Date of Award

Summer 2023

Degree Type

Open Access Dissertation

Degree Name

Public Health, DPH


School of Community and Global Health

Advisor/Supervisor/Committee Chair

C. Anderson Johnson

Dissertation or Thesis Committee Member

Shamini Dias

Dissertation or Thesis Committee Member

Rachaline Napier

Dissertation or Thesis Committee Member

Buddy Orange

Terms of Use & License Information

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

Rights Information

© 2023 Lizbeth Bayardo Cardenas


Community Health Center, Equity, Evaluation, Kirkpatrick, Leadership, Most Significant Change

Subject Categories

Health Services Administration | Public Health | Public Health Education and Promotion


This is a formative evaluation study of the California Primary Care Association's (CPCA) Leadership Equity Program, developed in response to the need for greater alignment between the communities accessing care provided by Community Health Centers and the representativeness of their future executive leaders. Community Health Centers (CHC) are a critical network of primary healthcare systems that deliver high-quality, comprehensive healthcare services to patients predominantly from under-resourced and marginalized communities of color. The study used a mixed-method concurrent triangulation design to describe how participants perceived the program achieved its goals and objectives using Kirkpatrick's Model and systems thinking. The study integrated quantitative data collected from retrospective pre-post surveys and qualitative data collected using the Most Significant Change (MSC) technique. Findings demonstrated that the Leadership Equity Program successfully reached its immediate goals and objectives in the first year of implementation to impact change at the individual level and build capacity at the organizational, community, and system levels. This study identified barriers and opportunities for this program to catalyze collective and collaborative leadership to advance Justice, Equity, Diversity, and Inclusion (JEDI) in CHC organizations and communities. The findings extend the leadership literature on how equity-grounded leadership development programs can advance diverse leaders who can create and sustain environments that advance health equity.