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Community Health Administration

image of healthy people

Dr. Anjali Talwalkar, MD, MPH, Senior Deputy Director, Community Health Administration


The Community Health Administration (CHA) of the District of Columbia Department of Health promotes healthy behaviors and healthy environments to improve health outcomes and reduce disparities in the leading causes of disease and death in the District. CHA focuses on nutrition and physical fitness promotion; cancer and chronic disease prevention and control; access to quality health care services, especially medical and dental homes; and the health of families across the lifespan. 

CHA’s approach targets the behavioral, clinical, and social determinants of health through evidence-based programs, policy, and systems change. 

CHA partners with a variety of government agencies as well as clinical and community-based organizations to achieve its goals. Partners include the Office of the State Superintendent of Education, Department of Health Care Finance, Department of Behavioral Health, Child and Family Services Agency, Department of Employment Services, DC Housing Authority, Department of Parks and Recreation, DC Primary Care Association, Unity Health Care, Mary’s Center, Children’s National Health System, MedStar Health, DC Greens, Martha’s Table, Food and Friends, Breathe DC, American Heart Association, American Cancer Society and many others.


Nutrition and Physical Fitness Bureau
The Nutrition and Physical Fitness Bureau promotes health – with a particular focus on obesity – for District residents by encouraging behavior change through nutrition and physical activity education and by facilitating policy, systems, and environmental changes that make healthy choices the easy choice.

  • Healthy Food Access Initiatives
  • Nutrition and Physical Activity Promotion
  • Special Supplemental Nutrition Program for Women, Infants and Children (WIC) 
  • Breastfeeding Promotion and Support
  • SNAP-Ed

Family Health Bureau
The purpose of the Family Health Bureau is to improve the health and well-being of all District school-age children and adolescents. Primarily the group will seek to enhance access to preventive, dental, primary and specialty care services for all pre-school, school-age children, and contribute to the development of a coordinated, culturally competent, family-centered health care delivery system for this population.

  • Health and Sexuality Education
  • Childhood Obesity
  • School-Based Health Centers
  • School Health Services Program
  • Violence Prevention and Education

Cancer and Chronic Disease Prevention Bureau
The purpose of the Cancer and Chronic Disease Bureau is to reduce the incidences, morbidity and mortality of cancer and chronic disease in the District of Columbia. The Bureau uses strategies of primary, secondary and tertiary prevention; clinical quality improvement; and community engagement and partnerships to achieve its goals. Its programs address cancer, heart disease, diabetes mellitus, asthma and focus their wellness promotion work in clinical settings, community and faith-based organizations and worksites.

  • Asthma
  • Comprehensive Cancer
  • Breast and Cervical Cancer
  • Cancer Registry
  • Diabetes
  • Heart Disease
  • Stroke

Health Care Access Bureau
The purpose of the Health Care Access Bureau is to increase access to high quality primary health care services within an integrated health care delivery system. The main activities of the Bureau related to increasing the number of health care providers serving in underserved areas and expanding and strengthening the network of health centers providing care to DC residents regardless of their ability to pay. 

  • Immunization
  • Oral Health Program
  • Allied Health Training
  • National Health Services
  • Shortage Designation
  • Health Care Facilities
  • Refugee Health
  • J1 Waiver

Additional Information