Long-term approaches in Detroit, US

The role of philanthropic foundations in long-term support

Foundations hold a unique space in the urban health system. They are independent and able to take a long-term view, as well as to respond to change and emergent needs. This ability to take a long-term view means foundations can focus resource on issues where the desired change or impact is often only seen over a generation, providing opportunities to measure impact beyond two to three-year projects. The work of three foundations exploring opportunities to drive health improvements in Detroit demonstrates the impact these philanthropic organisations can have.

Initiative explored: The Kresge Foundation

The Kresge Foundation is a private, national foundation located in Detroit that works to expand opportunities in America’s cities through grant making and social investing in arts and culture, education, environment, health, human services and community development.

Initiative explored: The Michigan Health Endowment Fund

The Michigan Health Endowment Fund is a philanthropic foundation that works to improve the health and wellness of Michigan residents, while reducing healthcare costs. It considers the context in which health outcomes arise, including social and cultural drivers, and goes beyond qualitative data and short-term funding cycles. The Fund supports organisations across Michigan, from grassroots groups addressing local health challenges to large agencies working in every county.

Initiative explored: The Skillman Foundation

The Skillman Foundation is a private philanthropic foundation that serves as a champion of Detroit children. The Foundation works to ensure Detroit youth achieve their highest aspirations by strengthening primary and secondary public education, after-school learning opportunities and college and career pathways.

The strength of foundations and trusts to bear risk, bypass political cycles and set their own boundaries gives them a pivotal role in galvanising and initiating the conversation on addressing inequalities. Communities hold an understanding of what that community needs. Foundations are well placed to convene, galvanise and act as a central cohesive source of support and stability on addressing systemic drivers of health outcomes.