The San Diego County Childhood Obesity Initiative is a multi-sector coalition with the mission of reducing and preventing childhood obesity by advancing policy, systems, and environmental change through collective impact.

We envision healthy eating and active living resulting in optimal health and wellness for all children and families in the San Diego region.

The San Diego County Childhood Obesity Initiative uses a collective impact model to: coordinate and sustain county-wide efforts to prevent and reduce childhood obesity;provide leadership and vision; create, support, and mobilize partnerships; provide outreach, advocacy, and education;and assess and report on progress toward county-wide goals.


  • Increase access to healthful foods and beverages in a culturally-appropriate manner.
  • Increase opportunities for safe physical activity in an inclusive and culturally-appropriate manner.
  • Create and improve the social, economic, service, and built environments that support healthy eating and active living.
  • Promote operational excellence of the Initiative.

Overweight and Obesity in San Diego County

Nationwide, concerns have been growing about the burgeoning childhood obesity epidemic. In a community often referred to as "paradise," many are shocked to discover an obesity rate in San Diego County that surpasses the national average. More than one in four children here are overweight or obese.

San Diego County faces the same challenges confronting other U.S. communities- ensuring that our neighborhoods provide access to healthy, affordable food and opportunities for physical activity. In response to this challenge, we are taking direct action- in doing so, we have earned San Diego County a reputation for innovation, collaboration, and commitment to solving this issue.

San Diego County Childhood Obesity Action Plan

In October 2004, at the recommendation of County Supervisors Ron Roberts and Pam Slater-Price, the San Diego County Board of Supervisors voted unanimously to support and fund the creation, coordination and implementation of a county-wide plan to end childhood obesity. This effort expanded upon the work of the Coalition on Children and Weight San Diego, a grassroots organization dedicated to the prevention of childhood obesity, and was supported by Community Health Improvement Partners (CHIP), County of San Diego Health and Human Services Agency (HHSA) staff, and other partners.

After a year-long process guided by a steering committee comprised of public and private stakeholders, the Call to Action: San Diego County Childhood Obesity Action Plan (Action Plan) was published in January 2006, and has since been revised in 2010 and 2015. The Action Plan emphasizes policy and environmental changes with the recognition that it is easier for individuals to make healthy choices to reduce and prevent childhood obesity when the physical and social environment in which they live supports these choices. The Action Plan provides strategy recommendations in the seven most influential domains (i.e., sectors) in creating healthy environments:

  • Government,
  • Healthcare,
  • Schools and After-school,
  • Early Childhood,
  • Community,
  • Media, and
  • Business.

San Diego County Childhood Obesity Initiative

Immediately following publication of the Action Plan, the San Diego County Childhood Obesity Initiative (Initiative) was formed to engage community partners and assure effective implementation of the strategies outlined in the plan. With core funding from the First 5 Commission of San Diego County and the County of San Diego HHSA, and additional capacity building funding from The California Endowment, CHIP was engaged to direct the Initiative. The Initiative is guided by a leadership council comprised of members of the former Action Plan steering committee and other key stakeholders.

The Initiative was established as a public-private partnership and this collaborative spirit continues to guide its work. The Initiative has developed an infrastructure that includes active domain workgroups; engagement of volunteer leaders or "champions" in each domain; engagement of new and existing partners; organizational and project evaluation; and bi-annual domain council meetings, at which domain champions share their work and identify cross-domain collaborative opportunities. By engaging agencies, institutions, organizations, neighborhoods and individuals to work together to combat childhood obesity, the Initiative is leveraging existing resources and promising practices. The growing momentum of the Initiative is inspiring new partners to join the cause, bringing a wide range of viewpoints to the table and extending our impact.

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Quick Facts

  • If today‚Äôs current trend continues, it is anticipated that 1 in 3 children born in the US after the year 2000 will develop type 2 diabetes (American Diabetes Association, 2009).
  • More children are being diagnosed with diseases linked to overweight and obesity previously seen only in adults, such as Type 2 diabetes and heart disease (The Obesity Society, 2009).
  • In 2006 alone, overweight; obesity; and physical inactivity cost California $41 billion in healthcare and productivity loss

News & Upcoming Events

See our latest newsletter and the COI calendar for upcoming events.

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Physical Activity and Nutrition Database

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Core funding provided in part by:

Kaiser Permanente County of San Diego

A project facilitated by:

California Health Improvement Partners

San Diego County Childhood Obesity Initiative
5095 Murphy Canyon Road, Suite #105, San Diego, CA 92123
(p)858.609.7964 - (f)858.609.7998
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