Design 4 Active Sacramento

Design 4 Active Sacramento (D4AS) is a multidisciplinary crosssector team of planners, engineers, public health, and private health care professionals working to advance health and physical activity through community design.

Design 4 Active Sacramento (D4AS) Advisory Council improves public health by shaping the built environment to better support walking, biking, and other healthy activities across the Sacramento region. The council members represent a spectrum from active practitioners of public health to planners and designers of the built environment. The council is the outcome of participation by a local team, including WALKSacramento Former Executive Director Teri Duarte, in 2013 in the National Leadership Academy for the Public’s Health. 

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In 2012, D4AS successfully incorporated language into Sacramento County’s Housing Element to make public health improvements a goal of housing. The team also reviewed Sacramento County’s Design Guidelines and identified the guidelines that promote physical activity and health, adding a section that describes active design and how to incorporate active design features into development projects. It was quickly apparent that the team’s work needed to go beyond one year. A strategic plan was developed to carry the work forward and the team moved to create an ongoing organization under the umbrella of WALKSacramento. The D4AS team increases WALKSacramento’s reach into the community and strengthens its ability to incorporate healthy, active design into both public works and private projects.

Awards and Recognition

Plan 4 Health and sgc III

WALKSacramento and the D4AS Coalition have been awarded a Plan 4 Health grant from the Centers for Disease Control through the American Planning Association to advance healthy communities. As 1 of 17 national coalitions receiving funds to build greater connections between planning and health, WALKSacramento and the D4AS Coalition (which has expanded to include new community, agency, and professional affiliate partners) are providing technical assistance to local jurisdictions throughout Sacramento County.

Additionally, through a partnership with the Sacramento Area Council of Governments, WALKSacramento has received funding to provide technical assistance on Active Design to planners and public health professionals throughout the greater SACOG region.

Technical Assistance Offered:

  • Education to staff, appointed, and elected officials on advancing healthy communities
    Policy review and development
  • Consultation with developers to advance Active Design
  • Outreach and education with community members around healthy communities
  • Grant writing assistance
  • Health Impact Assessments
  • Convenings of public health and planning departments to discuss shared resources
  • Support at public hearings for healthy communities initiatives

Local, State, and National Recognition

Recent Work

2nd Regional Convening of Public Health Officers, Planning Directors, and New Partners
On June 7th, 2017 over 80 of the Sacramento Region’s public health and planning decision makers came together at the 
Maple Neighborhood Center to collaborate on designing healthier communities. County Public Health Officers joined Planning Directors, Public Works Engineers, and Community Benefit Mangers from throughout the region to explore the connections between health, planning, climate change, and equity. Expert presenters including leaders from the Health Care, Energy, Planning, and advocacy fields discussed the importance of incorporating health and equity into the way that communities are built.

Read more about the event >

PLan4Health Project in Pictures

Plan4Health is a joint program between the American Planning Assocication and the American Public Health Association to build stronger collaboration between planners and public health professionals.  WALKSacramento and the Design 4 Active Sacramento Coalition led a project to advance Active Design implementation across Sacramento County.

Read more about the event >

Advisory Board


Principal Planner, Sustainability Manager, Sacramento County Department of Community Development. Judy has over 25 years of experience with local government, community planning and development. She created multiple County programs and has led several major multi-departmental initiatives that identified new incentives for infill development, creative and sustainable ways of getting infrastructure “in the ground,” and advanced policies that promote public health, safety and livability through community design and the built environment. Most recently she was successful in obtaining $1.5 million in sustainability grants for the county. Judy is the Team Leader for Design 4 Active Sacramento. She has a Master’s degree in Park and Recreation Administration.


Teri Duarte joined WALKSacramento in February 2011, after serving for 22 years as Director of the Women, Infants and Children (WIC) Program for the County of Sacramento. At the WIC Program, she oversaw 80 staff who helped families learn about nutrition and health to improve the lives of children. In 2004, she became interested in improving the urban environment to promote health through increased walking and biking in everyday life. She began to work with the Sacramento City and County planning departments to develop policies that lead to development that facilitates walking and bicycling. She helped WALKSacramento launch its Complete Streets Coalition from the Partnership for Active Communities. She served part-time in 2009-10 in the Land Use and Transportation unit of the Sacramento Metropolitan Air Quality Management District, helping to incorporate a range of public health concerns into the agency’s project review comment letters on proposed land use projects in the region. Teri is an instructor in City of Sacramento’s Planning Academy and has delivered presentations on the health impacts of the built environment to thousands in the Sacramento region. Teri has a Master of Public Health degree from U.C. Berkeley. She has lived in Mexico and is fluent in Spanish.


