Community Health Assessment (CHA)

What is a CHA?

A Community Health Assessment (CHA) is a process through which you gain a better understanding of the health concerns and needs of the community by identifying, collecting, analyzing, and disseminating information on the community’s assets, strengths, resources, and needs. It includes information on risk factors, quality of life, morbidity, and mortality, social determinants of health, and health equity. It also includes information on how well the public health and healthcare systems provide services. 

The overarching goal for the CHA is to engage community members, identify emerging issues, and set the foundation for future programming in the GNPHR. The City of Nashua Division of Public Health and Community Services' (DPHCS) CHAs include data on the City of Nashua, the Greater Nashua Public Health Region (GNPHR), and the State of New Hampshire.

2020 Greater Nashua CHA Open for Public Comment

This 2020 Greater Nashua CHA is the fourth comprehensive CHA conducted by the Nashua DPHCS and their Public Health Advisory Council partners. It is a product of the dedication and collaboration of over 33 organizations, programs, and City departments serving the GNPHR. Like the previous CHAs, this data from the assessment will be used to prioritize health issues, develop goals and strategies to improve health outcomes, and implement evidence-informed initiatives to make our community a healthier place to live, work, and thrive.

DPCHS has now posted the draft chapters of the 2020 CHA and are looking for feedback from our community. We welcome community members to review the CHA and give us any comments, ideas, and suggestions. This year, our CHA is completely online as a live, interactive document, available here: 2020 Greater Nashua Community Health Assessment.

If you have any feedback, please provide it by completing our online feedback form. You can also complete a print copy of the feedback form available for download here. This form can be sent to us via email (, fax (603-594-3452), or mail (City of Nashua Division of Public Health and Community Services, c/o Angela Consentino, 142 Main Street, Suite 410, Nashua, NH 03060). We value your input and thank you in advance for being part of the process.  

How can CHA Data be Used?

Community health assessment data can be used to inform community decision-making, including:

  • Academia 
  • Applying for funding/grants
  • Certification/accreditation/licensing
  • Developing a Community Health Improvement Plan (CHIP)
  • Developing community health priorities
  • Meeting Community Needs Assessment requirements
  • Program evaluation
  • Program planning, enhancement, and implementation

CHA Health Topics

There are many health topics covered in CHAs, including, but not limited to:

  • Access to Healthcare
  • Behavioral Health (Mental Health, Substance Misuse, Suicide)
  • Cancer
  • Chronic Disease 
  • Climate Change 
  • Communicable Diseases
  • Environmental Health
  • Injury
  • Maternal and Child Health
  • Oral Health
  • Physical Wellness (Food and Nutrition, Physical Activity, and Physical Safety)
  • Public Health Emergency Preparedness
  • Safety
  • Social Determinants of Health

Access Full Reports

2011 CHA Cover
2014 CHA Cover
2017 CHA Cover