & OutreachCommunity Events & EngagementVolunteer NetworkWrap-Around Support Services

Partner With Us to Address SDOH

Grant funders, healthcare systems, government agencies, and corporate partners can amplify their community health impact by supporting CCA's holistic, SDOH-aligned programs. Together, we can move the needle on health equity in Alabama.