Expanding access to care inside communities
In Appalachian communities, school-based health centers play an essential role in improved attendance, better academic performance, and overall healthier lifestyles. By providing healthcare services inside schools, which are already central and accessible to the community, we can enhance the health of children and young adults most in need, address non-academic barriers to learning, and contribute to the overall well-being of the community.
In March, 2024, Governor Mike DeWine announced that the State of Ohio would invest over $64 million to establish a regionally coordinated, locally controlled network of school-based health clinics and essential services across 20 Appalachian counties as proposed by ACC with technical support from Nationwide Children's Hospital. This groundbreaking initiative—the largest of its kind in state history—is now well underway, bringing critical primary care and behavioral health services to thousands of children and families. Over the next two-and-a-half years, 35 school districts will see the expansion of school-based health services, supported by a collaborative network of 15 healthcare provider organizations. These clinics will offer a wide range of essential services, including primary care, behavioral health, vision, and dental care.
We appreciate the support from the State of Ohio, Ohio Department of Development, and Governor's Office of Appalachia.
Why create a school-based health center?
Access
In many small, rural areas, schools are the only resource available to the entire community.
Trust
Care is delivered by providers who can connect residents to additional specialty care across their broader networks.
Convenience
Children and young adults can receive the care they need without taking time away from school and work to travel long distances.
Connectivity
Clinical services are part of a broader health ecosystem—including nutrition, physical activity, mental health, safe and conducive environments, and health education—that supports development of the whole child.
Cohesion
True integration of clinical staff with teachers, counselors, and school nurses.
Appeal
Communities with improved access to healthcare are more attractive for prospective residents.
About the Appalachian Children's Health Initiative
Responding to Governor Mike DeWine's request for proposals to the Appalachian Community Grant Program, the Appalachian Children Coalition reached out to Nationwide Children's Hospital to envision what a coordinated network of school-based health services could look like across Appalachian Ohio.
Recognizing the unique challenges healthcare providers face in our region, we designed this initiative to integrate comprehensive health services within the heart of Appalachian communities—our public schools, educational service centers, and career technical centers. These trusted institutions serve as critical access points, ensuring that healthcare reaches the children and families who need it most.
As of March 2025, projects are progressing on schedule.