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This book describes many of the unique contributions of the Food & Fitness program including a number of early successes, drawing lessons from efforts to form and maintain partnerships, and from the strategies employed to create structural change in communities. This important study introduces the Food and Fitness community partnerships and their work to increase access to healthy, locally grown food, and opportunities for physical activity, in vulnerable communities across the United States. Established in 2007 and funded by the WK Kellogg Foundation, the partnerships are increasing the capacity of communities to participate in policy and systems change to positively affect their health and well-being. The material covered in the chapters provide an illustration of how funders, grantees, and partners can work together to create sustainable change at the neighborhood level to ensure that all children and families are able to thrive. A range of studies ae looked at from the various initiatives funded nationwide to evaluation methods and results, and an explanation of the role of philanthropy in community development from the viewpoint of the funders. This book was originally published as a special issue of Community Development.