The Healthy Start Initiative is a national five-year demonstration program that uses a broad range of community-driven, system development approaches to reduce infant mortality and improve the health and well-being of women, infants, children, and families. This volume, third in the series, deals with the topic of sustainability, which refers to efforts by the projects to continue the successful strategies that only recently have progressed from early implementation toward a model of success. It is claimed that the best products are those derived after careful planning and deliberation. The efforts of the communities involved in the Healthy Start Initiative provides meaningful examples of interventions that can be replicated in other environments. This report has three chapters. The first chapter, entitled "Healthy Start's Environment: Capitalizing on Change," discusses the changes in Medicaid and managed care, federal resources, violence prevention, child development, maternal and child health, and community development. The second chapter, entitled "Evaluating Impact: Telling the Healthy Start Story," discusses local evaluation of the Healthy Start Initiative program as well as public information and public education campaigns. The third chapter, entitled "Linking with Stakeholders: Building Bridges to Resources," discusses the importance of leadership, momentum, involvement, and diversity of community. It also provides information on private resources. An appendix which provides a list of related organizations is included. (MOK)