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Central Valley Rural Education and Health Alliance

The Central Valley Rural Education and Health Alliance (REHA) brings together rural elementary school educators, district and county administrators, and school-based health professionals to strengthen and expand collaborative approaches to improve student education and health outcomes. The children and families that live, work, and go to school in California’s rural Central Valley experience some of the state’s worst education and health outcomes and some of the nation’s most entrenched poverty. Improving these outcomes, especially for young children, is a regional priority. REHA specifically focuses on ways that schools and school-based health centers can collaborate to promote academic success. As a cross-sector effort, REHA works with partners from Parlier Unified School District, Tulare City School District, the Fresno County Superintendent of Schools, and the California School-Based Health Alliance to use evidence, promising approaches, and data to address school readiness, chronic absence, school culture and climate, and student health and behavioral interventions.

Alliance Objectives

With support from REL West:

  • Districts and school-based health centers examine data routinely and more fully, and act to provide more research-based supports to address chronic absence.
  • Child care and preschool programs in Fresno County increase enrollment for underserved families and decrease the number of unfilled slots.
  • School readiness and chronic absence rates improve.




Alliance membership includes key staff and leaders from the California School-Based Health Alliance, the Central Valley Coalition, the Fresno County Office of Education, and teams from participating schools, districts, and school-based health centers in Parlier Unified School District and Tulare City School District.