Adrian is Principal of Echelon Transportation Group, with over 16 years of experience in municipal and transportation engineering. His focus is on the planning and implementation of Complete Streets projects in Central and Northern California. His approach to implementing roadway projects is to find the balance to accommodate all modes of travel safely and efficiently. Adrian is chair of the Urban Land Institute’s Transit Oriented Development Advisory Council for the Sacramento District. For the past six years, Adrian has been teaching “Geometric Design for California” for the Technology Transfer Program at UC Berkeley. He has a bachelor’s degree in Civil Engineering from Cal Poly, San Luis Obispo.


Dr. Kasirye is the Public Health Officer for Sacramento County. She provides medical expertise and oversight on a variety of community-wide public health issues impacting County residents, including communicable disease control, maternal and child health issues, chronic diseases and emergency preparedness. She works with local healthcare providers and community stakeholders on public health clinical, preventive and policy issues. Dr. Kasirye received her medical degree in Uganda, and holds a Masters degree in Epidemiology from UC Davis. She is board certified in Public Health and Preventive Medicine.


Monica Hernández joined the Sacramento Area Council of Governments (SACOG) in 2007. She is the project coordinator for outreach and communications for the 2016 Metropolitan Transportation Plan/Sustainable Communities Strategy. She is also the project coordinator for the Rural-Urban Connections Strategy, where she works on bringing in new agricultural partners into regional planning processes. Ms. Hernández works with a broad range of individuals and organizations in the Sacramento region to explain how transportation, land use, economic and environmental sustainability and air quality are deeply interrelated with community and environmental health, economic viability and social equity. She is a graduate of Sacramento State.


Neurosurgeon, Pacific Brain and Spine Medical Group and Medical Director, Neuroscience Program Development, Eden Medical Center. Dr. Zusman was nominated in 2008 as one of Sacramento Magazine’s Top Docs for Neurosurgery. Under her leadership at its Neuroscience Institute, Sutter Medical Center in Sacramento was ranked among America’s Best Hospitals in Neurology and Neurosurgery by US News & World Report in 2007 and 2008. An essay telling her inspiring story about becoming a top neurosurgeon in a male-dominated field was published in Knowing Pains and featured on the NBC Today Show, San Francisco Chronicle and the Sacramento Bee. Her practice specializes in the diagnosis and treatment of brain tumors, epilepsy, aneurysms, vascular malformations and disorders of the spine.


Dr. Carr is an Assistant Professor in Environmental Design & Public Health at the University of Hawaii. She has also taught at UC Berkeley. In both these positions she has taught courses in environmental design and digital methods for designers. She has a Master’s in Architecture from Tulane University, a Master’s in Landscape Architecture from UC Berkeley where she also received her PhD, and is a registered architect. Her dissertation work examined the connections between health and urban landscape, and how health research can be applied to policy and neighborhood design.


Dr. Mark B Horton is a physician and public health official with eighteen years’ experience in clinical pediatric practice and over fifteen years’ experience directing state and local public health agencies. From 2005 to 2007, he served as California State Public Health Officer and Chief Deputy Director over Public Health Programs for the California Department of Health Services. In 2007 he was appointed Director of the newly created California Department of Public Health and served until early 2011. Dr. Horton currently is a consultant to the Center for Health Leadership and Practice at the Public Health Institute in Oakland, California.


Dr. Charlene Hauser is a Family Physician in Grass Valley, CA who focuses on keeping people healthy in the environment where they work, live, and play. She has been an active advocate for her patients by addressing their needs for a walkable community since moving to Sacramento in 2009. She completed her MD and Master’s of Public Health at Tulane University in New Orleans, LA in 2008.


Glennah Trochet M.D. has been a Sacramento County resident for over 30 years. She is a graduate of the University of Pennsylvania School of Medicine and Board Certified in Family Medicine. She began her career in Sacramento in private practice, then worked for the County of Sacramento for 22 years. During this time she was a staff physician, Medical Director of the Sacramento County Clinics and for twelve years the Public Health Officer for Sacramento County. Since her retirement in September of 2011 Dr. Trochet has returned to seeing patients part-time and volunteers her time for several organizations that work with the homeless and on public health issues. She is particularly interested in helping to decrease health disparities and in social justice issues.


Caroline has served as California’s Chronic Disease Director and the Chronic Disease Control Branch Chief in the California Department of Public Health (CDPH) since 2008. She oversees CDPH chronic disease prevention and management programs for Cardiovascular Disease, Diabetes, Arthritis, Colorectal Cancer, Alzheimer’s Disease and Oral Health. She also leads the initiative to address chronic disease prevention comprehensively. Dr. Peck’s primary interests are in implementing a broad approach to chronic disease prevention, increasing the use of health economic analyses and advancing women’s health. She has devoted her career in medicine and public health to caring for the uninsured and underinsured.

D4AS coalition members

D4AS Team
Sacramento Valley Chapter – American Planning Association
California Chapter of the American Planning Association
American Public Health Association – North
Sacramento County
Citrus Heights
Sacramento Area Council of Governments
Regional Transit
Echelon Transportation Group
Katie Valenzuela Garcia
La Familia Counseling Center
Mutual Housing Sacramento