Alabama has serious economic and social problems, and the situation is worse in rural areas and small towns than in urban areas. The solutions to the problems of small communities must be found within the communities themselves. Sustainable communities are those that aggressively manage their destiny, based on a realistic and well planned vision.…

Context: The rural Black Belt of Alabama is among the poorest areas of the nation. Poverty, lack of health infrastructure, and health disparities involving HIV/AIDS and other diseases reflect the lower life expectancy of people in the region. The Black Belt region has the highest HIV rates in rural America. Purpose: Using Alabama as a case…