Foundations Invest In Environmental Health.

Nearly one in four deaths globally are due to environmental hazards such as air and water pollution, according to the World Health Organization. However, knowledge about how the environment affects health and health equity outcomes has not been well integrated into decisions that shape the conditions in which people live, work, and play. To address this challenge, US foundations have invested millions of dollars to make it easier to incorporate environmental health information into decisions ranging from family purchases and governmental policy making to business, medical, and other professional practices. This article summarizes grant making aimed at improving environmental conditions to improve health and health equity outcomes. We provide examples of environmental health grants that focus on tools that the public, policy makers, and professionals can use in making decisions. We found that the investment in and attention to environmental factors, including in work addressing social determinants of health, have been insufficient to realize the potential for reducing negative environmental impacts on health and health disparities. We argue that the grant making highlighted here has increased knowledge that could enable more widespread consideration of environmental health in many decisions, with positive effects on health and health equity.

Philanthropy and disparities: progress, challenges, and unfinished business.

Philanthropy has invested millions of dollars to reduce disparities in health care and improve minority health. Grants to strengthen providers' cultural competence, diversify health professions, and collect data have improved understanding of and spurred action on disparities. The persistence of disparities in spite of these advances has shifted philanthropic attention toward strategies to change social, economic, and environmental conditions. We argue that these evolving perspectives, along with earlier groundwork, present new opportunities for funders, especially in combination with progress toward universal health coverage. This article looks at how philanthropy has addressed health disparities over the past decade, with a focus on accomplishments, the work remaining to be done, and how funders can help advance the disparities agenda.

Philanthropy at the intersection of health and the environment.

Scores of foundations are supporting efforts to improve the environmental conditions that affect health outcomes. Environmental health philanthropy has grown from a few foundations in 1999 to more than 100 today, and to annual investments of at least $70 million. This dynamic area of philanthropy is assisting disaster-stricken communities in the Gulf Coast, supporting a national movement to reform chemicals policy, defending clean air and water standards, and underwriting environmental justice work in low-income communities and communities of color. We argue that these investments are yielding sizable returns, but more funding opportunities exist to deepen understanding of hazards, clean up communities, reform policies, and embed environmental health in new economic development.