The pilot Ecumenical Child Health Project tested ways to coordinate local church activities aimed at improving young children's access to health care. Within a year, coordinators at 3 pilot sites had succeeded in initialing or enhancing several activities that linked health care to more than 1000 families and children living in medically under-served neighborhoods. This article discusses strategies or approaches that emerged from the project as church-related routes for improving health access. The article also describes specific partnerships initiated between ecumenical groups and local organizations, and discusses limitations and advantages of working with churches to address child health concerns. While the pilot study demonstrated that child health is a viable mission for local churches, the paper suggests that resources, planning and technical assistance be coordinated on a community-wide basis. (JPB)