FavoriteThe California Endowment’s Community Action to Fight Asthma Initiative (CAFA) took a non-traditional approach to reducing asthma disparities that funded treatment programs. CAFA fostered community activity to effect change in the areas of education, housing and environmental policy. In this article, authors discuss the CAFA’s theory of change and grant making strategy included assistance in 1) Local, regional, and state-level coalition building 2) Prevention concepts, environmental asthma policies, policy advocacy 3) Evaluation, using continuous feedback to fine-tune strategy.