Effective coalition building requires coordination, collaboration, and involvement of diverse community partners from the beginning. FIGH aimed to build coalitions and develop leaders through health systems work by creating an adult coalition and a separate youth leadership development program, which empowered individuals, engaged the community, and advocated for a healthier coalition for underserved communities.

Dignity Health Systems aimed to embed equity in health systems by establishing safety net hospital programs and social services. A multilingual, multicultural program offering health services and education to underserved communities was created to address social determinants of health and reduce disparities.

CPACS formed a youth task force to advocate for tobacco policy change through work with policymakers, partnerships with national nonprofits, and the local tobacco control GATE coalition. Engaging youth in policy initiatives allowed for greater community support for smoke-free ordinance passage and legislative change.

Asian American and Pacific Islander youth use photography and mapping techniques to analyze tobacco initiation influences on the community built environment. These efforts demonstrated to law makers a need for stronger zoning and licensing requirements for tobacco vendors to curb tobacco propaganda and reduce early tobacco initiation in communities of youth.