The power of community health organisations in reducing health disparities

In rural Victoria, health isn’t just about a visit to the doctor—it’s about the food on the plate, the community one belongs to, and the everyday challenges that must be overcome. For many residents, securing nutritious, affordable food is a daily struggle influenced by vast distances, limited grocery options, and economic hardship.

Gateway Health has seen firsthand how access to quality food shapes wellbeing. Its Health Promotion Team recently supported statewide advocacy efforts—including the Victorian Consensus Statement and a submission to the Victorian Inquiry into Food Security—aimed at tackling food insecurity in rural communities.

Recognising the local context, Gateway Health partnered with the Rural City of Wangaratta and local residents to transform hyperlocal food systems. Two inspiring initiatives emerged: one focused on establishing a local food hub, and another supporting the rollout of a statewide school food program. Together, these projects demonstrate the power of integrated, community-led, place-based solutions.

Imagine a small town where a food systems mapping project uncovered ‘food deserts’—areas where fresh, healthy food is scarce. In response, community members, with support from Gateway Health, launched the Sustainable King Valley Food Hub. Today, this hub serves 120 locals by providing bulk foods at reduced costs, locally grown produce, and a welcoming space for community events and workshops. This initiative is not just about food; it is about forging social connections that boost mental wellbeing.

Local schools have also joined the movement. Thirteen schools, along with several Outside School Hours Care (OSHC) services, have embraced the Vic Kids Eat Well program. In one OSHC service, staff noted, “Students have planted seedlings—veggies that will be used in afternoon tea, like spinach for smoothies. We’re excited to incorporate the garden into our program. The students have enjoyed gardening, and the seedlings are thriving! Now they’re offered a variety of fresh, tasty snacks that include fruits and vegetables. We know this is important for both physical and mental health, and we’re really pleased with this shift.” Another teacher added, “It was a great exercise to visit and chat with the kids and shape the new snack menu based on their preferences. The students feel part of the process, are empowered, and now understand more about nourishing foods.”

These community-led initiatives exemplify a collective impact approach—bringing together government, community groups, schools, and local businesses to create sustainable, long-term solutions. By addressing broader social determinants of health such as poverty, nutrition, social inclusion, and climate health, Gateway Health’s work shows that improving rural health requires multifaceted strategies. Preventing the preventable isn’t simply about individual choices—it’s about crafting environments that support health for everyone.